Child abuse and neglect re-report rates for young children with developmental delays

Perrigo, Judith L.; Berkovits, Lauren; Cederbaum, Julie A.; Williams, Marian E.; Hurlburt, Michael S.

doi:10.1016/j.chiabu.2018.05.029

Cited by 10 publications

(7 citation statements)

References 31 publications

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“…Additionally, more research is needed on disparities that contribute to, and minority communities that show, elevated rates of early life adversity. As discussed above, rates of early life adversity are higher in individuals with developmental disabilities [138][139][140]. Rates of trauma are also higher in youth in the LGBTQ community [233,234].…”

Section: Limitations/future Directionsmentioning

confidence: 91%

“…These offspring also reported having higher levels of emotional abuse and neglect, which correlated with severity of PTSD in the parent [136,137], implicating early life stress in transmission of psychopathology. While there is evidence that children with developmental disabilities are at a higher risk for neglect [138][139][140], there is a paucity of study investigating if offspring of individuals with mental illness are more liable to abuse. However, as discussed above, higher rates of maltreatment are reported in individuals with mood disorders, but if and what familial factors may drive these elevated rates are not known-or if these interactions contribute to the intergenerational transmission of psychopathology.…”

Section: Underlying Mechanisms By Which Childhood Maltreatment Increamentioning

confidence: 99%

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The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

Lippard

Nemeroff

2020

AJP

336

180

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A large body of evidence has demonstrated that exposure to childhood maltreatment at any stage of development can have long-lasting consequences. It is associated with a marked increase in risk for psychiatric and medical disorders. This review summarizes the literature investigating the effects of childhood maltreatment on disease vulnerability for mood disorders, specifically summarizing cross-sectional and more recent longitudinal studies that demonstrate childhood maltreatment is more prevalent and associated with increased risk for first mood episode, episode recurrence, greater comorbidities, and increased risk for suicidal ideation and attempts in individuals with mood disorders. It summarizes the persistent alterations associated with childhood maltreatment, including alterations in the HPA axis and inflammatory cytokines, which may contribute to disease vulnerability and a more pernicious disease course. We discuss several candidate genes and environmental factors, for example alcohol/substance use, that may alter disease vulnerability and illness course and neurobiological associations that may mediate these relationships following childhood maltreatment. Studies provide insight into modifiable mechanisms and provide direction to improve both treatment and prevention strategies. "It is not the bruises on the body that hurt. It is the wounds of the heart and the scars on the mind."

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Section: Limitations/future Directionsmentioning

confidence: 91%

Section: Underlying Mechanisms By Which Childhood Maltreatment Increamentioning

confidence: 99%

The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

Lippard

Nemeroff

2020

AJP

336

180

View full text Add to dashboard Cite

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“…39 In a 2018 study using data from the National Survey of Child and Adolescent Well-Being II data, children with multiple developmental delays were more likely to have recurrence of child abuse reporting. 40…”

Section: Association Between Disability Type and Form Of Abusementioning

confidence: 99%

Maltreatment of Children With Disabilities

et al. 2021

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Over the past decade, there have been widespread efforts to raise awareness about maltreatment of children. Pediatric providers have received education about factors that make a child more vulnerable to being abused and neglected. The purpose of this clinical report is to ensure that children with disabilities are recognized as a population at increased risk for maltreatment. This report updates the 2007 American Academy of Pediatrics clinical report "Maltreatment of Children With Disabilities." Since 2007, new information has expanded our understanding of the incidence of abuse in this vulnerable population. There is now information about which children with disabilities are at greatest risk for maltreatment because not all disabling conditions confer the same risks of abuse or neglect. This updated report will serve as a resource for pediatricians and others who care for children with disabilities and offers guidance on risks for subpopulations of children with disabilities who are at particularly high risk of abuse and neglect. The report will also discuss ways in which the medical home can aid in early identification and intervene when abuse and neglect are suspected. It will also describe community resources and preventive strategies that may reduce the risk of abuse and neglect.

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“…It is known that there is increased domestic violence and abuse in families of children with disabilities. 17,18 There have been reports of behavioral disorders in children due to the COVID-19 pandemic 19 further exacerbating the caregiver stress and risk of victimization.…”

Section: Unique Features Of a Dbp Servicementioning

confidence: 99%

“…Children with additional needs are at increased risk of abuse and neglect. 17 With the pandemic, this risk is stated COVID-19: Singapore DBP service adaptations to be even higher. 30,31 Beyond providing routine clinical care, we actively reached out to our patients via weekly emails and mobile phone messages, providing them with the strategies to help them cope.…”

Section: Additional Support For Patient and Familiesmentioning

confidence: 99%

Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic

Mulay

Aishworiya

Lim

et al. 2021

Pediatrics & Neonatology

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Background: As the coronavirus 2019 pandemic continues, healthcare services need to adapt to continue providing optimal and safe services for patients. We detail our adaptive framework as a large Developmental and Behavioral Pediatrics service in a tertiary academic institution in Singapore. Methods: The multidisciplinary team at our unit implemented various adaptations and workflow processes during this evolving pandemic in providing continued clinical care tailored to the challenges specific to our patient population. Services were continued via teleconsultation mode during the 'Circuit Breaker' (enhanced movement restriction) period. Specific workflow processes, IT infrastructure, and staff training were put in place to support smooth running of this service. Segregation of services into two teams based at two separate sites and implementation of stringent infection control measures surrounding the clinic visit by providers, patients and their families were incorporated to ensure safety. Measures were also taken to ensure providers' mental wellbeing. Results: The clinical service was continued for the majority of our patients with a lowest reduction in patient consultations to half of baseline during the 'Circuit Breaker' period. We received positive feedback from families for teleconsultation services provided. Conclusion: We have been able to continue services in our DBP clinics due to our dynamic reassessment of workflow processes and their prompt implementation in conjunction with the hospital and national public health response to the pandemic. Given that this pandemic is likely to be long drawn, our unit remains ready to constantly adjust these workflows and make

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Child abuse and neglect re-report rates for young children with developmental delays

Cited by 10 publications

References 31 publications

The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

Maltreatment of Children With Disabilities

Innovations in practice: Adaptation of developmental and behavioral pediatric service in a tertiary center in Singapore during the COVID-19 pandemic

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