Update on child maltreatment

Current Opinion in Pediatrics

Volumn 21, Issue 2, 2009, Pages 252-261

  Newton, Alice W ^a,b,c   Vandeven, Andrea M ^d  

^a HARVARD MEDICAL SCHOOL   (United States)

^b BOSTON CHILDREN S HOSPITAL   (United States)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

^d UNIVERSITY OF MISSOURI KANSAS CITY SCHOOL OF MEDICINE   (United States)

Author keywords

Child abuse; Child maltreatment; Child sexual abuse; Neglect; Pediatric condition falsification; Shaken baby syndrome; Traumatic brain injury

Indexed keywords

CHILD; CHILD ABUSE; CHILD HEALTH CARE; CHILD NEGLECT; CHILD SEXUAL ABUSE; DIFFERENTIAL DIAGNOSIS; HEAD INJURY; HEALTH CARE PERSONNEL; HEALTH EDUCATION; HUMAN; LEGAL ASPECT; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; REVIEW; SHAKEN BABY SYNDROME;

BRAIN INJURIES; CHILD; CHILD ABUSE; CHILD, PRESCHOOL; HUMANS; MANDATORY REPORTING; PREVENTIVE HEALTH SERVICES;

EID: 67749091043     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOP.0b013e328329263d     Document Type: Review

References (72)

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51. ••] to understand why this report is based on flawed reasoning.
52. •]. Together they provide an excellent exploration of the dilemma of screening for vitamin D deficiency in cases of multiple fractures where there is a question of abuse.
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62. ••].
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65. Goad J. Understanding roles and improving reporting and response relationships across professional boundaries. Pediatrics 2008; 122:S6-S9. An excellent article which provides the CPS perspective on the barriers to better collaboration across disciplinary lines, which include observations on road blocks generated by the professional culture in which physicians operate.
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67. Christian CW. Professional education in child abuse and neglect. Pediatrics 2008; 122:S13-S17. This report considers the deficiencies in our current system of educating clinicians to handle child abuse with proposals to improve the situation, keeping in mind that merely improving the physician knowledge level has not been shown to alter behavior. Actual behavior change will involve improvements in the systems that support clinicians who do this work, and the encouragement of multidisciplinary practice.
68. Flaherty EG, Sege RD, Piazza Hurley T, Baker A. Strategies for saving and improving children's lives. Pediatrics 2008; 122:S18-S20. This article describes the barriers faced by clinicians to intervening in child maltreatment, among them confidentiality issues brought on by the Health Insurance Portability and Accountability Act, poor collaboration with CPS, lack of standards for educating medical students and physicians in the subject, and lack of availability of medical expertise, especially in rural areas.
69. McCarthy C. Doing the right thing: a primary care pediatrician's perspective on child abuse reporting. Pediatrics 2008; 122:S21-S24. A primary care pediatrician who has 'walked the walk' of improving collaboration with CPS.
70. Lindberg DM, Lindsell CJ, Shapiro RA. Variability in expert assessments of child physical abuse likelihood. Pediatrics 2008; 121:e945-e953.
71. Saunders BE. Commentary on using new technologies in the child maltreatment field. Child Maltreat 2008; 13:417-423. This article serves as the introduction to a series of reports highlighting some innovative uses of new technologies such as web-based educational initiatives and social networking technology to address child maltreatment and support the professionals who do the work.
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