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Research ArticleRegular Article

Predictors of Child and Parent Offender Removal in Incidents of Child Neglect in U.S. Army Families

Christin M. Ogle, Steven P. Nemcek, Jing Zhou and Stephen J. Cozza
Journal of the American Academy of Psychiatry and the Law Online February 2025, JAAPL.240114-24; DOI: https://doi.org/10.29158/JAAPL.240114-24
Christin M. Ogle
Dr. Ogle is Research Assistant Professor at the Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Child Research Psychologist, Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Nemcek is Research Assistant Professor, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Fellow in the National Capital Consortium Child and Adolescent Psychiatry Fellowship Program, Walter Reed National Military Medical Center, Bethesda, MD. Mr. Zhou is a bio-statistician, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Cozza is Professor, Department of Psychiatry and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD.
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Steven P. Nemcek
Dr. Ogle is Research Assistant Professor at the Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Child Research Psychologist, Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Nemcek is Research Assistant Professor, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Fellow in the National Capital Consortium Child and Adolescent Psychiatry Fellowship Program, Walter Reed National Military Medical Center, Bethesda, MD. Mr. Zhou is a bio-statistician, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Cozza is Professor, Department of Psychiatry and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD.
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Jing Zhou
Dr. Ogle is Research Assistant Professor at the Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Child Research Psychologist, Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Nemcek is Research Assistant Professor, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Fellow in the National Capital Consortium Child and Adolescent Psychiatry Fellowship Program, Walter Reed National Military Medical Center, Bethesda, MD. Mr. Zhou is a bio-statistician, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Cozza is Professor, Department of Psychiatry and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD.
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Stephen J. Cozza
Dr. Ogle is Research Assistant Professor at the Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Child Research Psychologist, Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Nemcek is Research Assistant Professor, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD and a Fellow in the National Capital Consortium Child and Adolescent Psychiatry Fellowship Program, Walter Reed National Military Medical Center, Bethesda, MD. Mr. Zhou is a bio-statistician, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD. Dr. Cozza is Professor, Department of Psychiatry and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD.
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Article Figures & Data

Tables

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    Table 1

    Demographic Characteristics of Maltreated Children and Their Families

    CharacteristicsMSD
    Child age (years)4.563.97
    n%
    Child gender
     Male20553.52
     Female17846.48
    Child race
     Caucasian21055.56
     African American10327.25
     Other6517.20
    Highest military rank in the family
     E1 to E423362.97
     E5+14338.03
    Number of children in the family
     One10226.22
     Two or more28773.78
    Service parent marital status
     Married31985.1
     Unmarried (single, divorced, widowed, separated)5614.9
    • Percentages do not reflect missing data. N = 390. M = mean; SD = standard deviation.

    • View popup
    Table 2

    Child and Parent Offender Removal from Home by Child Neglect Types

    Child Removed from HomeParent Removed from HomeTotal
    Neglect Typen%p-valuean%p-valuean%
    Failure to provide physical needs2721.09<0.0164.69<0.0112832.82
    Other neglect types3111.83—4115.65—26267.18
    Lack of supervision2917.580.20106.06<0.0116542.30
    Other neglect types2912.89—3716.44—22557.69
    Emotional neglect159.380.013622.50<0.00116041.03
    Other neglect types4318.70—114.78—23058.97
    Moral-legal neglect315.001315.000.72205.13
    Other neglect types5514.86—4411.89—37094.87
    Educational neglect323.080.4200.000.39133.33
    Other neglect types5514.59—4712.47—37796.70
    • a p-value is based on chi-square or Fisher’s exact tests.

    • View popup
    Table 3

    Bivariate Associations Between Incident Characteristics and Child and Parent Offender Removal from Home

    PredictorsChild Removal
    OR (CI)
    Parent Removal
    OR (CI)
    Incident Characteristics
    Failure to provide physical needs (vs. other neglect types)1.99 (1.13, 3.51)a0.27 (0.11, 0.64)b
    Lack of supervision (vs. other neglect types)1.44 (0.82, 2.52)0.33 (0.16, 0.68)b
    Emotional neglect (vs. other neglect types)0.45 (0.24, 0.84)a5.78 (2.84, 11.76)c
    Moral-legal neglect (vs. other neglect types)1.01 (0.29, 3.56)1.31 (0.37, 4.64)
    High severity (vs. low)1.18 (0.67, 2.06)3.67 (1.80, 7.46)c
    Co-occurring physical and/or sexual abuse (yes vs. no)2.59 (1.13, 5.95)a1.86 (0.72, 4.81)
    Offender incident-related substance use (yes vs. no)1.58 (0.85, 2.95)2.25 (1.17, 4.31)a
    Child Victim Characteristics
    Male child sex (versus female)0.92 (0.53, 1.61)0.90 (0.48, 1.67)
    Child age1.04 (0.97, 1.11)1.01 (0.94, 1.09)
    Child race
     White versus Black1.13 (0.59, 2.19)0.52 (0.25, 1.08)
     Other versus Black0.60 (0.22, 1.63)1.47 (0.65, 3.32)
    Child victim previously known to FAP (yes vs. no)1.07 (0.39, 2.89)0.22 (0.03, 1.64)
    Parent Offender Characteristics
    Offender type
     Sponsor versus sponsor and spouse0.74 (0.33, 1.65)2.61 (1.23, 5.54)a
     Sponsor versus spouse0.50 (0.35, 1.29)3.40 (1.61, 7.17)b
    Offender age at birth of child0.92 (0.85, 0.99)a1.04 (0.98, 1.12)
    Offender previously known to FAP (yes vs. no)1.20 (0.53, 2.72)0.46 (0.14, 1.56)
    Family Characteristics
    Highest family rank (E5+ versus E1-E4)0.74 (0.40, 1.35)1.24 (0.67, 2.31)
    Multiple children in the home (versus one child)1.85 (0.90, 3.81)0.73 (0.38, 1.41)
    Service parent married (vs. unmarried)0.79 (0.34, 1.84)0.86 (0.35, 2.14)
    Family physical health problems (yes vs. no)0.99 (0.55, 1.77)0.99 (0.52, 1.86)
    Family mental health problems (yes vs. no)1.96 (1.04, 3.69)a0.85 (0.38, 1.89)
    • N = 390. CI = confidence interval; OR = odds ratio.

    • a p < 0.05

    • b p < 0.01

    • c p < 0.001

    • View popup
    Table 4

    Multivariate Associations Between Incident Characteristics and Child and Parent Offender Removal from Home

    Incident CharacteristicsChild Removal
    OR (CI)
    Offender Removal
    OR (CI)
    Failure to provide physical needs (vs. other neglect types)1.66 (0.77, 3.56)0.75 (0.27, 2.10)
    Lack of supervision (vs. other neglect types)1.16 (0.55, 2.42)0.97 (0.34, 2.73)
    Emotional neglect (vs. other neglect types)0.41 (0.16, 1.05)4.73 (1.49, 15.00)b
    Moral-legal neglect (vs. other neglect types)0.73 (0.17, 3.06)2.20 (0.46, 10.41)
    High incident severity (versus low)1.75 (0.90, 3.40)1.81 (0.80, 4.09)
    Co-occurring physical and/or sexual abuse (yes vs. no)3.70 (1.40, 9.80)a1.07 (0.37, 3.08)
    Offender incident-related substance use (yes vs. no)2.11 (1.04, 4.25)1.98 (0.93, 4.21)
    Offender type
     Sponsor versus sponsor and spouse1.03 (0.42, 2.52)2.58 (1.10, 6.04)a
     Sponsor versus spouse0.56 (0.25, 1.26)2.25 (0.99, 5.10)
    Offender age at birth of child0.88 (0.81, 0.95)b1.04 (0.96, 1.13)
    Family mental health problems (yes vs. no)1.69 (0.84, 3.38)1.24 (0.50, 3.08)
    • N = 390. CI = confidence interval; OR = odds ratio.

    • a p < 0.05.

    • b p < 0.01.

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Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 53, Issue 1
1 Mar 2025
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Predictors of Child and Parent Offender Removal in Incidents of Child Neglect in U.S. Army Families
Christin M. Ogle, Steven P. Nemcek, Jing Zhou, Stephen J. Cozza
Journal of the American Academy of Psychiatry and the Law Online Feb 2025, JAAPL.240114-24; DOI: 10.29158/JAAPL.240114-24

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Predictors of Child and Parent Offender Removal in Incidents of Child Neglect in U.S. Army Families
Christin M. Ogle, Steven P. Nemcek, Jing Zhou, Stephen J. Cozza
Journal of the American Academy of Psychiatry and the Law Online Feb 2025, JAAPL.240114-24; DOI: 10.29158/JAAPL.240114-24
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  • child neglect types
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