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To determine if the detection of physical abuse in young children with fractures is of uniform high standard in the East Anglia Region of the UK, and whether we can identify areas for improvement in our detection of high-risk groups.. To read the full article, log in using your NHS OpenAthens details.
We assessed whether maternal mental health problems increased rates for child injury during the preschool years and mid-childhood, and the extent to which associations could be accounted for by a range of potential explanatory factors.. To read the full article, log in using your NHS OpenAthens details.
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This guidance sets out the full process that follows the death of a child who is normally resident in England. It builds on the statutory requirements set out in Working together to safeguard children and clarifies how individual professionals and organisations across all sectors involved in the child death review should contribute to reviews.
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Psychological Trauma: Theory, Research, Practice, and Policy (May 3, 2018): No Pagination Specified.
Objective: Caring for children in foster or adoptive care with behavioral health needs can severely stress parents, contributing to adverse outcomes for children and families. Trauma-informed services from the child welfare and mental health sectors may help prevent poor outcomes by helping children and parents identify and understand trauma and its impact on children’s behavioral health and receive effective treatment. To help understand the role of trauma-informed services for the child welfare population, we examined whether trauma-informed child welfare and mental health services moderated the relationship between children’s behavioral health needs and parent satisfaction and commitment.. To read the full article, log in using your NHS OpenAthens details.
Police-recorded sexual offences against children and young people (CYP) increased 85% in the UK between 2010/2011 and 2014/2015. Many children delay disclosure, but little data are available regarding characteristics of CYP presenting with historic child sexual abuse (CSA).. To read the full article, log in using your NHS OpenAthens details.
Editorial. The article by Al-Jilaihawi and colleagues1 is an important reminder of the scale of child sexual abuse (CSA), both acute and non-acute. As paediatricians, our understanding and clinical management of ‘historic’ child sexual abuse leave much to be desired. The authors identified clinical characteristics of children and young people presenting with a suspicion or allegation of historic CSA, which they define as ‘within 7 days of the last episode of sexual assault in pubertal girls, or within 3 days for prepubertal girls and boys of all ages’. This definition appears to be based on the timing of forensic samples after the last sexual act.. To read the full article, log in using your NHS OpenAthens details.
The Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) has recently published what they purported to be a systematic review of the literature on ‘isolated traumatic shaking’ in infants, concluding that ‘there is limited evidence that the so-called triad (encephalopathy, subdural haemorrhage, retinal haemorrhage) and therefore its components can be associated with traumatic shaking’. This flawed report, from a national body, demands a robust response. The conclusions of the original report have the potential to undermine medico-legal practice. We have conducted a critique of the methodology used in the SBU review and have found it to be flawed, to the extent that children’s lives may be put at risk. Thus, we call on this review to be withdrawn or to be subjected to international scrutiny.. To read the full article, log in using your NHS OpenAthens details.
Perplexing medical presentations encompass many situations encountered by paediatricians, where a child is reported to have symptoms or disabilities that impact significantly on their everyday functioning, and yet thorough medical evaluation has not revealed an adequate and realistic medical explanation. Unlike in other medically unexplained symptoms (MUS), the parent(s) are reluctant to support a rehabilitative approach to the child and insist on continued investigations. The clinicians dealing with the child are, in addition, alert to the possibility that there may be an unusual and potentially harmful parent-child interaction that is causing or perpetuating the presentation.1 If any of the professionals involved with the child becomes concerned that the child may be suffering (or at risk of) significant harm, and if that concern cannot be quickly and easily resolved, then under current safeguarding procedures a referral should be made to Children’s Social Care. These will be managed under existing fabricated or induced illness (FII) guidelines and procedures...... To read the full article, log in using your NHS OpenAthens details.
Misdiagnosis of abusive head trauma (AHT) has serious consequences for children and families. This systematic review identifies and compares clinical prediction rules (CPredRs) assisting clinicians in assessing suspected AHT.. To read the full article, log in using your NHS OpenAthens details.
The Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) has recently published what they purported to be a systematic review of the literature on ‘isolated traumatic shaking’ in infants, concluding that ‘there is limited evidence that the so-called triad (encephalopathy, subdural haemorrhage, retinal haemorrhage) and therefore its components can be associated with traumatic shaking’. This flawed report, from a national body, demands a robust response. The conclusions of the original report have the potential to undermine medico-legal practice. We have conducted a critique of the methodology used in the SBU review and have found it to be flawed, to the extent that children’s lives may be put at risk. Thus, we call on this review to be withdrawn or to be subjected to international scrutiny.. To read the full article, log in using your NHS OpenAthens details.
Families, Systems, & Health Vol. 35, Iss. 4, (Dec 2017): 420-429.
Introduction: Adverse childhood experiences (ACEs) have lifetime consequences for health and development. This study examined whether there is evidence to support a screening approach that assesses children’s current exposures to risks that act as proxies for ACEs, measured in a way that falls below a threshold of explicit abuse, neglect, or illegal behavior.. To read the full article, log in using your NHS OpenAthens details.
Editorial. The article by Al-Jilaihawi and colleagues1 is an important reminder of the scale of child sexual abuse (CSA), both acute and non-acute. As paediatricians, our understanding and clinical management of ‘historic’ child sexual abuse leave much to be desired. The authors identified clinical characteristics of children and young people presenting with a suspicion or allegation of historic CSA, which they define as ‘within 7 days of the last episode of sexual assault in pubertal girls, or within 3 days for prepubertal girls and boys of all ages’. This definition appears to be based on the timing of forensic samples after the last sexual act. . To read the full article, log in using your NHS OpenAthens details.