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Background <p>Child maltreatment is highly prevalent and leads not only to enormous individual suffering but also to high social costs.</p> Aims <p>The costs of child maltreatment in clinical settings have, however, only been marginally studied and there is an almost complete lack of differential cost analyses for different forms of maltreatment in different age groups. These gaps were explored in the present study.</p> Material and methods <p>For infancy, middle childhood and adolescence, prototypical case vignettes were developed for two forms of child maltreatment per age group. The combination of age group and type was further split into a&#xa0;minimum and a&#xa0;maximum scenario for the severity of the maltreatment incident. The costs of evaluation and initial intervention in the clinical setting were then calculated for a total of 12&#xa0;case vignettes. This included the direct compensation through compulsory health insurance as well as the socioeconomic services of the child protection group. The latter received flat-rate remuneration from public costs.</p> Results <p>The prototypical case vignettes show a&#xa0;wide range of costs from less severe cases of a&#xa0;few 100 € to extreme cases with costs in the first phase of the clinical setting of around 40,000 €.</p> Discussion <p>The calculated costs only cover a&#xa0;fraction of the costs that arise directly through diagnostics and intervention in medical child protection. In addition, the flat-rate payments often do not fully cover services in the context of maltreatment. Further research on differential costs in this area will help to have a better understanding of the increased workload in medical child protection and cost drivers in child protection can be more easily identified; however, this also requires improved documentation of child maltreatment in clinical settings.</p>

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Varianz und Differenzierung von Kosten im klinischen Kinderschutz für unterschiedliche Arten von Gewalt in unterschiedlichem Alter

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月11日

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  • Andreas Jud,
  • Sarah Heiniger,
  • Irene Kobler,
  • Gabi Boegli,
  • Dörthe Harms Huser

摘要

Background

Child maltreatment is highly prevalent and leads not only to enormous individual suffering but also to high social costs.

Aims

The costs of child maltreatment in clinical settings have, however, only been marginally studied and there is an almost complete lack of differential cost analyses for different forms of maltreatment in different age groups. These gaps were explored in the present study.

Material and methods

For infancy, middle childhood and adolescence, prototypical case vignettes were developed for two forms of child maltreatment per age group. The combination of age group and type was further split into a minimum and a maximum scenario for the severity of the maltreatment incident. The costs of evaluation and initial intervention in the clinical setting were then calculated for a total of 12 case vignettes. This included the direct compensation through compulsory health insurance as well as the socioeconomic services of the child protection group. The latter received flat-rate remuneration from public costs.

Results

The prototypical case vignettes show a wide range of costs from less severe cases of a few 100 € to extreme cases with costs in the first phase of the clinical setting of around 40,000 €.

Discussion

The calculated costs only cover a fraction of the costs that arise directly through diagnostics and intervention in medical child protection. In addition, the flat-rate payments often do not fully cover services in the context of maltreatment. Further research on differential costs in this area will help to have a better understanding of the increased workload in medical child protection and cost drivers in child protection can be more easily identified; however, this also requires improved documentation of child maltreatment in clinical settings.