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The impact of an educational program on recognition, treatment and report of child abuse

Pietro Ferrara1,2, Antonio Gatto3, Nunzia Pia Manganelli3

  • 1Institute of Pediatrics, Catholic University Medical School, Rome, Italy. pietro.ferrara@unicatt.it.

Italian Journal of Pediatrics
|August 16, 2017
PubMed

Insights

A multidisciplinary educational program significantly improved pediatricians' ability to identify and manage child abuse and neglect (CAN). This training is vital for reducing harm to children and enhancing clinical competence in child maltreatment cases.

Area of Science:

  • Pediatrics
  • Medical Education
  • Child Welfare

Background:

  • Pediatricians are key in identifying and managing child abuse and neglect (CAN).
  • Formal specialized training in CAN is often lacking for pediatricians.
  • This gap highlights the need for targeted educational interventions.

Purpose of the Study:

  • To evaluate the impact of a multidisciplinary educational program on pediatricians' knowledge and skills in CAN.
  • To assess improvements in case recognition, treatment, and follow-up of child abuse and neglect.
  • To enhance the clinical competence of physicians in managing physical abuse, sexual abuse, and neglect.

Main Methods:

  • Retrospective analysis of pediatric patients (0-18 years) who were victims of CAN from April 2005 to April 2015.
  • Implementation of a multidisciplinary educational program "CAN: prevention strategies, individuation and treatment" in three editions.
  • Comparison of outcomes between a group before the program (Group A) and a group after the program (Group B).

Main Results:

  • A total of 66 CAN cases were analyzed, with 23 in Group A and 43 in Group B.
  • An 87% improvement was observed in the post-program group (Group B) regarding CAN identification and management.
  • Perpetrators were predominantly parents or family members (79%), followed by acquaintances (15%) and strangers (6%).

Conclusions:

  • Improving pediatricians' clinical skills in identifying and evaluating CAN is imperative.
  • Enhanced residency education in child maltreatment is crucial for developing competent clinicians.
  • Effective identification and management of CAN can significantly reduce child morbidity and mortality.
Abstract

Keywords:
Child abuseMaltreatmentNeglectPediatriciansTraining

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