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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
.
