Funding realities: child abuse diagnostic evaluations in the health care setting

Giardino, Angelo P.; Montoya, Louise A.; Richardson, Amy C.; Leventhal, John M.

doi:10.1016/s0145-2134(99)00034-4

Cited by 11 publications

(8 citation statements)

References 12 publications

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“…Perhaps residency-affiliated hospitals are more likely to attract physician-experts in the field of child abuse and neglect or there is an increased need for CAN resources for physicians-in-training. Giardino et al 17 described similar CPT compositions to our study. One hundred percent of their sample of 72 teams had physicians on them, 90% had social workers, and 49% had nurses.…”

Section: Discussionsupporting

confidence: 90%

“…Many of these teams have been formed with only limited institutional fiscal support. 7 A limited number of studies have been published describing how individual CPTs interact with clinicians in their institutions and local child protective services (CPS). 8 -17 The goals of this study were to describe the number of children with suspected abuse or neglect (CAN) cared for in selected children's hospitals, to determine how they are tracked and followed, and to better describe the composition, function, and financial support of CPTs.…”

mentioning

confidence: 99%

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What Is the System of Care for Abused and Neglected Children in Children’s Institutions?

Tien¹,

Bauchner

Reece

2002

Pediatrics

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The institutions surveyed cared for many children suspected of abuse and neglect. Thirty-eight percent did >300 evaluations per year. In general, institutions with CPTs provided more comprehensive documentation and follow-up of children suspected of having been abused or neglected than institutions without CPTs. Whether this is associated with better outcomes for children suspected of abuse or neglect is unknown.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

What Is the System of Care for Abused and Neglected Children in Children’s Institutions?

Tien¹,

Bauchner

Reece

2002

Pediatrics

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“…We utilised a survey method first published in 1999 to further characterise team structure, operation and finance (Giardino et al ., , ). The survey questions consisted of 27 multiple choices, in four sections, with some open‐ended response formats.…”

Section: Methodsmentioning

confidence: 99%

A Nationwide Survey of Peer Review Practices in Child Maltreatment Teams

et al. 2014

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Medical evaluations for suspected child sexual abuse carry a significant medico‐legal burden and are often performed in a variety of clinical settings, by clinicians with different levels of expertise and experience. Peer review or professional practice evaluation is an important component for quality assurance. We surveyed 255 programmes which provided sexual abuse evaluations which were identified through queries with national child abuse professional organisations. We sought information on team composition and setting, patient population characteristics and each site's peer review process. Of the 129 responding programmes, 42 per cent (n = 44) reported having a written peer review process. There were no differences between practice types with regards to having a written peer review process, the percentage of cases reviewed, the documentation type reviewed or the percentage reporting an external review process. The majority of programmes (n = 89, 85%) reported that they review both chart and photo documentation during the peer review process. Our data support that most programmes involved in child maltreatment evaluations undergo some form of peer review, but there exists a large amount of heterogeneity in the process by which it occurs. Copyright © 2014 John Wiley & Sons, Ltd. Key Practitioner Messages: Peer review is an important process to ensure high quality of clinical practice. The majority (80%) of programmes which perform child sexual abuse evaluations reported performing some form of peer review. Most peer review involves both chart and photo documentation reviews.

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“…In some states, education of medical providers regarding child sexual abuse has been linked to enhanced reimbursement for these examinations. [22][23][24][25] At the time of this study, there was no system in New York state to cover the costs of these examinations. Improving reimbursement might serve as an incentive for course completion.…”

Section: Commentmentioning

confidence: 99%

Continuing Medical Education in Child Sexual Abuse

Botash

Galloway

Booth

et al. 2005

Arch Pediatr Adolesc Med

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Objective: Describe the effect of an educational intervention on medical provider knowledge and competency regarding child sexual abuse.Design: Using a before and after trial design with an educational intervention, the study assesses knowledge changes in specific content areas and describes a postintervention competency assessment. Results: Sixty-four participants completed pre-and posttests. The average posttest score (26.9/30, SD=4.13) was significantly higher (PϽ.001) than the average pretest score (20.4/30, SD=1.65). More than half (59.4%) of providers did not correctly interpret the exam findings, 28.1% did not correctly reassure the child and family, and 39.1% did not indicate an appropriate understanding of the legal implications.Conclusions: Motivated medical providers demonstrated significant knowledge gains regarding the evaluation of child sexual abuse following participation in the educational program. This new knowledge was not enough to provide competency in the interpretation of genital findings or in offering legal advocacy to the families. Competence in these areas may in fact represent the domain of experts, not primary care providers, and further studies are needed to determine how much experience is necessary to provide competency in these areas.Arch Pediatr Adolesc Med. 2005;159:561-566

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Funding realities: child abuse diagnostic evaluations in the health care setting

Cited by 11 publications

References 12 publications

What Is the System of Care for Abused and Neglected Children in Children’s Institutions?

What Is the System of Care for Abused and Neglected Children in Children’s Institutions?

A Nationwide Survey of Peer Review Practices in Child Maltreatment Teams

Continuing Medical Education in Child Sexual Abuse

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