Treatment of Child Abuse : Common Ground for Mental Health, Medical, and Legal Practitioners

by Reece, Robert M.

• ISBN13: 9780801881824
• ISBN10: 080188182X
• Edition: 1st
• Format: Paperback
• Copyright: 2005-04-05
• Publisher: Johns Hopkins Univ Pr

Summary

Reports alleging maltreatment of more than three million children were made in the United States in 1996, a rate of 44 per 1,000 children in the population. Of those reports, child protective services substantiated abuse or neglect in nearly one million children--an 18 percent increase since 1990. More than half the 1996 reports alleging maltreatment came from medical, social services, education, or law enforcement professionals, and almost two-thirds of the substantiated reports were made by these professionals. As diagnostic expertise has increased, child care professionals face new responsibilities for recognizing the short-term and long-term consequences of childhood victimization and for effectively treating victims of the various forms of child maltreatment. Achieving treatment goals requires that consultations among mental health, medical, and legal practitioners be conducted on common ground. This book seeks to provide that common ground. Combining current theory about treating child abuse with current practice guidelines, Treatment of Child Abuse provides professionals with the guidance they need to take the correct steps to restore the child and the family as much as possible to normal. In addition, it addresses the rising demand for accountability in the health care system, which increasingly requires professionals to justify their efforts and their methods. The result is the first single reference source for the clinician who needs to know which approach to treatment might be most appropriate for a given child trying to cope with the aftermath of physical, emotional, or sexual abuse. It provides guidelines for treatment of the different categories of abuse as well as neglect, Munchausen by proxy, and multiple traumatization. Initial medical management, legal interventions, long-term medical management, and long-term management of developmental and psychological consequences are thoroughly covered, as are complicated issues such as treatment-resistant families, the treatment of offenders, forensic implications (including confidentiality), and the long-term consequences of childhood victimization.

Author Biography

Robert M. Reece, M.D., is Clinical Professor of Pediatrics at Tufts University School of Medicine and Visiting Professor of Pediatrics at Dartmouth Medical School. He is also the executive editor at The Quarterly Update.

Table of Contents

List of Contributors	ix
Preface	xiii
Acknowledgments	xvii
PART I SEXUAL ABUSE
1 Initial Medical Management of the Sexually Abused Child	3	(11)
Martin A. Finkel
2 Long-term Management of the Sexually Abused Child: Considerations and Challenges	14	(22)
Erna Olafson, Barbara W. Boat
3 Immediate Issues Affecting Long-term Family Resolution in Cases of Parent-Child Sexual Abuse	36	(18)
Benjamin E. Saunders, Mary B. Meinig
4 The Long-term Medical Consequences of Sexual Abuse	54	(11)
Carol D. Berkowitz
5 Discovery of Childhood Sexual Abuse in Adults	65	(16)
Thomas A. Roesler
PART II PHYSICAL ABUSE
6 Initial Medical Treatment of the Physically Abused Child	81	(14)
Lawrence R. Ricci
7 Initial Psychosocial Treatment of the Physically Abused Child: The Issue of Removal	95	(12)
Kerry M. Drach, Lesley Devoe
8 Legal Intervention for the Physically Abused Child	107	(10)
Anita M. St. Onge, Megan L. Elam
9 Long-term Medical Consequences of Physical Abuse	117	(18)
Robert H. Wharton, Suzanne Rosenberg, Robert L. Sheridan, Daniel P. Ryan
10 Long-term Management of the Developmental Consequences of Child Physical Abuse	135	(22)
Cynthia Cupit Swenson, David J. Kolko
PART III NEGLECT
11 The Roots of Child Neglect	157	(8)
Maureen M. Black
12 Initial Treatment of Child Neglect: Medical, Psychosocial, and Legal Considerations	165	(18)
Cindy W. Christian, Toni Seidl, Frank P. Cervone
13 Prevention and Ongoing Medical Management of Child Neglect	183	(9)
Howard Dubowitz
14 Long-term Psychological Management of Neglect	192	(9)
Maureen M. Black
15 Emotional Abuse and Neglect	201	(12)
Stephanie Hamerman, Stephen Ludwig
PART IV MUNCHAUSEN BY PROXY
16 Munchausen by Proxy: Definitions, Identification, and Evaluation	213	(13)
Catherine C. Ayoub, Robin M. Deutsch, Robert Kinscherff
17 Psychosocial Management Issues in Munchausen by Proxy	226	(10)
Catherine C. Ayoub, Robin M. Deutsch, Robert Kinscherff
18 Medical Treatment of Munchausen Syndrome by Proxy	236	(6)
Randell C. Alexander
19 Legal Aspects of Munchausen by Proxy	242	(29)
Robert Kinscherff, Catherine C. Ayoub
PART V MULTIPLE TRAUMATIZATION
20 Treatment of Multiply Traumatized Abused Children	271	(20)
Mark Chaffin, Rochelle F. Hanson
PART VI DISPOSITION ISSUES
21 Treatment of Offenders	291	(13)
David B. Doolittle
22 Treatment-Resistant Families	304	(9)
Richard J. Gelles
23 Medicolegal Aspects of Child Abuse	313	(26)
John E.B. Myers
PART VII CHILD MALTREATMENT AND SOCIETY
24 Understanding the Consequences of Childhood Victimization	339	(23)
Cathy Spatz Widom
25 Child Abuse Treatment Research: Current Concerns and Challenges	362	(9)
Cris Ratiner
Index	371