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Characteristics of Child Abuse Cases Referred to a Hospital-Based Child Protection Teams in Korea and the Role of
Tae Sun Han1, Yeon Sik Bang2, Dong Ho Song3,4
1Department of Child and Adolescent Psychiatry, Yonsei University College of Medicine, Seoul, Korea.
Insights
Child protection teams (CPTs) improve child abuse reporting and intervention. Psychiatric intervention by CPTs is key for outpatient visits, especially for vulnerable young children.
Area of Science:
- Pediatrics
- Child Abuse and Neglect
- Psychiatry
Background:
- Child protection teams (CPTs) are vital in hospital settings for addressing child abuse.
- Understanding referral patterns and outcomes is crucial for optimizing CPT effectiveness.
Purpose of the Study:
- To investigate changes in child abuse reporting rates following CPT implementation.
- To examine trends in psychiatric outpatient visits post-CPT referral.
- To identify characteristics of children referred to CPTs and factors influencing psychiatric follow-up.
Main Methods:
- Retrospective review of 108 child abuse cases referred to CPTs (2014-2021).
- Analysis of demographic and clinical characteristics, reporting rates, and psychiatric outpatient visit linkage.
- Statistical analysis to identify predictors of psychiatric follow-up.
Main Results:
- Highest incidence of abuse in adolescents and infants/toddlers; physical abuse was most common.
- Infants and toddlers experienced more severe injuries.
- Significant increase in child abuse interventions and reports (p<0.01).
- Psychiatric outpatient visits did not increase proportionally.
- CPT psychiatric intervention significantly predicted subsequent outpatient visits (OR=17.985, p=0.006).
Conclusions:
- CPTs enhance child abuse reporting and management in Korean hospitals.
- Psychiatric intervention within CPTs is critical for outpatient follow-up.
- All age groups, particularly vulnerable infants and toddlers, benefit from CPT psychiatric intervention.
Purpose:
Child protection teams (CPTs) have been implemented in hospital settings to effectively intervene in cases of child abuse. We investigated the changes in child abuse reporting rates and examined whether there was an increase in follow-up psychiatric outpatient visits. Furthermore, we aimed to identify the characteristics of children referred to CPTs and the factors that significantly influenced psychiatric outpatient visits.
Materials And Methods:
We retrospectively reviewed cases of patients under 18 years old who were referred to the CPT from 2014 to 2021. We examined the demographic and clinical characteristics of the abused children, reporting rates, and linkage to psychiatric outpatient visits.
Results:
This study included 108 child abuse cases. The average age was 7.3 years, with the highest incidence among adolescents (40.7%) and infants & toddlers (39.8%). Physical abuse was the most common abuse type (75.9%). In the infant & toddler group, the injuries resulting from abuse were more severe compared to other groups. There was a significant increase in both the number of child abuse interventions and reports to the National Child Protection Agency (p<0.01). However, psychiatric outpatient visits did not increase proportionally. Psychiatric intervention within the CPT was a significant predictor of subsequent psychiatric outpatient visits (odds ratio=17.985, p=0.006).
Conclusion:
CPTs have enhanced the reporting and management of child abuse cases in Korean hospitals. Psychiatric intervention within CPT plays a crucial role for subsequent psychiatric outpatient visits. Since the infant and toddler group is more vulnerable to severe injuries, psychiatric intervention within the CPT should be conducted for all age groups.
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