1. Provincial Forum on Improving Outcomes for Children, Youth & Families Edmonton, Alberta May 27 th, 2009 Bruce MacLaurin Faculty of Social Work University of Calgary Using National and Provincial Data to Inform Outcomes for Child Welfare

2. Overview of Presentation  Overview of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003) methodology  Understanding the increase in child maltreatment in Canada between 1998 and 2003  Review key findings of the Alberta Incidence Study of Reported Child Abuse and Neglect (AIS-2003) related to indicators of child welfare outcomes  Examine the relationship to the National Outcomes Indicator Matrix (NOM)

3. CIS-2003 Presentation Team: Nico Trocmé, Barbara Fallon, Bruce MacLaurin, Tara Black, Caroline Felstiner, Della Knoke & Catherine Roy Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003)

4. CIS 2003 Background Second national study examining the incidence of reported child abuse and neglect. A national child health surveillance activity initiated by the Public Health Agency of Canada (PHAC), Injury and Child Maltreatment Section of the Health Surveillance and Epidemiology Division. A partnership with PHAC, provincial and territorial governments, the First Nations Child and Family Caring Society, and Bell Canada. Conducted by a team of researchers from the Universities of McGill, Toronto, Calgary, Quebec, and Memorial.

5. Objectives of the CIS-2003  produce national estimates of the incidence of investigated maltreatment in Canada in 2003;  document changes from 1998 to 2003 & explore reasons for the change;  examine variations in types and severity of maltreatment;  explore the role of selected child and family characteristics on the incidence of maltreatment and on key service outcomes.

6. CIS 2003 Methods Used a modified version of the CIS-1998 instrument to document nature of maltreatment, key child and family characteristics and post- investigation services. Data collected directly from investigating social workers (except administrative data used in Quebec). Sample: –11,562 child investigations conducted by 936 child welfare workers in 55 sites across Canada + –administrative data on 2,638 investigations in 6 sites in Quebec. Limitations: –Limited to reports investigated by child welfare services. –Most data from Quebec could not be directly included. –Study not designed to make regional comparisons. –No follow-up beyond investigation

7. Rates and Numbers of Reported & Substantiated Investigations (CIS 2003, excluding Quebec ) 45.68 / 1,000 children Substantiated 103,297 Suspected 28,053 Unsubstantiated 85,969 217,319

8. Increasing Rates of Reports & Substantiated Investigations (CIS 98-03, excluding Quebec ) 24.55/1000 45.68/1000 86% ► 125% ► 47% substan- tiated 39% substan- tiated

9. Rates of reports per child vs. per family (CIS 98-03, excluding Quebec ) 86% ► 41%►

10. Differential Trends by Form of Substantiated Maltreatment: CIS 98/03 (excluding Quebec)

11. Summary Explanation of Increase in Investigations (CIS-1998-2003) 125% increase in incidence of substantiated maltreatment: –Increase in substantiation rates. –More siblings per family being investigated. –Explosion of reports of emotional maltreatment and exposure to domestic violence.

12. AIS-2003 Presentation Team: Bruce MacLaurin, Nico Trocmé, Barbara Fallon, Megan McCormack & Lisa Pitman Alberta Incidence Study of Reported Child Abuse and Neglect (AIS-2003)

13. Physical Harm Noted For Cases of Substantiated Maltreatment (AIS-2003) 4% of Substantiated Child Maltreatment Investigations Indicate Serious Physical Harm Requiring Medical Treatment

14. Recurrence of Maltreatment For Cases of Substantiated Maltreatment (AIS-2003) 68% of Substantiated Maltreatment Investigations Have Previous Involvement with ACYS

15. Placement in Care for Cases of Substantiated Maltreatment (AIS-2003)

16. Child Functioning Issues for Cases of Substantiated Maltreatment (AIS-2003)

17. Caregiver Risk Factors For Cases of Substantiated Maltreatment (AIS-2003)

18. Household Risk Factors in Cases of Substantiated Maltreatment (AIS-2003)

19. Placement of Aboriginal and non-Aboriginal Children for Substantiated Cases (AIS-2003)

20. Safety 1 Recurrence 2 Injury Well-Being 3 School delay 4 Child Functioning Permanence 5 Placement 6 Moves in care & 7 Time in care Family & Community Support 8 Parenting Risks 9 Family Moves & 10 Ethno-cultural Placement Matching National Child Welfare Outcomes Indicator Matrix (NOM) Trocme, MacLaurin, Fallon, Shlonsky, Mulcahy & Esposito (2009)

21. Contact Information Bruce MacLaurin Assistant Professor Faculty of Social Work University of Calgary Tel: (403) 220-4698 Email: bmaclaur@ucalgary.ca