Health Care Providers' Experience Reporting Child Abuse in the Primary Care Setting

Flaherty, Emalee G.; Sege, Robert; Binns, Helen J.; Mattson, Christine L.; Christoffel, Katherine Kaufer

doi:10.1001/archpedi.154.5.489

Cited by 121 publications

(125 citation statements)

References 7 publications

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“…Generally, they are unwilling to share information that legally can be released. 4,5 Obviously, this often inappropriate reluctance to share information does not foster collaboration.…”

Section: What Systemic Issues Impede Productive Medical-cps Collaboramentioning

confidence: 99%

Understanding Roles and Improving Reporting and Response Relationships Across Professional Boundaries

Goad

2008

Pediatrics

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Child abuse is underreported. The author, a child protective service professional with extensive field and management experience, provides his perspective on some of the barriers that inhibit an effective response to reporting and collaboration between the professionals evaluating and investigating possible child abuse. Then presented are his ideas for improving the collaboration, including recommendations for changes in training, child protective service procedures, child protective service staffing, confidentiality requirements, and the adoption of a Child Advocacy Center (CAC) model. Pediatrics 2008;122:S6–S9

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“…Generally, they are unwilling to share information that legally can be released. 4,5 Obviously, this often inappropriate reluctance to share information does not foster collaboration.…”

Section: What Systemic Issues Impede Productive Medical-cps Collaboramentioning

confidence: 99%

Understanding Roles and Improving Reporting and Response Relationships Across Professional Boundaries

Goad

2008

Pediatrics

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“…That this sentiment is shared by pediatricians is supported by the Child Abuse Recognition Experience Study research. 27,28 Although it is acknowledged that child welfare systems across the country face great challenges in meeting their mandate, most physicians are unaware of the successes that are made by child protective services every day. Physician participation in the interdisciplinary process of child protection would underscore the difficulty of the work and lead to improved decision-making by child protection workers and law enforcement personnel.…”

Section: Future Stepsmentioning

confidence: 99%

Professional Education in Child Abuse and Neglect

Christian

2008

Pediatrics

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Physicians have reported feeling that they were not adequately trained to identify and report child abuse. This article reviews the current state of medical education and residency training and the needs of physicians in practice and proposes changes and additions that can be made to improve the ability and confidence of physicians who are faced with the responsibility of keeping children safe. Pediatrics 2008;122:S13-S17 A MONG OUR MANY responsibilities, physicians are sentinels for child maltreatment. Federal and state laws mandate us to report suspected cases of abuse and neglect for investigation, and our ethical mandate is to use our skills to promote the health, safety, and well-being of our patients. Yet, despite our best intentions, the data suggest that many physicians are unable to fulfill the mandate to protect children from abuse and neglect. 1,2 Physician inability to identify abused children and resistance to reporting suspected abuse is explained by many considerations, as noted in the Child Abuse Recognition Experience Study (CARES). 1,2 One of the more important contributors to physicians' discomfort with the management of child and family violence is their lack of education and training about the problem. In all specialties in medicine, clinical competence is based in both knowledge and experience. If the aim of medical education is to improve practice, rather than simply knowledge, appropriate education must ensure that physicians are capable of identifying child abuse, addressing the concern with families, reporting suspicions to the proper authorities, assisting investigators with interpretation of medical information, managing medical consequences of both physical and psychological trauma, advocating for their patients, and working with families affected by child maltreatment. It is a lot to learn, and the evidence published to date suggests that we have not done our job sufficiently. 1,2 MEDICAL STUDENT EDUCATION Accreditation of US medical schools is obtained through the Liaison Committee on Medical Education (LCME). Accreditation by the LCME is required for medical schools to receive federal grants for education, and the majority of state licensing boards require US medical schools to be accredited by the LCME. The LCME publishes accreditation standards that address the structure of medical education for all students. Clinical education is required for all organ systems and must include ambulatory experience. In the most recent revision of the accreditation standards, the LCME states, "The curriculum must prepare students for their role in addressing the medical consequences of common societal problems, for example, providing instruction in the diagnosis, prevention, appropriate reporting, and treatment of violence and abuse." 3 Although the standards for medical education explicitly include a requirement for education in social issues such as child abuse, the responsibility for curriculum development rests with medical school faculty and is not specifically dictated by accrediti...

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“…A subnotificação de casos encontrada no estudo se contrapõe, de certa forma, a algumas tendências internacionais que sugerem um número crescente de encaminhamento de casos para os serviços de proteção à criança nos últimos anos 26,27 . Todavia, esse crescimento parece não acompanhar a magnitude de maus-tratos contra a criança e os números oficiais que se originam das notificações geradas nos serviços de saúde acabam por não representar a sua real ocorrên-cia 12,28 . Além da questão da baixa detecção, foco central deste estudo, outros fatores podem ser apontados como limitantes à prática da notificação.…”

Section: Tipos De Maus-tratosunclassified

Detecção de maus-tratos contra a criança: oportunidades perdidas em serviços de emergência na cidade do Rio de Janeiro, Brasil

2008

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Health Care Providers' Experience Reporting Child Abuse in the Primary Care Setting

Cited by 121 publications

References 7 publications

Understanding Roles and Improving Reporting and Response Relationships Across Professional Boundaries

Understanding Roles and Improving Reporting and Response Relationships Across Professional Boundaries

Professional Education in Child Abuse and Neglect

Detecção de maus-tratos contra a criança: oportunidades perdidas em serviços de emergência na cidade do Rio de Janeiro, Brasil

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