Evaluation of the siblings of physically abused children: a comparison of child protective services caseworkers and child abuse physicians.

[child syndrome]

Current theories suggest that all children in a home are at risk for physical abuse , when one child is abused . However , little evidence exists to guide decisions regarding the medical management of siblings of physically abused children (contact children [CC ]). This study sought to compare child protective services (CPS ) caseworkers ' and child abuse physicians ' (CAP ) recommendations regarding the need for medical evaluation of CC in case scenarios of unequivocal physical abuse . In all cases , caseworkers and physicians disagreed on which CC warranted a medical evaluation . In addition , 25 % of caseworkers did not think that physicians should make recommendations on the need for medical evaluation of CC . The findings of the authors suggest that the home visit is a critical part of the decision-making process for caseworkers and that it often acts as a substitute for a medical evaluation . Caseworkers indicated that visible injury to the contact child and severity of injury to the index child were among the most important factors in deciding which CC need a medical evaluation . Although caseworkers and physicians disagree on certain issues related to the evaluation of CC , it is clear that limited resources should be directed at CC at highest risk for physical abuse .

Diseases
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Diseases presenting "that visible injury to the contact child" symptom

child syndrome

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