The objective of this study was to assess whether different forms of Child Protection Services (CPS) intervention are associated with sexual and reproductive health outcomes among female adolescents investigated by CPS for suspected exposure to maltreatment during childhood. This cohort study found that maltreated girls face increased risks of adverse sexual health outcomes in adolescence, but CPS interventions were associated with limited influence. More effective interventions are needed to help maltreated girls avoid teen pregnancy, sexually transmitted infections, and risky sexual behaviors in adolescence.


  1. Font  SA, Maguire-Jack  K. The scope, nature, and causes of child maltreatment. Ann Am Acad Pol Soc Sci. 2020;629(1):26-49.

  2. Raz  M.  Unintended consequences of expanded mandatory reporting laws.   Pediatrics. 2017;139(4):e20163511

  3. Dettlaff  AJ, Weber  K, Pendleton  M, Boyd  R, Bettencourt  B, Burton  L.  It is not a broken system, it is a system that needs to be broken: the upEND movement to abolish the child welfare system.   J Public Child Welf. Published online September 6, 2020.



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