Methods: We use North Carolina (NC) statewide administrative criminal court and incarceration data for the years 2005-2014 and link parents to their biological children through birth records. Our study uses instrumental variables (e.g., prosecutor’s prosecution rate and judge’s conviction rate) to examine whether holding other factors constant, harsher penalties for criminal offenses imposed by the courts (and also more restrictive pretrial confinement terms) affect children’s involvement in social services and health care utilization (for children enrolled in Medicaid).
Results: Preliminary results suggest that parents who are prosecuted are less likely to be re-arrested, however, neither prosecution nor conviction prevents children from being referred to child protective services in the future. Additional results will examine factors that predict court decisions in cases (e.g., are parents of young children less likely to receive harsh sentences) and how these decisions affect child’s placement into foster care. Future work will examine how variation in parent’s court process affects children’s use of health services.
Conclusions: State and local policies and practices can directly affect how an individual’s court case is handled. In turn, variation in court experiences affects the health of the alleged offender and possibly their children. This study begins to provide empirical evidence for how court decisions aimed at offenders affect children’s health outcomes.