Two years into COVID-19: What do we know so far about child maltreatment in times of a pandemic and what else should be explored?

Katz, Carmit; Fallon, Barbara

doi:10.1016/j.chiabu.2022.105546

Cited by 13 publications

(5 citation statements)

References 14 publications

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“…Public health measures for reducing the spread and impacts of COVID-19 have exacerbated risk factors for CM; these risk factors include economic uncertainty and instability due to employment layoffs, limited access to health care and social services, as well as reduced availability of support systems, including friends and relatives to support families with childcare [ 44 , 45 ]. Rigorous evidence to corroborate these concerns on a global scale is only just emerging [ 46 ]. To this end, there is an urgent need to identify the barriers and facilitators to effectively prepare resident physicians for clinical encounters where CM is an issue.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Description of Resident Physicians’ Understanding of Child Maltreatment: Impacts, Recognition, and Response

Laupacis

Acai

MacMillan

et al. 2022

IJERPH

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Child maltreatment (CM) is a public health problem with devastating effects on individuals, families, and communities. Resident physicians have varied formal education in CM, and report feeling inadequately trained in identifying and responding to CM. The purpose of this study is to explore residents’ understanding of the impacts of CM, and their perceptions of their role in recognizing and responding to CM to better understand their educational needs. This study analyzed qualitative data obtained from a larger project on family violence education. Twenty-nine resident physicians enrolled in pediatric, family medicine, emergency medicine, obstetrics and gynecology, and psychiatry training programs in Alberta, Ontario, and Québec participated in semi-structured interviews to elicit their ideas, experiences, and educational needs relating to CM. Conventional (inductive) content analysis guided the development of codes and categories. Residents had thorough knowledge about the impacts of CM and their duty to recognize CM, but there was less consistency in how residents understood their role in responding to CM. Residents identified the need for more education about recognizing and responding to CM, and the need for educational content to be responsive to training, patient and family factors, and systemic issues. Despite knowledge about the impacts of CM and laws pertaining to mandated reporting, residents reported challenges with responding to concerns of CM. Findings of this study emphasize the need for better training in response to CM. Future educational interventions should consider a multidisciplinary, experiential approach.

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Section: Introductionmentioning

confidence: 99%

A Qualitative Description of Resident Physicians’ Understanding of Child Maltreatment: Impacts, Recognition, and Response

Laupacis

Acai

MacMillan

et al. 2022

IJERPH

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“…Vivemos tempos de crisedesproteções e alterações significativas sociais, econômicas, políticas, psicológicas e relacionais -, a qual é resultante não apenas de um contexto pós-pandêmico ocasionado pela Covid-19, mas de um histórico anterior de fragilidades no campo da proteção de crianças e adolescentes. Muitas pesquisas foram realizadas durante essa pandemia, as quais versam sobre a ampliação das desigualdades e vulnerabilidades no campo da saúde mental, da convivência e da proteção infantojuvenil (CARVALHO; PICORNELL-LUCAS, 2022;FALLON, 2022). Apesar de parecer que discorremos de um tempo passado quando falamos sobre a pandemia ocasionada pelo SARS-CoV-2 (COVID-19), carregamos marcas tão presentes e tão históricas ao mesmo tempo porque vivenciamos uma crise pandêmica em outra crise já existente de saúde e de proteção social, além de vivermos tempos de conflitos mundiais e de riscos para crianças, adolescentes e suas famílias.…”

Section: Introductionunclassified

“…Tal situação intensificou desproteções relacionais com sobrecarga emocional e/ou física com diversos reflexos, em especial, nas mulheres, com a redução da rede de apoio e a ampliação da necessidade de cuidar, gerando, muitas vezes, estresse parental (GRIFFITH, 2022;WU;XU, 2020). Nesse período, algumas pesquisas mostraram redução de denúncias de violência contra crianças e adolescentes considerando a diminuição do acesso à rede de proteção e o aumento dos obstáculos para a identificação de situações de desproteção infantil (CAMPBELL, 2020;FALLON, 2022;MARTINS-FILHO et al, 2020). , 1999).…”

Section: Introductionunclassified

Processes of Deprotection and Protection of Children, Adolescents and Their Families – An Analysis of Multiple Evidence of the Consequences of the Pandemic

Coelho,

Conceição

2024

Arq. Ciênc. Saúde Unipar

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O objetivo deste artigo é apresentar uma visão geral de múltiplas evidências, levantadas de forma sistemática na literatura, sobre processos de desproteção de crianças, adolescentes e suas famílias, bem como estratégias de proteção e atuação durante a crise sanitária causada pela Covid-19 e no contexto pós-pandêmico. Para tanto, foram selecionados 13 artigos de revisão, entre 2020 e 2023, os quais trazem os principais aspectos que incidem nas desproteções de crianças e adolescentes, afetando a saúde mental, a convivência familiar e comunitária, bem como estratégias de intervenção para o enfrentamento dessas situações. Assim, este estudo traz uma discussão que pode ser subsídio para que profissionais do campo da proteção infantojuvenil possam planejar ações diante dos reflexos da crise pandêmica, política, social e econômica nos últimos tempos. Os efeitos das desproteções ligadas à insegurança de renda, à falta de acesso aos serviços, à redução de autonomia e a problemas de saúde mental ampliaram desproteções relacionais e contextos de violência. Por outro lado, o acesso a serviços e políticas públicas, com apoio às famílias, é o que a literatura destaca para ampliar a proteção infantojuvenil. Portanto, é fundamental identificar demandas para a busca de atuações com foco na melhoria das ofertas de serviços e na promoção de espaços de convivências protetivas.

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“…During the COVID-19 pandemic, each country deployed measures to slow down the spread of the disease, such as initial lockdowns, then more or less strict curfews, social distancing, and teleworking etc. Katz et al have highlighted the need for additional research to describe precisely the impact of the COVID-19 pandemic on children and their families ( Katz & Fallon, 2022 ). Limitations on going outdoors (including public green spaces or children's play areas) with restrictive permits may have led to difficulties due to keeping children at home.…”

Section: Introductionmentioning

confidence: 99%

The monthly incidence of abusive head trauma, inflicted skeletal trauma, and unexplained skin lesion in children in six French university hospitals during the COVID-19 pandemic

Obry

Roman

Tavernier

et al. 2023

Child Abuse & Neglect

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Two years into COVID-19: What do we know so far about child maltreatment in times of a pandemic and what else should be explored?

Cited by 13 publications

References 14 publications

A Qualitative Description of Resident Physicians’ Understanding of Child Maltreatment: Impacts, Recognition, and Response

A Qualitative Description of Resident Physicians’ Understanding of Child Maltreatment: Impacts, Recognition, and Response

Processes of Deprotection and Protection of Children, Adolescents and Their Families – An Analysis of Multiple Evidence of the Consequences of the Pandemic

The monthly incidence of abusive head trauma, inflicted skeletal trauma, and unexplained skin lesion in children in six French university hospitals during the COVID-19 pandemic

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