Pediatric sexual abuse evaluations fo rmedical providers

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Yale New Haven Children's Hospital takes the role of protecting the health and well being of children very seriously by committing itself to fighting and preventing child abuse and neglect. Dedicated clinicians provide evaluation and comprehensive treatment in the most sensitive manner to children and adolescents who may have been physically or sexually abused or neglected. A child life specialist trained in child development provides age-appropriate preparation for the forensic interview and medical examination in suspected cases of sexual abuse.

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As a health care provider, social service professional or law enforcement representative, you may refer a child to us for care. During business hours 8 a. Monday through Friday call

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Skip to content. When sexual assault is known or suspected, it can be confusing and overwhelming for everyone involved. It is one of the few programs of its kind designed for a pediatric population.

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A physician or other health care provider confronted with a case of alleged pediatric sexual abuse usually relies on pertinent historical factors to guide both the examination and the collection of forensic evidence. Information obtained from the child and others, along with findings from the physical exam, will determine what should be collected during the separate medical and forensic investigations. Throughout the process, the physician should act as a patient advocate, working to diagnose, treat, and reassure. The physician can do a great deal to reassure both child and family in cases of suspected child abuse.

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The Division of Pediatric Forensic Medicine offers assessment and treatment for pediatric and adolescent patients with concern for possible child maltreatment. Our goal is to identify and prevent child abuse as well as assist in identifying conditions that may mimic child abuse. Services include consultation and follow-up evaluations.

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Child abuse is a common diagnosis in the United States and should be considered any time neglect or emotional, physical, or sexual abuse is a possibility. Although home visitation programs have been effective in preventing child maltreatment, much of the approach to and management of child abuse is directed by expert opinion or legal mandate. Any suspicion of abuse must be reported to Child Protective Services.

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Many clinicians lack specific training in this area, and the legal profession is often confronted with an array of self-identified experts who have emerged to fill the void. Unfortunately, these evaluators often use inadequate diagnostic techniques and fail to evaluate the child within the context of the family. If conclusions are drawn on the basis of inadequate and insufficient information, children may be harmed, parent-child relationships seriously damaged, and these cases contaminated to the point that courts and other professionals have great difficulty sorting out what did or did not occur.

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Our specialists provide evaluations for neglect, physical abuse and sexual abuse in a clinic environment. Care teams typically consist of a board-certified pediatric emergency physician, a medical assistant, a medical social worker and a program manager, all of whom are skilled in helping children who may be victims of abuse. Approximately 1, children are seen at the program each year. MyHealth gives you access to your child's medical records.

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Other kinds of health providers, such as family medicine or emergency physicians and nurse practitioners, may also have expertise in child abuse pediatrics. Because of their special training and skills, child abuse pediatricians are the doctors most able to help determine if and how a child was injured. Child abuse pediatricians gather medical history from parents and families, talk to children, examine children, review blood tests, x-raysand other tests, and may order and review additional tests.

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The Child Protection Program at Indiana University School of Medicine includes multi-disciplinary clinical services and professional education to improve the evaluation and care of maltreated children. Faculty members support and are supported by an expert team of nurses, social workers, health educators and ancillary staff. Our team offers consultation to health care providers, child protection services, law enforcement and other professionals in cases of suspected child maltreatment.

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