Service Delivery

Child Maltreatment Among Children With Intellectual Disability in the Canadian Incidence Study.

Dion et al. (2018) · American journal on intellectual and developmental disabilities 2018
★ The Verdict

Kids with ID land in one of every ten child-abuse files and face harsher harm—so screen for ID the moment a case opens.

✓ Read this if BCBAs who consult to child-protection teams or serve foster-care clinics.
✗ Skip if BCBAs focused only on adult skill-building or outpatient autism clinics.

01Research in Context

01

What this study did

Dion et al. (2018) looked at every child in Canada who entered the child-protection system. They asked: how many have intellectual disability (ID)?

The team pulled data from the Canadian Incidence Study. They compared abuse type, severity, and services offered for kids with and without ID.

02

What they found

One in every ten proven abuse cases involved a child with ID. These kids suffered worse injuries and had more daily-life problems.

They were also sent to long-term services far more often than other children.

03

How this fits with other research

Van Hanegem et al. (2014) extends the story. They tracked teen offenders and found 70% of those with ID had prior abuse records. Only 42% of non-disabled offenders had the same history. Abuse in early life links more strongly to later sexual offenses for youth with ID.

Granillo et al. (2022) shows why early ID flags matter. Routine clinic notes miss 60% of kids who actually have ID. If clinics overlook ID, child-protection teams will too.

Mansell et al. (2002) adds a service-gap warning: two-thirds of youth with ID and mental-health needs get zero specialist care. Jacinthe’s finding that these kids are referred more often still leaves room for under-treatment once they are in the door.

04

Why it matters

You can spot ID early during intake. Ask about school placement, daily living skills, and previous diagnoses. One clear question up front can push a case toward the right services and keep a child from cycling back with new injuries.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add one ID screening question to your intake form: 'Does the child have delays in learning daily skills compared with peers?'

02At a glance

Intervention
not applicable
Design
other
Sample size
5797
Population
intellectual disability
Finding
positive

03Original abstract

This study aims to compare, among a representative sample of substantiated child maltreatment cases, the characteristics of those with intellectual disability (ID) from those without ID. Using the 2008 Canadian Incidence Study of Reported Child Abuse and Neglect, 5,797 cases of substantiated maltreatment that involved children aged between 0 and 14 years were analyzed. One in 10 children (11.3%) was identified with ID. Results revealed functional problems to be higher among children with ID and their parents. Moreover, children with ID experienced more severe maltreatment, and were more often referred to ongoing child protection services. These findings suggest that maltreated children with ID are facing additional challenges that must be accounted for in service planning and delivery.

American journal on intellectual and developmental disabilities, 2018 · doi:10.1352/1944-7558-123.2.176