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Prospective Cohort Study of Protected Children
Sponsor: Assistance Publique - Hôpitaux de Paris
Summary
A significant number of children are abused or neglected every year. This exposure is associated with short- and long-term consequences for their mental and somatic health. In France, 308,000 minors are benefiting from at least one child protective service or measure. There are few data on the health status of this population, and how it is evolving. Against this backdrop, interventions are needed to address the many needs of these children early and comprehensively, both in the short and long term. The PEGASE program, funded by the French government under Article 51, aims to ensure adequate medical follow-up - both somatic and psychiatric - for children taken into care by child protective services (CPS). An evaluation of the program's effectiveness and efficiency is needed to inform public decision-making on the appropriateness of extending it to all children under CPS's care. This requires the creation of a control cohort of children followed by CPS but not benefiting from the PEGASE program, the ESPER cohort (Prospective cohort study of protected children), which will enable us to carry out a comparative evaluation of the PEGASE program, as well as to provide information on the health of children followed by the CPS at the time of their placement and its evolution over time, data which are rare in France. The main objective is to evaluate the effectiveness of the PEGASE program on the evolution of the mental health of children followed by the CPS after 2 years of follow-up.
Official title: PEGASE3, Experimental Program of a Standardized Health Protocol Applied to Children Who Benefited From a Child Protection Measure Before the Age of Five: Effectiveness and Efficiency
Key Details
Gender
All
Age Range
0 Months - 42 Months
Study Type
OBSERVATIONAL
Enrollment
400
Start Date
2025-02-18
Completion Date
2029-02-18
Last Updated
2026-02-13
Healthy Volunteers
No
Interventions
Usual Care
Children will be followed using each CPS participating center's usual practices
Locations (7)
Maternal and Child Protection - The Eure Department
Évreux, France, France
Departmental institution to support - accompany - educate
Lille, France, France
Moselle Departmental Children's Centre
Metz, France, France
Maternal and Child Protection
Rouen, France, France
Maternal and Child Protection
Saint-Brieuc, France, France
Children and Family Home of the Loire
Saint-Genest-Lerpt, France, France
Departmental Observatory for Child Protection
Toulon, France, France