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Violence Vict. 2020 Dec 1;35(6):906-919. doi: 10.1891/VV-D-19-00122.
PURPOSE: Examine whether children with a prior child protective services (CPS) investigation had different healthcare utilization compared to children without a history of CPS investigations.
METHODS: The Children’s Health Assessment and Planning Survey assessed 6,492 primary caregivers of children ages 0-17 years residing in North Texas in 2015. Caregivers reported prior CPS investigations and child healthcare utilization (emergency department [ED] use, unmet medication needs, and unmet medical care needs).
PRINCIPLE FINDINGS: A total of 408 (5%) caregivers reported their child had a CPS investigation. Children with CPS investigations had greater odds of visiting the ED (OR = 1.9; 95% CI: 1.4, 2.5) and not receiving necessary medical care (OR = 1.9; 95% CI: 1.4, 2.8) compared to children without a CPS investigation.
CONCLUSIONS: Prior CPS investigation was associated with disparities in receipt of necessary medical care and ED utilization for children.