Healthcare Utilization Patterns Among Children With a History of Child Protective Services Investigations

Violence Vict. 2020 Dec 1;35(6):906-919. doi: 10.1891/VV-D-19-00122.

Abstract

Purpose: Examine whether children with a prior child protective services (CPS) investigation had different healthcare utilization compared to children without a history of CPS investigations.

Methods: The Children's Health Assessment and Planning Survey assessed 6,492 primary caregivers of children ages 0-17 years residing in North Texas in 2015. Caregivers reported prior CPS investigations and child healthcare utilization (emergency department [ED] use, unmet medication needs, and unmet medical care needs).

Principle findings: A total of 408 (5%) caregivers reported their child had a CPS investigation. Children with CPS investigations had greater odds of visiting the ED (OR = 1.9; 95% CI: 1.4, 2.5) and not receiving necessary medical care (OR = 1.9; 95% CI: 1.4, 2.8) compared to children without a CPS investigation.

Conclusions: Prior CPS investigation was associated with disparities in receipt of necessary medical care and ED utilization for children.

Keywords: child protective services; children; emergency department; healthcare; treatment.

MeSH terms

  • Adolescent
  • Adult
  • Caregivers*
  • Child
  • Child Health Services
  • Child Protective Services*
  • Child, Preschool
  • Female
  • Healthcare Disparities*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Patient Acceptance of Health Care*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Texas
  • Young Adult