Characteristics of Children Reported to Child Protective Services for Medical Neglect

Fortin, Kristine; Kwon, Soyang; Pierce, Mary Clyde

doi:10.1542/hpeds.2015-0151

Cited by 28 publications

(14 citation statements)

References 21 publications

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“…Conclusively, risk factors identified in this study are private insurance coverage, family economy, disability of child, and education of parent(s), as were similarly found in the relevant studies. Prior studies report that medical neglect mostly occurs when insufficient financial resources are associated with high medical demands such as low-birth weight infants or high risk children with low insurance coverage and long hospitalization [4,9,11,18,19]. Contrarily, parents sustained medical neglect with full coverage of private insurance in this study.…”

Section: Journal Of Health Informatics and Statisticsmentioning

confidence: 74%

“…This causes excessive medical expenditure as well as over burden on medical personnel at work. Medical neglect occurs not only with family economy and insurance coverage but also with births of unwanted babies like disabled children [13,19]. In this study, the parents strongly obstructed the medical actions for their child with disability and discharged against all warnings from the professionals.…”

Section: Journal Of Health Informatics and Statisticsmentioning

confidence: 81%

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Medical Neglect by Parents and Child Health at Clinical Sites

Seo¹,

Choi²,

Hwa-Ok³

2020

J Health Info Stat

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During the last a few years, so-called 'An-A-Ki' (i.e., raising kids without medicine and medical treatment) emerged as social issue on mass media in Korea. It calls the group of parents who refuse medicine and medical treatment, or withhold medical action such as vaccination necessary for children. Their intention is to prevent misuse/overuse of medicine and side effects of antibiotics, using natural treatment instead. The problem lies in using medically and scientifically unverified extreme therapies or folk medicines. This kind of acts predicts an increased risk against child health. Further worse, they send inflicted children to kindergarten and may infect other children.

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Section: Journal Of Health Informatics and Statisticsmentioning

confidence: 74%

Section: Journal Of Health Informatics and Statisticsmentioning

confidence: 81%

Medical Neglect by Parents and Child Health at Clinical Sites

Seo¹,

Choi²,

Hwa-Ok³

2020

J Health Info Stat

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“…This statistic is likely an underrepresentation, as children who experience medical neglect along with another subtype of maltreatment (i.e., physical or sexual) are reported in a separate, combined category making it difficult to fully appreciate the impact of medical neglect (5). The lack of disease-specific guidelines for managing or reporting medical neglect and wide variation among state reporting requirements have added to the complexity of determining medical neglect (6). Mental health neglect, defined as "limiting a child's access to necessary mental health care because of reasons other than inadequate resources" (4) does not capture the complexity of the factors that may contribute to its diagnosis.…”

Section: Introductionmentioning

confidence: 99%

The Role of Parental Capacity for Medical Decision-Making in Medical Ethics and the Care of Psychiatrically Ill Youth: Case Report

et al. 2020

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Introduction: Parents/legal guardians are medical decision-makers for their minor children. Lack of parental capacity to appreciate the implications of the diagnosis and consequences of refusing recommended treatment may impede pediatric patients from receiving adequate medical care. Child and adolescent psychiatrists (CAPs) need to appreciate the ethical considerations relevant to overriding parental medical decision-making when faced with concerns for medical neglect. Methods: Two de-identified cases illustrate the challenges inherent in clinical and ethical decision-making reflected in concerns for parental capacity for medical decision-making. Key ethical principles are reviewed. Case 1: Treatment of an adolescent with an eating disorder ethically complex due to the legal guardian's inability to adhere with treatment recommendations leading to the patient's recurrent abrupt weight loss. Case 2: Questions of parental decisional capacity amid treatment of an adolescent with schizoaffective disorder raised due to parental mistrust of diagnosis, disagreement with treatment recommendations, and lack of appreciation of the medical severity of the situation with repeated discharges against medical advice and medication nonadherence. Discussion: Decisions to question parental capacity for medical decision-making when risk of imminent harm is low but concern for medical neglect exists are controversial. Systematic review of cases concerning for medical neglect benefits from the assessment of parental decisional capacity, review of ethical standards and principles. Conclusion: Recognition of the importance of parental decision-making capacity as relates to parental autonomy and medical neglect and understanding key ethical principles will enhance the CAP's capacity in medical decision-making when stakes are high and absolute recommendations are lacking.

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“…Families of color, especially Black families, are disproportionately reported to CPS for child abuse, revealing a major consequence of subjective bias in assessing parental adequacy [2]. A pediatrician may, for example, misattribute a parent's confusion about a child's treatment plan to noncompliance and medical neglect [1]. A CPS referral in such an instance draws a line between the medical treatment team -in the role of benevolent advocate of the child's wellbeing -and the obstructionist, perhaps abusive parent.…”

mentioning

confidence: 99%

Mandated Reporters: The Ethical Education of Medical Students on Pediatrics Clerkship

Schecter

2021

ISMMS Journal of Science and Medicine

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Medical students are taught to cherish the ethical mandate to "do no harm." However, the competency to actualize this mandate -or at least theorize how -is not always available to students on pediatrics clerkship when they encounter situations suspicious for child abuse. Mandated reporter training for medical students is largely perfunctory and does not prepare students to identify or document instances of suspected child abuse. Such training approaches students from the threatening angle that they can face punitive measures if they fail to report suspected abuse. In the absence of more thorough, ethics-driven training, students learn informally about their responsibilities as mandated reporters by observing pediatricians communicate about their own interactions with Child Protective Services (CPS), if the topic arises during clerkship.

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Characteristics of Children Reported to Child Protective Services for Medical Neglect

Cited by 28 publications

References 21 publications

Medical Neglect by Parents and Child Health at Clinical Sites

Medical Neglect by Parents and Child Health at Clinical Sites

The Role of Parental Capacity for Medical Decision-Making in Medical Ethics and the Care of Psychiatrically Ill Youth: Case Report

Mandated Reporters: The Ethical Education of Medical Students on Pediatrics Clerkship

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