Recognition of child abuse by dentists, health care professionals, and law enforcement

2010 ◽  
pp. 153-164 ◽  
2016 ◽  
Vol 53 ◽  
pp. 118-127 ◽  
Author(s):  
Annemieke A.J. Konijnendijk ◽  
Magda M. Boere-Boonekamp ◽  
Margot A.H. Fleuren ◽  
Maria E. Haasnoot ◽  
Ariana Need

1998 ◽  
Vol 26 (3) ◽  
pp. 241-248 ◽  
Author(s):  
Jon F. Merz ◽  
Pamela Sankar ◽  
Simon S. Yoo

Physicians and other health care providers owe ethical and legal duties to patients to maintain the secrecy of the information learned during the course of patient care. This obligation is fulfilled by limiting access to such information to only those involved in the patient's care-that is, to those within the “circle of confidentiality.” As a general rule, providers may only disclose to others with the written prior consent of the patient. Exceptions may be “ethically and legally justified because of overriding social considerations,” when permitted or compelled by law. For example, eleven states permit providers to disclose identified records to approved researchers.’ Many states compel disclosure in cases where a patient threatens serious bodily harm to another; require reporting to health or law enforcement authorities of communicable diseases, gunshot or knife wounds, or child abuse; and mandate reporting of cancer or other health care cases to state registries (such as immunization, birth, and abortion).


2021 ◽  
pp. 185-191
Author(s):  
Mehmet Burtaç Eren ◽  
Erkal Bilgiç ◽  
Selçuk Çetin ◽  
Faik Alev Deresoy ◽  
Tahir Öztürk ◽  
...  

Definition of physical child abuse is used to refer to a casualty injured by the caregiver. Health-care professionals providing medical care are responsible for detecting and reporting child abuse. A 7-month-old pediatric patient was referred to us from an outer center with the diagnosis of multiple fractures (14 different bones in 16 different anatomical regions). Skeletal pathologies were evaluated after exclusion of head and abdomen injuries in the emergency department. This child with fractures in 16 different anatomical regions of 14 different bones in her body is alive and does not have an intracranial injury. The number of fractures was too high to be explained even by major trauma. If child abuse is suspected, relevant authorities should be notified immediately. Medical records must be meticulously done as they can contribute to the possible court process. Our case, which contains almost all of the history and physical examination and risk factors of typical child abuse, is instructive enough to guide any health-care professional who may encounter this issue. The threshold in deciding on reporting of child abuse should be low. Every suspicious case should be reported in order to prevent repetitive abuse.


2014 ◽  
Vol 8 (05) ◽  
pp. 616-623 ◽  
Author(s):  
Dana A Darwish ◽  
Suzanne Abdelmalek ◽  
Wael Abu Dayyih ◽  
Salim Hamadi

Introduction: Antimicrobial resistance is a serious global health concern. It has considerable implications on societies' health and resources. In Jordan, there is a large Iraqi community due to the ongoing turmoil in Iraq. Unfortunately, health awareness and practices of this community are under-investigated due to scarcity of research. This paper assesses the awareness of antibiotic use and antimicrobial resistance in the Iraqi community residing in Amman, Jordan. Their level of interaction with health care professionals regarding antibiotics and differences in their antibiotic use between Iraq and Jordan are also discussed. Methodology: A cross-sectional questionnaire-based survey involving randomly selected Iraqis residing in Amman, Jordan was conducted. Results: The study involved 508 participants. Sixty-two percent of participants agreed with buying antibiotics without a prescription, 29% agreed with obtaining antibiotics from friends or relatives, and 46% agreed with keeping leftover antibiotics for future use. Furthermore, 60% disagreed with not completing an antibiotic course and almost 90% of the sample listed viral diseases as an indication for antibiotics. Forty-four percent of participants abided by physicians’ instructions on antibiotic use. Half of the participants believed that pharmacists provided instructions on antibiotics all the time, whereas physicians were perceived to do so by 29% of participants. Conclusions: Gaps exist in knowledge of antibiotic use and reasons for antimicrobial resistance among Iraqis residing in Jordan. These gaps should serve in planning educational campaigns to raise the community’s awareness of responsible antibiotic use. Law enforcement to restrict access to antibiotics is also pivotal to tackle their misuse.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 599-600
Author(s):  
Sarah Marrs ◽  
Courtney O'Hara ◽  
Ruth Anne Young ◽  
Miranda Yelvington ◽  
Deijah Patterson ◽  
...  

Abstract Abuse in later life is experienced by 10% of adults over age 60 (Acierno et al., 2010). Unfortunately, it is estimated that for every one reported case, around 20 remain unreported (APA, 2012). A primary reason for this disparity is the absence of training provided to professionals working at the frontline of elder abuse, such as law enforcement professionals, health care professionals, and aging and victim service providers (e.g., Rose et al., 2016). This leaves the workforce best positioned to intervene in cases of abuse in later life lacking knowledge around what constitutes the different types of abuse and what they should do if they suspect abuse (Rosen et al., 2018). A critical first step to developing the evidence-based training needed to reconcile this gap is to gain a better understanding of the current landscape within this workforce. This qualitative study explored the knowledge and attitudes towards abuse in later life as well as current practices and policies for reporting abuse among law enforcement professionals (n = 1), health care professionals (n = 2), and aging (n = 5) and victim (n = 4) service providers. Participants (N = 12) represented urban (n = 4), suburban (n = 5), and rural settings (n = 2). Themes emerging from the focus groups highlight a number of barriers to identifying and reporting abuse for professionals in each discipline. Our findings also provide strong evidence of the need to intervene and diminish the impact ageist attitudes and behaviors can have on older adults.


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