Abusive head trauma remains the leading cause of death from physical abuse in children under 5, accounting for one-third of all child maltreatment fatalities (CDC 2024). Keep in mind that a parent or caregiver involved with the child welfare system may have sustained a brain injury. It is unknown how many parents and children involved in the system have brain injuries.
Cognitive changes after a brain injury can make parenting and complying with the rules and appointments of the child welfare system more challenging. Parents with brain injuries may struggle more with parenting, having lower frustration tolerance, being quick to anger, exhibiting increased impulsivity, and making poorer judgments. Children with brain injuries may find it harder to conform and adapt to placements. Children and adolescents with TBIs are at increased risk of mental health issues, academic struggles, and social challenges well into adulthood and should therefore be monitored for difficulties over time.