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            <text>Lindsey Palmer, Eunhye Ahn, Sarah Font, Caitlin Lau, Andrea Lane Eastman</text>
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        <name>Volume</name>
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            <text>Vol. 78</text>
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        <name>Issue</name>
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            <text>No. 4</text>
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            <text>Society for Adolescent Health and Medicine</text>
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            <text>Journal of Adolescent Health</text>
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        <name>Publication Date</name>
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          <elementText elementTextId="10874">
            <text>2026</text>
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            <text>18791972</text>
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            <text>Purpose&#13;
Adolescents facing maltreatment are at an increased risk for negative outcomes, yet Child Protective Services (CPS) interventions are less frequent for this age group. Clarifying the concerns leading to neglect allegations is crucial to enhancing CPS responses and support for adolescents. This study examines the types and contributors to reports of adolescent neglect.&#13;
Methods&#13;
A random sample of 993 CPS referrals (2017–2019) from California was analyzed. Data included structured and unstructured elements, categorizing adolescent and family concerns such as parental substance use, domestic violence, adolescent behavior, and mental health.&#13;
Results&#13;
Neglect allegations were predominately related to adolescent behavior concerns (44%) and the adolescent's mental health (31%). Suicidality was noted in 31% of mental health-related referrals, accounting for 1 in 10 referrals overall. Parental substance use and lack of protection were commonly denoted family concerns.&#13;
Discussion&#13;
Adolescents referred for neglect are often facing acute behavior and mental health challenges, necessitating improved access to mental health services and direct adolescent engagement in care.</text>
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            <text>Edrina Adjei-Manu</text>
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        <name>Language</name>
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            <text>English</text>
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            <text>&lt;a href="https://doi.org/10.1016/j.jadohealth.2025.11.025"&gt;https://doi.org/10.1016/j.jadohealth.2025.11.025&lt;/a&gt;</text>
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          <name>Title</name>
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              <text>A Call for Help? Adolescent Neglect Reports as Indicators of Mental and Behavioral Health Struggles</text>
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          <name>Subject</name>
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              <text>Health behavior in adolescence</text>
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      <name>Adolescent Behavior</name>
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      <name>Child Protective Services</name>
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      <name>Mental Health</name>
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      <name>Neglect</name>
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