ArticlePediatrics2026
Children With Complex Chronic Conditions in the Child Protective Services.
Article in Pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
Abstract
objectivesLittle is known about the prevalence and outcomes for children with complex chronic conditions (CCCs) in the Child Protective Services (CPS) system. We aimed to determine the prevalence and associations of CCC designation across CPS outcomes and years among a group of children reported in CPS.
methodsThis was a retrospective, cross-sectional study using CPS and Medicaid data among children enrolled in Medicaid in Kentucky and Florida who were reported to CPS January 1, 2017, to December 31, 2020. The primary outcome was a CCC, distinguished with diagnosis codes in Medicaid claims. We derived logistic regression models to assess the aOR of a child having a CCC by type of maltreatment, report substantiation, and foster care placement, after adjusting for covariates.
resultsAmong 610 886 children reported to CPS, 8.7% had a CCC. The percentage of children with a CCC increased from 6.2% to 10.7% from 2017 to 2020. A higher percentage of children in foster care vs those who were not had a CCC (18.1% vs 8.3%). Children reported for medical neglect were more likely to have a CCC (aOR, 4.53 [95% CI, 4.32-4.76]) compared with those reported for basic needs neglect. Report substantiation (aOR, 1.21 [95% CI, 1.18-1.24]) and foster care placement (aOR, 1.43 [95% CI, 1.37-1.49]) were both associated with CCC diagnoses.
conclusionsChildren with CCCs represent a distinct and prevalent group of children reported to CPS and placed into foster care. Multisectoral systems of support are needed for these children and their families prior to and throughout CPS involvement.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.