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Experts are concerned about increasing child distress and maltreatment alongside decreasing exposure to mandated child abuse reporters, such as teachers, during the COVID-19 pandemic.1 Hotlines may serve as alternate means to identify family violence and support at-risk children. This study assessed the volume of calls and texts to a national child abuse hotline during the pandemic compared with the prior year.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accepted for Publication: March 2, 2021.
Published Online: May 3, 2021. doi:10.1001/jamapediatrics.2021.0525
Correction: This article was corrected on June 21, 2021, to fix the dates in the Figure.
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Ortiz R et al. JAMA Pediatrics.
Corresponding Author: Robin Ortiz, MD, University of Pennsylvania, 423 Guardian Dr, 1300 Blockley Hall, Philadelphia, PA 19104 (email@example.com).
Author Contributions: Dr Ortiz had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Ortiz, Kishton, Sinko, Fingerman.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: Ortiz, Kishton, Sinko, Fingerman, Moreland.
Critical revision of the manuscript for important intellectual content: Ortiz, Kishton, Sinko, Fingerman, Wood, Venkataramani.
Statistical analysis: Ortiz, Moreland, Venkataramani.
Obtained funding: Ortiz, Sinko, Fingerman.
Administrative, technical, or material support: Ortiz, Kishton, Fingerman, Venkataramani.
Supervision: Ortiz, Fingerman, Wood, Venkataramani.
Conflict of Interest Disclosures: Dr Ortiz reports personal fees for consulting work with the Aurrera Health Group outside the submitted work. Ms Fingerman reports grants from the Leonard Davis Institute of Health Economics at the University of Pennsylvania for data acquisition from Childhelp. Dr Moreland reports a service agreement contract from Childhelp during the conduct of the study and grants from Childhelp outside the submitted work. Dr Venkataramani reports grants from the National Institutes of Health, the University of Wisconsin Center for Financial Security, and the US Social Security Administration outside the submitted work. No other disclosures were reported.
Funding/Support: The authors are supported by the University of Pennsylvania National Clinician Scholars Program, the Perelman School of Medicine at University of Pennsylvania, and the University of Pennsylvania School of Nursing. This work was supported in part by a grant from the Leonard Davis Institute of Health Economics at the University of Pennsylvania. The Childhelp National Child Abuse Hotline is funded in part by grants from In-N-Out Burger, Walmart Foundation: Community Grants, the IRONMAN Foundation, and the Administration on Children, Youth and Families at the Children’s Bureau, US Department of Health and Human Services.
Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Additional Contributions: We thank the Southwest Interdisciplinary Research Center, Arizona State University, Tempe, Arizona, specifically Wendy Wolfersteig, PhD, Marisol Juarez Diaz, JD, and Esther Gotlieb, MPH, for their data analysis support, and Jodi Hall, MPA, with Childhelp, Scottsdale, Arizona, for her support with budget management. These organizations received compensation through a grant from the Leonard Davis Institute, Philadelphia, Pennsylvania, that supported this project.
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