Addressing the Clinical Burden of Child Physical Abuse and Neglect in a Large Metropolitan Region: Improving the Evidence-Base

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dc.contributor.authorRaman, S., Maiese, M., Hurley, K., & Greenfield, D.
dc.date.accessioned2014-12-29T15:28:35Z
dc.date.available2014-12-29T15:28:35Z
dc.date.issued2014
dc.description.abstractChildren at risk of abuse are more likely to be hospitalized and utilize health services according to international research. In a large metropolitan health region in New South Wales, Australia, there was little known of the clinical burden of child physical abuse and/or neglect (PAN), or of systems for clinical assessment of children presenting with abuse/neglect. We aimed to identify the number of children presenting with suspected PAN to emergency departments (EDs) and paediatric services in this region, to determine enablers and barriers to assessment for children with PAN presenting to frontline services, and to identify best practices to address gaps. We collated available data on children presenting to EDs and paediatric services with suspected PAN in 2007. We interviewed 36 health professionals from nine hospitals and 12 statutory child protection professionals, across the region before undertaking relevant document analysis. Of 64,700 paediatric ED presentations, a quarter were due to injury; 2%–5% of these were due to maltreatment. Clinician estimates and assessments of PAN varied widely; health and welfare workers identified major practice gaps, as well as good local practice. We identified feasible minimum standards for improving clinical assessment and follow-up for children presenting with PAN, given the right organizational support.en_US
dc.identifier.citationRaman, S., Maiese, M., Hurley, K., & Greenfield, D. (2014). Addressing the Clinical Burden of Child Physical Abuse and Neglect in a Large Metropolitan Region: Improving the Evidence-Base. Social Sciences, 3(4), 771-784.en_US
dc.identifier.urihttp://www.mdpi.com/2076-0760/3/4/771
dc.identifier.urihttp://hdl.handle.net/11212/2011
dc.language.isoenen_US
dc.publisherSocial Sciencesen_US
dc.subjectchild abuseen_US
dc.subjectneglecten_US
dc.subjectchild maltreatmenten_US
dc.subjectchild welfareen_US
dc.subjectquality improvementen_US
dc.subjectauditen_US
dc.subjecthealth servicesen_US
dc.subjectemergency health servicesen_US
dc.subjectsystems improvementen_US
dc.titleAddressing the Clinical Burden of Child Physical Abuse and Neglect in a Large Metropolitan Region: Improving the Evidence-Baseen_US
dc.typeArticleen_US

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