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Re: Standards for Using Decision Tools, Assessment Instruments
<x-html><html>
The one caution I would raise in reviewing the validation work that has
been done with some of the existing tools is that it is sometimes based
on a tool's ability to either distinguish between child welfare-involved
and non-child welfare-involved families, OR it's ability to predict
future or repeated CPS involvement (e.g., substantiated reports, case
openings, foster care placements, etc.). This is useful information, but
the factors associated with the <i>detection</i> of abuse/neglect may be
slightly or even substantiallly different from the factors that raise the
likelihood of <i>actual harm</i> to a child. I'd be curious to know
of any existing scales that have been validated based on their ability to
predict adverse "well-being" outcomes (e.g., repeated
accidents/injuries, malnutrition, etc.). If we had this kind of
information, we could know whether or not to be more or less concerned
about a particular factor. Once we have a better understanding of
the factors that are associated with a higher probability of harm
(irrespective of CPS involvement), we could engage in a more clinical
level of assessment to determine the caregiver's role in contributing to
risk.<br>
<br>
-Kristi Slack<br>
<br>
<br>
<br>
<br>
At 11:52 PM 11/18/02 -0500, you wrote:<br>
<blockquote type=cite class=cite cite>Hi John,<br>
<br>
You'll find a wealth of information at the Children's Research<br>
Center at:<br>
<br>
<a href="http://www.nccd-crc.org/"; eudora="autourl">http://www.nccd-crc.org</a><br>
<br>
Look at structured decision-making and the excellent<br>
reports/articles on reliability/validity (including predictive) of<br>
risk assessment instruments using an actuarial approach (even<br>
compares this approach to consensus-based tools). Chris Baird
and<br>
Dennis Wagner have also published a few articles in journals.<br>
<br>
Aron Shlonsky<br>
<br>
<br>
<br>
Quoting John Rosen <jrosen@kii.com>:<br>
<br>
> I would appreciate receiving references in the Social
Work/Child<br>
> Welfare literature to discussions of when social work agencies<br>
> may "legitimately" rely on decision tools and
assessment<br>
> instruments, and when they may not use such tools and<br>
> instruments. The request is to help with a paper I'm writing
on<br>
> the subject. I have a number of references taken from
the<br>
> psychological literature, but almost nothing from Child
Welfare.<br>
> <br>
> A bit more detail:<br>
> <br>
> <x-tab> </x-tab>By a
"decision tool" I mean an algorithmic (usually
statistical)<br>
> procedure for making a decision about a case (placement
decision,<br>
> whether to take a child into state custody, whether to send a<br>
> foster child home, etc.) The question is under what
general<br>
> circumstances can an agency use such tools; what types and
amount<br>
> of evidence about the tool are necessary to put a tool into<br>
> routine clinical use?<br>
> <br>
> <x-tab> </x-tab>By an
"assessment instrument" I mean some sort of scale that<br>
> assigns a number to each case (child or family) indicating to<br>
> what extent the case possesses some attribute. Unlike
decision<br>
> tools, scores on the assessment instrument would not directly<br>
> translate into case decisions.<br>
> <br>
> I'm especially interested in issues related to validation<br>
> efforts, and the concepts of criterion and construct validity,<br>
> but I haven't yet found directly relevant discussions from a<br>
> Child Welfare perspective.<br>
> <br>
> Thanks much to all.<br>
> <br>
> <x-tab> </x-tab>T. John Rosen,
Ph.D.<br>
> <x-tab> </x-tab>Kansas
Innovations, Inc.<br>
>
<x-tab> </x-tab><a href="http://www.kii.com/"; eudora="autourl">www.kii.com</a><br>
>
<x-tab> </x-tab>jrosen@kii.com<br>
> </blockquote>
<x-sigsep><p></x-sigsep>
Kristen Shook Slack<br>
Assistant Professor<br>
School of Social Work<br>
University of Wisconsin, Madison<br>
1350 University Ave.<br>
Madison, WI 53706<br>
<br>
(608)263-3671<br>
fx: (608)263-3836<br>
ksslack@facstaff.wisc.edu</html>
</x-html>From ???@??? Wed Nov 20 11:49:30 2002
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From: "john murray" <psychometre@hotmail.com>
To: Child Maltreatment Researchers <CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Subject: continuum of care?
Date: Tue, 19 Nov 2002 22:22:41 +0000
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<P>I've heard a lot of people use these words "continuum of care".</P>
<P>After many years in child welfare I have to admit I've never seen it-more a continuum of abuse actually,</P>
<P> while I would like to ask what is it, perhaps a better question is- what is isn't it.</P>
<P>Should suicide, running away, sexual/mental/physical abuse, DSM-IV diagnosis, et.al. be included in a tool you use? <BR><BR>Gary asks "Should suicide, running away, sexual/mental/physical abuse, DSM-IV diagnosis,<BR>et.al. be included in a tool you use?"</P></DIV>
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<DIV></DIV></div><br clear=all><hr>MSN 8 with <a href="http://g.msn.com/8HMTEN/2019";>e-mail virus protection service: </a> 2 months FREE*</html>
</x-html>From ???@??? Wed Nov 20 10:03:57 2002
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Subject: Children with Hx of Abuse
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Does anyone know if there has been any published research on medical f/u of
children with a hx of SA or PA? I know there have been studies on the
increased incidence of certain medical/psychiatric problems, as well as health
care visits, by adult survivors. (Any references to these studies would be
appreciated as well.) But I'm especially looking for references regarding
healthcare issues of children & adolescents with a hx of abuse...including any
differences in the incidence of certain illnesses or physical conditions, any
differences in access to healthcare, and any differences in the effectiveness
of medical tx for these kids. My lit search has yielded nothing, so I'd very
much appreciate any references....
Thanks,
Hannah Galvin
Harvard Medical School
Class of 2005
<><><><><><><><><><><><><><><><
Hannah K. Galvin
Vanderbilt Hall Box #330
107 Avenue Louis Pasteur
Boston, MA 02115
(617) 780-5797
hannah_galvin@student.hms.harvard.edu