Detection of child abuse by Dutch preventive child-healthcare doctors and nurses: Has it changed?

Abstract

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Early Detection of Psychosocial Problems in Children Aged 5 to 6 Years by Preventive Child Healthcare: Has It Improved?

“…Reijneveld et al concluded the same in a study on trends in the rate of detection of suspected child maltreatment (3-12 years old) by CHPs. 9 At first sight, our findings contradict another previous study of the quality of diagnostic skills of CHPs. 16 Wiefferink et al 16 conducted an RCT on the effect of training CHPs to improve diagnostic competence and found an improvement on the first Table II.…”

“…Thirty-four percent of the children were 5-6 years old. 9 The 3 studies used the same 2-step data collection procedure. First, PCH services were asked to participate.…”

“…1,[7][8][9] CHPs failed to identify psychosocial problems in about half the children whose parents reported serious problems on the Child Behavior Checklist (CBCL). 1,8 In the past 2 decades, there has been an increasing awareness of the importance of the early identification by PCH of psychosocial problems in children.…”

Work Experience and Style Explain Variation Among Pediatricians in the Detection of Children With Psychosocial Problems

“…1,[7][8][9] Preventive pediatricians failed to identify psychosocial problems in approximately one-half the children whose parents reported serious problems on the Child Behavior Checklist (CBCL). 1,8 Vogels et al 10 show that the proportion of children identified as having problems varies widely between individual preventive pediatricians.…”

Nurses' perceptions about child abuse

“…Child abuse has serious consequences at both the personal and community levels. This includes the physical and psychological consequences on the abused child (Keane & Chapman 2008, Reijneveld et al 2008). Child abuse is also associated with the likeli-hood of criminal and abusive action from these victims to society in future, such as drug addiction and violence (Thurston 2006).…”