Committee on child abuse and neglect. The evaluation of children in the primary care setting when sexual abuse is suspected

2013 ◽  
Vol 39 (6) ◽  
pp. 911-912
Author(s):  
Richard Reading
Keyword(s):  
Primary Care ◽  
Sexual Abuse ◽  
Child Abuse ◽  
Care Setting ◽  
Primary Care Setting ◽  
Child Abuse And Neglect ◽  
Abuse And Neglect

Child Abuse and Neglect Risk Assessment: Quality Improvement in a Primary Care Setting

2019 ◽  
Vol 19 (2) ◽  
pp. 227-235 ◽  
Author(s):  
Esther K. Chung ◽  
Ruth S. Gubernick ◽  
Marianna LaNoue ◽  
Diane J. Abatemarco
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Child Abuse ◽  
Quality Improvement ◽  
Care Setting ◽  
Primary Care Setting ◽  
Child Abuse And Neglect ◽  
Abuse And Neglect

Child Maltreatment

2020 ◽  
pp. 133-153
Author(s):  
Claudia Wang ◽  
Daphne Wong ◽  
Carol D. Berkowitz
Keyword(s):  
Primary Care ◽  
Sexual Abuse ◽  
Child Abuse ◽  
Child Maltreatment ◽  
Primary Care Physicians ◽  
Pediatric Population ◽  
Child Abuse And Neglect ◽  
Abusive Head Trauma ◽  
Significant Morbidity ◽  
Abuse And Neglect

Child abuse and neglect lead to significant morbidity and mortality in our vulnerable pediatric population. Primary care physicians are responsible for improving the care of children and reporting findings that are suspicious for child abuse and neglect. This chapter reviews the various types of child maltreatment, with a focus on identification, management, and treatment of child abuse and neglect. In addition to being able to identify child abuse, the questions also focus on recognition of medical diseases, disorders, or other mimickers resembling child abuse. The various types of child maltreatment covered include neglect; physical abuse (i.e., bruises, burns, fractures, abusive head trauma, abdominal trauma, Munchausen syndrome by proxy); sexual abuse; and psychological abuse.

Addressing Sexual Abuse in the Primary Care Setting

PEDIATRICS ◽  
1999 ◽  
Vol 104 (2) ◽  
pp. 270-275 ◽  
Author(s):  
Mary Ranee Leder ◽  
S. Jean Emans ◽  
Janet Palmer Hafler ◽  
Leonard Alan Rappaport
Keyword(s):  
Primary Care ◽  
Sexual Abuse ◽  
Care Setting ◽  
Primary Care Setting

Family Matters: Examining Child Abuse and Neglect as Family Dysfunction for Minority Youth Living in Extreme Poverty

2017 ◽  
Vol 32 (6) ◽  
pp. 1063-1078 ◽  
Author(s):  
Richard Spano ◽  
Michael A. David ◽  
Sara R. Jeffries ◽  
John M. Bolland
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Physical Abuse ◽  
Age Of Onset ◽  
Child Abuse And Neglect ◽  
Family Dysfunction ◽  
Minority Youth ◽  
Future Research ◽  
Childhood And Adolescence ◽  
Abuse And Neglect

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.

Sexually Transmitted Diseases in Childhood Sexual Abuse

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 879-880
Author(s):  
REBECCA HUSTON ◽  
NANCY KELLOGG ◽  
JUAN M. PARRA ◽  
D. MICHAEL FOULDS
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Childhood Sexual Abuse ◽  
Sexually Transmitted Diseases ◽  
Child Abuse And Neglect ◽  
Sexually Transmitted ◽  
Abuse And Neglect

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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