Opinion - Children do best with their families
Here's the real truth: Children do best with their families. The child welfare system has for far too long confused poverty with neglect, punishing families who are poor with separation rather than offering the supports that can keep families together safely.
According to federal statistics, 75 percent of child maltreatment cases involve neglect, not abuse. And what's often labeled as 'neglect' is frequently a symptom of poverty: inadequate housing, food insecurity, lack of childcare or missed medical appointments. It's not a willful failure to care for a child but a lack of resources to do so.
Still, more than one-third of all children in the U.S. experience a child protective services investigation by age 18; that number rises to more than 50 percent for Black children. These investigations are invasive, traumatic and often lead to unnecessary separations. Yet there is little evidence that these disruptions lead to better outcomes.
In fact, research shows the opposite.
A study published in JAMA Pediatrics found that children placed in foster care are more likely to experience mental health issues, struggle in school, and encounter the criminal legal system than their peers who remained at home — even when those peers lived in similarly challenging conditions. The authors concluded that foster care placement can compound the harm children have already experienced, rather than alleviate it.
Critics often invoke child fatalities to justify the current system's punitive approach, but the data tells a more hopeful — and instructive — story. Child fatalities from maltreatment have actually declined over the past year, while remaining fairly stable over the past five years. Experts point to key preventative factors behind this trend: expanded use of early intervention programs, better risk assessment tools and increased access to basic supports like housing, food and childcare.
One study from Chapin Hall found that for every additional $1,000 per person living in poverty spent on public benefits, child maltreatment fatalities dropped by nearly 8 percent. Rather than evidence for more surveillance, these numbers show that when we invest in families, we save lives.
The uncomfortable truth is that we've built a surveillance state around poor families, and we call it 'protection.' The mandated reporting system that is the center of child welfare policy is flawed and has led to overreporting of cases. Of the 4.4 million referrals from mandated reporters in 2019, 2 million were screened out, meaning they did not warrant an investigation.
Too often, family supports and child safety are held up as a false dichotomy. We can both support families in a way that helps prevent the need for government intervention and provide the safety measures that protect children where harm is alleged. That includes offering such services as home visiting, child tax credits or housing assistance, because the research is clear: When families have access to basic supports, child maltreatment declines.
Consider the data. In states that implemented the expanded Child Tax Credit in 2021, food insecurity and financial hardship dropped significantly.
Second, a national study by Chapin Hall found that increases in access to such concrete supports as rent assistance and utility aid led to reduced involvement by Child Protective Services.
Third, High-quality home visiting programs, like Nurse-Family Partnership and Healthy Families America, led to a decrease in substantiated reports in child maltreatment by as much as 48 percent.
This isn't ideology — it's evidence.
Let's be clear: There are cases of real, heartbreaking abuse. And yes, some children must be removed from parents for their safety. But these cases are not the norm. The overwhelming majority of families caught in the system are just struggling, not dangerous. And they deserve support, not separation.
We also can't ignore how disproportionately Black families are reported, investigated and separated from their children. Studies show that even when controlling for income and type of allegation, Black children are more likely to be removed than white children. This isn't a coincidence — it's bias, baked into every level of decision-making.
The real truth about child welfare in America is that it's not keeping all children safe. But it could. It's time we move from surveillance to support, from punishment to partnership. Because when we give families what they need, we protect children best.
Dr. Melissa Merrick is president and CEO of Prevent Child Abuse America. Dr. Jody Levison-Johnson is president and CEO of Social Current.
Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Axios
2 days ago
- Axios
At-home cervical cancer test rolls out in California
The first FDA-approved at-home cervical cancer screening device launched this week in California. Why it matters: Cervical cancer is largely preventable, yet 1 in 4 U.S. women aren't up to date on screenings for the disease, per the CDC. Teal Health's goal is to make the testing experience feel less invasive than a Pap smear, which can often cause pain. Driving the news: The Teal Wand allows people to self-collect a vaginal sample to test for HPV, the virus that causes nearly all cervical cancers. The San Francisco women's health company spearheading the device says it uses the same HPV test used in clinics and merely differs in the method of collection. The big picture: California records about 7.3 cervical cancer cases per 100,000 people every year, slightly under the national rate of 7.5. The incidence rate varies among racial groups, however, with Hispanics generally seeing higher figures. Nationwide, Black and Indigenous people also experience higher rates of cervical cancer and mortality compared to white women. "Several studies have shown that the availability of self-screening can boost participation in cervical cancer screening among underscreened persons—a population most likely to benefit in terms of cancer prevention," UCSF obstetrician-gynecologist George F. Sawaya told Axios via email. In 2023, cervical cancer screenings in the U.S. remained 14% lower than pre-pandemic levels, per a March journal article. Yes, but: It's equally critical to ensure those with positive test results get reliable follow-ups and treatment, Sawaya added. How it works: To take a sample, the wand — similar to a tampon in its dimensions — is inserted into the vagina and deploys a sponge to collect cells from the cervix. Once the sponge is extracted, it's placed in a vial and mailed to the lab. Teal medical providers then review the results and follow up via telehealth. The kit, which is shipped to your door, is available for purchase online and costs $99 with in-network insurance and $249 via credit card or HSA/FSA payment. By the numbers: Self-collected samples using the wand have proven to detect cervical precancer 96% of the time, similar to clinician-collected ones, Teal Health's 16-site clinical trials found. Eighty-six percent of participants said they'd be more likely to stay up to date with screenings if they could do it at home, per the trials. What they're saying: A lot of people don't recognize the importance of getting tested regularly because it's not always clear what a Pap smear is for, Teal Health co-founder and CEO Kara Egan told Axios. Lack of appointments, time conflicts and discomfort with the exam are also top reasons for not screening, Egan added. The wand was designed to alleviate those concerns, she said, offering the "same accuracy, but just comfortably and privately from home."


Axios
3 days ago
- Axios
Just 15 minutes of fast walking per day can improve longevity, study finds
Just 15 minutes of brisk walking per day can have a dramatic effect on your health and longevity, according to new research from Vanderbilt University Medical Center. Why it matters: Researchers found short bursts of quick walking were linked with a nearly 20% reduction in mortality. Between the lines: The general upsides of walking are well documented. But this research showed that walking at a quick pace delivers health benefits on a much shorter timeline. The research found slow walking for more than three hours daily was associated with a 4% reduction in mortality. Zoom in: Fast walking reduced premature death from all causes, researchers said. It was particularly effective at reducing deaths from cardiovascular disease, which is the No. 1 cause of death in the United States. Researchers said that could be because walking boosts the heart's efficiency and reduces obesity and the risks that come with it, such as high blood pressure. The intrigue: The study, published last month in the American Journal of Preventive Medicine, is one of the first to measure the effect of walking speed, particularly among under-represented groups including Black and low-income populations. What they're saying: "Brisk walking offers a convenient, accessible and low-impact activity that individuals of all ages and fitness levels can use to improve general health and cardiovascular health specifically," VUMC professor Wei Zheng, the senior author for the study, said in a statement. Fun fact: Fast walking was strongly beneficial regardless of other factors like overall leisure time and physical activity, per the research. The researchers cross-checked that group for deaths logged through Dec. 31, 2022. Reality check: While the study included a large sample size and a long tracking time, there were limitations.


Time Magazine
3 days ago
- Time Magazine
Naomi S. DeBerry: TIME's Girls of the Year List
When Naomi S. DeBerry learned her father, Jarvis DeBerry, needed a kidney transplant, she was only 6 years old. At that young age, she found it difficult to understand everything going on with her dad's medical diagnosis. So after a coordinator at the Louisiana Organ Procurement Agency suggested Naomi's experience might make a great topic for a children's book, Naomi decided to pursue the idea with the help of her parents. By writing My Daddy Needs a Gift , her 2024 semi-autobiographical story of a little Black girl spreading the word about organ transplantation, Naomi says she wanted to help make sure other kids whose loved ones are in the midst of similar health journeys don't feel the same fear and confusion she once did. 'She was involved from front to back,' Naomi's mom, Kelly Harris-DeBerry, says of Naomi's work on the book. 'She wanted [book Naomi] to look like she did when it was happening. She picked the color scheme. She would work with the illustrator…She was really there for the whole process.' Now, six years later, 12-year-old Naomi, whose father received his 'gift of life' when a cousin donated a kidney, is busy sharing her family's story and continuing to advocate for organ donation at a variety of speaking engagements, including educational conferences, bookstore signings, and an appearance on The Tamron Hall Show . Her life goal is to one day become a transplant surgeon. 'If there's something you feel is important and want to bring awareness to, don't be afraid to talk about it,' she says. 'Because you can end up really helping someone and finding a community that can help you in the same way.'