We present a method by which assessments can be projected on a continuous scale of a ‘relative loss of child well-being’. Assessments show large rater variability and rater bias which can be attributed, among other factors, to differing experiences and different background among raters. An empirical list of 151 items on hostile-aggressive parenting has been assessed by 13 experts from various disciplines by means of a Delphi procedure. Methods to treat this quasi-continuous problem are required to allow for reliable and reproducible decision making in the fields between child welfare and child protection. Non-sexual forms of child abuse and maltreatment are difficult to define because they range on a continuous scale between forms of impairment, neglect, endangering, acute danger, etc.
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December 2022
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