A5073707847- Child Abuse and Trauma
- Child Abuse and Related Trauma
- Homicide, Infanticide, and Child Abuse
- Child and Adolescent Health
- Restraint-Related Deaths
- Homelessness and Social Issues
- Migration, Health and Trauma
- Ethics and Legal Issues in Pediatric Healthcare
- Child Welfare and Adoption
- Child and Adolescent Psychosocial and Emotional Development
- Suicide and Self-Harm Studies
- Sex work and related issues
- Injury Epidemiology and Prevention
- Sexual Assault and Victimization Studies
- Body Image and Dysmorphia Studies
- Pediatric Pain Management Techniques
- Gun Ownership and Violence Research
- HIV, Drug Use, Sexual Risk
- Prenatal Substance Exposure Effects
- Traumatic Ocular and Foreign Body Injuries
- Emergency and Acute Care Studies
- Childhood Cancer Survivors' Quality of Life
- Palliative Care and End-of-Life Issues
- Mercury impact and mitigation studies
- Healthcare Decision-Making and Restraints
Northwestern University
2002-2021
Lurie Children's Hospital
2008-2017
Prevent Child Abuse America
2016
Northwestern Memorial Hospital
1995-2011
Boston Medical Center
2011
Boston University
2011
Tufts Medical Center
2011
Waldorf College
2011
American Academy of Pediatrics
2011
University of Vermont
2011
Child maltreatment and other adverse childhood experiences, especially when recent ongoing, affect adolescent health. Efforts to intervene prevent exposures should begin early in life but continue throughout adolescence.To examine the relationship between previous experiences somatic concerns health problems adolescence, as well role of timing exposures.Prospective analysis Longitudinal Studies Abuse Neglect interview questionnaire data target children were 4, 6, 8, 12, 14 years old.Children...
In all 50 states, health care providers (including dentists) are mandated to report suspected cases of abuse and neglect social service or law enforcement agencies. The purpose this is review the oral dental aspects physical sexual in children role pediatric evaluating such conditions. This addresses evaluation bite marks as well perioral intraoral injuries, infections, diseases that may raise suspicion for child neglect. Oral issues can also be associated with bullying commonly seen human...
The goals were to determine how frequently primary care clinicians reported suspected physical child abuse, the levels of suspicion associated with reporting, and what factors influenced reporting protective services.In this prospective observational study, 434 collected data on 15003 injury visits, including information about injury, child, family, likelihood that was caused by abuse (5-point scale), whether services. Data 327 indicating some for 1683 injuries analyzed.Clinicians 95 (6%)...
OBJECTIVES. Primary care clinicians participating in the Child Abuse Reporting Experience Study did not report all suspected physical child abuse to protective services. This evaluation of study data seeks (1) identify factors weighed when deciding whether injuries they might have been caused by abuse; (2) describe clinicians’ management strategies for children with from that were reported; and (3) how explained reporting high-suspicion injuries. METHODS. From 434 pediatric primary who...
<h3>Objective</h3> To examine the effect of child abuse and other household dysfunction on health outcomes. <h3>Design</h3> Data from Longitudinal Studies Child Abuse Neglect collected through interviews questionnaires administered when target children were 4 years old 6 old. <h3>Setting</h3> Children in South, East, Midwest, Northwest, Southwest United States. <h3>Participants</h3> One thousand forty-one at high risk for neglect (3 cohorts derived primarily among recruited social service...
It is the pediatrician’s role to promote child’s well-being and help parents raise healthy, well-adjusted children. Pediatricians, therefore, can play an important in prevention of child maltreatment. Previous clinical reports policy statements from American Academy Pediatrics have focused on improving identification management This report outlines how pediatrician strengthen families safe, stable, nurturing relationships with aim preventing After describing some triggers factors that place...
Psychological or emotional maltreatment of children may be the most challenging and prevalent form child abuse neglect. Caregiver behaviors include acts omission (ignoring need for social interactions) commission (spurning, terrorizing); verbal nonverbal, active passive, with without intent to harm; negatively affect child’s cognitive, social, emotional, and/or physical development. has been linked disorders attachment, developmental educational problems, socialization disruptive behavior,...
This Policy Statement was reaffirmed October 2022. High-quality home-visiting services for infants and young children can improve family relationships, advance school readiness, reduce child maltreatment, maternal-infant health outcomes, increase economic self-sufficiency. The American Academy of Pediatrics supports unwavering federal funding state initiatives, the expansion evidence-based programs, a robust, coordinated national evaluation designed to confirm best practices cost-efficiency....
Pediatric health care is practiced with the goal of promoting best interests child. Treatment generally rendered under a presumption in favor sustaining life. However, some circumstances, balance benefits and burdens to child leads an assessment that forgoing life-sustaining medical treatment (LSMT) ethically supportable or advisable. Parents are given wide latitude decision-making concerning end-of-life for their children most situations. Collaborative around LSMT improved by thorough...
Abusive head trauma (AHT) remains a significant cause of morbidity and mortality in the pediatric population, especially young infants. In past decade, advancements research have refined medical understanding epidemiological, clinical, biomechanical, pathologic factors comprising diagnosis, thereby enhancing clinical detection challenging diagnostic entity. Failure to recognize AHT respond appropriately at any step process, from diagnosis child protection legal decision-making, can place...
Caregiver-fabricated illness in a child is form of maltreatment caused by caregiver who falsifies and/or induces child's illness, leading to unnecessary and potentially harmful medical investigations treatment. This condition can result significant morbidity mortality. Although caregiver-fabricated has been widely known as Munchausen syndrome proxy, there ongoing discussion about alternative names, including pediatric falsification, factitious disorder (illness) abuse the setting, abuse....
Over the past decade, there have been widespread efforts to raise awareness about maltreatment of children. Pediatric providers received education factors that make a child more vulnerable being abused and neglected. The purpose this clinical report is ensure children with disabilities are recognized as population at increased risk for maltreatment. This updates 2007 American Academy Pediatrics “Maltreatment Children With Disabilities.” Since 2007, new information has expanded our...
Abusive head trauma (AHT) in infants and children is a complex challenging clinical diagnosis. Because of its clinical, social, legal implications, few pediatric diagnoses evoke as much cognitive difficulty emotional distress AHT. Over the past several decades, considerable literature has been published on various aspects AHT diagnosis including epidemiology, historical features, findings, biomechanics, differential diagnoses, outcomes, prevention. The volume critical analysis can be...
<h3>Objectives</h3> To describe (1) primary care providers' experiences identifying and reporting suspected child abuse to protective services (CPS) (2) variables affecting behavior. <h3>Design Methods</h3> Health providers (76 physicians, 8 nurse practitioners, 1 physician assistant) in a regional practice-based network completed written surveys that collected information about the demographic characteristics of each provider practice; provider's career experience with abuse; previous...
Pediatrician experience with child protective services (CPS) and factors associated identifying reporting suspected physical abuse were examined by a survey of members the American Academy Pediatrics (AAP). Respondents provided information about their demographics experience, attitudes practices abuse. They indicated diagnosis management in purposely ambiguous clinical vignette. Pediatricians who had received recent education more confident ability to identify manage High confidence positive...
<b>PURPOSE</b> Unexplained gastrointestinal symptoms are more common in adults who recall abuse as a child; however, data available on children limited. The aim of this study was to investigate the association childhood maltreatment and early development whether relation mediated by psychological distress. <b>METHODS</b> Data were obtained from Longitudinal Studies Child Abuse Neglect, consortium 5 prospective studies child maltreatment. 845 observed age 4 through 12 years subjects study....