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In recent years, Maryland has reported notably high child fatalities related to mistreatment and abuse 鈥� well above the national average. But state officials now say that Maryland has been reporting incorrect numbers for the last five years, and the number is far lower than initially reported.聽
鈥淚t was really just us not checking our homework and not double-checking our work,鈥� said Alger Studstill Jr., the executive director of the Social Services Administration in the Maryland Department of Human Services.
鈥淥ur highest priority in this work is to ensure that children across the state of Maryland are safe and well,鈥� he said. 鈥淲e鈥檝e been working with national consultants to look at how we are reviewing our child maltreatment fatalities, but also looking at our data to ensure that these types of reporting errors don鈥檛 happen again.鈥�
Studstill said that 鈥渙ne fatality is one too many,鈥� and the department will be incorporating the new data into future efforts to improve child welfare services in the state.
Meanwhile, advocates and child welfare experts say the time it took to investigate the Maryland鈥檚 soaring child fatalities is indicative of the lack of attention the issue gets.
Emily Putnam-Hornstein, with the School of Social Work at University of North Carolina at Chapel Hill and the organization Lives Cut Short, hopes that the corrected data can serve as a 鈥渨ake-up call鈥� for states to pay closer attention to the issue.
鈥淚 don鈥檛 think Maryland is alone in not having a great handle on exactly what these maltreatment fatality counts consist of,鈥� she said. 鈥淚f we鈥檙e trying to prevent them (child maltreatment fatalities), we have to know exactly what we鈥檙e trying to prevent.
鈥淭hese data matter so much from a public health and prevention standpoint. That鈥檚 why I would love to see not just corrected numbers but to see much more transparency and disclosure of the specifics of the deaths that occurred, not just in Maryland but all over the states,鈥� Putnam-Hornstein said.
The child maltreatment fatality update is part of a data overhaul for the department that was spurred by recent reporting in the Baltimore Banner that pushed the problem of child fatalities to the forefront for state officials.
鈥淥nce we were made aware of the problem, we got to work to address it,鈥� Studstill said.
Every year, states report information on child maltreatment to the federal Children鈥檚 Bureau, overseen by the U.S. Department of Health and Human Services, which get published in the annual Child Maltreatment report.
The most recent report, in January, published data from 2023. That year, Maryland reported to federal officials that 83 children had died due to maltreatment, resulting in a rate of 6.09 fatalities per 100,000 children from birth to 17 years old. The national rate was 2.73 fatalities per 100,000 that same year, when just under 2,000 children died due to maltreatment.
But Studstill said it appears the department included any case in its report where a maltreatment investigation was opened, not just those where maltreatment, neglect or abuse were confirmed. As a result, the state overreported deaths for 2023, when it now says there were 47 deaths.
鈥淭hey (the federal agency) are looking for child fatalities where there was child maltreatment that was 鈥榠ndicated鈥� 鈥� meaning that the fatality was a direct result of abuse or neglect,鈥� Studstill said in a recent interview. 鈥淲hat Maryland has done previously is we鈥檝e been reporting all fatalities.鈥�
鈥淲e operate an abuse hotline, so whenever we receive a call, we have screening-in criteria that we will review,鈥� he said. 鈥淚f the fatality is alleged to have been caused by a parent or caregiver, then we screen that report in.鈥�
Studstill said the 83 cases reported in 2023 were 鈥渁ll of the cases that got screened in,鈥� while the corrected 47 cases are those where 鈥渢here was an indicated finding 鈥� meaning that the fatality was a result of neglect or abuse by a caregiver.鈥�
The department now believes the 285 fatalities it reported from 2020 to 2023 were actually 173 鈥� with 30 in 2020 instead of the reported 50; 56 in 2021 instead of 84; and 40 instead of the reported 68 in 2022. It asked the U.S. Department of Health and Human Services last month to correct the data. The letter to HHS said some of the inaccuracies resulted from the state transitioning to a new data system to report child welfare cases, and 鈥渁re as a result of not conducting validation or reconciliation.鈥�
The state said that of the lower number of deaths where neglect or abuse was indicated, a 鈥渟ignificant portion of child fatalities during this period resulted from co-sleeping, unsafe sleep, infant/toddler drug ingestion, suicide and drowning.鈥�
While national data for 2024 won鈥檛 be available until next year, state officials say Maryland will report 46 child fatalities in the next edition of Child Maltreatment.
鈥淓very preventable death is a tragedy. It is particularly tragic when that death occurs at the hands of a parent,鈥� Putnam-Hornstein said. 鈥淲hen I read the letters and the statements that were circulated in terms of how these errors occurred, as someone who works with data, I totally understand how this could have happened.鈥�
鈥楥ollective failure鈥�
Putnam-Hornstein and other social services experts say that despite the lower reported fatalities in the state, there is still work to be done to improve child welfare and reduce the number of child deaths overall.
鈥淚 think the good news from the public standpoint is we now know what baseline we are working from, as we try to protect more children and prevent more fatalities,鈥� Putnam-Hornstein said. 鈥淚 continue to think that there鈥檚 tremendous room for improvement in how we investigate potential child maltreatment fatalities 鈥� and then what we do with that information to try to improve system coordination.鈥�
Richard Barth, professor at the University of Maryland School of Social Work, said the corrected data is not necessarily a comfort to those in his field, as he believes there are issues with the national reporting system at large.
鈥淚 don鈥檛 think any of us feel that the numbers we have really represent the risks to kids,鈥� Barth said, noting that there are often few differences between child fatalities where abuse and maltreatment is indicated and those where the mistreatment is unsubstantiated or ruled out.
Barth says that the new data is 鈥渁 good wake-up call鈥� for the state to bolster data on kids in the welfare system to better understand the factors that lead up to child mistreatment fatalities.
鈥淔amilies that are involved in child welfare are often involved for quite some time,鈥� he said. 鈥淭he more that we know about the accumulating risks for them, the better.鈥�
Putnam-Hornstein agreed.
鈥淗opefully this is a wake up call that will lead to improvements in data collection, not just in Maryland but other states. And hopefully corresponding improvements in how our systems respond to child safety concerns,鈥� she said.
Putnam-Hornstein said the data collection issues are 鈥渁rguably a collective failure on the part of many of us.鈥�
鈥淚 could argue that researchers should have been looking at that data and asking questions of Maryland and other states, sooner. I could argue that if the federal government is collecting that data and publishing data 鈥� one would presumably hope that there鈥檇 be some additional policies done and some questions raised,鈥� she said.
鈥淎nd then of course, most locally, one would hope that Maryland would have been looking closely at those trends and the comparisons across states,鈥� she said.
