Advertisement

A Novel Self-Evaluation Tool to Assess the Team Function of a Child Protection Team

  • Caroline J. Kistin
    Correspondence
    Address correspondence to: Caroline J. Kistin, MD, Department of Pediatrics, Boston University School of Medicine/Boston Medical Center, 88 E Newton St, Vose 3, Boston, Massachusetts 02118.
    Affiliations
    Department of Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, Mass (Dr Kistin and Dr Bauchner); Newton-Wellesley Hospital, Newton, Mass (Dr Tien); and Department of Pediatrics, Yale School of Medicine, New Haven, Conn (Dr Leventhal)
    Search for articles by this author
  • Irene Tien
    Affiliations
    Department of Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, Mass (Dr Kistin and Dr Bauchner); Newton-Wellesley Hospital, Newton, Mass (Dr Tien); and Department of Pediatrics, Yale School of Medicine, New Haven, Conn (Dr Leventhal)
    Search for articles by this author
  • John M. Leventhal
    Affiliations
    Department of Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, Mass (Dr Kistin and Dr Bauchner); Newton-Wellesley Hospital, Newton, Mass (Dr Tien); and Department of Pediatrics, Yale School of Medicine, New Haven, Conn (Dr Leventhal)
    Search for articles by this author
  • Howard Bauchner
    Affiliations
    Department of Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, Mass (Dr Kistin and Dr Bauchner); Newton-Wellesley Hospital, Newton, Mass (Dr Tien); and Department of Pediatrics, Yale School of Medicine, New Haven, Conn (Dr Leventhal)
    Search for articles by this author
Published:September 28, 2011DOI:https://doi.org/10.1016/j.acap.2011.08.002

      Abstract

      Objective

      The aim of this study was to develop a reliable and valid self-evaluation tool for use by child protection team (CPT) members.

      Methods

      An online survey was administered to members of 10 CPTs. The survey included the following 3 sections: 1) initial conditions (eg, team composition, resources), 2) enabling conditions (eg, team effort, strategy), and 3) team effectiveness (eg, team cohesion, meeting performance standards). Each section contained multiple subscales. Internal consistency was calculated using Cronbach α. To evaluate construct validity, the subscale scores of the most advanced teams who qualified as centers of excellence (n = 3) were compared with the subscale scores of the other teams (n = 7) to determine whether the tool could distinguish between the two.

      Results

      Of 116 team members, 83 (72%) completed the survey. The subscales exhibited good internal consistency (α = .71–.97). The 3 centers of excellence had significantly higher mean scores than the other 7 CPTs on the following subscales: incentives (in the initial conditions section, 61.46 vs 38.89; P = .003), effort (in the enabling conditions section, 79.31 vs 67.70; P = .003), and professional growth (in the team effectiveness section, 83.89 vs 80.40; P = .004).

      Conclusions

      This novel survey demonstrates satisfactory test characteristics and can be used to assess CPT performance and identify areas for improvement.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Academic Pediatrics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Delnero H.
        • Hopkins J.
        • Drews K.
        The medical center child abuse consultation team.
        in: Kempe C.H. Helfer R.E. Helping the Battered Child and His Family. JB Lippincott Co, Philadelphia, Pa1972: 161-176
      1. Schmitt B.D. The CPT Handbook. Garland STPM Press, New York, NY1978
        • Rowe D.S.
        • Leonard M.F.
        • Seashore M.R.
        • et al.
        A hospital program for the detection and registration of abused and neglected children.
        N Engl J Med. 1970; 282: 950-952
        • Thomas D.E.
        • Leventhal J.M.
        • Friedlaender E.
        Referrals to a hospital-based child abuse committee: a comparison of the 1960s and 1990s.
        Child Abuse Negl. 2001; 25: 203-213
        • Bross D.C.
        • Krugman R.D.
        • Lenherr M.R.
        • et al.
        The New CPT Handbook.
        Garland Publishing Inc, New York, NY1988
        • Hochstadt N.J.
        • Warwicke N.J.
        How effective is the multidisciplinary approach? A follow-up study.
        Child Abuse and Neglect. 1985; 9: 365-372
        • Wilson E.P.
        Multidisciplinary approach to child protection.
        in: Ludwig S. Kornberg A.E. Child Abuse: a Medical Reference. Churchill-Livingstone, New York, NY1992: 79-84
        • Watt J.W.
        Protective services teams: the social worker as liaison.
        Health Soc Work. 1985; 10: 191-198
      2. Ebeling N.B. Hill D.A. Child Abuse Intervention and Treatment. Publishing Sciences Group Inc, Acton, Mass1975: 55-75
        • Pardess E.
        • Finzi R.
        • Sever J.
        Evaluating the best interests of the child: a model of multidisciplinary teamwork.
        Med Law. 1993; 12: 205-211
        • Whitworth J.M.
        • Lanier M.W.
        • Skinner Jr., R.G.
        • Lund N.L.
        A multidisciplinary, hospital-based team for child abuse cases: a “hands-on” approach.
        Child Welfare. 1981; 60: 233-243
        • Mundie G.E.
        Team management of the maltreated child in the emergency department.
        Pediatr Ann. 1984; 13: 771-776
        • Cohn A.H.
        Organization and administration of programs to treat child abuse and neglect.
        in: Newberger E.H. Child Abuse. Little Brown and Company, Boston, Mass1982: 89-101
        • Ludwig S.
        A multidisciplinary approach to child abuse.
        Nurs Clin North Am. 1981; 16: 161-165
        • Tien I.
        • Bauchner H.
        • Reece R.
        What is the system of care for abused and neglected children in children’s institutions?.
        Pediatrics. 2002; 110: 1226-1231
        • Wallace G.H.
        • Makoroff K.L.
        • Malott H.A.
        • Shapiro R.A.
        Hospital-based multidisciplinary teams can prevent unnecessary child abuse reports and out-of-home placements.
        Child Abuse Negl. 2007; 31: 623-629
        • Jones R.
        • Flaherty E.G.
        • Binns H.J.
        • et al.
        Clinicians’ description of factors influencing their reporting of suspected child abuse: report of the child abuse reporting experience study research group.
        Pediatrics. 2008; 122: 259-266
        • Giardino A.P.
        • Montoya L.A.
        • Leventhal J.M.
        Financing medically-oriented child protection teams in the age of managed health care: a national survey.
        Child Abuse Negl. 2004; 28: 25-44
      3. National Association of Children’s Hospitals and Related Institutions. Responding to child maltreatment, children’s hospitals child abuse services. 2008 survey findings and trends. Available at: www.childrenshospitals.net/AM/Template.cfm?Section=Child_Abuse_and_Neglect&Template=/CM/ContentDisplay.cfm&ContentID=42015. Accessed August 31, 2011.

        • Kistin C.J.
        • Tien I.
        • Bauchner H.
        • et al.
        Factors that influence the effectiveness of child protection teams.
        Pediatrics. 2010; 126: 94-100
      4. National Association of Children’s Hospitals and Related Institutions. Defining the children’s hospital role in child maltreatment. NACHRI; January 2006. Available at: www.childrenshospitals.net/AM/Template.cfm?Section=Child_Abuse_and_Neglect&Template=/CM/ContentDisplay.cfm&ContentID=26605. Accessed August 31, 2011.

      5. Hackman J.R. Groups That Work (and Those That Don’t): Creating Conditions for Effective Teamwork. Jossey-Bass, San Francisco, Calif1990
        • Vinokur-Kaplan D.
        Treatment teams that work (and those that don’t): an application of Hackman’s group effectiveness model to interdisciplinary teams in psychiatric hospitals.
        J Appl Behav Sci. 1995; 20: 303-327
        • Nunnally J.C.
        Psychometric Theory.
        2nd ed. McGraw-Hill, New York, NY1978
        • Cronbach L.J.
        Coefficient alpha and the internal structure of tests.
        Psychometrika. 1951; 16: 297
        • Liang K.Y.
        • Zeger S.L.
        Longitudinal data analysis using generalized linear models.
        Biometrika. 1986; 73: 13-22
        • Kline P.
        Handbook of Psychological Testing.
        Routledge, London, England2000
        • Cook C.
        • Heath F.
        • Thompson R.L.
        A meta-analysis of response rates in Web- or internet-based surveys.
        Educ Psychol Meas. 2000; 60: 821-836
        • Baruch Y.
        Response rate in academic studies–a comparative analysis.
        Hum Rel. 1999; 52: 421-438