Performance of screening tests for child physical abuse in accident and emergency departments

Abstract

How to obtain copies of this and other HTA Programme reports. An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) Programme, part of the National Institute for HealthResearch (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

Evidence-based clinical guidelines for immigrants and refugees

“…A systematic review of the performance of screening tests concluded that adding a screening protocol to the clinical encounter yielded additional false-positives that exceeded additional abused children detected. 457 Compared with the general population, immigrant and refugee families may be more likely to suffer from the direct and indirect harms related to screening. Screening instruments have not been culturally validated and are less likely to be accurate because of factors such as language barriers, different cultural norms of behaviours and different attitudes toward institutional authority.…”

Prävention von Gewalt gegen Kinder und von Kinderunfällen - Plädoyer für eine integrierende Betrachtungsweise

“…Die zurückliegenden Jahre brachten eine Verschiebung des Auftrages von "Kinderschutz vor Gewalt" hin zu einem aktiven Schutzauftrag für eine sichere Umgebung und gesundes Aufwachsen (Barlow & Calam, 2011;Sethi et al, 2013;Munro et al, 2014: WHO, 2013 (Woodman et al, 2008. Vergleichbare Ergebnisse berichten Lee et al (2012), McKenzie et al (2011), Guenther et al (2009) und Newton et al (2010.…”

A simple approach to improve recording of concerns about childmaltreatment in primary care records: developing a quality improvement intervention

“…5 The low levels of recording in children aged ≥5 years contrast with evidence from community-based studies, which indicate higher rates of maltreatment in children of school age and adolescents. 5,15,37,38 Potential explanations include the fact that older children present less often to GPs, 3 GPs may fail to ask relevant questions, or they may recognise maltreatment but code it as something else.…”

“…13,14 Evidence is lacking about how often GPs in England report child maltreatment. 15 National policy in the UK is starting to embrace evidence that child maltreatment occurs on continuums of severity and chronicity, and professionals often manage the problem without referral to child protection services. The government's response to the recent Munro Review of Child Protection recommended improved local coordination to identify children at risk of maltreatment who need early intervention but do not meet the criteria for receiving children's social care services.…”