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Out-of-home placement and regional variations in poverty and health and social services spending: A multilevel analysis

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  • Esposito, Tonino
  • Chabot, Martin
  • Rothwell, David W.
  • Trocmé, Nico
  • Delaye, Ashleigh

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 <5years of age and 38.1% for children age 5 to 11years.

Suggested Citation

  • Esposito, Tonino & Chabot, Martin & Rothwell, David W. & Trocmé, Nico & Delaye, Ashleigh, 2017. "Out-of-home placement and regional variations in poverty and health and social services spending: A multilevel analysis," Children and Youth Services Review, Elsevier, vol. 72(C), pages 34-43.
    • Handle: RePEc:eee:cysrev:v:72:y:2017:i:c:p:34-43
    DOI: 10.1016/j.childyouth.2016.10.013
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    References listed on IDEAS

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    Cited by:

    1. Tonino Esposito & Ashleigh Delaye & Martin Chabot & Nico Trocmé & David Rothwell & Sonia Hélie & Marie-Joelle Robichaud, 2017. "The Effects of Socioeconomic Vulnerability, Psychosocial Services, and Social Service Spending on Family Reunification: A Multilevel Longitudinal Analysis," IJERPH, MDPI, vol. 14(9), pages 1-15, September.
    2. Esposito, Tonino & Chabot, Martin & Caldwell, Johanna & Webb, Calum & Delaye, Ashleigh & Fluke, John D. & Trocmé, Nico & Bywaters, Paul, 2022. "The differential association of socioeconomic vulnerabilities and neglect-related child protection involvement across geographies: Multilevel structural equation modeling," Children and Youth Services Review, Elsevier, vol. 138(C).

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