Assessments carried out by a child abuse and neglect team in an Amsterdam teaching hospital led to interventions in most of the reported cases

Teeuw, Arianne H.; Sieswerda‐Hoogendoorn, Tessa; Aaftink, Daniel; Burgers, Ilsa A.V.; Vrolijk-Bosschaart, Thekla F.; Brilleslijper‐Kater, Sonja N.; Heymans, H. S. A.; Rijn, Rick R. van

doi:10.1111/apa.13735

Cited by 13 publications

(24 citation statements)

References 31 publications

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“…Our results show that most European hospitals have no standard procedures or strategies, such as a child maltreatment policy officer, child maltreatment team, registering system, regular meetings with child protective services, e-learning exercises and training programmes, in place to facilitate the recognition of child maltreatment nor to monitor or refer when necessary [35][36][37]. In previous research, physicians stated that even though a protocol for suspected child maltreatment was present, the majority did not know where to find it or how to use it in practice [38].…”

Section: Plos Onementioning

confidence: 88%

Recognition of child maltreatment in emergency departments in Europe: Should we do better?

et al. 2021

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Objectives To evaluate the different policies to recognize child maltreatment in emergency departments (EDs) in Europe in order to define areas of improvement. Methods A survey was conducted on the recognition of child maltreatment in EDs in European countries with a focus on screening methods, parental risk factors, training and hospital policies. The survey was distributed through different key members from the EUSEM, REPEM and the EuSEN. A summary score based on the NICE guideline (4 questions on child characteristics, 4 questions on parental characteristics and 5 questions on hospital policy) was calculated. Results We analysed 185 completed surveys, representing 148 hospitals from 29 European countries. Of the respondents, 28.6% used a screening tool, and 31.8% had guidelines on parental risk factors. A total of 42.2% did not follow training based on child characteristics, and 57.6% did not follow training on parental characteristics. A total of 71.9% indicated that there was a need for training. 50.8% of the respondents reported a standardized policy for the detection of child maltreatment. Translating the survey results to NICE summary scores of the EDs in Europe, we found that 25.6% (34/133) met most, 22.6% (30/133) met some and 51.9% (69/133) met few of the NICE guideline recommendations. More specifically, with respect to hospital policies, 33.8% (45/133) met most, 15.0% (20/133) met some and 51.1% (68/133) met few of the NICE guideline recommendations. Conclusion There is high variability regarding policies for child maltreatment detection and only a quarter of the EDs met most of the NICE guideline recommendations for child maltreatment. There is a need for the use of screening tools, training of ED staff and implementation of local hospital policies.

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Section: Plos Onementioning

confidence: 88%

Recognition of child maltreatment in emergency departments in Europe: Should we do better?

et al. 2021

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“…Assessing aggregate information coded from medical provider notes provides a useful overview of trends in cases evaluated for child abuse and neglect, as demonstrated by previously published studies that have similarly extracted information from child abuse pediatrician (CAP) case notes. Coded data have been used by researchers to identify different notetaking approaches used by CAPs (Keenan & Campbell, 2015), to provide descriptive data on the incidence of child abuse and neglect cases and subsequent interventions in the Netherlands (Teeuw et al, 2017), to investigate legal consequences of child abuse (Hendrix et al, 2020), and to describe medical consultations by CAPs in a hospital setting in the U.S. (Hicks et al, 2020; Johnson et al, 2021). While previous studies were conducted primarily by medical professionals, our interdisciplinary team included diverse perspectives from researchers in health policy, public health, social work, and developmental psychology, in addition to medical providers.…”

Section: Discussionmentioning

confidence: 99%

What Do Child Abuse and Neglect Medical Evaluation Consultation Notes Tell Us?

Golonka

Liu

Rohrs

et al. 2022

Preprint

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Child abuse and neglect (CAN) medical experts provide specialized multidisciplinary care to children when there is concern for maltreatment. Their clinical notes contain valuable information on child- and family-level factors, clinical concerns, and service placements that may inform the needed supports for the family. We created and implemented a coding system for data abstraction from these notes. Participants were 1,397 children ages 0-17 years referred for a consultation with a CAN medical provider at an urban teaching and research hospital between March 2013 and December 2017. Coding themes were developed using an interdisciplinary team-based approach to qualitative analysis, and descriptive results are presented using a developmental-contextual framework. This study demonstrates the potential value of developing a coding system to assess characteristics and patterns from CAN medical provider notes, which could be helpful in improving quality of care and prevention and detection of child abuse.

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“…It has been shown that expert consultation has added value to patient care in cases of suspected child abuse 10 16 17. However, Lindberg et al showed that even between child abuse paediatricians there was a significant variability in assessing the likelihood of child abuse 18.…”

Section: Discussionmentioning

confidence: 99%

Implementation of the Dutch expertise centre for child abuse: descriptive data from the first 4 years

et al. 2019

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ObjectiveCombined paediatric and forensic medical expertise to interpret physical findings is not available in Dutch healthcare facilities. The Dutch Expertise Centre for Child Abuse (DECCA) was founded in the conviction that this combination is essential in assessing potential physical child abuse. DECCA is a collaboration between the three paediatric hospitals and the Netherlands Forensic Institute. DECCA works with Bayes’ theorem and uses likelihood ratios in their conclusions.DesignWe present the implementation process of DECCA and cross-sectional data of the first 4 years.ParticipantsBetween 14 December 2014 and 31 December 2018, a total of 761 advisory requests were referred, all of which were included in this study. An advisee evaluation over the year 2015 was performed using a self-constructed survey to gain insight in the first experiences with DECCA.Results761 cases were included, 381 (50.1%) boys and 361 (47.4%) girls (19 cases (2.5%) sex undisclosed). Median age was 1.5 years (range 1 day to 20 years). Paediatricians (53.1%) and child safeguarding doctors (21.9%) most frequently contacted DECCA. The two most common reasons for referral were presence of injury/skin lesions (n=592) and clinical history inconsistent with findings (n=145). The most common injuries were bruises (264) and non-skull fractures (166). Outcome of DECCA evaluation was almost certainly no or improbable child abuse in 35.7%; child abuse likely or almost certain in 24.3%, and unclear in 12%. The advisee evaluations (response rate 50%) showed that 93% experienced added value and that 100% were (very) satisfied with the advice.ConclusionData show growing interest in the expertise of DECCA through the years. DECCA seems to be a valuable addition to Dutch child protection, since advisee value the service and outcome of DECCA evaluations. In almost half of the cases, DECCA concluded that child abuse could not be substantiated.

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Assessments carried out by a child abuse and neglect team in an Amsterdam teaching hospital led to interventions in most of the reported cases

Cited by 13 publications

References 31 publications

Recognition of child maltreatment in emergency departments in Europe: Should we do better?

Recognition of child maltreatment in emergency departments in Europe: Should we do better?

What Do Child Abuse and Neglect Medical Evaluation Consultation Notes Tell Us?

Implementation of the Dutch expertise centre for child abuse: descriptive data from the first 4 years

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