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Table of Contents
CHAPTER 1: TRIAGE
Overview
Steps
Appropriate Level of Care
Referral to a Child Abuse Expert
Additional Resources
CHAPTER 2: HISTORY
Overview
History Taking Steps
Communication Challenges
Taking a History from the Parent/Caregiver
Taking a History from the Child/Adolescent
Responding to the Disclosure of Abuse
Additional Resources
CHAPTER 3: PHYSICAL EXAMINATION
Overview
Considerations
The General Physical Examination
The Genital Examination
Evidence Collection
Reassuring the Child/Adolescent and Parent/Caregiver
Additional Resources
CHAPTER 4: LABORATORY
Overview
Testing for Sexually Transmitted Diseases
Testing for Pregnancy
Evaluation for Suspected Physical Injuries
Failure to Thrive
Toxicology Testing
Additional Resources
CHAPTER 5: RADIOLOGY
Overview
Suspected Acute Injury
Suspected Significant Trauma
Injuries Associated with Abuse
Additional Resources
CHAPTER 6: DIAGNOSIS
Overview
Sexual Abuse
Physical Abuse
Neglect
Emotional Abuse
Additional Resources
CHAPTER 7: TREATMENT AND FOLLOW-UP
Overview
Sexual Abuse
Physical Abuse
Child Neglect
Emotional Abuse
Responding to Families
Additional Resources
CHAPTER 8: DOCUMENTATION
Overview
Documenting the History
Documenting the Findings
Documenting the Diagnosis
Documenting Other Information
Photographic Documentation
Coding for Billing
Additional Resources
CHAPTER 9: REPORTING
Overview
When to Report
How to Make a Report
Confidentiality and Disclosure of Information
Liability
Additional Resources
CHAPTER 10: FOSTER CARE
Overview
The Foster Care System
Health Concerns of Children in Foster Care
Foster Parents
The Caseworker
Biological Parents and Reunification
Additional Resources
CHAPTER 11: CHILDREN AND ADOLESCENTS WITH DISABILITIES
Overview
Myths
Risk Factors
Responding to Abuse
Additional Resources
CHAPTER 12: JUVENILE SEXUALIZED BEHAVIOR
Overview
Normal Behaviors versus Abuse
Abnormal Behaviors
Responding to Behaviors
Additional Resources
CHAPTER 13: MULTIDISCIPLINARY APPROACH
Overview
Medical Providers
Child Protective Services
Law Enforcement
Prosecution
Victim Advocates
Mental Health Professionals
Child Advocacy Centers
Additional Resources
CHAPTER 14: LEGAL ISSUES
Overview
Consent by Mature or Emancipated Minors
Protective Custody
Medical Records
Confidential and Privileged Communication
Subpoenas
The Judicial System
Testifying as a Fact Witness
Testifying as an Expert
Testifying in Court
Additional Resources
APPENDICES
B:
A Sample Continuum of Medical History Questions and Confidence in the Responses
C:
Body Diagrams
D:
Burn Assessment - Rule of Nines
F:
Common Types of Diaphyseal Fractures Seen in Childhood
G:
Findings That May Be Confused with Abuse
H:
Differential Diagnosis Table
I:
List of Community Services
J:
Supplemental Resources
K:
Emergency Contraceptive Pills
ABOUT US
CONTACT
ACKNOWLEDGEMENTS
SUPPORT & ENDORSEMENTS
SITE INDEX
www.ChildAbuseMD.com
contact@ChildAbuseMD.com
SUNY Upstate Medical University
Syracuse, New York
