The intersection of race, poverty and risk: understanding the decision to provide services to clients and to remove children

Studies have found that certain racial groups, particularly the children of African American families, are placed in foster care at a higher rate than children of other races. These families are also sometimes found to be afforded fewer services that might prevent these removals, relative to families of other races. It is unclear why this is so. Poverty has been suspected, and sometimes found, to be the primary cause of the disparity. Lacking in some of these analyses, however, was how risk of future abuse/neglect to the child entered into the decisions and particularly, how assumptions about race, poverty, and risk are factored into the decision-making process. It is important to understand this process if we are to find a way to correct it. The current study addresses this process.     

Evidence-based practice in family group decision-making for Anglo, African American and Hispanic families

This study addresses the need and gap in the literature on evidence-based practice in family group decision-making services by reporting on the Texas Department of Family and Protective Services' Family Group Decision-Making study, conducted between December 2003 and July 2005 with Anglo, African American and Hispanic families throughout Texas. These services are compared to standard practice by assessing satisfaction, child well-being and exits from care. Findings indicate that both parents and relatives are more satisfied with family group decision-making conferences than standard practice on a number of dimensions, with relatives reporting feeling more empowered than parents. Children are reported to be less anxious if their families participate in a conference, and they may be more adjusted when they are placed with relatives following a conference. Finally, exits from care are faster if families participate in family group decision-making conferences, and exits to reunification are increased; this may be especially true of African American and Hispanic children.     

Concept guided risk assessment: Promoting prediction and understanding

This article presents a concept-guided approach to the assessment of risk in the life situations of children alleged to be maltreatment victims. This concept-guided risk assessment is theoretically based and is the first to use a nomological hierarchy which can yield itself to systematic testing for construct validity. Data were collected on 1199 cases referred for investigations of child maltreatment. Reliability was examined by applying Cronbach's alpha coefficient to the 25 risk features and the 18 risk category constructs within the seven risk areas. Convergent validity coefficients for seven risk area constructs and eighteen risk category constructs were computed and structural validity was examined using an analysis technique adapted from the multitrait-multimethod technique of Campbell and Fiske (1959). Predictive validity was assessed using a multivariate measure assessing rated risk, seriousness, and concern. In general, the results support construct validity. Improvements are needed in assessments of child vulnerability and caregiver stress. The overall psychometric evidence, combined with the model's hierarchical and theoretical nature, suggests a promising direction for future research on understanding and preventing child maltreatment.     

Modeling Exposure to Air Pollution from the WTC Disaster Based on Reports of Perceived Air Pollution

We examined the utility of a newly developed perceived air pollution (PAP) scale and of a modeled air pollution (MAP) scale derived from it for predicting previously observed birth outcomes of pregnant women enrolled following September 11, 2001. Women reported their home and work locations in the four weeks after September 11, 2001 and the PAP at each site on a four-point scale designed for this purpose. Locations were geocoded and their distance from the World Trade Center (WTC) site determined. PAP values were used to develop a model of air pollution for a 20-mile radius from the WTC site. MAP values were assigned to each geocoded location. We examined the relationship of PAP and MAP values to maternal characteristics and to distance of home and work sites from the WTC site. Both PAP and MAP values were highly correlated with distance from the WTC. Maternal characteristics that were associated with PAP values reported for home or work sites (race, demoralization, material hardship, first trimester on September 11) were not associated with modeled MAP values. Relationships of several birth outcomes to proximity to the WTC, which we previously reported using this data set, were also seen when MAP values were used as the measure of exposure, instead of proximity. MAP developed from reports of PAP may be useful to identify high-risk areas and predict health outcomes when there are multiple sources of pollution and a "distance from source" analysis is impossible.