Child Abuse Identification and Reporting:
Iowa Training for Mandatory Reporters

The Disturbing Statistics


Introduction

Who Are the Mandated Reporters?

Abuse and Neglect/
Maltreatment Have Many Presentations

The Disturbing Statistics

Legal Definitions Related to Child Maltreatment

Recognizing Child Abuse

Risk Factors Contributing to Child Abuse and Maltreatment

Protective Factors for Child Abuse and Maltreatment

The Consequences of Child Abuse

Perpetrators of Child Abuse

Dos and Don'ts Regarding Talking with Children about Possible Abuse or Maltreatment

Reporting Child Abuse and Maltreatment

After the Assessment Process

Child Abuse Prevention Services

Safe Haven for Newborns--Overview of the Safe Haven Act

Conclusion

References

Resources

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The National Child Abuse and Neglect Data System (NCANDS) is a federally sponsored effort that collects and analyzes annual data on child abuse and neglect. The data are submitted voluntarily by the States, the District of Columbia and the Commonwealth of Puerto Rico. State laws determine what is considered abuse, maltreatment or neglect in each state and these laws can vary from state to state. The information that is collected in each state also varies.

The reader is requested to remember that the data presented here are provided voluntarily by each state and compiled by NCANDS. The first report from NCANDS was based on data for 1990; the most recent report, Child Maltreatment 2006, published in 2008, reports on data collected from October 1, 2005 through September 30, 2006. Most of the statistics in this course come from the US Department of Health and Human Services, Administration for Children and Families' Child Maltreatment 2006 (USDHHS-ACF, 2008).

The National Picture

For Federal fiscal year 2006, an estimated 3.6 million referrals alleging child abuse or neglect were made to State and local child protective services (CPS) agencies for investigation or assessment. Of the children who received an investigation, approximately one-quarter (25.2%) were determined to have been abused or neglected. In 2006, 905,000 children were determined to have been victims of child abuse or maltreatment in the US (USDHHS-ACF, 2008).

The rate of all children who received a disposition increased from 43.8 per 1,000 children in 2002 to 47.8 per 1,000 children in 2006. The national estimates are based upon counting a child each time he or she was the subject of a CPS investigation. While almost a million children were determined to be victims of child maltreatment, the rate of victimization has decreased slightly since 1990. The rate of victimization per 1,000 children in the national population has dropped from 13.4 children in 1990 to 12.3 per 1,000 children in 2002 to 12.1 per 1,000 children in 2006 (USDHHS-ACF, 2008).

During 2006, 64.1 percent of victims experienced neglect, 16.0 percent were physically abused, 8.8 percent were sexually abused, 6.6 percent were psychologically maltreated, and 2.2 percent were medically neglected. In addition, 15.1 percent of victims experienced such "other" types of maltreatment as "abandonment," "threats of harm to the child," or "congenital drug addiction." States may code any condition that does not fall into one of the main categories-physical abuse, neglect, medical neglect, sexual abuse, and psychological or emotional maltreatment-as "other." These maltreatment type percentages total more than 100 percent because children who were victims of more than one type of maltreatment were counted for each maltreatment (USDHHS-ACYF, 2008).

Child fatalities are the most tragic consequence of maltreatment.For 2006, an estimated 1,530 children died due to child abuse or neglect (USDHHS-ACF, 2008). This is a 4.8 percent increase from the 1,460 fatalities that occurred the previous year (PCA-NY, n.d.). The overall rate of child fatalities was 2.04 deaths per 100,000 children. The rate of 2.04 is an increase from the rate for 2005 of 1.96 per 100,000 children. This increase can be attributed to better reporting practices and is not necessarily an increase in the number of fatalities (USDHHS-ACF, 2008). Neglect was the cause in 41.1% of fatalities; combinations of maltreatments accounted for 31.4%, and physical abuse was the cause in 22.4% of cases. Medical neglect accounted for 1.9% of fatalities (USDHHS-ACF, 2008).


Ken Howard, USDA

Characteristics of Child Victims

Generally, the rate of victimization was inversely related to the age group of the child; the youngest children had the highest rate of victimization. Children younger than 4 years are the most vulnerable for many reasons, including their dependency, small size, and inability to defend themselves (USDHHS-ACF, 2005). The rate of child victimization for the age group of birth to 1 year was 24.4 per 1,000 children of the same age group. The victimization rate for children in the age group of 1-3 years was 14.2 per 1,000 children in the same age group. The victimization rate for children in the age group of 4-7 years was 13.5 per 1,000 children in the same age group (USDHHS-ACF, 2008).

Nearly three-quarters of child victims (72.2%) ages birth to 1 year and age group of 1-3 (72.9%) were neglected compared with 55.0 percent of victims ages 16 years and older. For victims in the age group of 4-7 years 15.3 percent were physically abused and 8.2 percent were sexually abused, compared with 20.1 percent and 16.5 percent, respectively, for victims in the age group of 12-15 years old (USDHHS-ACF, 2008).

More than three-quarters (78.0%) of children who were killed were younger than 4 years of age, 11.9 percent were 4-7 years of age, 4.8 percent were 8-11 years of age, and 5.4 percent were 12-17 years of age (USDHHS-ACF, 2008).

In 2006, girls were more likely than boys to be maltreated; 48.2 percent of child victims were boys, and 51.5 percent of the victims were girls (USDHHS-ACF, 2008). However, infant boys (younger than 1 year old) had the highest rate of fatalities, 18.5 deaths per 100,000 boys of the same age in the national population. Infant girls had a rate of 14.7 deaths per 100,000 girls of the same age (USDDHS-ACF, 2008).

Of the children maltreated in 2006, almost one-half of all victims were White (48.8%); almost one-quarter (22.8%) were African-American; and 18.4 percent were Hispanic. For all racial categories, the largest percentage of victims suffered from neglect (USDDH-ACF, 2008).

African-American children, American Indian or Alaska Native children, and Pacific Islander children had the highest rates of victimization at 19.8, 15.9, and 15.4 per 1,000 children of the same race or ethnicity, respectively. White children and Hispanic children had rates of approximately 10.7 and 10.8 per 1,000 children of the same race or ethnicity, respectively. Asian children had the lowest rate of 2.5 per 1,000 children of the same race or ethnicity (USDDH-ACF, 2008).

Child victims who were reported with a disability accounted for 7.7 percent of all victims. Children with the following risk factors were considered as having a disability: mental retardation, emotional disturbance, visual impairment, learning disability, physical disability, behavioral problems, or another medical problem. In general, children with such conditions are undercounted as not every child receives a clinical diagnostic assessment by CPS. Three percent of victims had behavior problems; 1.9 percent of victims were emotionally disturbed. A victim could have been reported with more than one type of disability (USDHHS-ACF, 2008).

Reporters of Child Maltreatment

Professionals submitted more than one-half (56.3%) of the reports. "Professional" indicates that the person encountered the alleged victim as part of the report source's occupation. State laws require most professionals to notify CPS agencies of suspected maltreatment. The categories of professionals include teachers, legal staff or police officers, social services staff, medical staff, mental health workers, child daycare workers, and foster care providers. The three most common sources of reports in 2006 were from professionals-teachers (16.5%), lawyers or police officers (15.8%), and social services staff (10.0%) (USDHHS-ACF, 2008).

Non-professionals submitted almost 44% of reports. These reports were made by parents, relatives, friends and neighbors, alleged victims, alleged perpetrators, anonymous callers, and "other" sources (which may include clergy members, sports coaches, camp counselors, bystanders, volunteers, and foster siblings). The three largest groups of nonprofessional reporters were anonymous (8.2%), "other" (8.0%) and other relatives (7.8%) (USDHHS-ACF, 2008).

The data for victims of specific types of maltreatment were analyzed in terms of the report sources. Of victims of physical abuse, 24.2 percent were reported by teachers, 23.1 percent were reported by police officers or lawyers, and 12.1 percent were reported by medical staff. In physical abuse cases, 74.9 percent were reported by professionals and 25.1 percent were reported by nonprofessionals. The patterns of reporting of neglect and sexual abuse victims were similar-police officers or lawyers accounted for the largest report source percentage of neglect victims (27.1%) and the largest percentage of sexual abuse victims (28.1%) (USDHHS-ACF, 2008).

In the State of Iowa

The same NCANDS data that provided information for Child Maltreatment 2006 also provided state-specific information related to certain categories of information. Much of the following information has been obtained for Iowa from the same document.

In 2006, 14,589 Iowa children were abused or neglected (USDHHS-ACF, 2008). There were 42,457 reports of child abuse or neglect in 2006. Of the 25,029 reports that were accepted, involving 38,767 children, 15,619 reports were unsubstantiated as situations of child abuse, while 9,410 reports were substantiated. Those reports of substantiated abuse involved 14,589 children. There are more victims than reports because some reports involve more than one child. The rate of child victimization in Iowa in 2006 was 20.5, while the national rate was 12.1, indicating that Iowa has a higher rate of child abuse than the national rate. Additionally, Iowa's rate of victimization has been rising since 2002, when the victimization rate was 16.9; in 2003, the rate increased to 18.6; in 2004 it increased to 19.4; in 2005 the victimization rate was 19.7. It is not clear why the rate is increasing. It may be due to an increase in actual victimization, however it may also be related to better reporting and investigation.

In Iowa, of the 14,589 children who were maltreated in 2006 (USDHHS-ACF, 2008):

  • 11,581 children, or 79.4% were neglected;
  • 1,888 children, or 12.9% were physically abused;
  • 146 children, or 1% were medically neglected;
  • 789 children, or 5.4% were sexually abused;
  • 97 children, or 0.7% were psychologically abused;
  • 1,524 children, or 10.4 endured other types of maltreatment.

The "other" types of maltreatment include, for example, abandonment, threats of harm, or congenital drug addiction. Totals are more than 100% because a child may be the victim of more than one type of maltreatment. In Iowa in 2006, 6 children died as a result of abuse or neglect, a fatality rate of 0.84 per 100,000 children. This is a decrease from 2005 when 9 children died in Iowa as a result of maltreatment (USDHHS-ACF, 2008).

Continue to Legal Definitions Related to Child Maltreatment