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Maltreatment of Children With Disabilities
Lori A Legano1, Larry W Desch2, Stephen A Messner3
1Department of Pediatrics, Grossman School of Medicine, New York University, New York, New York; lori.legano@nyulangone.org.
Insights
Children with disabilities face a higher risk of maltreatment. This updated report guides pediatric providers on identifying and preventing abuse and neglect in this vulnerable population.
Area of Science:
- Pediatrics
- Child Welfare
- Disability Studies
Background:
- Increased awareness of child maltreatment over the past decade.
- Pediatric providers educated on child vulnerability factors.
- Previous 2007 American Academy of Pediatrics report on maltreatment of children with disabilities.
Purpose of the Study:
- Recognize children with disabilities as a population at increased risk for maltreatment.
- Update existing knowledge on the incidence and risk factors of abuse and neglect in children with disabilities.
- Provide guidance for pediatricians and healthcare professionals caring for children with disabilities.
Main Methods:
- Review of new information and research since 2007.
- Identification of specific disabilities conferring higher risks of abuse or neglect.
- Analysis of the role of the medical home in early identification and intervention.
- Description of community resources and preventive strategies.
Main Results:
- Expanded understanding of the incidence of abuse in children with disabilities.
- Identification of specific subpopulations of children with disabilities at greatest risk.
- Guidance on risk factors for various disabling conditions.
- Strategies for medical homes to aid in early identification and intervention.
Conclusions:
- Children with disabilities are a vulnerable population at increased risk for maltreatment.
- Updated information aids in recognizing specific risk factors and high-risk subpopulations.
- The medical home plays a crucial role in prevention, identification, and intervention.
- Community resources and preventive strategies are essential for reducing maltreatment risk.
Abstract:
Over the past decade, there have been widespread efforts to raise awareness about maltreatment of children. Pediatric providers have received education about factors that make a child more vulnerable to being abused and neglected. The purpose of this clinical report is to ensure that children with disabilities are recognized as a population at increased risk for maltreatment. This report updates the 2007 American Academy of Pediatrics clinical report "Maltreatment of Children With Disabilities." Since 2007, new information has expanded our understanding of the incidence of abuse in this vulnerable population. There is now information about which children with disabilities are at greatest risk for maltreatment because not all disabling conditions confer the same risks of abuse or neglect. This updated report will serve as a resource for pediatricians and others who care for children with disabilities and offers guidance on risks for subpopulations of children with disabilities who are at particularly high risk of abuse and neglect. The report will also discuss ways in which the medical home can aid in early identification and intervene when abuse and neglect are suspected. It will also describe community resources and preventive strategies that may reduce the risk of abuse and neglect.
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