Author

Date of Award

2026

Type

Thesis

Major

Health and Physical Education

Degree Type

Master of Public Health

Department

Kinesiology and Health Sciences

First Advisor

Dr. Patricia Anafi

Second Advisor

Dr. Rebecca Toland

Abstract

Child maltreatment remains a significant public health concern with lifelong consequences for children's health, development, and well-being. As children's caregiving environments become increasingly diverse through split-custody arrangements, blended families, kinship care, and other multi-household contexts, recognizing and assessing child safety concerns may become more complex. Although these family structures are not inherently associated with maltreatment, the distribution of caregiving responsibilities and information across multiple households may complicate child maltreatment risk identification.

This capstone presents a scoping review of peer-reviewed literature examining child maltreatment risk identification within complex caregiving environments. The review synthesized evidence related to caregiving environments, caregiver relationships, child disclosure, protective factors, multidisciplinary assessment, and child welfare practice to identify recurring themes and gaps in existing literature.

Findings suggest that child maltreatment risk identification is influenced not only by individual risk factors but also by how child safety information is recognized, communicated, and integrated across caregivers and professional systems. The review highlights fragmented information, multidisciplinary communication, and continuity of child safety assessment as important considerations for future research and practice. Strengthening collaboration across caregiving environments and child-serving systems may improve child maltreatment risk identification and support more comprehensive, child-centered public health approaches.

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