Predicting the decisions of hospital based child protection teams to report to child protective services, police and community welfare services

Benbenishty, Rami; Jedwab, Merav; Chen, Wendy; Glasser, Saralee; Slutzky, Hanna; Siegal, Gil; Lavi-Sahar, Zohar; Lerner‐Geva, Liat

doi:10.1016/j.chiabu.2013.06.011

Cited by 30 publications

(34 citation statements)

References 49 publications

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“…The finding that infants are the most commonly referred group of children from hospitals is consistent with other studies that suggest that younger children are more likely to be identified as at-risk in healthcare settings 6 15 31. Infants are particularly vulnerable to the deleterious impact of maltreatment on their physical safety and well-being and are more likely to be admitted to hospital for child maltreatment’s most dire consequences, injury and death 13.…”

Section: Discussionsupporting

confidence: 81%

Trends in investigations of abuse or neglect referred by hospital personnel in Ontario

Fallon¹,

Filippelli²,

Joh-Carnella³

et al. 2019

bmjpo

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BackgroundThere is a dearth of literature surrounding mandated reporters to child welfare services in the Canadian context. This paper examines 20 years of reporting patterns from hospitals, which represent 5% of all referrals to child welfare services in Ontario.MethodsThe Ontario Incidence Study of Reported Child Abuse and Neglect (OIS) is a representative study that has taken place every 5 years since 1993. The OIS is a multistage cluster sample design, intended to produce an estimate of reported child abuse and neglect in the year the study takes place.ResultsThere have been significant changes in referral patterns over time. Hospital referrals in 2013 are more likely to involve a concern of neglect, risk of maltreatment or exposure to intimate partner violence. In 1993, children were more likely to be referred from a hospital for a concern of physical abuse. Between 1993 and 1998, there was a significant drop in the number of sexual abuse investigations referred from a hospital. Hospitals have low rates of substantiation across all of the OIS cycles.ConclusionThis is the first study to examine hospital-based referral patterns in Canada. The relatively low percentage of hospital referrals across the cycles of the OIS is consistent with the extant literature. The findings warrant further discussion and research. This study is foundational for future research that can assist in identifying and developing responses across sectors that meet the complex needs of vulnerable families and that ultimately promote children’s safety and well-being.

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Section: Discussionsupporting

confidence: 81%

Trends in investigations of abuse or neglect referred by hospital personnel in Ontario

Fallon¹,

Filippelli²,

Joh-Carnella³

et al. 2019

bmjpo

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“…These findings indicate that central district general hospitals with birth facilities capable of treating cases at risk of experiencing CAN should organize advanced hospital-based CPTs that include obstetricians, neonatologists, midwives, and psychiatrists. In addition, several studies of other countries’ hospitals have reported that CPTs should consist of mental health specialists such as psychiatrists or psychologists 13 , 22 or child and adolescent psychiatrists and psychologists. 11 , 12 Given our findings and the results of the previous studies mentioned earlier, it is clear that CPTs should be proactively involved from the antenatal period with pregnant women, along with their partners and families, who are at risk of engaging in CAN, and that regular members of hospital-based CPTs should be not only pediatricians and pediatric nurses but also professionals engaged in pregnancy and delivery and/or psychologists or psychiatrists; the number of members of each profession should be in proportion to each hospital’s size.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have reported that members of CPTs can have various professions, with variations evident between hospitals, regions, and countries. 11 – 13 Darlington et al reported that, to effectively assist children and their parents, child protection services must engage in interagency collaboration with mental health professionals. 14 However, according to the Japan’s first hospital-based CPT manual, which was published in 2011, pediatricians, medical social workers, and nurses of emergency outpatient units and pediatrics departments are defined as core members of CPT, with pediatric psychiatrists and psychologists categorized as extended members; moreover, psychiatrists are categorized as supplemental members, along with otorhinolaryngologists, urologists, and medical clerks.…”

Section: Introductionmentioning

confidence: 99%

Hospital-based child protection teams that care for parents who abuse or neglect their children recognize the need for multidisciplinary collaborative practice involving perinatal care and mental health professionals: a questionnaire survey conducted in Japan

Okato

Hashimoto

Tanaka

et al. 2018

JMDH

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BackgroundChild abuse and/or neglect is a serious issue, and in many cases, parents are the perpetrators. Hospital-based child protection teams (CPTs) play pivotal roles in the management of not only abused and/or neglected children but also of their parents; this is generally conducted through multidisciplinary practice. The aim of this study is to survey hospital-based CPT members to determine the professions they perceive to be most applicable to participation in CPTs.Participants and methodsThe participants were members of CPTs affiliated with hospitals that had pediatric emergency departments and which were located in Chiba Prefecture; specifically, 114 CPT members from 23 hospitals responded to this survey. The two main questionnaire items concerned are as follows: 1) each respondent’s evaluation of conducting assessments, providing support, and implementing multidisciplinary collaborative practice in the treatment of abusive and negligent parents, and 2) each CPT member’s opinion on the professions that are most important for CPT activities. An exploratory factor analysis (EFA) was performed to explore the factor structure of the data, and a correlation analysis was performed using the result obtained.ResultsThe EFA returned two factors: multidisciplinary collaborative practice (α = 0.84) and assessment and support (α = 0.89). A correlational analysis showed that multidisciplinary collaborative practice had a positive correlation for obstetricians (r = 0.315, p = 0.001), neonatologists (r = 0.261, p = 0.007), midwives (r = 0.248, p = 0.011), and psychiatrists (r = 0.194, p = 0.048); however, assessment and support was only significantly correlated with midwives (r = 0.208, p = 0.039).ConclusionThis study showed that hospital-based CPT members highly evaluate multidisciplinary collaborative practice for the management of abusive and/or negligent parents, and they believe that, in addition to pediatric physicians and nurses, perinatal care and mental health professionals are the most important participants in advanced CPT activities.

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“…Thus, appropriate social, legal, medical and educational responses in keeping with community systems should be design and adopted for non-accidental TBI that could provide a research opportunity in child protection as seen in other communities with standard child protection laws. [ 24 25 ]…”

Section: Discussionmentioning

confidence: 99%

Menace of childhood non-accidental traumatic brain injuries: A single unit report

Ibrahim¹,

Mu'azu²,

Idris³

et al. 2015

Afr J Paediatr Surg

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Background:Childhood traumatic brain injury (TBI) has high rate of mortality and morbidity worldwide. There are dearths of reports from developing countries with large paediatric population on trauma; neurosurgery trauma of nonaccidental origin is not an exemption. This study analysed menace of non-accidental TBI in the paediatric population from our center.Materials and Methods:This is a single unit, retrospective study of the epidemiology of non-accidental TBI in children starting from September, 2008 to March, 2014. The management outcomes of the epidemiology of the non-accidental TBI were analysed.Results:Total of 109 children age range from 0 (intra-natal) to 16 years with a mean of 5.8 ± 4.6 years (median, 5 years) were enrolled into the study. 34 (31.2%) were domestic violence, 26 (23.9%) street assaults, 16 (14.7%) were due to animal assaults and mishaps, 17 (15.6%) fall from heights. Seven (6.4%) cases of collapsed buildings were also seen during the period. Four (3.7%) industrial accidents and two (1.8%) were self-inflicted injuries. There were also three (2.8%) cases of iatrogenic TBI out of which two infants (1.8%) sustained TBI from cesarean section procedure while one patient (0.9%) under general anaesthesia felt from the operation bed resulting to severe TBI.Conclusion:Child abuse, unprotected child labour, parental/care-givers negligence are the main cause of nonaccidental TBI. Human right activists and government agents should be incorporated in curtailing the menace.

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Predicting the decisions of hospital based child protection teams to report to child protective services, police and community welfare services

Cited by 30 publications

References 49 publications

Trends in investigations of abuse or neglect referred by hospital personnel in Ontario

Trends in investigations of abuse or neglect referred by hospital personnel in Ontario

Hospital-based child protection teams that care for parents who abuse or neglect their children recognize the need for multidisciplinary collaborative practice involving perinatal care and mental health professionals: a questionnaire survey conducted in Japan

Menace of childhood non-accidental traumatic brain injuries: A single unit report

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