Understanding the Role of Rurality in Child Welfare: From Child Maltreatment Reports,Investigation Decisions,Re-involvement to Foster Care Outcomes

Abstract

This study examines how rurality relates to child maltreatment reports (CMRs) among the child population, child protective services (CPS) investigation decisions and re-involvement among children reported to CPS, and foster care services and outcomes among children enteringcare. Tract-level linear regressions assessed urban-rural differences in CMR rates among Illinoistracts in 2021 (N=3,248). Individual-level logistic regressions examined urban-rural differences in CPS investigation decisions and re-involvement among children reported to CPS (N=153,850) and foster care services and outcomes among children entering care (N=6,736). Small urban andrural tracts had higher CMR rates—26.6 and 33.7 per 1,000, respectively—than large urbantracts, even after controlling for a range of socioeconomic-demographic variables. Reported children in rural and small urban areas had greater odds of substantiation, service case opening,and foster care entry, as well as higher odds of re-involvement. Among children in care, those inrural areas were more likely to be placed farther from their families, and those in rural and smallurban areas faced higher risks of termination of parental rights. Geographic context strongly shapes CMR risks and subsequent CPS involvement and outcomes. Addressing these rural–urbaninequities requires recognizing geography as a structural determinant and developing place-based policy and resource strategies to promote equity.

Keywords

child maltreatment foster care child abuse child protective services neighborhoods

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References

Baumann

D. J.

Fluke

J. D.

Dalgleish

Kern

(2013). The decision-making ecology. In Shlonsky

Benbenishty

(Eds.), From evidence to outcomes in child welfare (pp. 24–38). Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199973729.003.0002

Beatriz

E. D.

Salhi

Griffith

J. L.

Molnar

B. E.

(2018). Urbanicity matters in self-reported child maltreatment prevalence: Findings from a nationally representative study. Child Abuse & Neglect, 79(6), 371–383. https://doi.org/10.1016/j.chiabu.2018.02.028

Belanger

Stone

(2008). The social service divide: Service availability and accessibility in rural versus urban counties and impact on child welfare outcomes. Child Welfare, 87(4), 101–124. https://www.jstor.org/stable/48623130

Clary

Ribar

Weigensberg

(2020). Challenges in providing substance use disorder treatment to child welfare clients in rural communities. Office of the Assistant Secretary for Planning and Evaluation.

Coulton

C. J.

Korbin

J. E.

(1999). Neighborhoods and child maltreatment: A multi-level study. Child Abuse & Neglect, 23(11), 1019–1040. https://doi.org/10.1016/S0145-2134(99)00076-9

Edwards

A. M.

Hung

Levin

J. B.

Forthun

Sajatovic

McVoy

(2023). Health disparities among rural individuals with mental health conditions: A systematic literature review. Journal of Rural Mental Health, 47(3), 163–178. https://doi.org/10.1037/rmh0000228

Gamm

L. G.

Stone

Pittman

(2003). Mental health and mental disorders—A rural challenge: A literature review. In Gamm

Hutchison

Dabney

Dorsey

(Eds.), Rural healthy people 2010: A companion document to Healthy People 2010 (Vol. 1). Texas A&M University System Health Science Center, School of Rural Public Health, Southwest Rural Health Research Center.

Governor’s Rural Affairs Council . (2022). GRAC 2022 annual report.

Hardy

R. Y.

Boch

S. J.

Davenport

M. A.1

Chavez

L. J.

Kelleher

K. J.

(2024). Rural‐urban differences in social and emotional protective factors and their association with child health and flourishing. The Journal of Rural Health, 40(2), 314–325. https://doi.org/10.1111/jrh.12802

10.

Henning-Smith

Evenson

Corbett

Kozhimannil

Moscovice

(2017). Rural transportation: Challenges and opportunities. University of Minnesota Rural Health Research Center.

11.

Kim

Drake

(2023). Has the relationship between community poverty and child maltreatment report rates become stronger or weaker over time? Child Abuse & Neglect, 143(3), 106333. https://doi.org/10.1016/j.chiabu.2023.106333

12.

Kim

Y. Y.

Schneider

(2025). Lifetime prevalence of child maltreatment reports and child protective services involvement in Illinois. Child Abuse & Neglect, 169(Pt 2), 107756. https://doi.org/10.1016/j.chiabu.2025.107756

13.

Kim

Y. Y.

Kim

(2025). Exploring the area-level link between poverty and different types of child maltreatment: Is neglect the most pronounced? Child Maltreatment, Advance online publication, 10775595251349780. https://doi.org/10.1177/10775595251349780

14.

LaSota

Lotspeich-Yadao

Millett

(2021). Community factors associated with average child welfare entry rates in Illinois. University of Illinois Urbana-Champaign., & Illinois.

15.

Lewis

M. L.

Scott

D. L.

Calfee

(2013). Rural social service disparities and creative social work solutions for rural families across the life span. Journal of Family Social Work, 16(1), 101–115. https://doi.org/10.1080/10522158.2012.747118

16.

Maguire-Jack

Byers

(2013). The impact of prevention programs on decisions in CPS. Child Welfare, 92(5), 59–86. https://www.jstor.org/stable/48623492

17.

Maguire-Jack

Font

S. A.

Dillard

(2020). Child protective services decision-making: The role of children’s race and county factors. American Journal of Orthopsychiatry, 90(1), 48–62. https://doi.org/10.1037/ort0000388

18.

Maguire-Jack

Kim

(2021). Rural differences in child maltreatment reports, reporters, and service responses. Children and Youth Services Review, 120(2), 105792. https://doi.org/10.1016/j.childyouth.2020.105792

19.

Maguire-Jack

Negash

(2016). Parenting stress and child maltreatment: The buffering effect of neighborhood social service availability and accessibility. Children and Youth Services Review, 60(2–3), 27–33. https://doi.org/10.1016/j.childyouth.2015.11.016

20.

Maguire-Jack

Showalter

(2016). The protective effect of neighborhood social cohesion in child abuse and neglect. Child Abuse & Neglect, 52(4), 29–37. https://doi.org/10.1016/j.chiabu.2015.12.011

21.

Mallach

(2018). The empty house next door: Understanding and reducing vacancy and hypervacancy in the United States. Lincoln Institute of Land Policy.

22.

Ménard

K. S.

Ruback

R. B.

(2003). Prevalence and processing of child sexual abuse: A multi-data-set analysis of urban and rural counties. Law and Human Behavior, 27(4), 385–402. https://doi.org/10.1023/A:1024084916626

23.

O’Hare

(2009). The forgotten fifth: Child poverty in rural America. Carsey Institute.

24.

Radcliff

Crouch

Strompolis

(2018). Rural-urban differences in exposure to adverse childhood experiences among South Carolina adults. Rural and Remote Health, 18(1), 4434. https://doi.org/10.22605/RRH4434

25.

Samp

A. R.

Diamond

(2025). Rural–urban differences in U.S. foster care, 2019–2021: Race, ethnicity, and removal reasons. Journal of Rural Mental Health, 49(4), 473–485. https://doi.org/10.1037/rmh0000310

26.

Sedlak

Broadhurst

(1996). National Center on Child Abuse and Neglect. Third National Incidence Study of Child Abuse and Neglect, 105(91–1800), 252.

27.

Sedlak

A. J.

Mettenburg

Basena

Petta

McPherson

Greene

(2010). Fourth national incidence study of child abuse and neglect (NIS–4). U.S. Department of Health and Human Services.

28.

Shrider

E. A.

Kollar

Chen

Semega

(2021). Income and poverty in the United States: 2020 (current population reports). U.S. Department of Commerce, Census Bureau.

29.

Strathearn

Giannotti

Mills

Kisely

Najman

Abajobir

(2020). Long-term cognitive, psychological, and health outcomes associated with child abuse and neglect. Pediatrics, 146(4), Article e20200438. https://doi.org/10.1542/peds.2020-0438

30.

United States Department of Agriculture Economic Research Service . (2025a). Employment & education—rural employment and unemployment. https://www.ers.usda.gov/topics/rural-economy-population/employment-education/rural-employment-and-unemployment

31.

United States Department of Agriculture Economic Research Service . (2024). 2023 rural-urban continuum codes. https://www.ers.usda.gov/data-products/rural-urban-continuum-codes

32.

United States Department of Agriculture Economic Research Service . (2025b). Rural poverty & well-being. https://www.ers.usda.gov/topics/rural-economy-population/rural-poverty-well-being

33.

U.S. Department of Health and Human Services . (2015). The health and well-being of children in rural areas: A portrait of the nation 2011-2012. U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau.

34.

Wallace

J. L.

Pruitt

L. R.

(2012). Judging parents, judging place: Poverty, rurality, and termination of parental rights. Missouri Law Review, 77(1), 95–146.

35.

Widom

C. S.

(2022). Longterm consequences of child maltreatment. In Krugman

R. D.

Korbin

J. E.

(Eds.), Handbook of child maltreatment (pp. 225–247). Springer. https://doi.org/10.1007/978-94-007-7208-3_12

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