Child maltreatment identification rates in a child development center: suggestions for improved detection.
Under-identification of child maltreatment (CM) remains a significant problem. The study aim was to examine rates of CM identification in a child development center (CDC) vs. a community clinic (CC). This was a cross-sectional study, involving study (CDC) and comparison groups (CC) and using adminis...
| Published in: | European Journal of Pediatrics Vol. 177; no. 7; pp. 1081 - 1088 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
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Springer Nature
Jul2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130126146&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130126146 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03406199 CR1 jtl: European Journal of Pediatrics issn: 03406199 maglogo: N pubinfo: dt: Jul2018 vid: 177 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 130126146 130126146 NLM29730828 130126146 10.1007/s00431-018-3163-5 NLM29730828 130126146 ppf: 1081 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Child maltreatment identification rates in a child development center: suggestions for improved detection. aug: au: Schertz, Mitchell Karni-Visel, Yael Hershkowitz, Irit Flaisher, Michal Hershkowitz, Fabienne affil: Child Development and Pediatric Neurology Service, Meuhedet-Northern Region, Simtat Atlit 6, 33501, Haifa, Israel sug: subj: Community Health Centers Statistics and Numerical Data Child Abuse Diagnosis Child Health Services Statistics and Numerical Data Children with Disabilities Statistics and Numerical Data Child, Preschool Female Infant Adolescence Child Abuse Cross Sectional Studies Child Male Funding Source Human Child, Preschool: 2-5 years Infant: 1-23 months Adolescent: 13-18 years Child: 6-12 years Female Male ab: Under-identification of child maltreatment (CM) remains a significant problem. The study aim was to examine rates of CM identification in a child development center (CDC) vs. a community clinic (CC). This was a cross-sectional study, involving study (CDC) and comparison groups (CC) and using administrative data for the period 2011-2015. The study group consisted of children 0-18 years belonging to the Meuhedet Health Maintenance Organization (HMO)-Northern Region, who attended the CDC, including satellite clinics, for assessment/treatment. The CDC employed a multi-disciplinary approach to improve CM identification. The comparison group consisted of children with a disability belonging to the HMO, who attended a CC, but were not known to the CDC. Rates of CM identification, socio-demographic characteristics, and disability severity were compared. CM identification during the study period was 2.1% for the CDC vs. 0.8% for the CC. Children visiting the CDC had five times higher odds to be identified with suspected CM than children in the CC, after adjusting for age, gender, socioeconomic status, ethnicity, and disability severity.Conclusion: CM identification rates in children with disability were higher in a CDC vs. CC. The approach used in the CDC may significantly improve CM identification in children with disability. What is Known: • There is significant under-identification of CM. What is New: • By examining child maltreatment identification rates in a child development center vs. the community, the study found that a multi-disciplinary staff approach can significantly improve CM Identification. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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