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This publication reviews medicolegal investigation of sudden, unexpected pediatric deaths, focusing on systems and procedures in the United States and those deaths which remain incompletely understood or entirely unexplained. It discusses the evolution of our understanding and practice in the area of sudden, unexpected pediatric death investigation, covering the changing philosophies and medical theories as to causation and changing investigative and certification strategies. Procedural guidance for investigation, autopsy and ancillary testing, certification and reporting, and key considerations for prevention, research and working with family members and other professional team members are provided.The path to production of this publication began in 2016 when the National Association of Medical Examiners received a scientific grant from the SUDC Foundation called "Sudden Death in Pediatrics: Consensus for Investigation, Certification, Research Direction and Family Needs" to convene, in collaboration with the American Academy of Pediatrics, an expert panel to identify and discuss the diverse issues and limitations surrounding these deaths and build a foundation for national consensus. The combined effort of a panel of medical examiners, pediatricians, and federal agency representatives, representing the diverse interests of death investigation, autopsy performance, certification, clinical subspecialties (pediatrics, neurology, cardiology, child abuse, injury prevention, infectious diseases, genetics, and metabolic diseases), family needs, prevention, and epidemiology, culminated in this publication.
This book focuses on the prevention of child abuse and neglect deaths in the U.S. In 2013 1,520 children died from maltreatment. This book defines child maltreatment fatalities (CMFs) and discusses the prevalence of deaths in the U.S. over the last several decades. It addresses the known risk factors for maltreatment deaths including child, parent, the parent-child relationship, and household risk factors. The main focus of the book addresses the responses and interventions that have been put in place in order to prevent CMFs: the child welfare profession, child death review teams, safe haven laws, criminal justice responses, public education, and new, federal efforts in the U.S. to reduce CMFs in the U.S. The book finishes by making recommendations for researchers, practitioners, and decision-makers about how to prevent fatal maltreatment among children in the U.S.
The Fourth Edition of The APSAC Handbook on Child Maltreatment provides readers with the most up-to-date theory, research, and best practices in the field of child abuse and neglect. Edited by leading experts J. Bart Klika and Jon R. Conte, this best seller covers all aspects of child maltreatment, from physical abuse to sexual abuse and neglect, focusing on etiology, consequences, investigation, and treatment and systems. Updates include new content on assessment and mental health interventions, prevention, as well as global perspectives. Comprehensive and easy to read, the handbook will serve as an invaluable resource for students and professionals—both emerging and seasoned—across disciplines, but part of the same movement dedicated to improving the lives of maltreated children.
Many forensic pathologists and death investigators would agree that infant deaths have historically been poorly investigated. Investigating Infant Deaths provides an in-depth guide featuring 40 case examples that illustrates real-life scenarios in which techniques are put into action. It explains techniques for interviewing grieving parents, how to perform an initial post-mortem exam, what to look for at the incident scene, and the goals of state and local child fatality teams. It also presents suggestions for using doll re-enactments to interview surviving caregivers and witnesses as well as 44 pictures of scenes and unsafe environments.
The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.
'Childhood Denied' delves into the reasons for continuous disregard politically, legally, socially of children at risk for abuse and neglect. The text inspires readers to help end the cycle of abuse and neglect by addressing the core of the problem.