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Improving the clinical assessment of acute presentations of child maltreatment using a quality and child rights framework

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Dr

Paul Hotton

Vulnerable Child Fellow at Liverpool Hospital

South Western Sydney Local Health District

Dual Trainee in Community Child Health and General Paediatrics

Dr Shanti Raman

Community Paediatrician: Child Protection

South Western Sydney Local Health District

Improving the clinical

assessment of acute

presentations of child

maltreatment using a quality

(2)

Child Maltreatment (CM)

Major public health & social-welfare problem

CM associated with:

Child health/developmental problems

Adult mortality and morbidity (cf ACE)

Strong evidence-base for medical examination in the

assessment of CM.

Little known about the health & social outcomes for

(3)

Why Clinical Assessments for CM are

Important

Children at risk of abuse/neglect: utilize health services +++

Frontline health services (Emergency Dept. & Paediatrics)

Not ideal venues for acute CM assessments

Screening tools for ED  poor evidence base

Good evidence for comprehensive clinical assessment

Clinical guidelines exist for acute CM assessment

(4)

South Western Sydney Local Health

District (SWSLHD)

Area of 6,243 square km

Population 919,787

rapidly growing

Culturally & Linguistically

diverse

Many sub-populations with ↑

social risk:

Small & disadvantaged

Aboriginal population

Newly arriving

(5)

Acute CM Assessments in SWS

Unique service

Population & Community

responsive

Not a tertiary Paediatric

Hospital Service

Committed to Child & Family

focussed assessment /

management

Community

Paediatrics

Sexual Assault

(SA) Services

Hospital Social

Work

General

Paediatrics

Joint Work

Collaboration

(6)

Previous Study Addressing Clinical

Assessments for CM

CM in 2 – 5 % of Paediatric ED presentations

Gaps & good local practice

(7)
(8)

Aims of the Study

1.

Describe acute presentations of CM in SWS, to one

unique hospital service, during 2013-2014

2.

Identify health & social outcomes for children following

medical assessment

Support or Refute Allegations of CM

Identify support and intervention needs

3.

Determine if the cases fulfil established minimal

standards for clinical assessment of CM.

4.

Identify if acute assessments supports a child rights

(9)

Methods

Gathered data from Acute Child Protection Database

(Community Paediatrics & SA)

For all referrals for acute assessment <16 yrs, between 1st

January 2013 - 31st December 2014.

Performed simple descriptive analysis on clinical data.

To identify Health / Social Outcomes

(10)
(11)

Findings – Types of CM

TYPE OF CM

NUMBER

PERCENTAGE

Physical Assault (PA)

18

9 %

PA + Other CM (excluding SA)

17

8 %

Sexual Assault (SA)

74

36 %

SA + other CM including PA

70

34 %

Neglect

2

1 %

Review of Sibling of Index case

6

3 %

204 cases referred – 187 assessed

(12)

Demographics – Age & Gender

TYPE

FEMALE

MALE

SA

85%

15%

NON SA

36%

64%

AGE

GENDER

3

1

Type

Mean Age

Range

SA

9

1 – 16 yrs.

NON SA

4.7

3wk – 13yr

(13)

Demographics – Ethnicity

0

5

10

15

20

25

30

35

TOTAL %

SA %

NON SA %

Area

Indigenous

Born Overseas

Middle East

Europe

Asian

SWS

1.7 %

32.7%

15%

8%

12%

NSW

2.5 %

34.2%

-

8%

-

(14)

Who Referred?

59%

12%

10%

9%

8%

2%

Joint Investigation

Response Team (JIRT)

Police

Emergency

Community Services (CS)

Paediatricians

(15)

Who Assessed?

16%

26%

46%

2%

3%

7%

Community Paediatrics

(CP)

Joint Assessment (CP/SA)

Sexual Assault (SA)

Phone consultation SA

General Paediatricians +

Comm Paeds advice

Phone consultation CP

(16)

Types of Examination Done

47%

47%

6%

Forensic

Medical

Refused

46%

54%

Forensic

Medical

(17)

Outcome of SA Assessments

OUTCOME

Number

(n = 148)

%

No SA issues

29

20

No SA, other CM concerns

10

7

SA - no injury, CM concerns

21

14

SA - no injury

43

29

SA – injury documented

10

7

SA - confirmed

26

17

(18)

Outcome of Non SA Assessments

OUTCOME

Number

(n = 39)

%

No Injury

3

8

Accident

8

20

Unclear

4

10

Inflicted injury

21

54

Other CM

3

8

(19)

Outcomes – Social & Family

51 % home with no Child Protection agency involvement

17 % home with Child Protection agency involvement

28 % were placed into Out of Home Care (OOHC)

Some already removed before assessment

46% of Non SA were placed into OOCH

Large proportion had JIRT (Forensic) Investigation

Majority unknown outcome

(20)

More Than Just a CM Assessment

58 % of CM assessments lead to other health concerns:

Chronic Medical Conditions

Developmental Delays

Dental Cavities

Hearing and Vision concerns

Behavioural issues

School Difficulties

Mental Health concerns

(21)

Minimum Standards Achieved?

MINIMAL STANDARDS (MS)

Results

%

Trained Doctors

187 / 187

100

Social Worker present

179 / 187

95

Protocol used

186 /187

99.5

Report generated

170 / 187

91

Report Counter signed

170 / 170

100

Report in the Medical Records

170 / 170

100

Medical follow up assessment

82 / 187

44

Psychosocial follow up

80 / 187

43

(22)

Is the Child in Mind?

After hours

96 % of Out of Hours: SA

Child accompanied by:

28%

72%

OUT of

HOURS

IN HOURS

32%

4%

54%

10%

No Carer

Support

person

Long Term

Carer

Relative

(23)

Discussion

Types of CM

70% Acute referral SA related

42% had >2 or more CM issues

17% of cases referred had no CM concerns

Largely due to overcalling SA cases

Neglect – 1% of cases

Other pathways for referrals and assessments

Hard to determine

(24)

Discussion

Girls higher risk of CM – 75% compare to 25%

Majority are SA  Reflects published data

Ethnicity breakdown

Incompletely documented for SA only

Aboriginal over representation

Siblings

3% of siblings reviewed as a result of CM in another sibling

SWS has alternative pathways/clinics

(25)

Discussion

Health concerns identified in many

Reflects growing international evidence

Identification improved with joint / collaborative assessment

Social Outcomes

Unsure if acute assessments make a difference

Minimum Standards

Overwhelmingly achieved but…Only 44 % had medical follow up

Child Rights

28 % occurred out of hours  Forensic need

32 % occurred with no carer/support person

(26)

Conclusion

First study of its kind describing acute CM

presentations

Minimum standards for CM assessment

fulfilled in most

Improvements needed in follow up after

acute assessment

Better identification of neglect essential

Difficult to determine how child rights

(27)
(28)

REFERENCES

 Arora N, Kaltner M, Williams J. Health needs of regional Australian Children in Out of Home Care. Journal of Paediatrics and Child Health. (2014); 50, 782 – 786.

 Chang, David C., Vinita Knight, Susan Ziegfeld, Adil Haider, Dawn Warfield, and Charles Paidas. “The Tip of the Iceberg for Child Abuse: The Critical Roles of the Pediatric Trauma Service and Its Registry.” Journal of Trauma 57 (2004): 1189–98.

 Cuijpers, Pim, Filip Smit, Froukje Unger, Yvonne Stikkelbroek, Margreet ten Have, and Ron de Graaf. “The Disease Burden of Childhood Adversities in Adults: A Population-Based Study.”Child Abuse & Neglect 35 (2011): 937–45.

 Fang, Xiangming, et al. “The Economic Burden of Child Maltreatment in the United States and Implications for Prevention.” Child Abuse & Neglect 36 (2012): 156–65.

 Gilbert, Ruth, et all. “Burden and Consequences of Child Maltreatment in High-Income Countries.” The Lancet 373 (2009): 68–

81.

 Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of(ACE) study. Am J Prev Med 1998;14(4):245–58.

 Gilbert R et al. Child Maltreatment 2; Recognising and Responding to Child Maltreatment. The Lancet. (2009); 373, 167-180

 King, Wendalyn K., Eric L. Kiesel, and Harold K. Simon. “Child Abuse Fatalities: Are We Missing Opportunities for Intervention?”

Pediatric Emergency Care 22 (2006): 211–14.

 Raman S, Hodes D. Cultural Issues in Child Maltreatment. Journal of Paediatrics and Child Health. (2012). 48; 30-37.

 Raman S, Maiese M, Hurley K, Greenfield D. “Addressing the Clinical Burden of Child Physical Abuse and Neglect in a Large Metropolitan Region: Improving the Evidence-Base” Social Sciences 3 (2014): 771 – 784

 Saunder J, Blyth F, Kelly A. Child Abuse: A Family Issues – Are we adequately assessing siblings of index child abuse cases?

Archives of Disease in Childhood. (2014); 99, 77-78

 Ziegler, David S., John Sammut, and Anne C. Piper. “Assessment and Follow-up of Suspected Child Abuse in Preschool Children with Fractures Seen in a General Hospital Emergency Department.” Journal of Paediatrics and Child Health 41 (2005): 251–55

(29)

Acknowledgement

Cath Dunn

Acting Manager of Sexual Assault Services,

South Western Sydney Local Health District

Rosemary Isaac

Director of Sexual Assault Services, South

Western Sydney Local Health District

Chris Holstein

Administrator of Sexual Assault Services,

South Western Sydney Local Health District

References

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