Family violence. A child-centered, family-focused approach

H Dubowitz1, H King

  • 1Department of Pediatrics, University of Maryland School of Medicine, Baltimore.

Insights

Pediatricians can identify child maltreatment and spousal abuse early. A family-focused approach improves detection and outcomes for children exposed to abuse.

Area of Science:

  • Pediatrics
  • Child Abuse and Neglect
  • Family Medicine

Background:

  • Child maltreatment and spousal abuse are significant societal issues.
  • These problems have profound and multifaceted impacts on children's development.

Purpose of the Study:

  • To highlight the crucial role of pediatricians in detecting and managing child abuse and spousal abuse.
  • To emphasize a family-focused approach for pediatricians to better understand family dynamics.

Main Methods:

  • Review of the pediatrician's role in abuse detection and referral.
  • Emphasis on a holistic, family-centered assessment strategy.
  • Consideration of socio-emotional and economic contexts.

Main Results:

  • Pediatricians can be instrumental in early identification of abuse.
  • A family-focused perspective enhances pediatrician's sensitivity to family stressors and strengths.
  • Abuse negatively impacts children's social, emotional, behavioral, and learning domains.

Conclusions:

  • Enhanced understanding of abuse dynamics improves pediatric care.
  • A comprehensive, family-centered approach leads to better outcomes for children and families affected by abuse.

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