Block factors of multi disciplinary team for child abuse and neglect: In serious physical abuse and neglect, abuse head trauma and sexual abuse

2013 ◽  
Author(s):  
Kota Takaoka ◽  
Fujiko Yamada ◽  
Fumitake Mizoguchi
2017 ◽  
Vol 32 (6) ◽  
pp. 1063-1078 ◽  
Author(s):  
Richard Spano ◽  
Michael A. David ◽  
Sara R. Jeffries ◽  
John M. Bolland

Two competing models of child abuse and neglect (scapegoat vs. family dysfunction) are used to illustrate how the specification of victims (“index” victim vs. all children in household) from incidents of child abuse and neglect can be used to improve estimates of maltreatment for at-risk minority youth. Child Protection Services records were searched in 2005 for 366 “index” victims who were surveyed for 5 consecutive years (from 1998 to 2002) for the Mobile Youth Survey as well as other siblings in the household. The findings indicate that the baseline estimate of any maltreatment, sexual abuse, physical abuse, and neglect increased by 68%, 26%, 33%, and 74%, respectively, after adjusting for incidents that involved multiple victims (i.e., maltreatment as family dysfunction). In addition, the baseline estimate of more severe (indicated) incidents of physical abuse and neglect increased by 67% and 64%, respectively, after accounting for incidents that involved multiple victims, but there were no incidents of more severe (indicated) sexual abuse that involved multiple victims. Similarly, baseline estimates of age of onset (or chronicity) of maltreatment during childhood and adolescence increased by 62% and 26%, respectively. Baseline estimates for youth with 3 or more years of maltreatment and youth with 3 or more incidents of maltreatment both increased by about 71%. The implications of these findings for policy and practice as well as areas for future research are also discussed.


PEDIATRICS ◽  
1986 ◽  
Vol 78 (3) ◽  
pp. 537-539
Author(s):  

In all 50 states, physicians are required to report suspected cases of child abuse and neglect to social service or law enforcement agencies. Dentists are similarly required to report such suspected cases in most states and are allowed to report in all states; however, a minority of dentists are aware of these legal requirements.1-4 Physicians and dentists could aid in educating each other and in collaborating to increase the detection, treatment, and prevention of these disorders. Physicians typically receive limited training in dental injury and disease and thus may not detect dental abuse or neglect as readily as they do child abuse and neglect involving other areas of the body. PHYSICAL ABUSE Because craniofacial injuries occur in half of child abuse cases,3,5,6 evaluation of these injuries is essential. Some authorities believe the oral cavity may be a central focus for physical abuse because of its significance in communication and nutrition.2 The injuries are most commonly inflicted as blunt trauma with an instrument, eating utensil, hand, or finger or by scalding liquids or caustic substances. The abuse may result in ecchymoses, lacerations, traumatized or avulsed teeth, facial fractures, burns, or other injuries. Discolored teeth may result from repeated trauma.7,8 Gags applied to the mouth may leave bruises, lichenification, or scarring at the corners of the mouth. 9 Multiple injuries, injuries in different stages of healing, injuries inappropriate for the child's stage of development, and/or a discrepant history should arouse suspicion of abuse. SEXUAL ABUSE The oral cavity is a frequent site of sexual abuse in children.


Author(s):  
Sabana Shaikh ◽  
Rubena Ali Malik

It is the duty of every healthcare professional to ensure they prioritise the welfare of a child by protecting them from physical or psychological harm. Forms of child abuse include physical abuse, emotional abuse, sexual abuse and neglect. A child subjected to emotional abuse or neglect can present with ambiguous symptoms, making the abuse difficult to detect. Safeguarding concerns must be acted upon according to local procedures, guided by the child safeguarding lead and the practice safeguarding policy. Safeguarding multidisciplinary meetings can be an effective way of communicating with various professionals involved with the family.


PEDIATRICS ◽  
1984 ◽  
Vol 74 (3) ◽  
pp. 446-446
Author(s):  
MICHAEL A. REINHART

To the Editor.— The article by Nelson1 included particularly vivid examples of the manner in which children may become victims of parental conflict. In the experience of University of California Davis Medical Center's Suspected Child Abuse and Neglect Team, similar cases (although less severe) account for approximately 2% of the physical abuse cases reviewed. Social services agencies tend to view such occurrences as "accidents," and are reticent to provide services to such families. Physicians must take an active role in advocating that the families and children receive appropriate services.


PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 879-880
Author(s):  
REBECCA HUSTON ◽  
NANCY KELLOGG ◽  
JUAN M. PARRA ◽  
D. MICHAEL FOULDS

To the Editor.— We read with interest the statement by the Committee on Child Abuse and Neglect, "Guidelines for the Evaluation of Sexual Abuse of Children."1 However, we are very concerned with the Committee's statement that routine cultures for sexually transmitted diseases are not necessary. There are several reasons for these concerns. 1. It has been our experience that even after a thorough interview, many children only reveal some details of their abuse. We have seen many children who initially report only fondling, then later report penetration.


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