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The problem
Intervention: Standard discharge without maltreatment reporting under discretionary CPS reporting policies
Who it was tested with: California births in 2018, infants with prenatal substance exposure discharged without initial CPS report.
The same group is measured before the intervention and again afterwards, with a baseline and an endline and sometimes a midline. Change is visible, but other causes cannot be ruled out.
"Discretionary child protection system (CPS) reporting policies allow some substance-exposed infants to be discharged from the hospital without a maltreatment report, but it is unknown whether risk for later system involvement varies according to exposure status. We conducted a retrospective cohort analysis of CPS involvement in the first 5 years of life as predicted by prenatal substance exposure among California births in 2018." The study measures baseline exposure status and tracks subsequent CPS involvement over 5 years in the same population without a randomized comparison group.
Observational retrospective design with no comparison of different intervention approaches; cannot determine causation or whether reported differences reflect actual harm or reporting practices; no data on what preventive services might reduce later involvement
Across countries and designs
1 study · 1 country
