The Diagnosis of Child Sexual Abuse

Dubowitz, Howard; Black, Maureen M.; Harrington, Donna

doi:10.1001/archpedi.1992.02160180046015

Cited by 24 publications

(24 citation statements)

References 30 publications

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“…Our definition does not include suggestive doll play and other fragmentary "partial disclosures" that, when included in research studies, artificially inflate children's "disclosure" rates (e.g. Dubowitz, Black, & Harrington, 1992).…”

Section: Sources Of Informationmentioning

confidence: 99%

The State of the Debate About Children's Disclosure Patterns in Child Sexual Abuse Cases

Olafson

Lederman

2006

Juvenile Family Court J

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In current research studies about the disclosure patterns of sexually abused children, experts agree that most victims delay disclosure for years, often until adulthood. Researchers disagree about disclosure rates and recantation rates among children during formal interviews. Studies of children who had not previously disclosed but are known through corroborative evidence to have been sexually abused show lower rates of disclosure than do studies of children who had disclosed prior to the formal interview. Gradual disclosures among children are common, and more than a single interview may be necessary in some cases. Prior disclosure, level of support by non‐offending parents, developmental level, and relationship to perpetrator affect children's rates of disclosure and their disclosure patterns. More research is necessary to clarify children's post‐disclosure recantation rates and predictors.

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Section: Sources Of Informationmentioning

confidence: 99%

The State of the Debate About Children's Disclosure Patterns in Child Sexual Abuse Cases

Olafson

Lederman

2006

Juvenile Family Court J

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“…Because skin lesions are one of the most common presentations of child abuse, the findings of unexplained skin changes are alarming to healthcare workers, and if not correctly identified as cutaneous mimickers of child abuse, a false diagnosis of child abuse may-and do-result [22]. Such misdiagnoses can lead to serious consequences to the child, the family, and the falsely accused [19]. Irrefutable physical findings of sexual abuse occur in less than 10% of all cases [38].…”

Section: Introductionmentioning

confidence: 99%

Cutaneous mimickers of child abuse: a primer for pediatricians

AlJasser

Al-Khenaizan

2008

Eur J Pediatr

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The annual incidence of child abuse was estimated to be 2.8 million by the national incidence study conducted in the USA in 1993, which is a two-fold increase compared to 1986. Awareness of child abuse has been increasing since the 1960s. Although most victims of child abuse present with cutaneous lesions, many genuine skin diseases may appear as non-accidental injuries which, if not recognized, may lead to misdiagnosis of child abuse. Here, we review the most common cutaneous mimickers of child abuse in order to increase awareness of these disorders and reduce erroneous diagnosis of child abuse.

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“…Overall, the protocol has the potential to improve the conduct of forensic medical examinations by increasing a perceived (Britton, 1998;Dubowitz, Black, & Harrington, 1992) and real need (Frasier et al, n.d.) to promote access to EBT. Moreover, the generalizability of the intervention with regard to its application across a variety of settings and locations is possible, because the intervention incorporates techniques to motivate parents instead of only providing them with direct, prescriptive information about where to find therapists who offer an EBT.…”

Section: Discussionmentioning

confidence: 99%

“…However, assessing whether children have psychological or behavioral problems, or ensuring that the children receive mental health treatment, is not necessarily part of the examinations (Frasier, Olson, Price, Liu, & Gully, n.d.). It has been suggested that sites providing forensic medical examinations for children should have a mental health screening component or connection with a program that provides mental health services (Britton, 1998;Dubowitz, Black, & Harrington, 1992). Forensic medical examinations are a unique point of contact during which there may be an opportunity to empower parents so they access an evidence-based mental health treatment (EBT) for their children.…”

mentioning

confidence: 99%

Increasing Abused Children's Access to Evidence-Based Treatment: Diffusion via Parents as Consumers

2008

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This investigation evaluated an experimental protocol employed by nurses with parents to increase access to evidence-based mental health treatment for children who are suspected victims of abuse. The protocol was compared with typical services during forensic medical examinations, first in a quasi-experimental design, then as a randomized controlled trial. In both studies, the protocol produced a significant increase in parental reports of having discussed evidence-based treatment during a mental health appointment within 1 month after the forensic medical examination. Likewise, both studies showed that the protocol produced a significant increase in parent-reported satisfaction with the forensic medical examination. Similarly, nurses viewed the protocol favorably. These findings suggest that this approach may be sustainable as a standard component of forensic medical examinations for children who are suspected victims of abuse.

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The Diagnosis of Child Sexual Abuse

Cited by 24 publications

References 30 publications

The State of the Debate About Children's Disclosure Patterns in Child Sexual Abuse Cases

The State of the Debate About Children's Disclosure Patterns in Child Sexual Abuse Cases

Cutaneous mimickers of child abuse: a primer for pediatricians

Increasing Abused Children's Access to Evidence-Based Treatment: Diffusion via Parents as Consumers

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