影响虐待评估和向儿童保护服务报告儿童物质暴露的影响因素
Karli Breeden1, Claire Loiselle1, Jobayer Hossain2
1From the Department of Pediatrics, Nemours Children's Health, Wilmington, DE and Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA.
Pediatric emergency care
|January 11, 2024
概括
儿童物质暴露显示出多样化的评估实践,心理社会因素,非法物质和入院与更高的安全评估和儿童保护服务报告相关. 人口统计数据显示没有显著的关联.
科学领域:
- 儿科毒理学 儿科毒理学
- 儿童保护服务 儿童保护服务
- 医疗社会工作 医疗社会工作
背景情况:
- 儿童物质暴露是一个重大问题,需要仔细的医疗和安全评估.
- 评估实践的变化可能会影响儿童安全结果.
- 了解影响社会工作 (SW) 和儿童保护团队 (CPT) 参与的因素至关重要.
研究的目的:
- 评估与儿童物质暴露相关的因素.
- 描述这些暴露的医疗评估过程.
- 为了确定SW/CPT安全评估和儿童保护服务 (CPS) 报告的预测因素.
主要方法:
- 对0-72个月龄的儿童进行了回顾性图表审查,这些儿童有意外摄入.
- 排除环境暴露,药物错误和不良反应.
- 统计分析包括描述性统计,奇平方和后勤回归.
主要成果:
- 27%的病例被转介给SW/CPT评估,15.4%的病例被报告给CPS.
- 住院,非法物质暴露,以及与转诊相关的心理社会风险因素.
- 毒理学查和成像检查进行不一致.
结论:
- 儿童物质暴露评估实践表现出显著的变化.
- 评估中的人口差异并不常见.
- 感知严重程度,非法物质参与和家庭心理社会逆境增加了SW/CPT评估和CPS报告率.
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