PCG Human Services Infographic: ‘The Real Cost of Child Abuse and Neglect’


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PCG Human Services Infographic: ‘The Real Cost of Child Abuse and Neglect’ brings attention to the increased rate of short and long-term behavioral and physical health concerns present in children who have experienced child abuse or neglect. The infographic also highlights the increased financial cost associated with maltreatment and the disproportional behavioral health expenditures for children in foster care. PCG Human Services is working with child welfare and Medicaid agencies to bring attention to these important concerns.

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PCG Human Services Infographic: ‘The Real Cost of Child Abuse and Neglect’

  1. 1. THE REAL COST OF CHILD ABUSE AND NEGLECT July 2014 Children investigated by the welfare system have been found to have1.5X more chronic health conditions than the general population. Sources: 1 Chronic Conditions Among Children Investigated by Child Welfare: A National Sample. February 18, 2013; Pediatrics - Official Journal of the American Academy of Pediatrics 2 Child Abuse Prevention and Treatment Act (CAPTA), (42 U.S.C.A SSA5106g) 3 Child Maltreatment and Pediatric Health Outcomes: A Longitudinal Study of Low-Income Children. June 2010; Journal of Pediatric Psychology 4 The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse & Neglect, February 2012, Volume 36, Issue 2 5 Administration for Children and Families, Office of Planning, Research and Evaluation [ACF/OPRE], 2007. 6 Pires, SA, Grimes, KE, Allen, KD, Gilmer, T, Mahadevan, RM. 2013. Faces of Medicaid: Examining Children’s Behavioral Health Service Utilization and Expenditures. Center for Health Care Strategies: Hamilton, NJ The estimated lifetime cost per victim of nonfatal child maltreatment is over $200,000, which includes $32,648 in childhood health care costs. Over 28% of children involved with maltreatment investigations are diagnosed with chronic health conditions during the three years following the investigation. Children with maltreatment reports have a 74-100% higher risk of hospital treatment. Children in foster care represent just 3% of the Medicaid child population, but account for 15% of those using behavioral health services, and 29% of total behavioral health spending for children. 1.5X Impacted Brain Development • Effect of Trauma and Toxic Stress on Executive Function • Abusive Head Trauma • Mental Health Disorders • Lack of Cognitive/ Language Abilities Decreased Physical Health • Poorer Lung Functioning • High Risk of Liver Disease • Delayed Body Development Children in foster care who are prescribed psychotropic medication are more likely than other Medicaid children to receive multiple medications. 49%prescribed 2+ 20%prescribed 3+ $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 $8,000 $9,000 $10,000 $4,868 $3,652 $8,094 $4,036 All Children Foster Children Average behavioral and physical health expenditures for children in foster care are much higher than other similar Medicaid peers: 3% 15% 29% Child Welfare agencies and Medicaid programs can collaborate to reduce these costs and improve health outcomes for children. To learn more about these opportunities and examples of successful collaboration go to http://www.publicconsultinggroup.com/landingpage/ white_papers/approaches.html PhysicalBehavioral PhysicalBehavioral