De Nationale Prevalentiestudies Mishandeling van kinderen en jeugd: slotwoord

Alink, Lenneke R. A.; Prevoo, Mariëlle J. L.; Berkel, Sheila R. van; Linting, Mariëlle; Pannebakker, F.D.

doi:10.1007/s12453-017-0161-8

Cited by 23 publications

(33 citation statements)

References 2 publications

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“…So, you immediately thought: 'friend of her mother's, what's that about?' [FG3,7] The role of gut feelings All groups discussed the gut feeling described as there is something wrong here and considered it a valuable diagnostic tool. In such cases, GPs got an uneasy feeling, while listening to complaints or observing a child, which put them on the alert.…”

Section: Development Of a Suspicionmentioning

confidence: 99%

“…Worldwide, rates of child abuse are more than twice as high in low-and middleincome sectors of society, and cause more fatalities [1,6]. Child abuse cases mostly concern emotional and physical neglect and emotional maltreatment [1,7]. A minority (21%) also concerns physical maltreatment and sexual abuse [7].…”

Section: Introductionmentioning

confidence: 99%

“…Child abuse cases mostly concern emotional and physical neglect and emotional maltreatment [1,7]. A minority (21%) also concerns physical maltreatment and sexual abuse [7]. In nearly all cases, a biological parent is the perpetrator (96%) [5].…”

Section: Introductionmentioning

confidence: 99%

“…In nearly all cases, a biological parent is the perpetrator (96%) [5]. In the Netherlands, it affects about 90,000-127,000 children (0-17 years old; 3% of all children) resulting in at least 17 child fatalities a year [7]. Much research has been done into the identification and management of child abuse, resulting in risk assessment tools, lists of triggering signs and symptoms and protocols [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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GPs’ suspicion of child abuse: how does it arise and what is the follow-up?

Stolper

Verdenius²,

Dinant

et al. 2020

Scandinavian Journal of Primary Health Care

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Background: Child abuse is widespread, occurs in all cultures and communities, remains undiscovered in 90% of cases and has serious long-term effects. Physicians generally underidentify and underreport child abuse. To understand this low reporting rate and how the suspicion of child abuse arises, we examined GPs' experiences. Research questions: How does the suspicion of child abuse arise in GPs' diagnostic reasoning? How do they act upon their suspicion and which barriers do they encounter in their management? Methods: Twenty-six GPs participated in four focus groups. We used purposive sampling to include GPs with different levels of experience. We performed a thematic content analysis. Results: Suspicion of child abuse arose from common triggers and a gut feeling that 'something is wrong here'. GPs acted upon their suspicion by gathering more data, through history taking and physical examination. They often found it difficult to decide whether a child was abused, because parents, despite good intentions, may simply lack parenting skills and have different values. Clear signs of sexual abuse and physical violence were institutionally reported by GPs, whereas in less clear-cut cases they followed them up and built a supporting network of professionals around the family. Conclusions: A low child abuse reporting rate by GPs to CACRC does not mean a low detection rate. In trying to improve a child's situation, GPs make use of patients' trust in their doctor by involving other professionals. Awareness of the role of gut feelings in developing a suspicion may increase early detection and preventive actions. KEY POINTS Physicians generally underidentify and underreport child abuse. Suspicion of child abuse arose from common triggers and a gut feeling that 'something is wrong here'. GPs acted upon their suspicion by gathering more data, through history taking and physical examination. GPs found it difficult to decide whether a child was abused, because parents, despite good intentions, may lack parenting skills.

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Section: Development Of a Suspicionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

GPs’ suspicion of child abuse: how does it arise and what is the follow-up?

Stolper

Verdenius²,

Dinant

et al. 2020

Scandinavian Journal of Primary Health Care

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“…Known baseline characteristics between our participants and non‐participants were similar, except for an overrepresentation of single parent households for participants. We do not think this explains our results, because single parents are at increased risk for child maltreatment, and this overrepresentation would thus increase the prevalence of psychosocial problems, instead of decrease them (Alink et al ). Of course, selection bias due to unmeasured factors cannot be excluded.…”

Section: Discussionmentioning

confidence: 83%

Psychosocial problems of children whose parents visit the emergency department due to intimate partner violence, substance abuse or a suicide attempt

Konijnenburg

Lee

Teeuw

et al. 2016

Child

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The NICHD interview protocol used by Dutch child protection workers: Effects on interview style, children's reported information and susceptibility to suggestion

Erens

Otgaar

Ruiter

et al. 2021

Applied Cognitive Psychology

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In the Netherlands, there is currently no quality standard for conducting child forensic interviews in Child Protective Services (CPS) . The lack of such standard causes concern regarding the quality of these interviews, which are used to determine the child's safety and implementing treatment. In the current study, we implemented the National Institute of Child Health and Human Development (NICHD) protocol at Safe Home, the Dutch national reporting agency for child abuse and domestic violence.Professionals at Safe Home received a three-day training in the NICHD protocol with regular follow-up feedback sessions. We compared 38 NICHD interviews with 30 control interviews on variables such as the type of questions asked, number of reported words, and children's mood state. NICHD interviews contained more invitations and fewer suggestive questions compared to non-standardized interviews.Furthermore, children reported more information related to the reported incident when they were interviewed with the NICHD protocol compared to control interviews. After being interviewed, children reported a more positive mood state independent of how they were interviewed (NICHD or control interview). Finally, children interviewed with the NICHD protocol were less likely to succumb to suggestive probes provided after the interview than children in the control group. We argue that child protection professionals need training in an evidence-based interview protocol to improve fact-finding in CPS.

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De Nationale Prevalentiestudies Mishandeling van kinderen en jeugd: slotwoord

Cited by 23 publications

References 2 publications

GPs’ suspicion of child abuse: how does it arise and what is the follow-up?

GPs’ suspicion of child abuse: how does it arise and what is the follow-up?

Psychosocial problems of children whose parents visit the emergency department due to intimate partner violence, substance abuse or a suicide attempt

The NICHD interview protocol used by Dutch child protection workers: Effects on interview style, children's reported information and susceptibility to suggestion

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