Child Maltreatment Re-report,Substantiation,and Foster Care Placement: A Latent Class Analysis of Child,Caregiver,and Household Risk Factors Across Screened-In and Screened-Out Cases
Restricted accessResearch articleFirst published online 2025
Child Maltreatment Re-report,Substantiation,and Foster Care Placement: A Latent Class Analysis of Child,Caregiver,and Household Risk Factors Across Screened-In and Screened-Out Cases
Children reported to Child Protective Services (CPS) face elevated risks of adverse outcomes. It is essential to identify vulnerable populations and opportunities for early intervention. This study combined qualitative coding of CPS intake reports with latent class analyses to explore the typologies of children and families based on documented risk factors, both across all CPS intake reports (N = 4,344) and separately for screened-in and screened-out cases. We further examined their associations with maltreatment re-report, substantiation, and foster care placement over a three-year follow-up. Results revealed four latent classes: “Financial Hardship,” “Caregiver Drug Use,” “Child Health Issues,” and “Domestic Violence,” with the “Financial Hardship” group having the highest risk of experiencing re-reports and foster care placements. We observed variations in risk profiles between screened-in and screened-out reports. Findings highlight the importance of a person-centered approach in identifying high-risk groups and co-occurring risk factors for both screened-in and screened-out reports.
AzzopardiC.CohenE.PépinK.NettenK.BirkenC.MadiganS. (2022). Child welfare system involvement among children with medical complexity. Child Maltreatment, 27(2), 257–266. https://doi.org/10.1177/10775595211029713
2.
BarthR. P.WildfireJ.GreenR. L. (2006). Placement into foster care and the interplay of urbanicity, child behavior problems, and poverty. American Journal of Orthopsychiatry, 76(3), 358–366. https://doi.org/10.1037/0002-9432.76.3.358
3.
BaumannD. J.FlukeJ. D.DalgleishL.KernH. (2014). The decision-making ecology. In From evidence to outcomes in child welfare: An international reader (pp. 24–40). Oxford University Press.
BergerL. M.FontS. A.SlackK. S.WaldfogelJ. (2017). Income and child maltreatment in unmarried families: Evidence from the earned income tax credit. Review of Economics of the Household, 15(4), 1345–1372. https://doi.org/10.1007/s11150-016-9346-9
6.
CancianM.YangM.-Y.SlackK. S. (2013). The effect of additional child support income on the risk of child maltreatment. Social Service Review, 87(3), 417–437. https://doi.org/10.1086/671929
7.
CasanuevaC.TuellerS.DolanM.TestaM.SmithK.DayO. (2015). Examining predictors of re-reports and recurrence of child maltreatment using two national data sources. Children and Youth Services Review, 48(1), 1–13. https://doi.org/10.1016/j.childyouth.2014.10.006
8.
Child Welfare Policy Unit, North Carolina Division of Social Services, and the Division of Public Health. (2024). Child welfare policy unit, North Carolina division of social services, and the division of public health. North Carolina School Health Program Manual. https://www.ncdhhs.gov/e4maltreatment2pdf/open
9.
ChiuY. L.RyanJ. P.HerzD. C. (2011). Allegations of maltreatment and delinquency: Does risk of juvenile arrest vary substantiation status?Children and Youth Services Review, 33(6), 855–860. https://doi.org/10.1016/j.childyouth.2010.12.007
10.
CongerR. D.GeX.Elder JrG. H.LorenzF. O.SimonsR. L. (1994). Economic stress, coercive family process, and developmental problems of adolescents. Child Development, 65(2), 541–561. https://doi.org/10.1111/j.1467-8624.1994.tb00768.x
11.
ConnellC. M.BergeronN.KatzK. H.SaundersL.TebesJ. K. (2007). Re-referral to child protective services: The influence of child, family, and case characteristics on risk status. Child Abuse & Neglect, 31(5), 573–588. https://doi.org/10.1016/j.chiabu.2006.12.004
12.
ConnellC. M.VanderploegJ. J.KatzK. H.CaronC.SaundersL.TebesJ. K. (2009). Maltreatment following reunification: Predictors of subsequent child protective services contact after children return home. Child Abuse & Neglect, 33(4), 218–228. https://doi.org/10.1016/j.chiabu.2008.07.005
13.
DammanJ. L.Johnson-MotoyamaM.WellsS. J.HarringtonK. (2020). Factors associated with the decision to investigate child protective services referrals: A systematic review. Child & Family Social Work, 25(4), 785–804. https://doi.org/10.1111/cfs.12755
14.
D’AndradeA. (2021). Poverty’s pathways: How poverty hinders parents' efforts to reunify with their children placed in foster care. Child Welfare, 99(4), 51–76.
15.
DrakeB.Jonson-ReidM.OcampoM. G.MorrisonM.DvalishviliD. (2020). A practical framework for considering the use of predictive risk modeling in child welfare. The Annals of the American Academy of Political and Social Science, 692(1), 162–181. https://doi.org/10.1177/0002716220978200
16.
DrakeB.Jonson-ReidM.SapokaiteL. (2006). Rereporting of child maltreatment: Does participation in other public sector services moderate the likelihood of a second maltreatment report?Child Abuse & Neglect, 30(11), 1201–1226. https://doi.org/10.1016/j.chiabu.2006.05.008
17.
DubowitzH.KimJ.BlackM. M.WeisbartC.SemiatinJ.MagderL. S. (2011). Identifying children at high risk for a child maltreatment report. Child Abuse & Neglect, 35(2), 96–104. https://doi.org/10.1016/j.chiabu.2010.09.003
18.
EastmanA. L.MitchellM. N.Putnam-HornsteinE. (2016). Risk of re-report: A latent class analysis of infants reported for maltreatment. Child Abuse & Neglect, 55(1), 22–31. https://doi.org/10.1016/j.chiabu.2016.03.002
19.
EnglishD. J.ThompsonR.WhiteC. R. (2015). Predicting risk of entry into foster care from early childhood experiences: A survival analysis using LONGSCAN data. Child Abuse & Neglect, 45(1), 57–67. https://doi.org/10.1016/j.chiabu.2015.04.017
20.
EnglishD. J.WingardT.MarshallD.OrmeM.OrmeA. (2000). Alternative responses to child protective services: Emerging issues and concerns. Child Abuse & Neglect, 24(3), 375–388. https://doi.org/10.1016/s0145-2134(99)00151-9
21.
FlukeJ. D.ShustermanG. R.HollinsheadD. M.YuanY.-Y. T. (2008). Longitudinal analysis of repeated child abuse reporting and victimization: Multistate analysis of associated factors. Child Maltreatment, 13(1), 76–88. https://doi.org/10.1177/1077559507311517
22.
FongK. (2020). Getting eyes in the home: Child protective services investigations and state surveillance of family life. American Sociological Review, 85(4), 610–638. https://doi.org/10.1177/0003122420938460
23.
FontS. A.GershoffE. T. (2020). Foster care: How we can, and should, do more for maltreated children. Social Policy Report, 33(3), 1–40. https://doi.org/10.1002/sop2.10
24.
FontS. A.Maguire-JackK.DillardR. (2020). The decision to substantiate allegations of child maltreatment. In Decision making and judgment in child welfare and protection: Theory, research, and practice (pp. 173–193). Oxford University Press.
25.
FrankhamC.RichardsonT.MaguireN. (2020). Psychological factors associated with financial hardship and mental health: A systematic review. Clinical Psychology Review, 77(1), Article 101832. https://doi.org/10.1016/j.cpr.2020.101832
26.
FullerT.NietoM. (2009). Substantiation and maltreatment rereporting: A propensity score analysis. Child Maltreatment, 14(1), 27–37. https://doi.org/10.1177/1077559508326925
27.
GwetK. L. (2014). Handbook of inter-rater reliability: The definitive guide to measuring the extent of agreement among raters. In Advanced analytics. LLC.
28.
GypenL.VanderfaeillieJ.De MaeyerS.BelengerL.Van HolenF. (2017). Outcomes of children who grew up in foster care: Systematic-review. Children and Youth Services Review, 76(1), 74–83. https://doi.org/10.1016/j.childyouth.2017.02.035
29.
HagenaarsJ. A.McCutcheonA. L. (2002). Applied latent class analysis. Cambridge University Press.
30.
HolbrookH. M.HudziakJ. J. (2020). Risk factors that predict longitudinal patterns of substantiated and unsubstantiated maltreatment reports. Child Abuse & Neglect, 99(1), Article 104279. https://doi.org/10.1016/j.chiabu.2019.104279
31.
Jackson FosterL. J.BeadnellB.PecoraP. J. (2015). Intergenerational pathways leading to foster care placement of foster care alumni's children. Child & Family Social Work, 20(1), 72–82. https://doi.org/10.1111/cfs.12057
32.
Jonson-ReidM.DrakeB.ChungS.WayI. (2003). Cross-type recidivism among child maltreatment victims and perpetrators. Child Abuse & Neglect, 27(8), 899–917. https://doi.org/10.1016/s0145-2134(03)00138-8
33.
KennedyR. S.PotterM. H.FontS. A. (2022). A meta-regression of racial disparities in wellbeing outcomes during and after foster care. Trauma, Violence, & Abuse, 24(2), Article 15248380221111481. https://doi.org/10.1177/15248380221111481
34.
KimH.DrakeB. (2019). Cumulative prevalence of onset and recurrence of child maltreatment reports. Journal of the American Academy of Child & Adolescent Psychiatry, 58(12), 1175–1183. https://doi.org/10.1016/j.jaac.2019.02.015
35.
KimH.Jonson-ReidM.KohlP.ChiangC.-J.DrakeB.BrownD.McBrideT.GuoS. (2020). Latent class analysis risk profiles: An effective method to predict a first re-report of maltreatment?Evaluation and Program Planning, 80(1), Article 101792. https://doi.org/10.1016/j.evalprogplan.2020.101792
36.
KohlP. L.Jonson-ReidM.DrakeB. (2009). Time to leave substantiation behind: Findings from a national probability study. Child Maltreatment, 14(1), 17–26. https://doi.org/10.1177/1077559508326030
37.
KuglerK. C.GuastaferroK.ShenkC. E.BealS. J.ZadzoraK. M.NollJ. G. (2019). The effect of substantiated and unsubstantiated investigations of child maltreatment and subsequent adolescent health. Child Abuse & Neglect, 87(1), 112–119. https://doi.org/10.1016/j.chiabu.2018.06.005
38.
LomanT.ShannonC.SapokaiteL.SiegelG. (2009). Minnesota parent support outreach program evaluation. Institute of Applied Research. March.
39.
Maguire-JackK.FontS. A. (2014). Predicting recurrent maltreatment among high-risk families: Applying the decision-making ecology framework. Children and Youth Services Review, 43(1), 29–39. https://doi.org/10.1016/j.childyouth.2014.04.014
40.
McGuinnessT. M.SchneiderK. (2007). Poverty, child maltreatment, and foster care. Journal of the American Psychiatric Nurses Association, 13(5), 296–303. https://doi.org/10.1177/1078390307308421
41.
McNellanC. R.GibbsD. J.KnobelA. S.Putnam-HornsteinE. (2022). The evidence base for risk assessment tools used in US child protection investigations: A systematic scoping review. Child Abuse & Neglect, 134(1), Article 105887. https://doi.org/10.1016/j.chiabu.2022.105887
42.
MerrittD. H. (2020). How do families experience and interact with CPS?The Annals of the American Academy of Political and Social Science, 692(1), 203–226. https://doi.org/10.1177/0002716220979520
43.
MeyerA. S.McWeyL. M.McKendrickW.HendersonT. L. (2010). Substance using parents, foster care, and termination of parental rights: The importance of risk factors for legal outcomes. Children and Youth Services Review, 32(5), 639–649. https://doi.org/10.1016/j.childyouth.2009.12.011
44.
MorelloL.CaputiM.ScainiS.ForresiB. (2022). Parenting programs to reduce recurrence of child maltreatment in the family environment: A systematic review. International Journal of Environmental Research and Public Health, 19(20), Article 13283. https://doi.org/10.3390/ijerph192013283
45.
MuentnerL.StoneK. J.DavisL.ShlaferR. (2022). Youth at the intersection of parental incarceration and foster care: Examining prevalence, disparities, and mental health. Child Abuse & Neglect, 134(1), Article 105910. https://doi.org/10.1016/j.chiabu.2022.105910
NylundK.AsparouhovT.MuthénB. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14(4), 535–569. https://doi.org/10.1080/10705510701575396
PalusciV. J.OndersmaS. J. (2012). Services and recurrence after psychological maltreatment confirmed by child protective services. Child Maltreatment, 17(2), 153–163. https://doi.org/10.1177/1077559511433817
50.
ProctorL. J.AaronsG. A.DubowitzH.EnglishD. J.LewisT.ThompsonR.HusseyJ. M.LitrownikA. J.RoeschS. C. (2012). Trajectories of maltreatment re-reports from ages 4 to 12: Evidence for persistent risk after early exposure. Child Maltreatment, 17(3), 207–217. https://doi.org/10.1177/1077559512448472
51.
Putnam-HornsteinE.SimonJ. D.EastmanA. L.MagruderJ. (2015). Risk of re-reporting among infants who remain at home following alleged maltreatment. Child Maltreatment, 20(2), 92–103. https://doi.org/10.1177/1077559514558586
52.
Schenck-FontaineA.PanicoL. (2019). Many kinds of poverty: Three dimensions of economic hardship, their combinations, and children’s behavior problems. Demography, 56(6), 2279–2305. https://doi.org/10.1007/s13524-019-00833-y
53.
Semanchin JonesA.LaLiberteT. (2017). Risk and protective factors of foster care reentry: An examination of the literature. Journal of Public Child Welfare, 11(4-5), 516–545. https://doi.org/10.1080/15548732.2017.1357668
54.
ShipeS. L.GuastaferroK.AyerL.LeeJ. Y.ConnellC. M. (2024). Family structure and children's risk of child protective services re-reports. Child Abuse & Neglect, 154(1), Article 106915. https://doi.org/10.1016/j.chiabu.2024.106915
55.
SimonJ. D.Gandarilla OcampoM.DrakeB.Jonson-ReidM. (2022). A review of screened-out families and child protective services involvement: A missed opportunity to prevent future maltreatment with community-based services. Child Maltreatment, 27(4), 693–706. https://doi.org/10.1177/10775595211033597
56.
SlackK. S.HollJ. L.McDanielM.YooJ.BolgerK. (2004). Understanding the risks of child neglect: An exploration of poverty and parenting characteristics. Child Maltreatment, 9(4), 395–408. https://doi.org/10.1177/1077559504269193
57.
SmithD. K.JohnsonA. B.PearsK. C.FisherP. A.DeGarmoD. S. (2007). Child maltreatment and foster care: Unpacking the effects of prenatal and postnatal parental substance use. Child Maltreatment, 12(2), 150–160. https://doi.org/10.1177/1077559507300129
58.
SnyderS. M.SmithR. E. (2015). Do youth with substantiated child maltreatment investigations have distinct patterns of delinquent behaviors?Children and Youth Services Review, 58(1), 82–89. https://doi.org/10.1016/j.childyouth.2015.09.008
59.
Snyder-FicklerE.AlbanC.LiuY.RohrsR.BlessingL.LongeneckerT. C.SotolongoE. M.ByrdJ.GolonkaM.HurstJ.GiffordE. J.EvansK. (2023). What do child maltreatment reports to child protective services tell us about the needs families and communities are experiencing?Children and Youth Services Review, 155(1), Article 107198. https://doi.org/10.1016/j.childyouth.2023.107198
60.
ThompsonR.WileyT. R. (2009). Predictors of re-referral to child protective services: A longitudinal follow-up of an urban cohort maltreated as infants. Child Maltreatment, 14(1), 89–99. https://doi.org/10.1177/1077559508325317
61.
U.S. Department of Health & Human Services. (2025). U.S. Department of health & human services, administration for children and families, administration on children, youth and families, children’s Bureau. Child Maltreatment 2023. Available from. https://www.acf.hhs.gov/cb/data-research/child-maltreatment
62.
WaidJ.SantaulariaN. J.PiescherK.LaliberteT. (2021). A latent class analysis of modifiable risk factors associated with child maltreatment re-reporting and recurrence. Child Abuse & Neglect, 120(1), Article 105249. https://doi.org/10.1016/j.chiabu.2021.105249
63.
WhiteO. G.HindleN.JonesD. P. (2015). Risk factors for child maltreatment recurrence: An updated systematic review. Medicine, Science and the Law, 55(4), 259–277.
64.
WolockI.MaguraS. (1996). Parental substance abuse as a predictor of child maltreatment re-reports. Child Abuse & Neglect, 20(12), 1183–1193. https://doi.org/10.1016/s0145-2134(96)00114-7
65.
YiY.EdwardsF. R.WildemanC. (2020). Cumulative prevalence of confirmed maltreatment and foster care placement for US children by race/ethnicity, 2011–2016. American Journal of Public Health, 110(5), 704–709. https://doi.org/10.2105/AJPH.2019.305554
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