Factors associated with multi-disciplinary case conference outcomes in children admitted to a regional hospital in Hong Kong with suspected child abuse: a retrospective case series with internal comparison

Lo, Wyl; Fung, G Pg; Cheung, P.W.

doi:10.12809/hkmj164960

Cited by 3 publications

(17 citation statements)

References 8 publications

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“…Six studies were exceptional to this trend (Kim et al, 2017; Kistin et al, 2010, 2011; Nigro et al, 2018; Rosado et al, 2017; Whaitiri & Kelly, 2011), and in three, some information was missing (Itzaky & Zanbar, 2014; Ross et al, 2019; Svärd, 2014). Three studies described institutional arrangement by which in-hospital social workers participated in the team on consultation basis only (Nigro et al, 2018; Ross et al, 2019; Svärd, 2014), and in three studies, a social worker from community-based services was a regular member (Higginbotham et al, 2014; Lo et al, 2017; Whaitiri & Kelly, 2011).…”

Section: Resultsmentioning

confidence: 99%

“…Some teams initiated voluntary referrals to health care and support services, for example, in Israel (Benbenishty et al, 2014) and the United States (Kistin et al, 2011). Teams in the Netherlands (Teeuw et al, 2017), Japan (Okato et al, 2018), and Hong Kong (Lo et al, 2017) had a leading role in deciding on welfare and support plans for children and their families. Thus, while for some teams’ recognition of possible SCAN was the end of the process, for others it was only the beginning.…”

Section: Resultsmentioning

confidence: 99%

“…As shown in Table 2, studies encompass several decision-making points along the CM diagnosis process, including initial referral to multiprofessional teams for assessment ( n = 8 studies), teams’ evaluation of possible or confirmed CM ( n = 10 studies), and mandatory reporting suspected CM to state’s protective authorities ( n = 3 studies). In several hospitals, structured artifacts, such as tools protocols and technologies, were designed to support primary screening and referrals to the team ( n = 4 studies; Higginbotham et al, 2014; Kim et al, 2017; Rosado et al, 2017; Teeuw et al, 2017) or the team’s subsequent diagnosis ( n = 2 studies; Kim et al, 2017; Lo et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Examining the clinical characteristics of cases evaluated (with different levels of confidence) as the outcome of CM reveals notable consistency with the literature on CM identification in health care environments (Nouman & Alfandari, 2020). Team members recognized clinical and familial features which were frequently regarded as signs of emerging vulnerability about the child’s condition, these included features of the child (e.g., young age and early developmental problems), family (e.g., prior engagement with child protection service [CPS], marital status and conflicts, and financial hardship), and injury (e.g., severity and repetition of injury; Benbenishty et al, 2014; Jud et al, 2010; Kelly et al, 2015; Kim et al, 2017; Lo et al, 2017; Ravichandiran et al, 2010; Rosado et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

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Processes of Multiprofessional Child Protection Decision Making in Hospital Settings: Systematic Narrative Review

Alfandari

Taylor

2021

Trauma, Violence, & Abuse

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The aim of this systematic narrative literature review is to explore empirical evidence as to how a multiprofessional approach to child protection decision making is implemented in hospitals settings. Child protection cases where there is a suspicious serious injury suspected sexual abuse or serious neglect are often investigated in hospital, involving a number of relevant professions. Five electronic bibliographic databases were used for the search. To be included in the review studies had to be published in a peer-reviewed journal, report on empirical research, be available full text in English, and have used an identifiable research design. The search was restricted to 10 years, from January 1, 2010, to December 31, 2019, and retrieved 6,934 studies. The review includes 26 studies undertaken in 10 countries. In all the hospital-based settings studied, child protection decision-making tasks were assigned to a designated multiprofessional team. However, there was remarkable diversity in models of team structure, regulation of workflow, structured procedures, and standardized tools through which practice was carried out. Research focused on evaluating the teams’ effectiveness in fulfilling their duties which were, first and foremost, the identification of possible child maltreatment. The analysis identifies various systemic approaches and quality improvement methods to promote effective team-based decision-making processes in hospitals. The interactional aspect of collaborative team-based practice was generally missing from the published research. This article discusses next steps for the development of practice, policy, and research to enhance useful multiprofessional child protection team working in hospitals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Processes of Multiprofessional Child Protection Decision Making in Hospital Settings: Systematic Narrative Review

Alfandari

Taylor

2021

Trauma, Violence, & Abuse

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“…Although the above study reported negative results, the Journal accepted this important original study due to its significant clinical implications. Studies that have included negative or inconclusive results, 6,7 or those that are mostly descriptive in nature, 8,9 have been accepted by the Journal owing to their value and interest to readers in clinical practice or healthcare services. Studies with negative results are usually regarded less favourably in the scientific literature.…”

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confidence: 99%

Journal policy on publishing studies with negative results

2019

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Sibling Experiences of Adverse Childhood Experiences: A Scoping Review

Donagh

Taylor

Mushaikhi

et al. 2022

Trauma, Violence, & Abuse

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Adverse childhood experiences (ACEs) are traumatic events during childhood known to affect health and well-being across the life span. The detrimental impact ACEs have on children and young people is well-established. It is also known that 85 to 90% of children have at least one sibling. Using this as the foundation for our inquiry, the purpose of this scoping review was to understand what we currently know about the experiences of siblings living with ACEs. Sibling relationships are unique, and for some the most enduring of experiences. These relationships can be thought of as bonds held together by love and warmth; however, they can also provide scope for undesirable outcomes, such as escalation of conflicts and animosities. This scoping review was conducted following Arksey and O’Malley’s (2005) methodological framework, complemented by the PAGER framework (Bradbury-Jones et al. 2021), offering a structured approach to the review’s analysis and reporting through presenting the Patterns, Advances, Gaps, and Evidence for practice and Research. In June 2020, we searched 12 databases, with 11,469 results. Articles were screened for eligibility by the review team leaving a total of 148 articles meeting the inclusion criteria. Included articles highlighted overwhelming evidence of older siblings shielding younger siblings, and the likelihood that when one sibling experiences adversity, other siblings will be experiencing it themselves or vicariously. The implications of this in practice are that support services and statutory bodies need to ensure considerations are given to all siblings when one has presented with experiencing childhood adversity, especially to older siblings who may take far more burden as regards care-giving and protection of younger siblings. Given that more than half of the included articles did not offer any theoretical understanding to sibling experiences of ACEs, this area is of importance for future research. Greater attention is also needed for research exploring different types of sibling relationships (full, step, half), and whether these influence the impact that ACEs have on children and young people.

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Factors associated with multi-disciplinary case conference outcomes in children admitted to a regional hospital in Hong Kong with suspected child abuse: a retrospective case series with internal comparison

Cited by 3 publications

References 8 publications

Processes of Multiprofessional Child Protection Decision Making in Hospital Settings: Systematic Narrative Review

Processes of Multiprofessional Child Protection Decision Making in Hospital Settings: Systematic Narrative Review

Journal policy on publishing studies with negative results

Sibling Experiences of Adverse Childhood Experiences: A Scoping Review

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