Children Need Protection and Care More Than Ever

Each week child protective services (CPS) agencies in the United States collectively receive more than 50,000 referrals alleging that children have been abused or neglected. As referrals may involve more than one child, the total 2.6 million referrals concerned approximately 4.5 million children. Of these, approximately two-thirds (67.1% or an estimated 1,789,000) referrals were screened in and received investigations or assessments to determine whether the allegations of maltreatment could be substantiated.1

An estimated 896,000 children were found to be victims of abuse and neglect in 2002. This mens 12.3 children for every 1,000 children in the population were victims of abuse or neglect.2

More than half of all victims were White (54.2%); a quarter (26.1%) were African American; and one-tenth (11%) were Hispanic. American Indian/Alaska Natives accounted for 1.8% of victims, and Asian-Pacific Islanders accounted for 0.9% of victims.3


Children who were identified as victims in the past were 42 percent more likely to be determined to be maltreated compared to children who were not victimized previously. The youngest children (from birth through age 3) were most likely to experience a recurrence of maltreatment.4

In 2002, an estimated 1,400 children died from abuse or neglect. The rate of fatalities per 100,000 children has increased from 1.84 for 2000 to 1.96 for 2001 and 1.98 for 2002. Children 0-4 years old accounted for 76.1% of child fatalities. Children younger than 1 year old accounted for 41.2% of all child fatalities.5

Violence often occurs against women and children in the same family. Research indicates that between 50 and 70% of men who assault their female partners also abuse their children.6

As of September 30, 2002, there were an estimated 532,000 children in foster care. They spent a median of 18 months in foster care.7

Race/ethnicity breakdown of the children in foster care as of September 30, 2002 8


Race/Ethnicity Percentage Total Children

African American 37% 195,040
Caucasian 39% 205,478
Hispanic 17% 89,177
American Indian/Alaskan Native 2% 9,792
Asian 1% 3,423
Hawaiian/Pacific Islander 0% 1,465
Unknown 3% 14,432
Two or more races 2% 12,986

Of the children in foster care as of September 30, 2002, 126,000 were waiting to be adopted. Only 53,000 children were adopted from the public foster care system in FY 2002.9

In 2002, states spent at least $22 billion from federal, state, and local sources on child welfare services—34 percent increase since SFY 1996 based on analysis of 46 states.10

All components of child welfare funding—federal, state, and local—increased spending between SFY 2000 and SFY 2002.11

  Federal spending increased by 7 percent or $748 million

  State spending increased by 7 percent or $538 million

  Local spending increased by 15 percent or $341 million


Total Annual Cost of Child Abuse and Neglect in the United States–Direct Cost12

Direct Costs Estimated Annual Costs

Hospitalization $6,205,395,000
Chronic Health Problems $2,987,957,400
Mental Health Care System $425,110,400
Child Welfare System $14,400,000,000
Law Enforcement $24,709,800
Judicial System $341,174,702

Total Direct Costs $24,384,347,302


Total Annual Cost of Child Abuse and Neglect in the United States–Indirect Cost13

Direct Costs Estimated Annual Costs

Special Education $223,607,830
Mental Health and Health Care $4,627,636,025
Juvenile Delinquency $8,805,291,372
Lost Productivity to Society $656,000,000
Adult Criminality $55,380,000,000

Total Direct Costs $69,692,535,227

Abuse is associated with a range of other risks—juvenile delinquency, suicide, unemployment, and poor school performance.14

In 2003, the CASA/GAL Network Grew to Meet the Need

CASA volunteers make sure that the abuse and neglect that the children originally suffered at home doesn't continue as abuse and neglect at the hands of the system.

The CASA/GAL Network consisted of 886 local programs and 46 state organizations at the end of 2003.15

An estimated 288,460 children were served by all local CASA/GAL programs in 2003.16

In 2003, CASA/GAL programs had 73,860 volunteers donate approximately 9,921,360 hours to making a lifelong difference in the lives of abused and neglected children.17

CASA/GAL: An Investment that Yields Huge Savings

Federal law requires that juvenile and family courts appoint a Guardian ad Litem (GAL) in all cases of child abuse and neglect, who may be an attorney or CASA or both.

Volunteers contributed more than 9 million hours of volunteer service in 2003, equivalent to $461 million in taxpayer dollars, if compensated for their service.


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1 U.S. Department of Health and Human Services, Administration on Children, Youth, and Families. (2004). Child Maltreatment 2002. Washington, D.C.: US Government Printing Office. www.acf.dhhs.gov/programs/cb
2 Ibid.
3 Ibid.
4 Ibid.
5 Ibid.
6 McKibben, L., DeVos, E. & Newberger, E. (1989). “Victimization of mothers of abused children: A controlled study.” Pediatrics, 84: 531; Start, E. & Flitcraft, A. (1988). “Women and children at risk: A feminist perspective on child abuse.” International Journal of Health Services, 18: 97.
7 U.S. Department of Health and Human Services (DHHS), Administration on Children, Youth, and Families, Children’s Bureau (2004). The Adoption and Foster Care Analysis and Reporting System Report (AFCARS). Washington, D.C. Author. www.acf.hhs.gov/programs/cb/dis/afcars/cwstats.htm.
8 Ibid.
9 Ibid.
10 Andrews, C., Bess, R., Hecht, E., Warner, L., Geen, R., “The Cost of Protecting Vulnerable Children IV: How Child Welfare Funding Fared during the Recession.” Assessing the New Federalism. The Urban Institute. (2004). www.urban.org.
11 Ibid.
122 Prevent Child Abuse America. (2001). Total Estimated Cost of Child Abuse & Neglect In the United States. www.preventchildabuse.org
13 Ibid.
14 Cathy Spatz Widom (1991) Summary of findings for the American Association for the Advancements of Science.
15 National CASA Association. (2004) 2003 National CASA Association Annual Local Program Survey. Seattle, WA. www.casanet.org.
16 Ibid.
17 Ibid.


National Court Appointed Special Advocate Association National Statistics
Last Updated: January 2005

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