Service Provision by Child Protection Services — Exploring Variability at Case and Agency Levels in a Norwegian Sample

Abstract

In this study, we look at the decision to provide services following a child protection investigation in Norway. More specifically, we want to look at variability at the case level and at the agency level in order to identify factors that may impact a decision to provide services.

The study was designed as a cross-sectional archive study that was carried out retrospectively. Included predictors for service provision were presence of abuse, and risk factors related to child, parental and family function. Agency predictors were referral rate and metropolitan location. Variation in service provision was sectioned into case level (N = 883) variation and agency level (N = 16) variation. Five nested multilevel models were estimated. Service provision for families following a child protection investigation was on average 38.4% in the sample. Among the 16 agencies, it varied between 21.9 and 60.0%. This variation is mostly explained by case variables. The strongest were physical abuse (OR = 1.37) and neglect (OR = 1.18). There is evidence for agency differences with respect to the types of cases being referred. Differences in agency thresholds for service provision when controlling for the referral reason seem to be quite small.