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Child Maltreatment.

Destiny G Tolliver¹, Yuan He², Caroline J Kistin³

¹Department of Pediatrics, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, 801 Albany Street, Boston, MA 02119, USA.

Pediatric Clinics of North America

|October 21, 2023

Summary

This summary is machine-generated.

Preventing child maltreatment requires prioritizing equity due to racism in child protective services. Clinicians and patient-centered medical homes can lead prevention efforts and advocate for supportive policies.

Keywords:

Abuse Child maltreatment Disproportionality Neglect Patient-centered medical home Prevention Racism

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Area of Science:

Public Health
Pediatrics
Social Work

Background:

Child maltreatment leads to significant health problems, making prevention a key public health goal.
Interpersonal and structural racism affect child protective services, necessitating an equity-focused approach.
Clinicians caring for children are vital in supporting families and preventing maltreatment.

Purpose of the Study:

To highlight the role of clinicians and patient-centered medical homes in child maltreatment prevention.
To emphasize the importance of addressing equity and racism in child protective services.
To advocate for policy changes that support families and reduce child maltreatment risk.

Main Methods:

Review of evidence on child maltreatment, racism in child protective services, and the role of medical homes.
Analysis of the potential for patient-centered medical homes to integrate prevention services.
Discussion of clinician advocacy for family-supportive policies.

Main Results:

Patient-centered medical homes, in partnership with community services, offer a promising setting for maltreatment prevention.
Addressing systemic racism is crucial for equitable child protective service assessment and response.
Clinicians can actively contribute to preventing child maltreatment through direct support and policy advocacy.

Conclusions:

Prioritizing equity in child protective services and prevention is essential.
Clinicians and medical homes are uniquely positioned to implement and advocate for child maltreatment prevention strategies.
Policy advocacy is a critical component for supporting families and reducing child maltreatment.