{"id":32043,"date":"2023-05-31T13:47:46","date_gmt":"2023-05-31T13:47:46","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/hotline-screening-threshold-analyses-2\/"},"modified":"2026-08-04T22:45:31","modified_gmt":"2026-08-04T22:45:31","slug":"analisis-del-umbral-de-seleccion-de-la-linea-directa","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/hotline-screening-threshold-analyses\/","title":{"rendered":"\u00bfC\u00f3mo pueden los an\u00e1lisis de los umbrales de cribado contribuir a mejorar las decisiones de ingesta?"},"content":{"rendered":"<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>This summary synthesizes findings from a single research study, <em><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0190740922003462\" target=\"_blank\" rel=\"nofollow noreferrer noopener\">Child welfare triage: Use of screening threshold analysis to evaluate intake decision-making<\/a>.<\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>What can we learn from this study?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph --><\/p>\n<p>Child welfare agencies must constantly balance the need to keep children safe with the commitment to minimize unnecessary investigations, which are intrusive, cause <a href=\"https:\/\/www.casey.org\/traumatic-impacts\/\">trauma<\/a> for children and families, and reduce the availability of agency resources for service provision. This study tracks the disposition of initial (index) hotline reports to determine the percent of reports that were accurately screened out or screened in for investigation.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text 3060 is-style-3060 wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Study details<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><ul class=\"wp-block-list\">\n<li><b>Population:<\/b> 252,161 unduplicated reports to the centralized hotline in Indiana (IN)<\/li>\n<li><b>Data source:<\/b> IN&#8217;s child welfare information system<\/li>\n<li><b>Methodology:<\/b> Screening threshold analysis, including receiver operating characteristic curve (ROC); regression analysis<\/li>\n<li><b>Dates: <\/b>Initial (index) reports made between July 1, 2016, and June 30, 2018<\/li>\n<\/ul>\n<p class=\"note\"><strong>Citation:<\/strong> Kearney, A. D., Wilson, E. S., Hollinshead, D. M., Poletika, M., Kestian, H. H., Stigdon, T. J., Miller, E. A., &amp; Fluke, J. D. (2023). Child welfare triage: Use of screening threshold analysis to evaluate intake decision-making. <em>Children and Youth Services Review, 144<\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>What are the critical findings?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph --><\/p>\n<p>All adults in Indiana are mandated reporters. The screening accuracy of Indiana&#8217;s Department of Children&#8217;s Services (DCS) central intake unit was assessed by conducting a screening threshold analysis. This analysis compared the screening decision (that is, whether or not to investigate) with outcomes that occurred within the following 180 days to determine whether the screening decision was accurate. Outcomes within 180 days that were defined as warranting a screen-in (true positive) at baseline included: 1) substantiated allegations, 2) a subsequent report that was screened-in, 3) a subsequent assessment, or 4) a case opening.<\/p>\n<ul class=\"wp-block-list\">\n<li><b>A very high proportion of reports (92.8%) were screened in for investigation, but only 41.7% were true positives<\/b> (that is, they were appropriate decisions to screen in based on the presence of maltreatment or need for services).<\/li>\n<li><b>The false positive rate was 51.1%.<\/b> About half of cases screened in for investigation were not substantiated (and did not have a subsequent screened in report, a subsequent assessment, or a case opening during the following 180 days).<\/li>\n<li>Decisions based on agency screening practices were <b>only slightly better than chance.<\/b><\/li>\n<li><b>The false negative rate was 2.4% and the true negative rate was 4.8%,<\/b> both considered low.<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none\"><\/li>\n<\/ul>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"mx-auto\" style=\"width:100%; max-width: 700px; height:auto;\">\n<div style=\"position: relative; width: 100%; height: 0px; padding: 77.86% 0px 0px; overflow: hidden; will-change: transform;\"><iframe loading=\"lazy\" src=\"https:\/\/e.infogram.com\/58267ddd-9ee4-4334-b57e-504f9201372e?src=embed&amp;embed_type=responsive_iframe\" title=\"How can screening threshold analyses inform improved intake decisions\" allowfullscreen=\"\" allow=\"fullscreen\" style=\"position: absolute; width: 100%; height: 100%; top: 0px; left: 0px; border: none; padding: 0px; margin: 0px;\"><\/iframe><\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Why is this important for our work?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>Indiana&#8217;s DCS has been operating a risk-averse screening system: investigating a very high percentage of reports to avoid unintentionally screening out a report when it should be investigated. To address the high rate of false positives, DCS is now examining factors involved in decision making, systematically making changes to policy and testing the results of those changes to reduce false positives without increasing false negatives. Other jurisdictions may benefit from examining their screening trends, making policy changes, and tracking the results to minimize harm and trauma to families, and reduce the burden to the system.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n <p>Casey Family Programs consults with individuals and teams across the country to compile research, experiences, and insights about approaches that can safely reduce the need for foster care and ensure the well-being of children and families. We share this information broadly to help child welfare leaders and their partners tackle similar issues in their own communities. For questions about this resource, or if you have other child welfare information needs, please email <a href=\"mailto:kmresources@casey.org\">kmresources@casey.org<\/a>.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div id=\"footnotes\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:2px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><script>\nvar 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class='gfield_description' id='gfield_description_5_3'><h5>What did you like about it?<\/h5><\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_5_3' class='textarea medium'  aria-describedby=\"gfield_description_5_3\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you willing to tell us your role\/affiliation so we can learn more about our readers?<\/span><\/label><div class='gfield_description' id='gfield_description_5_4'><h5> Are you willing to tell us your role\/affiliation so we can learn more about our readers?<\/h5><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_4'>\n\t\t\t<li class='gchoice gchoice_5_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_5_4_0'    \/>\n\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='No'  id='choice_5_4_1'    \/>\n\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select which best describes your role\/affiliation<\/span><\/label><div class='gfield_description' id='gfield_description_5_9'><h5>Select which best describes your role\/affiliation<\/h5><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_9'>\n\t\t\t<li class='gchoice gchoice_5_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Staff at a child welfare agency or provider organization'  id='choice_5_9_0'    \/>\n\t\t\t\t<label for='choice_5_9_0' id='label_5_9_0' class='gform-field-label gform-field-label--type-inline'>Staff at a child welfare agency or provider organization<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Staff at an Indian Child Welfare agency'  id='choice_5_9_1'    \/>\n\t\t\t\t<label for='choice_5_9_1' id='label_5_9_1' class='gform-field-label gform-field-label--type-inline'>Staff at an Indian Child Welfare agency<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice 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class='gform-field-label gform-field-label--type-inline'>Staff in a child welfare &#8220;adjacent&#8221; field (e.g., education, health care, criminal justice, etc.)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_5'>\n\t\t\t\t<input name='input_9' type='radio' value='Court personnel (e.g., Judge, attorney, etc.)'  id='choice_5_9_5'    \/>\n\t\t\t\t<label for='choice_5_9_5' id='label_5_9_5' class='gform-field-label gform-field-label--type-inline'>Court personnel (e.g., Judge, attorney, etc.)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_6'>\n\t\t\t\t<input name='input_9' type='radio' value='Policymaker or legislative staffer'  id='choice_5_9_6'    \/>\n\t\t\t\t<label for='choice_5_9_6' id='label_5_9_6' class='gform-field-label gform-field-label--type-inline'>Policymaker or legislative staffer<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_7'>\n\t\t\t\t<input name='input_9' type='radio' value='Person who is directly involved with the child 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class='gform-field-label__text'>Are you in<\/span><\/label><div class='gfield_description' id='gfield_description_5_8'><h5>Are you in<\/h5><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_8'>\n\t\t\t<li class='gchoice gchoice_5_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='direct practice'  id='choice_5_8_0'    \/>\n\t\t\t\t<label for='choice_5_8_0' id='label_5_8_0' class='gform-field-label gform-field-label--type-inline'>direct practice<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='senior leadership'  id='choice_5_8_1'    \/>\n\t\t\t\t<label for='choice_5_8_1' id='label_5_8_1' class='gform-field-label gform-field-label--type-inline'>senior leadership<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='Other'  id='choice_5_8_2'    \/>\n\t\t\t\t<label for='choice_5_8_2' id='label_5_8_2' 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