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Child Welfare Risk Assessment×Standardized Clinical Cutoff×
FagområdeSocial WorkSocial Work
FamilieProcess / pipelineProcess / pipeline
Oprindelsesår20001991
OphavspersonChristopher Baird, Dennis Wagner & the actuarial child-welfare risk tradition (Children's Research Center)Neil S. Jacobson & Paula Truax
TypeEstimation of the likelihood of future child maltreatment to guide service decisionsMethod for judging whether individual change on a standardized measure is reliable and clinically meaningful
Oprindelig kildeBaird, C., & Wagner, D. (2000). The relative validity of actuarial- and consensus-based risk assessment systems. Children and Youth Services Review, 22(11–12), 839–871. DOI ↗Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. DOI ↗
AliasserChild Protective Services Risk Assessment, Family Risk Assessment, Actuarial Risk Assessment (Child Welfare), Risk of Future Maltreatment AssessmentClinical Cutoff Score, Clinical Significance Method, Reliable Change Index, Jacobson-Truax Method
Relaterede43
ResuméChild welfare risk assessment estimates the likelihood that a child will be maltreated in the future, in order to guide decisions about case opening, service intensity, and ongoing monitoring. Actuarial systems — the most validated form, advanced by Christopher Baird, Dennis Wagner, and colleagues — score a small set of empirically weighted case characteristics into a risk level that statistically predicts future maltreatment, and have been shown to outperform consensus-based clinical judgment in reliability and predictive validity. Risk assessment is distinct from, and complementary to, the safety assessment that addresses immediate danger.The standardized clinical cutoff approach, developed by Jacobson and Truax, judges whether an individual client's change on a standardized measure is both statistically reliable and clinically meaningful. It pairs a Reliable Change Index — which asks whether a pre-to-post change is larger than the measurement error of the instrument — with a cutoff score that marks the boundary between the dysfunctional and functional (normal) populations. A client who moves reliably across that cutoff is counted as recovered, giving practice and research a defensible, individual-level definition of meaningful improvement.
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