Complete Indicator Profile - Child Abuse and Neglect (HA2020 Leading Health Indicator: 11)

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State of Alaska

Complete Indicator Profile of Child Abuse and Neglect (HA2020 Leading Health Indicator: 11)

Definition

The rate of substantiated victims or allegations of child abuse per 1,000 children under age 18. Child abuse and neglect is defined as any any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation; or an act or failure to act which presents an imminent risk of serious harm.

Child abuse and neglect is defined as any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation; or an act or failure to act which presents an imminent risk of serious harm.

Numerator

Number of substantiated victims or allegations of child abuse and/or neglect among children under age 18.

Denominator

Mid-year resident population under age 18 for the same calendar year.

Why Is This Important?

The prevalence of sexual violence and intimate partner violence is a major public health concern in Alaska. Witnessing or being a victim of domestic violence is associated with high rates of fair-to-poor assessments of general health, asthma diagnoses, current smoking, and lack of emotional support. Individuals diagnosed with anxiety and/or depression have some of the highest prevalence of sexual and intimate partner violence. Child abuse and neglect are a longstanding concern in Alaska, associated with poor health status in childhood and adulthood. Study findings suggest that adverse childhood experiences are major risk factors for the leading causes of illness and death as well as poor quality of life.

Healthy People Objective IVP-38:

Reduce nonfatal child maltreatment
U.S. Target: 8.5 maltreatment victims per 1,000 children aged 17 years and under
State Target: Healthy Alaskans 2020 Target: 14.4 per 1,000 children aged 17 years and under

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs.*

Strategy 1:
Promote screening and monitoring for child abuse in primary care offices and public health clinics.

Evidence Base:
Medical offices are uniquely positioned to identify risk and provide appropriate interventions and referrals to children, youth and adults at risk of developmental delay, neglect, maltreatment, or interpersonal violence. Identifying children with developmental disorders or at risk for toxic stress is the first step in providing needed interventions and targeted support for their parents and other caregivers. Research has demonstrated that children receiving developmental screening were more likely to be identified, eligible, and referred for services. Parents use developmental screening opportunities to communicate additional concerns regarding their child. This strategy implements practice
changes in primary care offices and public health clinics to include regular comprehensive screening of children for developmental delays, social and emotional concerns, and exposure to high risk environments; provision of parenting information and support; screening for depression, domestic violence and substance abuse for pregnant women and new parents; and provision of information about healthy relationships and the health effects of victimization to adults and adolescents.

Strategy 2:
Use the Strengthening Families Protective Factors framework in family programs.

Evidence Base:
The Center for the Study of Social Policy, the creator of the Strengthening Families Protective Factors framework, worked with the Erickson Institute to conduct a scan of existing research about conditions related to a lower incidence of child abuse and neglect. Several "protective factors" emerged. The protective factors related to families include: parental resilience, an array of social connections, adequate knowledge of parenting and child development, and support in times of need, including access to necessary services such as mental health. The protective factor related to children is their healthy social and emotional development.

Strategy 3:
Expand home visiting programs.

Evidence Base:
Early childhood home visitation programs, including Nurse Family Partnerships, Parents as Teachers, Early Head Start, Head Start, and Infant Learning Programs, are recommended to prevent child maltreatment and reducing violence against visited children. Programs delivered by professional visitors (i.e. nurses or mental health workers) seem more effective than programs delivered by paraprofessionals, although programs delivered by paraprofessionals for ≥2 years also appear to be effective in reducing child maltreatment. Home visitation programs in this review were offered to teenage parents, single mothers, families of low socioeconomic status (SES), families with very low birth weight infants, parents previously investigated for child maltreatment, and parents with alcohol, drug, or mental health problems.

Strategy 4:**
Expand and strengthen quality early childhood programs.

Strategy 5:**
Train Providers on brain development, adverse childhood experiences (ACES), and resiliency.

* Sources for strategies can be found at http://hss.state.ak.us/ha2020/assets/EBS/HA2020_EBS11_ChildAbuseAndNeglect.pdf
** Evidence Base information for Strategy 4 and Strategy 5 can be found at http://hss.state.ak.us/ha2020/assets/EBS/HA2020_EBS11_ChildAbuseAndNeglect.pdf



Related Indicators

Related Relevant Population Characteristics Indicator Profiles:


Related Health Care System Factors Indicator Profiles:


Related Risk Factors Indicator Profiles:


Related Health Status Outcomes Indicator Profiles:




Graphical Data Views

Rate of unique substantiated child maltreatment victims per 1,000 children (aged 0-17 years), all Alaskans and U.S., 2006-2020

::chart - missing::

Alaska Comparisons Year Rate of child maltreatment per 1,000 children
Record Count: 24
All Alaskans 2006 17.6
All Alaskans 2007 15.0
All Alaskans 2008 20.3
All Alaskans 2009 18.2
All Alaskans 2010 15.3
All Alaskans 2011 14.1
All Alaskans 2012 15.6
All Alaskans 2013 13.0
U.S. 2006 11.0
U.S. 2007 9.6
U.S. 2008 9.5
U.S. 2009 9.3
U.S. 2010 9.3
U.S. 2011 9.2
U.S. 2012 9.1
U.S. 2013 9.1
Healthy Alaskans Goal 2013 14.4
Healthy Alaskans Goal 2014 14.4
Healthy Alaskans Goal 2015 14.4
Healthy Alaskans Goal 2016 14.4
Healthy Alaskans Goal 2017 14.4
Healthy Alaskans Goal 2018 14.4
Healthy Alaskans Goal 2019 14.4
Healthy Alaskans Goal 2020 14.4

Data Notes

Healthy Alaskans 2020 Target: 14.4 per 1,000 children aged 17 years and under

These data show substantiated reported cases rather than actual incidence.

Data Sources

  • Alaska Department of Health and Social Services, Office of Children's Services
  • U.S. Department of Health and Human Services, Administration for Children and Families


More Resources and Links

Alaska and national goals may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 06/30/2014, Published on 06/30/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 02 September 2015 0:30:10 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov".

Content updated: Fri, 7 Aug 2015 10:00:08 AKDT