Child Maltreatment Profiles among Children and Adolescents in the Spanish Child Welfare System

Abstract

Maltreatment is a complex and multidimensional construct. Several types of maltreatment exist, but not all of them necessarily co-occur. In the last decades, researchers have tried to untangle the heterogeneity of maltreatment. However, few studies have been carried out outside the U. S. and none of the previous studies had considered all stages of maltreatment. In this study, we aimed at exploring latent profiles of maltreatment in a sample of 635 children and adolescents enrolled at different intervention plans within the Child Protective Services (CPS) in the Valencian Community, Spain. Latent Profile Analysis (LPA) was performed. Profiles were based on the five types of maltreatment (physical abuse, emotional abuse, sexual abuse, emotional neglect and physical neglect), as measured by the Chilhood Trauma Questionnaire-Short Form. Moreover, associations between the emerging profiles and sociodemographic, health- and school-related variables were also examined. Three profiles of maltreatment were found: “Relative low maltreatment” (58.58%), “Neglected” (35.92%), and “Severely abused and neglected” (5.5%). Then, profiles were contrasted with the reasons why court dictated maltreatment status of the child/adolescent to validate the maltreatment profiles. Results regarding the cumulative nature of maltreatment and its severity suggest tailoring public policies by level of risk of maltreatment. This study further proposes moving the focus of action from individuals themselves to the elements that characterize different maltreatment profiles, with the aim of protecting them. Future research ought to expand knowledge on maltreatment profiles in other European countries so as to promote generalization of results.