THE ECONOMICS OF CHILD ABUSE A STUDY OF SAN FRANCISCO

SAN FRANCISCO CHILD ABUSE PREVENTION CENTER PRESENTION NATE MCWILLIAMS BERKELEY/HAAS SCHOOL OF BUSINESS SOCIAL SECTOR SOLUTIONS KATIE ALBRIGHT SAN FRANCISCO CHILD ABUSE PREVENTION CENTER

WHAT IS CHILD ABUSE? REPORTED SUBSTANTIATED PHYSICAL SEXUAL EMOTIONAL 26.9% SEXUAL 12.4% 7.3% 3.5% 2.7% EMOTIONAL 3.7% 81.6% 62.1% NEGLECT REPORTED SUBSTANTIATED

INCIDENCE-BASED TIMEFRAME HOW COST IS CALCULATED INCIDENCE-BASED TIMEFRAME INCIDENCE BASED PREVALENCE BASED 2015 2014 2013 2018 2017 2016 2012 2011 2019

LIMITATIONS CHILD ABUSE IS SIGNIFICANTLY UNDERREPORTED AND UNDERSUBSTANTIATED STUDIES DO NOT EXIST FOR MANY RELEVANT COST CATEGORIES QUALITY OF UNDERLYING STUDIES VARIES SAN FRANCISCO-SPECIFIC DATA IS NOT ALWAYS AVAILABLE

USING SUBSTANTIATED CASES ECONOMIC BURDEN USING SUBSTANTIATED CASES $400,533 LIFETIME COSTS PER VICTIM 753 SUBSTANTIATED CASES IN 2015 x MONETARY COSTS THAT COULD HAVE BEEN AVOIDED BY PREVENTING CHILD ABUSE IN 2015 $301.6M

ECONOMIC BURDEN NUMBER OF CASES ESTIMATE SUBSTANTIATED 753 0.62% USING ESTIMATED CASES NUMBER OF CASES ESTIMATE % OF CHILD POPULATION NON-FATAL SUBSTANTIATED 753 0.62% $301,600,000 REPORTED 5,545 4.55% $2,221,000,000 ESTIMATED 14,010 11.50% $5,611,400,000 GIVEN THAT CHILD ABUSE IS VASTLY UNDERREPORTED, THE TOTAL ECONOMIC BURDEN COULD BE AS HIGH AS $5.6B

COST BREAKDOWN LIFETIME PRODUCTIVITY $314,417 EDUCATION $12,991 CHILD WELFARE $11,035 CRIMINAL JUSTICE $7,637 HEALTHCARE $54,553

PER SUBSTANTIATED CASE OF ABUSE COSTS: CHILD WELFARE $11,035 PER SUBSTANTIATED CASE OF ABUSE COST OF SERVICES PROVIDED BY CHILD WELFARE AGENCIES, INCLUDING: INTERVENTION SERVICES FOSTER CARE COUNSELING SERVICES

PER SUBSTANTIATED CASE OF ABUSE COSTS: EDUCATION $12,891 PER SUBSTANTIATED CASE OF ABUSE VICTIMS ARE 77% MORE LIKELY TO REQUIRE SPECIAL EDUCATION. LEARNING DISABILITIES HIGHER ABSENTEEISM POORER ACADEMIC PERFORMANCE

PER SUBSTANTIATED CASE OF ABUSE COSTS: HEALTHCARE $54,553 PER SUBSTANTIATED CASE OF ABUSE AS ADULTS, VICTIMS HAVE 21% HIGHER HEALTH COSTS THAN NON-VICTIMS. HIGHER INCIDENCE OF CHRONIC HEALTH PROBLEMS MENTAL HEALTH ISSUES SUBSTANCE ABUSE RISKY SEXUAL BEHAVIOR

$7,637 COSTS: CRIMINAL JUSTICE PER SUBSTANTIATED CASE OF ABUSE AS A CHILD / JUVENILE, VICTIMS ARE 59% MORE LIKELY TO BE ARRESTED. AS AN ADULT, VICTIMS ARE 28% MORE LIKELY TO BE ARRESTED.

$314,417 COSTS: LIFETIME PRODUCTIVITY PER SUBSTANTIATED CASE OF ABUSE VICTIMS OF ABUSE ARE TWICE AS LIKELY TO BE UNEMPLOYED. CHALLENGES TO EMPLOYMENT INCLUDE: LOWER EDUCATIONAL PERFORMANCE HEALTH PROBLEMS CRIMINAL RECORD

CHILD MALTREATMENT HAS MANY MORE COSTS THAT ARE DIFFICULT TO QUANTIFY UNQUANTIFIABLE COSTS CHILD MALTREATMENT HAS MANY MORE COSTS THAT ARE DIFFICULT TO QUANTIFY REDUCED LIFE EXPECTANCY DECREASED QUALITY OF LIFE NEGATIVE PARENTING BEHAVIORS HOMELESSNESS DIVORCE AND ABUSIVE RELATIONSHIPS INTERGENERATIONAL CONSEQUENCES

SAN FRANCISCO’S PREVALENCE OF COMMUNITY RISK FACTORS IS HIGH SOCIAL & SOCIOECONOMIC INEQUALITY HIGH POVERTY HIGH RESIDENTIAL INSTABILITY / LACK OF ADEQUATE HOUSING POOR SOCIAL CONNECTIONS: HIGH EMIGRATION & IMMIGRATION COMMUNITY VIOLENCE HIGH UNEMPLOYMENT RATES HIGH DENSITY OF ALCOHOL OUTLETS

ATTRIBUTES THAT KEEP CHILDREN, FAMILIES & COMMUNITIES SAFE & HEALTHY COMMUNITY PROTECTIVE FACTORS ATTRIBUTES THAT KEEP CHILDREN, FAMILIES & COMMUNITIES SAFE & HEALTHY SYSTEMS TO SUPPORTING POSITIVE PARENTING ECONOMIC SUPPORTS SAFE & STABLE HOUSING ACCESS TO QUALITY HEALTH CARE, SOCIAL SERVICES, EDUCATION, EARLY CARE & EDUCATION, PARKS & RECREATION

ATTRIBUTES THAT KEEP CHILDREN & FAMILIES SAFE & HEALTHY FAMILY PROTECTIVE FACTORS ATTRIBUTES THAT KEEP CHILDREN & FAMILIES SAFE & HEALTHY SOCIAL AND EMOTIONAL COMPETENCE OF CHILDREN KNOWLEDGE OF PARENTING AND CHILD DEVELOPMENT PARENTAL RESILIENCE SOCIAL CONNECTIONS CONCRETE SUPPORT IN TIMES OF NEED

COMMUNITY ACTION NEXT STEPS… APRIL: RAISING PUBLIC AWARENESS BRIEFING PUBLIC OFFICIALS LAUNCHING COLLECTIVE IMPACT INITIATIVESFINANCING SOCIAL IMPACT MECHANISMS (4E WAIVER?)

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