It’s at least
as likely that what Kentucky really
leads in is confusing poverty with neglect.
 |
Source: U.S. Dept. of Health and Human Services, Child Maltreatment 2018
|
UPDATE, FEB. 3, 2021: This year, the Courier-Journal
story (to which I am not going to link) headlined “Kentucky leads in child
abuse for third year straight…” admits that the federal report they cite to
back up that claim specifically warns against making comparisons. Then the story proceeds to do it anyway. According to the story:
The federal Child Maltreatment
annual report, published in January, is based on data from the federal fiscal
year 2019. While it cautions against state-by-state comparisons, because of
varying reporting requirements within states, Kentucky has ranked consistently
high, in the top 10 for more than a decade.
In other words, if you make an
invalid comparison often enough, it becomes valid!
Of course, the story makes no
mention of the fact that what Kentucky really may lead-in is confusing poverty
with “neglect.” But it does throw in a
supportive nod to the widely-discredited, racist narrative about a supposed
pandemic of child abuse because mostly white middle-class mandated reporters
don’t constantly have their eyes on overwhelmingly poor, disproportionately
nonwhite children.
There’s even a swipe at grieving
parents who lose their children to suicide.
[O]n Thursday,
we shared the shameful story that Kentucky is the worst in America at
protecting its children. The U.S.
Department for [sic] Health and Human Services has slapped this dubious title
on our state: The rate of child abuse and neglect in Kentucky is the worst in
the country. – Richard Green, Editor, Louisville Courier-Journal,
2019.
Kentucky still
ranks No. 1 in the nation in rates of child abuse and neglect
– Louisville Courier-Journal,
2020
Kentucky still
has highest child abuse rate in U.S….– Sentinel Echo, London KY
Report:
Kentucky, Indiana have highest child abuse rate in U.S. – WLKY-TV
New AG vows to
fight child abuse (Ky. ranks No. 1 in it)– Kentucky Health News
The first claim, about how a federal
agency “slapped this dubious title” on Kentucky is simply false. Some of the rest might be true. Then again,
it might not – and neither the people who wrote the stories nor anyone else has
the faintest idea.
In fact, the very report cited in all those stories specifically cautions against such comparisons. So not only did the Department of Health and Human Services not slap any "dubious title" on anyone; Kentucky media have recklessly ignored HHS' warning about making any such comparison.
It would be hard to read a story about
child abuse in Kentucky that doesn’t include this claim – because it’s in the
interest of so many people who write and promote the stories to make it. Particularly in the state’s largest
newspaper, the Louisville Courier-Journal,
the claim often is paired with gruesome accounts of beatings torture and murder
of children.
That makes it easy for readers to jump
to the mistaken conclusion that Kentucky is such a cesspool of depravity that
the state is justified in tearing apart families a rate 70 percent above the national average, even when
rates of child poverty are factored in.*
And if they don’t jump to that
conclusion on their own, the Courier-Journal
is glad to help. Here’s how one news
story summed it all up:
The Courier
Journal reported last year that Kentucky led the nation in abuse and neglect
with increasingly violent, sometimes fatal injuries to children so severe an
outside panel classified some cases as torture.
So it’s no wonder anyone reading the
stories would be likely to conclude that the rate at which Kentucky tears apart
families should be even higher. And it’s
no wonder neither readers nor the authors of such stories would want to listen
to concerns about the enormous emotional trauma and terrible life outcomes
often inflicted on children needlessly consigned to the chaos of foster care, and
the high risk of abuse in foster care itself. (When the Courier-Journal
touches on these outcomes the premise is that foster care can be “even worse”
than those awful birth parents, and it’s a shame more kids aren’t adopted.)
Kentucky’s take-the-child-and-run
approach is one of the reasons the child welfare system is overwhelmed. It is that overwhelming of the system with
false reports, trivial cases and cases in which family poverty is confused with
neglect that almost always is the real reason children in real danger of
brutality, torture and death - cases that are as rare as they are horrific --
sometimes are overlooked.
That’s because though each is the
worst form of tragedy child abuse deaths and near deaths are needles in a very
large haystack.
In 2017, using the larger of two
different figures in Courier-Journal
stories, we estimate there were between 29 and 58 child abuse deaths or near
deaths in Kentucky. (The graphic above
assumes 58.) That year, Kentucky’s child abuse hotline received calls involving
roughly 165,000 children.** Clearly,
making the haystack even larger by overloading workers with even more false
reports, trivial cases, poverty cases and needless foster care, is only going
to make it even harder to find the needles.
All this is why the misreading of
key data by Kentucky media and advocates makes all Kentucky children less safe.
Actually we DO need to “quibble about
numbers.”
Before I even
start the process of analyzing the claim about child abuse in Kentucky, I need
to repeat something I wrote recently about child abuse in Oregon when a data
issue arose there:
When those pushing for more policing of
overwhelmingly poor, disproportionately nonwhite families, more massive
surveillance and more removal of children to foster care get caught hyping the
numbers, they have a standard response. Usually it’s some variation of: “How
dare you quibble about numbers! Children are dying! Even one case is
too many!”
The second
two sentences are, of course, correct. But precisely because we’ve
been suckered by fearmongering, hype and hysteria for decades (at least one
organization responsible for it effectively admitted as much) we’ve spent those decades embracing
“solutions” that only make things worse.
As I noted above, the horror stories represent
a tiny fraction of the cases seen by workers for Kentucky’s Cabinet for Health
and Family Services. To get that tiny
fraction down to zero requires a vastly different approach than an
ever-expanding child welfare surveillance state, and doing what Kentucky keeps
doing - tearing apart families, and traumatizing children with needless foster
care, at an obscene rate.
The related
hyper-defensive response from some journalists to any attempt to provide
context is some variation of: “Oh, so you don’t want us to report on children dying!”
Bullshit. What those of us who have been working
for decades to reduce child abuse in all forms to zero want is better reporting on child abuse deaths –
and every other aspect of the child welfare system (Why, for example, has the Courier-Journal never, as far as I know,
run a story such as this such as this?)
because the problem of massive, needless removal of children and the problem of
child welfare systems overlooking children in real danger are directly related.
We damn
well do need to “quibble about numbers.” So let’s start
quibbling:
The
table that launched those hype-filled headlines
Where does that “worst-in-the-nation”
claim come from? Well, contrary to what
the editor of the Courier Journal
implied, it does not come from any statement from the federal Department of
Health and Human Services. There is no press release or other document that
declares “Kentucky is number one in child abuse.” There isn’t even a ranking.
What there is is a single data point
on a single table in on page 30 of a 274-page federal report. That same report (right upfront on page 5) comes with a crucial warning:
[R]eaders should exercise caution in making state-to-state
comparisons. Each state defines child abuse and neglect in its own statutes and
policies and the child welfare agencies determine the appropriate response for
the alleged maltreatment based on those statutes and policies.
Here's why:
What that table actually measures is
the percentage of the child population for whom child protective services workers check a box
on a form saying they think it’s at least slightly more likely than not that a
parent or caretaker abused or neglected a child. This can be little more than a caseworker’s
guess. In Kentucky workers check the box
for a higher proportion of the total child population than any other state.
Now, let’s unpack this.
For starters, all those stories that
claim even the data table said Kentucky leads America in “child abuse” are
false – the figure is for alleged abuse and alleged neglect combined.
And there are indications that, in
Kentucky, we are talking almost entirely about so-called “neglect.” Another
table in the same publication, on page 41, shows that, on average 60.8 percent
of so-called substantiated reports are for “neglect only.” But in Kentucky it’s
88.1 percent – the second highest such proportion in America. In contrast, physical abuse and sexual abuse combined
account for, at most 11.2 percent. That
compares to a national average of 32 percent.
Of course some in Kentucky might
say: Well, of course we have a higher proportion of neglect cases, we’re a poor
state! There are two problems with this:
First, child welfare agencies say they never confuse poverty with neglect – so
that should be largely irrelevant.
Second, there are seven states where the rate of child poverty is as
high or higher than Kentucky. In all of
those states, the percentage of cases involving alleged neglect is lower than
Kentucky.
Perhaps most notable among these is
Alabama, a state which became, relatively speaking, a national leader in child
welfare when a lawsuit settlement required the state to rebuild its system to
emphasize safe, proven alternatives to tearing apart families. (A member of NCCPR’s volunteer Board of
Directors was co-counsel for plaintiffs in that lawsuit.) So it's worth repeating the graphic at the top of this post:
 |
Source: U.S. Dept. of Health and Human Services, Child Maltreatment 2018
|
There’s been some backsliding in recent
years, but Alabama still takes away children at half the rate of Kentucky – and
independent monitors found that child safety improved. Alabama did this in part by dramatically
reducing the confusion of poverty with neglect.
In Alabama of all “substantiated” cases only 31.3 percent involved
“neglect only.”
So if you were to disaggregate the
data and actually look only at abuse, it’s quite possible that, even by this
grossly flawed measure, Kentucky is not number one.
Defining
“neglect.”
That leaves the Courier-Journal, which, for all its other failings, at least says
the figure is for “abuse and neglect.”
So now let’s consider how states define
neglect. Most states have extremely broad,
vague definitions that invite the confusion
of poverty with neglect.
Kentucky’s is among the worst. Its definition includes a parent who
“Does not
provide the child with adequate care, supervision, food, clothing, shelter,
education, or medical care necessary for the child's well-being.”
There is hardly a poor child in
Kentucky who could not be deemed neglected at some point if a caseworker chose
to do so. That alone may well explain
the so-called “worst in the nation” claim.
But it’s not just the vagueness of the
definition. Different state and local
child welfare agencies have different cultures. As noted above in the discussion of Alabama, there
are a few agencies that take seriously trying to avoid confusing poverty with
neglect. But Kentucky does not appear to
be one of them.
On the contrary, Kentucky child
welfare’s contempt for families was the subject of a scathing
report by the child welfare agency’s own inspector general in 2007.
At about the same time the state made national
headlines over rushing children needlessly to termination of parental
rights. Recent Kentucky
court decisions suggest attitudes
haven’t changed. The Lexington Herald-Leader has covered all
this extensively – it is they only news organization in the state I know of
that has offered a measure of nuance in its child welfare coverage.
Defining
“substantiation”
The federal report upon which
Kentucky media rely does not, in fact, measure child abuse or neglect. Rather
it counts the number of times caseworkers allege
abuse or neglect.
The allegation does not mean there
was a comprehensive investigation followed by a decision from a neutral
arbiter. Rather it means only that an
often overwhelmed, underprepared caseworker checked a box on a form. In Kentucky, as in 37 other jurisdictions, workers
check the box when they deem it at least slightly more likely than not that
what the state defines as abuse or “neglect” occurred. Seven jurisdictions have a higher standard,
seven have a lower standard (D.C. and Puerto Rico bring the total to 52) –
still another reason states can’t be compared.
We do know that, as of 2017, in
Kentucky, in the cases where families manage to make their way through an appeals
process, with the appeal decided by the same agency that made the initial
determination, well over half the time the decision to “substantiate” the allegation is overturned.
Other unknowns
How deep in the weeds do you want to
go? The rate at which people call child abuse hotlines and the proportion of
those calls that are accepted for investigation also vary widely from state to
state. Both of these affect how many
children caseworkers actually see, which may affect the proportion of the child
population alleged by caseworkers to be abused or neglected. (Depending on how you choose to interpret
these data they can be used to bolster either side of the “worst-in-the-nation”
argument.)
So, does Kentucky have the more
“child abuse” than any other state, or does Kentucky simply confuse poverty
with neglect at one of the highest rates in America?
Obviously, I think it’s more likely
the latter. But I don’t know that. And, Kentucky journalists and advocates: Neither do you.
_____________________
*- Normally, when I use that “cesspool
of depravity” phrase I’m being sarcastic, but in Kentucky, one of the Courier Journal’s favorite sources for
fearmongering quotes – a child abuse pediatrician – actually said "I think
Kentucky continues in some areas to have a fairly significant culture of
violence." In fact, this is someone
who, however well-intended, has no qualifications I know of to measure the culture of an entire
state. Rather, her job requires her to focus almost entirely on the worst of the worst – which may distort her perspective. Problems with the perspective of some child abuse pediatricians, have been well documented in The Atlantic and The Marshall Project, and by NBC News and the Houston
Chronicle .
** Courier
Journal stories give two different figures (from different state agencies) for
child abuse deaths and one for near deaths.
Using the larger figures, the total is 107. Nationwide, 27.3 percent of
child abuse deaths involve children in some way “known to the system” – which can
mean no more than that at one time there was a call to the child abuse
hotline. That would mean there were 29
such deaths or near deaths in Kentucky. But just for the sake of argument, I’ve
doubled the number in the graphic.
State data in the annual Child
Maltreatment reports count the number of calls hotlines receive, but not the
number of children per call. Other data in the report suggest that calls to
Kentucky’s hotline probably involve an average of 1.5 children per call.