These results are important for discussions of making the temporary expansion of the CTC permanent and are applicable to income support policies more broadly.Īpproximately 37% of all US children are the subject of an investigation by child protective services during childhood, 1 and children in low-income families are at a substantially higher rate of maltreatment than children in higher-income households. These reductions did not persist, however.Ĭonclusions and Relevance These findings suggest that federal income supports to parents are associated with immediate reductions in child abuse and neglect-related ED visits. There were significant reductions in such ED visits among male children (point estimate, −0.40 95% CI, −0.75 to −0.06 P = .02) and non-Hispanic White children (point estimate, −0.69 95% CI, −1.22 to −0.17 P = .01). There was a decrease in these ED visits in the 4 days following the advance CTC payments, although the reduction was not significant (point estimate, −0.22 95% CI, −0.45 to 0.01 P = .06). The 2021 advance payments of the expanded CTC were associated with fewer child abuse and neglect-related ED visits. Results During the study period, there were 3169 ED visits related to child abuse or neglect. Main Outcomes and Measures Daily child abuse and neglect-related ED visits. Data were analyzed from July to August 2022.Įxposures Timing in the disbursement of the expanded CTC advance payments. Participants were pediatric emergency department (ED) patients identified as experiencing child abuse or neglect at a level I pediatric hospital system in the Southeastern US from July through December 2021. The study compared 2021 trends with the same period in 20, during which no CTC payments were made. A fixed-effects approach was used to compare child abuse and neglect before and after payments were made in 2021. Objective To estimate the short-term association of universal and unconditional income payments to parents with child abuse and neglect.ĭesign, Setting, and Participants In this cross-sectional study, variation in the timing of the 2021 expanded child tax credit (CTC) advance payments was used to determine whether receiving unconditional income is associated with child abuse and neglect. However, income supports tied to employment cannot separate the associations of income from those of employment. Importance Poverty has long been associated with a higher risk for child maltreatment, and recent research suggests that income support policies are associated with reduced child abuse and neglect.

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For more information, call Ken Knobbe at (314) 772-7600 or visit. McGrath & Associates is a 100 percent employee-owned general contractor and construction management firm specializing in commercial, health care, industrial, institutional and pharmaceutical construction projects since 1983. Features include safe “quiet” rooms, enhanced security on doors, and psych-safe space design, products and equipment.īecause the renovation is taking place in occupied health care areas, McGrath is implementing strict isolation and infection prevention measures to ensure a clean and safe environment for patients and staff. The 8,400-square-foot renovated space will include an open treatment area with shared bays and separate rooms. Psychiatric safety is being incorporated throughout the design of the new area, to enhance the safety of staff and patients. McGrath will move the emergency department X-ray room and several offices to make space for the Behavioral Health Pod expansion at Barnes-Jewish. Construction is scheduled for completion in October 2018. The architect is TKH and the engineer is Aedifica Case Engineering.

McGrath is the general contractor and construction manager on the project.

McGrath & Associates has begun work on the renovation and expansion of the Behavioral Health Pod within the Barnes-Jewish Hospital Emergency Department in St.

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