Estimating the Social Costs of Child Abuse in Residential Care for Children with Disabilities Using the Japanese Survey on the Interactions of Adverse and Positive Childhood Experiences toward Adulthood
Abstract
:1. Introduction
1.1. Current Situation of Residential Institutions for Japanese Children with Disabilities
1.2. Overage Children (Ka-Rei-Ji)
1.3. Prior Studies on Extra Costs
2. Materials and Methods
2.1. Method of Selecting Facilities for Survey Distribution
2.2. Relationship between Recovery Rate and the Sample/Population
2.3. Ethical Review
3. Results
3.1. Breakdown of Total Operating Expenses for the RCFs
3.2. Cost Per Resident for an RCF for CWD and the Total Annual Amount
3.3. Criteria for Child Abuse
3.4. Calculating the Direct Costs of Child Abuse for RCFs for CWD
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Obs | Mean (USD 1000) | Std. Err. | (95% CI) | ||
---|---|---|---|---|---|
Total service costs | 74 | 57.9 | 6.6 | 44.8 | 71.0 |
Service costs for a child | 76 | 31.7 | 1.6 | 28.5 | 34.9 |
Service costs for a disabled person | 75 | 25.5 | 6.6 | 12.4 | 38.7 |
Percentage | |
---|---|
Public criterion | 24.9% |
Shimoyamada criterion | 39.9% |
ACE 1–4 criteria | 48.9% |
ACE 5–10 criteria | 63.8% |
Obs | Mean (USD 1000) | Std. Err. | (95% CI) | ||
---|---|---|---|---|---|
Direct costs per person by the public criterion | 56 | 17.8 | 2.7 | 12.4 | 23.3 |
Direct costs per person by the Shimoyamada criterion | 74 | 19.0 | 1.1 | 16.9 | 21.2 |
Direct costs per person by the ACE 1–4 criteria | 74 | 24.1 | 2.3 | 19.4 | 28.8 |
Direct costs per person by the ACE 5–10 criteria | 73 | 30.2 | 2.7 | 24.7 | 35.8 |
Estimated Extra Costs (USD 1 Million) | Std. Err. | (95% CI) | ||
---|---|---|---|---|
Total extra costs by the public criterion | 505.4 | 76.4 | 350.8 | 660.8 |
Total extra costs by the Shimoyamada criterion | 540.0 | 30.2 | 478.5 | 601.5 |
Total extra costs by the ACE 1–4 criteria | 683.8 | 65.5 | 550.8 | 815.4 |
Total extra costs by the ACE 5–10 criteria | 861.5 | 76.9 | 701.5 | 1015.4 |
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Nakane, N.; Wada, I. Estimating the Social Costs of Child Abuse in Residential Care for Children with Disabilities Using the Japanese Survey on the Interactions of Adverse and Positive Childhood Experiences toward Adulthood. Int. J. Environ. Res. Public Health 2022, 19, 16476. https://doi.org/10.3390/ijerph192416476
Nakane N, Wada I. Estimating the Social Costs of Child Abuse in Residential Care for Children with Disabilities Using the Japanese Survey on the Interactions of Adverse and Positive Childhood Experiences toward Adulthood. International Journal of Environmental Research and Public Health. 2022; 19(24):16476. https://doi.org/10.3390/ijerph192416476
Chicago/Turabian StyleNakane, Naruhisa, and Ichiro Wada. 2022. "Estimating the Social Costs of Child Abuse in Residential Care for Children with Disabilities Using the Japanese Survey on the Interactions of Adverse and Positive Childhood Experiences toward Adulthood" International Journal of Environmental Research and Public Health 19, no. 24: 16476. https://doi.org/10.3390/ijerph192416476
APA StyleNakane, N., & Wada, I. (2022). Estimating the Social Costs of Child Abuse in Residential Care for Children with Disabilities Using the Japanese Survey on the Interactions of Adverse and Positive Childhood Experiences toward Adulthood. International Journal of Environmental Research and Public Health, 19(24), 16476. https://doi.org/10.3390/ijerph192416476