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This report provides information about state programs receiving assistance under Section 106 of the Child Abuse Prevention and Treatment Act (CAPTA) and the federal training and technical assistance states receive to help them achieve the desired program improvements specified in their CAPTA and other federally mandated plans.

This report represents the HHS response to the requirement to conduct a feasibility assessment of the mandated report on shaken baby syndrome, referenced herein primarily as AHT, the more inclusive term recommended by the American Academy of Pediatrics (AAP). The assessment included a literature review on incidence of AHT; identification of related federal activities, including activities authorized under CAPTA; stakeholder discussions; and broad consideration of benefits and costs involved.

This report provides an overview of the purpose of the supplementary analysis as well as a summary of key findings. In the supplementary analysis, data from the NIS-4 and the National Child Abuse and Neglect Data System (NCANDS) were used to examine the comparability of information reported by the two studies on children investigated by Child Protective Services (CPS), including data on the number of children investigated, the dispositional outcome of investigation, the types of maltreatment experienced by children, and the children’s age, sex, and race/ethnicity.