TitleOut-of-home placement and regional variations in poverty and health and social services spending: A multilevel analysis
Publication TypeJournal Article
Year of Publication2017
AuthorsEsposito, T, Chabot, M, Rothwell, D, é, N, Delaye, A
JournalChildren and Youth Services Review
Volume72
Pagination34 - 43
Date Published01/2017
ISSN01907409
Abstract
 

This paper examines the extent to which regional variations in poverty and health and social services spending impact the risk of placement, after controlling for individual-level risk factors and regional latent differences in delivery of child protection services. Clinical administrative child protection data were merged with income and health and social services spending data for the province of Quebec; the final data set included all children (N = 122,466) investigated for maltreatment for the first time between April 1, 2002 and March 31, 2010, of which 22.6% (N = 27,710) were placed in out-of-home care. Multilevel hazard results indicate that poverty, controlling for health and social services spending, contributes to the increased risk of placement. Specifically, poverty and health and social services spending account for 57.1% of the variation in regional placement for younger children < 5 years of age and 38.1% for children age 5 to 11 years.

URLhttp://www.sciencedirect.com/science/article/pii/S0190740916303371
DOI10.1016/j.childyouth.2016.10.013
Short TitleChildren and Youth Services Review