November 17, 2022
Increasing the racial and ethnic diversity of educators serving students in our public schools is a promising strategy that is vastly underutilized. The research has repeatedly shown the importance of a diverse teacher workforce. However, the path to increase diversity of educators is complex and will take significant efforts and investments by policymakers and advocates to accomplish.
November 10, 2022
In this policy memo, Ladd argues that charter schools disrupt four core goals of education policy in the United States, namely: 1) establishing coherent systems of schools, 2) attending to child poverty and disadvantage, 3) limiting racial segregation and isolation, and 4) ensuring that public funds are spent wisely. Ladd offers policy recommendations to better meet these challenges.
Racial And Ethnic Disparities In Pandemic-Era Unemployment Insurance Access: Implications For Health And Well-Being
November 7, 2022
During the COVID-19 pandemic, workers not identifying as White non-Hispanic in our sample were more likely to get laid off than White workers. However, these workers were less likely than White workers to receive unemployment insurance at all. Among those who were laid off, these workers and White workers experienced similar increases in material and mental health difficulties and similar gains when they received unemployment insurance.
Do children evaluated for maltreatment have higher subsequent emergency department and inpatient care utilization compared to a general pediatric sample?
November 3, 2022
This article presents data on the positive association of having a child maltreatment evaluation with subsequent acute health care utilization among children from birth to age three.
October 24, 2022
A diverse teacher workforce has the potential to improve outcomes for all students, and especially for students of color. While North Carolina clearly recognizes the importance of increasing diversity in the workforce – and despite national and local efforts from school districts and policy makers – the teaching workforce remains largely white and female, even as the students they serve become increasingly diverse, widening the racial gap between teachers and students.
What Do Child Abuse and Neglect Medical Evaluation Consultation Notes Tell Researchers and Clinicians?
October 20, 2022
Child abuse and neglect medical experts provide care to children when there is concern for maltreatment. Their clinical notes contain valuable information. This article includes the results of creating and implemented a coding system for data abstraction from these notes.
Gun violence among young adults with a juvenile crime record in North Carolina: Implications for firearm restrictions based on age and risk
September 30, 2022
The prevalence of arrests for crimes involving guns among young adults in North Carolina with a gun-disqualifying felony record acquired before age 18 suggests that the federal gun prohibitor conferred by a felony record is not highly effective as currently implemented in this population. From a risk-based perspective, these restrictions appear to be justified; better implementation and enforcement may improve their effectiveness.
September 7, 2022
These findings provide evidence that net worth poverty has negative associations with children’s development. Net worth poverty predicts lower reading and applied problem scores and increased behavioral problems.
Impact of a Universal Perinatal Home-Visiting Program on Reduction in Race Disparities in Maternal and Child Health
August 23, 2022
This study demonstrates that a universal approach to early family intervention can have positive population impact while also reducing disparities in outcomes.
August 19, 2022
This research brief examines two measures of educational opportunity in North Carolina public school districts, average achievement and achievement growth. The first measure— average achievement—indexes the average level of student achievement at a single point in time. The second measure—achievement growth—indexes the rate of growth in student achievement over time.
Intergenerational effects of the Fast Track intervention on the home environment: A randomized control trial
July 27, 2022
This study examined whether the childhood intervention program called Fast Track improves family life into the second generation.
May 13, 2022
This paper, co-authored by Lisa Gennetian, provides three reasons why giving cash to families with low incomes is a sound policy investment for families and children. (It focuses on why cash is important, not which policy option is the optimal mechanism for distributing cash to families.)
March 22, 2022
Behavioral economics (BE) combines economics with social psychology and cognitive decision-making to offer a broader framework for understanding factors that affect people’s decisions and actions. It provides a way to examine how decisions can be shaped not only by information and costs but by how choices are designed, as well as the context and circumstances of the moment in which decisions are made.
Adolescent Positivity and Future Orientation, Parental Psychological Control, and Young Adult Internalising Behaviours during COVID-19 in Nine Countries
February 14, 2022
This study investigated associations between COVID-19-related disruption and perception of increases in internalising symptoms among young adults and whether these associations were moderated by earlier measures of adolescent positivity and future orientation and parental psychological control.
Electronic Health Record Tools to Identify Child Maltreatment: Scoping Literature Review and Key Informant Interviews
February 4, 2022
We conducted a scoping literature review and key informant interviews of child maltreatment experts to (1) document the existing research evidence on the performance of EHR-based child abuse screens (EHR-CA-S) and clinical decision support systems (EHR-CA-CDSS )and (2) examine clinical perspectives regarding the use of such tools and factors that affect uptake. We find that current evidence does not support adoption of a particular CA-S or CA-CDSS and that further refinement of these tools is necessary.
January 24, 2022
Data from the Baby’s First Years study, a randomized control trial, show that a predictable, monthly unconditional cash transfer given to low-income families may have a causal impact on infant brain activity.
January 15, 2022
The pandemic profoundly affected American children with disruptions to their schooling and daily care. A new study found that service sector workers who had a young child reported disruption on 24 percent of days in fall 2020. The disruptions were more common in remote learning and had a negative impact on children’s behavior and on parenting mood and behavior.
Transitioning to virtual interaction during the COVID-19 pandemic: Impact on the family connects postpartum home visiting program activity
January 12, 2022
In this paper, we analyze program activity for Family Connects (FC), an evidencebased postpartum home-visiting intervention, during the COVID-19 pandemic. When the pandemic began, FC transitioned to a virtual protocol which maintains key psychosocial components of the in-person protocol and adjusts health assessments to address the lack of in-person contact.
January 12, 2022
Early reports highlighted challenges in delivering home visiting programs virtually during the COVID-19 pandemic but the extent of the changes in program implementation and their implications remains unknown. We examine program activity and families’ perceptions of virtual home visiting during the first nine months of the pandemic using implementation data for Family Connects (FC), an evidence-based and MIECHV-eligible, postpartum nurse home visiting program.
January 12, 2022
Home visiting is a popular approach to improving the health and well-being of families with infants and young children in the United States; but, to date, no home visiting program has achieved population impact for families in rural communities. The current report includes evaluation results from the dissemination of a brief, universal postpartum home visiting program to four high-poverty rural counties.
Culture and Social Change in Mothers’ and Fathers’ Individualism, Collectivism and Parenting Attitudes
November 30, 2021
Historically, individualism vs. collectivism has been a main organizing framework for understanding cultural differences in family life. This study examines parents in nine countries to understand their individualism, collectivism and parenting attitudes. They found parenting attitudes are predicted by a range of sociodemographic factors.
Parent–adolescent relationship quality as a moderator of links between COVID-19 disruption and reported changes in mothers’ and young adults’ adjustment in five countries.
November 23, 2021
This study capitalizes on a longitudinal, cross-national study of parenting, adolescent development, and young adult competence to document the association between personal disruption during the COVID-19 pandemic and reported changes in internalizing and externalizing behavior in young adults and their mothers since the pandemic began.
October 26, 2021
This brief examines how the benefits of high-quality ECE might simultaneously diminish and persist in the long run. Strategies are then discussed to sustain the impacts of ECE during elementary school.
Impact of the COVID-19 pandemic on substance use among adults without children, parents, and adolescents
October 16, 2021
Impact of the COVID-19 pandemic on alcohol and illicit substance use among adults without children, parents, and adolescents was investigated through two studies with five samples from independent ongoing U.S. longitudinal studies.
Text-Based Crisis Service Users’ Perceptions of Seeking Child Maltreatment-Related Support From Formal Systems
September 10, 2021
Many young people were hesitant to reach out to formal systems in the future, in part because of negative experiences during past disclosure experiences. Young people may be more likely to seek support through their preferred communication medium, so providing text- and chat-based communication may be one way to encourage and facilitate disclosure.
September 1, 2021
Early proficiency in math skills is increasingly being seen as an independent area worthy of early curriculum development and policy investment to reduce socioeconomic disparities in children’s school readiness.
Understanding Patterns of Food Insecurity and Family Well-Being Amid the COVID-19 Pandemic Using Daily Surveys
September 1, 2021
This paper investigates economic and psychological hardship during the COVID-19 pandemic among a diverse sample of socioeconomically disadvantaged parents and their elementary school-aged children. Longitudinal models revealed that food insecurity, negative parent and child mood, and child misbehavior significantly increased when schools closed; only food insecurity and parent depression later decreased.
Development of individuals’ own and perceptions of peers’ substance use from early adolescence to adulthood
September 1, 2021
This study evaluated how individuals’ own substance use and their perception of peers’ substance use predict each other across development from early adolescence to middle adulthood.
August 18, 2021
Analyses were based on a 20+ year prospective, community-representative study of 1420 children, who were assessed up to 8 times during childhood (ages 9–16; 6674 observations) about access to guns in their home.
Childhood Wealth Inequality in the United States: Implications for Social Stratification and Well-Being
August 1, 2021
Wealth inequality—the unequal distribution of assets and debts across a population—has reached historic levels in the United States, particularly for households with children.
Effect of a Universal Postpartum Nurse Home Visiting Program on Child Maltreatment and Emergency Medical Care at 5 Years of Age: A Randomized Clinical Trial
July 7, 2021
The Family Connects (FC) program, a community-wide nurse home visiting program for newborns, has been shown to provide benefits for children and families through the first 5 years of life.
July 1, 2021
This brief summarizes the findings from Net Worth Poverty in Child Households by Race and Ethnicity, 1989–2019 in the Journal of Marriage and the Family and offers historical context for U.S. policies that have contributed to racial and ethnic differences in net worth poverty in child households.
May 25, 2021
Beth Gifford, Megan Golonka and Kelly Evans wrote a chapter of the book, Children with Incarceratead Mothers Separation, Loss, and Reunification. The chapter summarized findings of their study that examined the timing of mother’s incarceration in relation to her children’s involvement with social services, contributory factors leading to foster care placement, and foster care discharge outcomes.
May 1, 2021
Participants of the study pointed to a number of actionable recommendations to increase program participation and enhance the participant experience in the nutrition assistance programs SNAP and WIC: Federal and state WIC programs should strengthen vendor management to improve the shopping experience. State and local agencies should develop peer programs to educate WIC participants on…
Insurance Barriers, Gendering, and Access: Interviews with Central North Carolinian Women About Their Health Care Experiences
May 1, 2021
Women face unique logistical and financial barriers to health care access.
April 1, 2021
Key Takeaways: Harsher immigration law enforcement by U.S. Immigration and Customs Enforcement leads to decreased use of prenatal care for foreign-born mothers and declines in birth weight. The uptick in ICE activities under the Trump administration may have long-lasting, harmful effects on U.S.-born citizens. Sheriffs and local governments should terminate their 287(g) agreements with ICE…
Lower neural value signaling in the prefrontal cortex is related to childhood family income and depressive symptomatology during adolescence
April 1, 2021
Lower family income during childhood is related to increased rates of adolescent depression, though the underlying mechanisms are poorly understood.
March 10, 2021
Clearance rates for nonfatal shootings, especially cases involving gang- and drug-related violence, are disturbingly low in many US cities.
February 25, 2021
Edited by Jennifer Lansford and Drew Rothenberg with Marc Bornstein, this book shares findings from a study of parents and children in China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand and the United States. Each chapter is authored by a contributor native to the country examined. Together, the chapters provide a global understanding of parenting across cultures.
Do Teacher Assistants Improve Student Outcomes? Evidence From School Funding Cutbacks in North Carolina
February 16, 2021
This article examines the influence of teacher assistants and other personnel on outcomes for elementary school students during a period of recession-induced cutbacks in teacher assistants.
Heightened immigration enforcement impacts US citizens’ birth outcomes: Evidence from early ICE interventions in North Carolina
February 3, 2021
We examine how increased Immigration and Customs Enforcement (ICE) activities impacted newborn health and prenatal care utilization in North Carolina around the time Section 287(g) of the Immigration and Nationality Act was first being implemented within the state.
February 1, 2021
Nationwide, school principals are given wide discretion to use disciplinary tools like suspension and expulsion to create a safe learning environment.
February 1, 2021
The science that informs best practice in early intervention, early childhood education, and early childhood mental health is clear: the most important resource infants and toddlers have is the relationships they develop with adult caregivers. For young children in child care programs, relationships with their teachers are a resource they depend on.
February 1, 2021
The disproportionality between the representation of white students and students of color in gifted education programs is both persistent and pervasive. Attempts over the years to remedy the issue have done little to narrow this disparity.
February 1, 2021
Family science has long considered the ways in which parents’ experiences in the workplace can affect families.
February 1, 2021
Social and emotional development was in peril prior to the pandemic. After this time apart, it will take systematic, intentional, and intensive efforts to get social and emotional learning back on track.
February 1, 2021
Just one in ten nonfatal shootings in Chicago lead to an arrest.
January 13, 2021
Using detailed administrative data for public schools, we document racial and ethnic segregation at the classroom level in North Carolina, a state that has experienced a sharp increase in Hispanic enrollment.
Reimagining Policing: How Community-Led Interventions Can Improve Outcomes for Domestic Violence and Mental Health Calls
January 1, 2021
In response to police killings of Black people and the ensuing protests that took place in communities across the country in 2020, media coverage in North Carolina and in much of the nation this past year has focused heavily on instances of police violence and the protests and counterprotests that have since occurred throughout the…
November 26, 2020
This study is the first to examine net worth poverty, and its intersection with income poverty, by race and ethnicity among child households in the United States.
November 1, 2020
Key Takeaways: Economic instability remains high among hourly service workers — from both job and household income loss. Food insecurity has increased significantly among working families. Safety net programs can help families maintain their incomes and reduce food insecurity, however benefits are not reaching everyone. Keeping vulnerable families afloat during the pandemic will require policymakers…
October 1, 2020
The Duke University Center for Child and Family Policy partnered with the Durham Crisis Response Center, the Exchange Family Center, the Center for Child and Family Health, and the Durham County Department of Social Services to create the Durham Integrated Domestic Violence Response System (DIDVRS). DIDVRS is an evidence-based, community-led approach to more appropriately address…
October 1, 2020
The outbreak of coronavirus disease 2019 has changed American society in ways that are difficult to capture in a timely manner.
October 1, 2020
Zika virus epidemics have potential large-scale population effects. Controlled studies of mice and nonhuman primates indicate that Zika affects fecundity, raising concerns about miscarriage in human populations.
September 15, 2020
Over the last five decades, dramatic social changes have disrupted established patterns of family life and human development in the countries of the Gulf Cooperation Council. This book examines the role of these changes, such as urbanization, educational progress, emigration, and globalization, and describes their implications for Gulf families.
Connecting with K-12 Students During COVID-19: Findings and Recommendations from a Survey of North Carolina Teachers
August 1, 2020
This brief uses data from a survey of educators in nine districts participating in the North Carolina Resilience and Learning Project on the challenges of remote learning and education during the COVID-19 pandemic. It offers recommendations for improving educational equity during remote learning, addressing the following areas: technology access, availability of adult support, student well-being,…
K-12 Social-Emotional Support During COVID-19: Reflections and Recommendations from a Survey of North Carolina Teachers
August 1, 2020
This Brief Will Cover Emotional and Mental Health Support for Teachers. Survey data from N.C. teachers on their concerns about returning to school in the fall. Recommended strategies for helping school administrators promote wellness among school staff upon their return. Re-envisioning the Way Students and Schools Interact. Recommended practices for promoting relationship building among teachers,…
August 1, 2020
This brief provides an overview of the various channels through which COVID-19 has affected the lives of children and families, and proposes 4 key actions to help communities heal and build stronger, equitable systems: Create a “new” public health system centered upon a universal approach to care with a focus on equity. Invest in early…
July 1, 2020
This brief provides an overview of lessons learned about online schooling for young children during the COVID-19 pandemic from K-1 classroom and ESL teachers, and 5 recommendations for how to support the continuation of online learning into the next school year.
The Added Benefit of North Carolina’s Evictions Moratorium: Protecting Vulnerable Children During the COVID-19 Pandemic
June 1, 2020
Key Takeaways: Government officials halted housing evictions in North Carolina as a response to the COVID-19 crisis. We analyze administrative data on evictions from the N.C. Administrative Office of the Courts and on public school children in Durham to identify characteristics of children who experience eviction. Our analysis shows that an additional benefit of the…
May 27, 2020
Katie Rosanbalm wrote the opening chapter of a book entitled, Alleviating the Educational Impact of Adverse Childhood Experiences. The book is a collection of approaches to trauma-informed education based on school-university-community collaborations. Rosanbalm’s chapter summarizes the literature on why trauma-informed strategies are important to academic success and describes the specifics of the Resilience and Learning Model. It concludes with preliminary qualitative findings from pilot schools.
May 1, 2020
Children’s earliest experiences shape their brain’s architecture and create the foundation for healthy development and future learning. High-quality early learning environments support children in meeting critical developmental milestones, and children who attend high-quality early education programs are better prepared for success in school — academically, socially and emotionally.
Ensuring Vulnerable Children and Families Have Access to Needed Health Services and Supports During the COVID-19 Pandemic
May 1, 2020
This policy brief focuses on how necessary responses to the COVID-19 pandemic alter the health and social service landscape for children and families, particularly those who were already vulnerable, and offers policy guidance.
Strategies to Support the Well-Being of Essential Child Care Staff and Young Children During COVID-19
April 1, 2020
Inside: Protecting the Physical Well-Being of Essential Child Care Providers and Young Children Supporting the Social-Emotional Well-Being of Essential Child Care Providers and Young Children Caring for Older Children Supporting Child Care Administrators Whose Facilities are Staying Open to Meet Essential Needs
April 1, 2020
This brief provides an overview of key ways in which COVID-19 has impacted working families, as drawn from our study’s survey analysis. 1. Drastic Reductions in Work Hours and Increase in Job Loss 2. Harmed Well-Being of Both Parents and Their Children 3. Policy Supports Not Reaching Families 4. Employer-Provided Benefits Reaching Some Families
Mothers and fathers in the criminal justice system and children’s child protective services involvement
March 1, 2020
Parents charged with a criminal offense had higher rates of having a child protective services (CPS) assessment/investigation during the three years preceding the charge than parents who were not charged. Changing parental incarceration rates would change CPS caseloads substantially.
Gender Differences in the Impact of North Carolina’s Early Care and Education Initiatives on Student Outcomes in Elementary School
March 1, 2020
Based on growing evidence of the long-term benefits of enriched early childhood experiences, we evaluate the potential for addressing gender disparities in elementary school through early care and education programs.
February 21, 2020
Carolyn Barnes uses ethnographic accounts of three organizations to reveal how interacting with government-funded after-school programs can enhance the civic and political lives of low-income citizens.
Mothers’ and Fathers’ Time Spent with Children in the U.S.: Variations by Race/Ethnicity Within Income from 2003 to 2013
February 10, 2020
Using data from the American Time Use Survey, we examine the empirically underexplored ways in which racial and ethnic identity shapes parental time use.
Raising the bar for college admission: North Carolina’s increase in minimum math course requirements
July 1, 2019
Charles T. Clotfelter, Steven W. Hemelt, Helen F. Ladd Education Finance and Policy (2019) 14 (3): 492–521. https://doi.org/10.1162/edfp_a_00258
May 1, 2019
Policy feedback scholarship has focused on how laws and their implementation affect either organizations (e.g., their resources, priorities, political opportunities, or incentive structures) or individuals (e.g., their civic skills and resources or their psychological orientations toward the state).
March 1, 2019
Policy makers, practitioners, and researchers have emphasized the importance of supportive relationships between staff and parents in early childhood education settings and schools.
WIC Recipients in the Retail Environment: A Qualitative Study Assessing Customer Experience and Satisfaction
November 27, 2018
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program is an important intervention for prevention and treatment of obesity and food insecurity, but participation has dropped among eligible populations from 2009 to 2015.
Impact of a Neuroscience-Based Health Education Course on High School Students’ Health Knowledge, Beliefs, and Behaviors.
October 1, 2018
The purpose of this pilot study was to evaluate the potential of an innovative high school neuroscience-based health course for implementation feasibility and impact on student outcomes.
Predicting Patterns of Intimate Partner Violence Perpetration From Late Adolescence to Young Adulthood
August 23, 2018
Saint-Eloi Cadely et al. found longitudinal patterns for the perpetration of both psychological and physical intimate partner violence (IPV), including actively and minimally aggressive patterns.
Improving Young English Learners’ Language and Literacy Skills Through Teacher Professional Development: A Randomized Controlled Trial
September 19, 2017
Using a randomized controlled trial, we tested a new teacher professional development program for increasing the language and literacy skills of young Latino English learners with 45 teachers and 105 students in 12 elementary schools.
August 10, 2017
We study the evolution of a campus-based aid program for low-income students that began with grant-heavy financial aid and later added a suite of nonfinancial supports.
Impact of North Carolina’s Early Childhood Programs and Policies on Educational Outcomes in Elementary School
November 17, 2016
North Carolina’s Smart Start and More at Four (MAF) early childhood programs were evaluated through the end of elementary school (age 11) by estimating the impact of state funding allocations to programs in each of 100 counties across 13 consecutive years on outcomes for all children in each county-year group (n = 1,004,571; 49% female; 61% non-Latinx White, 30% African American, 4% Latinx, 5% other).
June 29, 2016
Many advocacy organizations devote time and resources to increasing community awareness and educating the public in an effort to gain support for their issue.
Self-Regulation and Toxic Stress Report 3: A Comprehensive Review of SelfRegulation Interventions from Birth Through Young Adulthood
February 1, 2016
This is the third in a series of four inter-related reports titled Self-Regulation and Toxic Stress.
Impact of North Carolina’s Early Childhood Initiatives on Special Education Placements in Third Grade
December 1, 2015
This study examines the community-wide effects of investments in two early childhood initiatives in North Carolina (Smart Start and More at Four) on the likelihood of a student being placed into special education.
Self-Regulation and Toxic Stress Report 2: A Review of Ecological, Biological, and Developmental Studies of Self-Regulation and Stress
February 1, 2015
This report builds on the previous report in this series, Foundations for Understanding Self-Regulation from an Applied Developmental Perspective, which describes a theoretical framework that is utilized in the present review of empirical ecological, biological, and developmental studies.
Self-Regulation and Toxic Stress Report 1: Foundations for Understanding Self-Regulation from an Applied Perspective
January 1, 2015
This is the first in a series of four inter-related reports titled Self-Regulation and Toxic Stress, with subtitles specifying the focus of each report.
February 3, 2014
According to the North Carolina (N.C.) Division of Mental Health, Developmental Disabilities and Substance Abuse Services, approximately 18,000 adults and 1,000 children in Durham County abused or were addicted to illegal drugs, prescription medications, or alcohol in 2012(1). Substance abuse not only impacts the individual and his/her family, but also the community.
June 1, 2013
This memo examines recent data from Durham Public Schools related to student absenteeism. This memo examines four related issues surrounding absenteeism: Description of student absenteeism by grade-level Persistence of truancy from one year to the next The association between truancy and grade retention, and The overlap between absenteeism and tardies.
January 1, 2012
This report summarizes preliminary findings associated with the MHOP program that began in Durham County in January of 2011.
July 1, 2011
Approximately one quarter of U.S. students do not graduate from high school with their peers. Failing to complete high school severely limits opportunities for employment and future financial stability. High school dropouts earn lower wages through their lifetime and work for fewer years.1 The costs to society of high school dropouts are also high and…
June 15, 2011
In 2009, the Spencer Foundation renewed its generous support of the Data Center with an additional two years of funding. In addition, Duke University and the North Carolina Department of Public Instruction have continued to support the Data Center through the collaborative relationship established in the current Memorandum of Understanding between the two institutions.
June 1, 2011
This report presents the final findings for a two-year evaluation of the Hill Center Reading Achievement Program (HillRAP) as implemented in a middle school setting from September 2008 to June 2010. The Center for Child and Family Policy at Duke University conducted this evaluation in collaboration with the Davie County Public Schools and the Mebane…
Multiple Response System and System of Care: Two Policy Reforms Designed to Improve The Child Welfare System
April 1, 2009
Child abuse and neglect is a serious problem in the United States. From 2004 to 2005 the number of substantiated reports of maltreatment increased by 27,000 cases from 872,000 to 899,000.
Multiple Response System (MRS) Evaluation Report to the North Carolina Division of Social Services (NCDSS) 2006
June 30, 2006
At the request of the North Carolina Division of Social Services (NCDSS), the Center for Child and Family Policy at The Terry Sanford Institute at Duke University evaluated the Multiple Response System (MRS) reform for families reported to child welfare in 10 MRS pilot counties.
Multiple Response System (MRS) Evaluation Report to the North Carolina Division of Social Services (NCDSS) 2004
April 1, 2004
In response to a request from the North Carolina Division of Social Services (DSS),Center for Child and Family Policy at The Terry Sanford Institute at Duke University evaluated the Multiple Response System reform for families reported for child maltreatment.