CHILD ABUSE AND NEGLECT IN HAWAII

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1 A Statistical Report on CHILD ABUSE AND NEGLECT IN HAWAII 2014 Prepared by State of Hawaii Department of Human Services Audit, Quality Control and Research Office

2 Table of contents Introduction ii Glossary iii List of Tables Intakes and Children Reported by Disposition, Total Reported and Confirmed Child Victims by County, Children Reported by District, Children Reported by District, Confirmed Child Victims by Age and Gender, Confirmed Child Victims by Race and Severity of Harm, Confirmed Victims, Maltreatment Type, Factors Precipitating the Incident for Confirmed Child Victims, Source of Report for Children Reported, Recurrence, Perpetrators by Age and Gender, Perpetrators by Relationship to Victim, Age and Gender, List of Figures Total Reported and Confirmed Child Victims, Military Total Reported and Confirmed Child Victims by County, Mandated and Non-Mandated Source of Reporter, Perpetrators of Child Victims by Age Group and Gender, Total Reported and Confirmed Child Victims by Military Branch and Rank, Source of Report for Children Reported, Confirmed Child Victims by Age and Gender, Confirmed Child Victims by Race and Severity of Harm, i

3 Introduction This report was prepared by the Audit, Quality Control and Research Office of the State of Hawaii Department of Human Services. A copy of this report is also available on the Department's website at The Hawaii Revised Statutes (HRS) Chapter 350 defines child abuse and neglect and assigns the Department of Human Service to receive and investigate reports of child abuse and neglect and to maintain a central registry of reported child abuse and neglect cases. The CPSS database system serves as the Department s central registry. All data presented in this statistical report come from the CPSS. The Department also participates in the National Child Abuse and Neglect Data System (NCANDS), a federally sponsored effort that collects data on child abuse and neglect known to child protective services agencies in the United States. The mandate for NCANDS is based on the 1988 amendments to the Child Abuse Prevention and Treatment Act (CAPTA) which directed the Secretary of the U.S. Department of Health and Human Services to create a national data collection and analysis program for state-level child abuse and neglect information. Data presented in this statistical report was produced in a manner consistent with NCANDS reporting. However, there is a difference in reporting periods. The reporting period for NCANDS is the federal fiscal year running from October through September. This report summarizes by calendar year. In this report, data from 1999 and before were based on report date, data from 2000 and after were based on disposition date. Report any problems or questions specifically regarding this statistical report to: Ricky Higashide, Research Staff Supervisor Audit, Quality Control and Research Office (AQCRO) State of Hawaii - Dept. of Human Services P.O. Box 339 Honolulu, Hawaii rhigashide@dhs.hawaii.gov Any request for information on the Department's policy and procedures on child protection or for data not presented in this report should be submitted to the Director of the Department of Human Services. ii

4 Glossary Child abuse or neglect Child victim Children reported Confirmed County Disposition District Duplicate count Factors precipitating the incident HRS Intakes Maltreatment type Mandated reporter Military Not confirmed Perpetrator (HRS 350-1) The acts or omissions of any person who, or legal entity which, is in any manner or degree related to the child, is residing with the child, or is otherwise responsible for the child's care, that have resulted in the physical or psychological health or welfare of the child, who is under the age of eighteen, to be harmed, or to be subject to any reasonably foreseeable, substantial risk of being harmed. Victim of a report of child abuse or neglect where at least one maltreatment type was confirmed. Children identified in an intake as alleged victims of child abuse or neglect. A determination made by the Department that evidence was sufficient under state law to conclude that maltreatment occurred. The county in which the child was residing at the time of the report of maltreatment. Maui County includes Kalawao. A determination made by the Department that evidence is or is not sufficient under state law to conclude that maltreatment occurred. A disposition is applied to each alleged maltreatment in a report and to the report itself. A sub-county geographical area. A count where a person is counted for each response or occurrence in situations where a person may have more than one response recorded (e.g., factors precipitating the incident) and/or more than one occurrence (e.g., multiple intakes within the year). Conditions that were identified as contributing to the abuse or neglect of the child. Hawaii Revised Statutes. Numbers after refer to chapter and section number. Entire HRS available for viewing at Reports of child abuse or neglect incidents that have been accepted for investigation. An intake usually refers to a family unit and may involve the possible maltreatment of more than one child. A form of child maltreatment that initiated a child abuse or neglect report. Types include physical abuse, neglect, medical neglect, sexual abuse, psychological abuse, and threatened harm. A person who is defined by law (HRS ) that is required to report alleged incidents of child abuse and neglect. Intakes that involve a caregiver family member that is in the military. A determination made by the Department that evidence was not sufficient under state law to conclude that maltreatment occurred. The person who has been determined to have caused or knowingly allowed the maltreatment of a child. iii

5 Glossary (continued) Perpetrator relationship to child victim Race Recurrence Severity of harm Source of initial report Total reported Unique count Primary role of the perpetrator to a child victim. Primary category of which the individual identifies himself or herself as a member, or of which the parent identifies the child as a member. A situation where a child is confirmed as a child victim in one intake then confirmed again in a subsequent intake within six months of the first intake. Level of harm, ranging from no injury through fatal, resulting from the reported maltreatment. The category or role of the person who notifies the Department of alleged child maltreatment. Number that includes both confirmed and not confirmed intakes or children. A count where a person is counted only once regardless of the number of responses or occurrences. iv

6 Intakes and Children Reported by Disposition, 2014 by County Intakes Hawaii Oahu Kauai Maui Total Confirmed Not Confirmed ,243 Total Reported 443 1, ,067 Percent Confirmed 45% 35% 42% 51% 40% Children Reported (duplicated count) Hawaii Oahu Kauai Maui Total Confirmed ,406 Not Confirmed 490 1, ,275 Total Reported 837 2, ,681 Percent Confirmed 41% 34% 41% 51% 38% Children Reported (unique count) Hawaii Oahu Kauai Maui Total Confirmed ,382 Not Confirmed 447 1, ,112 Total Reported 782 2, ,494 Percent Confirmed 43% 35% 44% 53% 40% Intake: Reports accepted for investigation. A report may include more than one alleged victim and therefore the count of children will be greater than the count of reports. A report s disposition is counted as confirmed if at least one child was confirmed as being maltreated. Duplicated count: A child is counted each time that he/she was indicated to be a victim. A child may be found to be an alleged victim in more than one report during the year and therefore counted more than once during the reporting period. A child is counted as confirmed each time he/she is confirmed as a victim in a report. Unique count: A child is counted only once during the reporting period, regardless of how many times the child was reported. A child is counted as confirmed only once regardless of how many times he/she was confirmed. A child is counted as not confirmed only if found not confirmed in all reports. 1

7 Total Reported and Confirmed Child Victims, Total Reported Confirmed Reports Year 2

8 Total Reported and Confirmed Child Victims by County, Total Reported # of Children 4,000 3,000 2,000 Hawaii Oahu Kauai Maui County Hawaii Oahu 2,512 2,196 2,278 2,236 2,142 Kauai Maui Total 4,199 3,751 3,948 3,752 3,681 1, Confirmed # of Children 1,500 1, Hawaii Oahu Kauai Maui County Hawaii Oahu Kauai Maui Total 1,575 1,424 1,392 1,329 1,

9 Children Reported by District, by Disposition Total Reported Confirmed District Hawaii Total N. Hilo S. Hilo Puna Kau S. Kona N. Kona S. Kohala N. Kohala Hamakua Unspecified Oahu Total 2,512 2,196 2,278 2,236 2, Honolulu Ewa Wahiawa Waianae Waialua Koolauloa Koolaupoko Unspecified Kauai Total Lihue Koloa Waimea Hanalei Kawaihau Unspecified Maui Total Lahaina Wailuku Makawao Hana Molokai Lanai Unspecified State Total 4,199 3,751 3,948 3,752 3,681 1,575 1,424 1,392 1,329 1,406 4

10 Children Reported by District, 2014 by Disposition District children (unique count) Confirmed Not Confirmed Total Hawaii Total N. Hilo S. Hilo Puna Kau S. Kona N. Kona S. Kohala N. Kohala Hamakua Unspecified Oahu Total Honolulu Ewa Wahiawa Waianae Waialua Koolauloa Koolaupoko Unspecified Kauai Total Lihue Koloa Waimea Hanalei Kawaihau Unspecified Maui Total Lahaina Wailuku Makawao Hana Molokai Lanai Unspecified State Total 1,382 2,112 3,494 5

11 Confirmed Child Victims by Age and Gender, Age Less Than One Year Year Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Unspecified Total 1,575 1,424 1,392 1,329 1,406 Median age Gender Male Female Unspecified Total 1,575 1,424 1,392 1,329 1,406 Duplicated count: a child is counted each time that he/she was found to be a victim. A child may be counted more than once during the reporting period. 6

12 Confirmed Child Victims by Race and Severity of Harm, Race Hawaiian/Part Hawaiian Alaskan Native American Indian Black Cambodian Chinese Filipino Guamanian Hispanic/Spanish Japanese Korean Laotian Mixed Micronesia Other Pacific Islander Samoan Tongan Vietnamese White Unable to Determine Missing Total 1,575 1,424 1,392 1,329 1,406 Severity of Harm Fatal Permanent disability Serious Treatment required No treatment necessary No injury Total 1,575 1,424 1,392 1,329 1,406 7

13 Confirmed Victims, 2014 by Age, Race, Gender and Severity of Harm children (unique count) children (unique count) Age Children % Race Children % Less Than One Year American Indian Year Black Years Chinese Years Filipino Years Guamanian Years Hawaiian/Part Hawaiian Years Hispanic/Spanish Years Japanese Years Korean Years Micronesia Years Mixed Years Other Pacific Islander Years Samoan Years Tongan Years Unable to Determine Years White Years Missing Years Total 1, Unknown Total 1, children (unique count) Severity of Harm Children % children (unique count) Fatal Gender Children % Serious Male Treatment required Female No treatment necessary Unknown or missing No injury Total 1, Total 1, children (unique count): A child is only counted once, regardless of how many times he/she was reported. For a child with more than one confirmed report of abuse, the highest severity level is listed. 8

14 Maltreatment Types, 2014 Total Reported, Confirmed, and Confirmation Rate by County maltreatment types (duplicated count) Total Reported Hawaii Oahu Kauai Maui Total Physical Abuse Neglect Medical Neglect Sexual Abuse Psychological Abuse Threatened Harm 704 1, ,007 Total 1,029 2, ,508 maltreatment types (duplicated count) Confirmed Hawaii Oahu Kauai Maui Total Physical Abuse Neglect Medical Neglect Sexual Abuse Psychological Abuse Threatened Harm ,159 Total ,609 Rate Confirmation Rate Hawaii Oahu Kauai Maui Total Physical Abuse 38% 20% 32% 29% 25% Neglect 43% 29% 30% 58% 36% Medical Neglect 47% 22% 100% 50% 37% Sexual Abuse 36% 26% 25% 35% 28% Psychological Abuse 13% 17% 44% 33% 24% Threatened Harm 40% 35% 42% 49% 39% Total 40% 31% 39% 47% 36% maltreatment type (duplicated count): A child may have more than one type of maltreatment per report and may have more than one report in the reporting period. Each maltreatment type for each report is counted here. 9

15 Maltreatment Types, 2014 Total Unique Type Reported, Confirmed, and Confirmation Rate by County maltreatment types (unique count) Total Reported Hawaii Oahu Kauai Maui Total Physical Abuse Neglect Medical Neglect Sexual Abuse Psychological Abuse Threatened Harm 664 1, ,885 Total 983 2, ,356 maltreatment types (unique count) Confirmed Hawaii Oahu Kauai Maui Total Physical Abuse Neglect Medical Neglect Sexual Abuse Psychological Abuse Threatened Harm ,145 Total ,594 Confirmation Rate Hawaii Oahu Kauai Maui Total Physical Abuse 39% 20% 33% 29% 26% Neglect 44% 29% 30% 59% 36% Medical Neglect 47% 22% 100% 50% 37% Sexual Abuse 36% 26% 28% 35% 29% Psychological Abuse 13% 17% 44% 33% 24% Threatened Harm 41% 36% 45% 51% 40% Total 41% 32% 41% 48% 37% rate maltreatment type (unique count): A child may have more than one maltreatment type per report and may have been reported more than once during the reporting period, but the same maltreatment is counted only once here. 10

16 Factors Precipitating the Incident for Confirmed Child Victims, 2014 Factors Precipitating the Incident* Child Victims Percent No factors indicated % Broken family % Family discord % Insufficient income/misuse of income 6 0.4% New baby in home/pregnancy % Heavy continuous child care responsibility % Physical abuse of spouse/fighting % Parental history of abuse as a child % Recent relocation % Inadequate housing % Social isolation % Loss of control during discipline % Lack of tolerance to child's behavior % Incapacity due to handicap/chronic illness 8 0.6% Alcohol abuse % Drug abuse % Mental retardation 1 0.1% Mental health problem % Police/court record (excluding traffic) % Normal authoritarian discipline 2 0.1% Inability to cope with parenting responsibility % Chronic family violence % Unacceptable child rearing method % Total confirmed child victims (duplicate count) 1, % *Factors Precipitating the Incident: are conditions that were identified as contributing to the abuse or neglect of the child. If more than one factor applies, all factors (up to a maximum of six) have been included in this table. Therefore, the total count of factors may exceed the total number of child victims. The Percent figure is based on the total number of child victims (duplicated count) and not the total number of factors. 11

17 Source of Report for Children Reported, by Total Reported and Confirmed Mandated Reporters* Total Reported Confirmed Social services personnel Medical personnel Mental health personnel Legal, law enforcement, or criminal justice personnel 1,120 1, Education personnel Child day care provider Foster/Substitute care provider Total Mandatory Reporters 3,206 2,780 2,886 2,705 2,707 1,306 1,137 1,138 1,049 1,098 Total Reported Confirmed Other Reporters Alleged victim Parent Other relative Friends/neighbor Anonymous Other Unknown Total Other Reporters ,062 1, All Reporters 4,199 3,751 3,948 3,752 3,681 1,575 1,424 1,392 1,329 1,406 * Mandatory Reporters: are defined in HRS : A child may have more than one report in a year. The reporter for each report is counted in this table. 12

18 Mandated and Non-Mandated Sources of Reporter, 2014 Legal, law enforcement, or criminal justice personnel Social services personnel Medical personnel Education personnel Mandated Sources Non-Mandated Sources 20.3% 18.8% 16.5% 14.2% Mental health personnel 3.6% Foster/substitute care provider Child day care provider 0.1% 0.1% Other relative Anonymous reporter 5.6% 7.0% Unknown or missing Parent Other Friend/neighbor 4.2% 3.7% 3.2% 2.6% Alleged victim 0.1% 0% 5% 10% 15% 20% 25% Percentage 13

19 Recurrence, 2014 Child Victims Percent No Recurrence Recurrence Total Only confirmed child victims, whose report year and disposition year were both in 2014 and the initial maltreatment report date fell between January-June, 2014, were included in the recurrence rate calculation. No Recurrence: Maltreatment occurred between January and June. There was no recurrence within six months. Recurrence: First maltreatment occurred between January and June. The second maltreatment occurred within six months. 14

20 Perpetrators of Child Victims by Age Group and Gender, 2014 (duplicated count) 50% 45% Male Female Percentage of Gender Total 40% 35% 30% 25% 20% 15% 23.8% 35.7% 38.6% 37.6% 25.6% 17.7% 10% 5% 0% 0.5% 2.7% 10.0% 5.7% Under 20 years years years years 50 years and over 1.4% 0.7% Unknown Age Group 15

21 Perpetrators by Relationship to Victim, Age and Gender, 2014 perpetrators (duplicated count)* Perpetrator Relationship to Victim Parent 2,101 1,844 1,839 1,790 1,798 Other relative Relative foster parent Nonrelative Foster parent Group home/residential facility staff Legal guardian Other professionals Foster parent, relationship unspecified Other Unknown/missing Total 2,401 2,105 2,013 1,955 1,982 perpetrators (duplicated count) Perpetrator Age Under 20 Years Years Years Years Years or Older Unknown Total 2,401 2,105 2,013 1,955 1,982 perpetrators (duplicated count) Perpetrator Gender Male 1,153 1, Female 1,240 1,094 1,046 1, Unknown Total 2,401 2,105 2,013 1,955 1,982 *Perpetrator: was counted each time that he/she was associated with a child victim, therefore one perpetrator may have been counted more than once. For example, if an intake had 2 confirmed victims and each victim had 2 perpetrators, then the count of perpetrators would be 4. 16

22 Perpetrators, 2014 by Relationship to Victim, Age and Gender perpetrators (duplicated count)* Perpetrator Relationship to Victim Parent 2,101 1,844 1,839 1,790 1,798 Other relative Relative foster parent Nonrelative Foster parent Group home/residential facility staff Legal guardian Other professionals Foster parent, relationship unspecified Other Unknown/missing Total 2,401 2,105 2,013 1,955 1,982 perpetrators (duplicated count) Perpetrator Age Under 20 Years Years Years Years Years or Older Unknown Total 2,401 2,105 2,013 1,955 1,982 perpetrators (duplicated count) Perpetrator Gender Male 1,153 1, Female 1,240 1,094 1,046 1, Unknown Total 2,401 2,105 2,013 1,955 1,982 *Perpetrator: was counted each time that he/she was associated with a child victim, therefore one perpetrator may have been counted more than once. For example, if an intake had 2 confirmed victims and each victim had 2 perpetrators, then the count of perpetrators would be 4. 17

23 Military Total Reported and Confirmed Child Victims by Military Branch and Rank, Total Reported Confirmed Military Branch Army Coast Guard Marines Navy Total Total Reported Confirmed Military Rank Unspecified Enlisted Non-Commissioned Officer Total

24 Military Sources of Report for Children Reported, by Total Reported and Confirmed Reported Confirmed Mandated Reporters Social services personnel Medical personnel Mental health personnel Legal, law enforcement, or criminal justice personnel Education personnel Child day care provider Substitute/Foster care provider Total Mandatory Reporters Reported Confirmed Other Reporters Alleged victim Parent Other relative Friends/neighbor Anonymous Other Unknown Total Other Reporters All Reporters

25 Military Confirmed Child Victims by Age and Gender, Age Less Than One Year Year Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Unspecified Total Gender Male Female Unspecified Total

26 Military Confirmed Child Victims by Race and Severity of Harm, Race American Indian Black Filipino Hawaiian/Part Hawaiian Hispanic/Spanish Japanese Mixed Other Pacific Islander Samoan White Unable to Determine Unknown Total Severity of Harm Fatal Permanent Disability Serious Treatment Required No Treatment Necessary No Injury Total

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