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Childhood neglect: The role of the paediatrician
Brooks R Keeshin1, Howard Dubowitz2
1Mayerson Center for Safe and Healthy Children, Cincinnati Children's Hospital Medical Center, Cincinatti, Ohio;
Insights
Child neglect is a serious issue where healthcare providers struggle to identify inadequate care. This article explores neglect
Area of Science:
- Child maltreatment
- Pediatric health
- Social work
Background:
- Child neglect is a widespread form of maltreatment.
- Healthcare practitioners face challenges in identifying neglectful caregiving.
- Accurate identification is crucial for child welfare.
Purpose of the Study:
- To discuss the epidemiology, risk factors, and outcomes of child neglect.
- To describe assessment methods using objective markers like harm and potential harm.
- To outline practical intervention strategies for healthcare professionals.
Main Methods:
- Literature review on neglect epidemiology, risk factors, and outcomes.
- Discussion of objective markers for neglect identification (harm, potential harm).
- Exploration of clinical setting challenges and intervention strategies.
Main Results:
- Neglect presents significant challenges in healthcare settings.
- Objective markers can aid in neglect identification.
- Effective interventions require family engagement, collaboration, and advocacy.
Conclusions:
- Healthcare professionals need clear guidelines for identifying and addressing child neglect.
- Interdisciplinary collaboration and proactive family engagement are key to prevention.
- Advocacy by healthcare professionals is vital for child protection.
Abstract:
Neglect is a pervasive form of child maltreatment. Health care practitioners often struggle with deciding when an action (or lack of action) by a caregiver constitutes inadequate care and is neglectful. The present article discusses the epidemiology, risk factors and outcomes of neglect. In addition, assessment using objective markers, such as harm and potential harm, in the identification of neglect is described, and unique factors that impact assessing and addressing issues of neglect in the clinical setting are discussed. Practical strategies for intervening in cases of neglect are discussed, including how to engage families in which there are concerns for neglect, mandated reporting, working collaboratively with children's services, ongoing monitoring of families, and how health care professionals can effectively engage in neglect prevention and advocacy.
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