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Pediatric primary care provides a unique opportunity to tackle child abuse and neglect. In the United States in particular, primary care is a well-established system, and most children have multiple visits, especially in the first few years. There is typically a very good relationship between parents and health professionals, who are respected experts on children. The interested pediatrician, thus, has a remarkable entrée into the workings of a family, its shortcomings, and its strengths. With some knowledge and skill, pediatricians can play a pivotal role, even in a few strategic minutes. We know, however, that some professionals feel very uncomfortable becoming involved in this unpleasant area and may be deterred from taking any action. Understandable as this may be, it can jeopardize a child’s health and safety. Hopefully, this issue of Pediatric Clinics of North America will help make this work a bit easier, albeit not easy. With training and support, pediatricians can equip themselves to be competent and more comfortable addressing child maltreatment. Aside from the possible forensic implications, the heart of this work is primarily about helping families take adequate or good care of their children. Indeed, helping address child abuse and neglect also helps promote children’s health, development, and safety, and it is central to the rich mandate of Pediatrics.
Mental Health Issues of Child Maltreatment offers a wealth of contemporary knowledge on the complex manifestations of developmental trauma and child maltreatment. Examining these issues from a multidisciplinary viewpoint, this text provides the most up-to-date knowledge on the causes and consequences of childhood trauma. The developmental perspective of this volume provides insight into the frequently confusing clinical manifestations of trauma in children exposed to violence. Practical discussions of assessment and intervention for children of different ages and in various systems (eg, school, child welfare, juvenile justice) are included. This book represents current findings in trends and issues related to the emotional, behavioral, cognitive, social, and physical health consequences of childhood trauma. Crucial topics examined in Mental Health Issues in Child Maltreatment include: -Assessment practices and ethical considerations -Neurobiology, neuroimaging, and neurodevelopmental impacts related to child maltreatment -Human trafficking and sexual exploitation -Familial, communal, and cultural causes of child maltreatment -Adolescent perpetrators of sexual violence Mental Health Issues of Child Maltreatment will prove to be a valuable and practical resource for mental health professionals, social workers, law enforcement and legal professionals, and others responsible for the continued safety and well-being of survivors of child maltreatment. It provides vital tools for professionals working alongside victims of maltreatment and includes practical discussions for enhancing assessment and intervention for children of different age groups in schools, child welfare, and the juvenile justice system.
Thoroughly revised and expanded, the 4th edition offers a practical, objective, evidence-based guide to the medical diagnosis and management of child abuse. Written and edited by a vast array of the world's leading experts on child abuse and neglect, this indispensable resource clearly explains the signs, symptoms, and injuries of the abused child. Features hundreds of photographs and illustrations and a wealth of medical, surgical, radiographic, and laboratory information. New chapters include: Sentinel Injuries Burns Medical Neglect and Obesity Environmental Neglect and Social Determinants of Health Supervisional Neglect/Fatal Neglect Drug-Endangered Children Psychological Abuse Family Violence Human Trafficking and Sexual Exploitation via Electronic Media Reporting Abuse, Managing Uncertainty, and Other Legal Issues Professional Considerations for Those Who Care for the Potentially Abused Child Caring for the Child in Out-of-Home Care Trauma-Informed Care and Treatment Identifying Child Maltreatment Creating Change Through Advocacy
TABLE OF CONTENTS. 1. Basic perspectives: biases and format / S. D. Dixon and M. T. Stein. 2. Setting the stage: theories and concepts of child development / S. D. Dixon. 3. Interviewing in a pediatric setting / M. T. Stein. 4. Designing an office with a developmental perspective / M. T. Stein. 5. The prenatal visit: making an alliance with the family / S. D. Dixon. 6. The newborn examination: innate readiness for interaction with the environment / S. D. Dixon. 7. The hospital discharge examination: getting to know the individual child / M. T. Stein. 8. The special care nursery: unlocking the behavior of the vulnerable neonate / S. D. Dixon and P. Gorski. 9. Five days to four weeks: making a place in the family / P. Kaiser and S. D. Dixon. 10. Five weeks to two months: getting on track / M. T. Stein. 11. Three to four months: having fun with the picture book baby / S. D. Dixon. 12. Five to Six months: reaching out to play / S. D. Dixon, M. J. Hennessy, and P. Kaiser. 13. Seven to eight months: separation and strangers / P. Kaiser and S. D. Dixon. 14. Nine to ten months: active exploration in a safe environment / P. Kaiser and S. D. Dixon. 15. One year: one giant step forward / S. D. Dixon and M. J. Hennessy. 16. Eighteen months: asserting oneself, a push-pull process / M. T. Stein. 17. Two years: learning the rules language and cognition / S. D. Dixon, H. Feldman, and E. Bates. 18. Two and one-half to Three years: emergence of magic / S. D. Dixon. 19. Four years: clearer sense of self / N. Putnam and S. D. Dixon. 20. Five years: entering school / P. Nader. 21. Six years: Learning to use symbols / N. Putnam and M. T. Stein. 22. Seven to ten years: growth and competency / N. Putnam. 23. Seven to Ten years: the world of the elementary school child / R. D. Wells and M. T. Stein. 24. Overview of adolescence / M. E. Felice. 25. Eleven to thirteen years: early adolescence - age of rapid changes / M. E. Felice. 26. Fourteen to sixteen years: mid-adolescence the dating game / M. E. Felice. 27. Seventeen to twenty-one years: late adolescence / L. I. Rice and M. E. Felice. 28. Special Families / R. D. Wells, N. Putnam, and M. T. Stein. 29. Childrens encounters with illness: hospitalization and procedures / M. T. Stein. 30. Child advocacy: a pediatric perspective / M. T. Stein, S. D. Dixon, and J. E. Schanberger. 31. The use of drawings by children in the pediatric office / J. B. Welsh. 32. Books for parents, videos for kids: an annotated bibliography / P. Kaiser, M. Caffery, H. J. Brehm, S. D. Dixon, M. T. Stein, and M. E. Felice.
Each year, child protective services receive reports of child abuse and neglect involving six million children, and many more go unreported. The long-term human and fiscal consequences of child abuse and neglect are not relegated to the victims themselves-they also impact their families, future relationships, and society. In 1993, the National Research Council (NRC) issued the report, Under-standing Child Abuse and Neglect, which provided an overview of the research on child abuse and neglect. New Directions in Child Abuse and Neglect Research updates the 1993 report and provides new recommendations to respond to this public health challenge. According to this report, while there has been great progress in child abuse and neglect research, a coordinated, national research infrastructure with high-level federal support needs to be established and implemented immediately. New Directions in Child Abuse and Neglect Research recommends an actionable framework to guide and support future child abuse and neglect research. This report calls for a comprehensive, multidisciplinary approach to child abuse and neglect research that examines factors related to both children and adults across physical, mental, and behavioral health domains-including those in child welfare, economic support, criminal justice, education, and health care systems-and assesses the needs of a variety of subpopulations. It should also clarify the causal pathways related to child abuse and neglect and, more importantly, assess efforts to interrupt these pathways. New Directions in Child Abuse and Neglect Research identifies four areas to look to in developing a coordinated research enterprise: a national strategic plan, a national surveillance system, a new generation of researchers, and changes in the federal and state programmatic and policy response.
Thomas A. Roesler, MD, FAAP and Carole Jenny, MD, MBA, FAAP make the case that the term Munchausen syndrome by proxy should be retired permanently and replaced with a commonsense appreciation that children can be abused by their parents in the medical environment. Physicians who find themselves providing unnecessary and harmful medical care can see the abuse for what it is, another way parents can harm children. the book offers the first detailed and comprehensive description of treatment for this form of child maltreatment.
Covid-19, An Issue of Pediatric Clinics of North America, E-Book
In this issue of Pediatric Clinics of North America, guest editors Drs. Roger W. Apple and Ethel G. Clemente bring their considerable expertise to the topic of Role of Psychologists in Pediatric Subspecialties. Top experts in the field highlight the interdisciplinary nature of primary care of children where psychology is a factor, placing emphasis the clinical topics, disease states, or medical specialties where mental health has a significant impact on the outcome and successful treatment of clinical issues in children. This issue offers a unique focus on collaboration between the psychologist and pediatrician to optimize outcomes. - Contains 16 practice-oriented topics including helping physicians collaborate with psychologists; psychologists' experiences in pediatric hematology-oncology; the role of psychologists in child abuse pediatrics; the critical role of psychologists in pediatric gastroenterology; the role of psychologists in pediatric sports medicine practice; and more. - Provides in-depth clinical reviews on the role of psychologists in pediatric subspecialties, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Together with Consulting Editor Dr. William Rayburn, Dr. Curtis Lowery has put together a unique issue that discusses the telemedicine in obstetrics and gynecology. Expert authors have contributed clinical review articles on the following topics What is telehealth and what do I need to know about it; Licensing, reimbursement and regulatory issues in the delivery of telemedicine and connected health; Telemedicine for low-risk obstetrics; Telemedicine In high-risk obstetrics; Telemedicine for gynecology; Telemedicine and Connected Health for GYN oncology; Telemedicine and connected health for contraception; Maternal Health and monitoring devices for obstetrics and gynecology; Telepsychiatry and drug treatment in obstetrics; Telemedicine as a method to reduce perinatal mortality; and Telemedicine and distance learning for OB/GYN provider education. Readers will come away with the information they need to incorporate telemedicine into their care of gynecologic or obstetric patients.
In this issue of Pediatric Clinics of North America, guest editors Drs. Joel A. Fein and Megan H. Bair-Merritt bring their considerable expertise to the topic of Addressing Violence in Pediatric Practice. Pediatricians can play a major role in violence prevention through recognition of and intervention for inadequate parenting, provision of social support to families, recognition and management of behavior problems, and promotion of preschool and early childhood education programs. This issue provides current information to pediatricians as they seek to support their parents and families and prevent violence against children. - Contains 13 relevant, practice-oriented topics including suicide prevention in children and adolescents; response to mass shootings; mental health and violence in children and adolescents; bullying and school violence; media exposure and violence; and more. - Provides in-depth clinical reviews on addressing violence in pediatric practice, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.