What is the system of care for abused and neglected children in children's institutions?
What is the system of care for abused and neglected children in children's institutions?
复制标题
DOI：
10.1542/peds.110.6.1226
复制
发表时间：
2002-12-01
期刊：
影响因子：
8
通讯作者：
Reece, RM
中科院分区：
文献类型：
--
作者：
Tien, I;Bauchner, H;Reece, RM
目标.本研究的目的是描述在选定的儿童医院照顾的涉嫌虐待或忽视（CAN）的儿童的数量，以确定他们是如何跟踪和遵循，并更好地描述的组成，功能和财政支持的儿童保护小组（CPTs）。2001年，向全国儿童医院和有关机构协会成员机构的虐待儿童问题联络负责人邮寄了一份自我管理的调查表。从康复医院和那些没有表明是否CPT存在的答复被排除。157名领导人中有134人作出了答复。122例（91%）符合研究标准。88家医院（72%）有CPT-54%是儿科机构，59%有100张床位，89%有儿科住院医师。与没有CPT的机构相比，有CPT的机构不太可能位于南方（28%对70%），更有可能拥有超过200张床位（26%对1%），医学院附属机构（92%对74%）和儿科住院医师（98%对68%）。总的来说，与没有儿童保护小组的机构相比，有儿童保护小组的机构为涉嫌受到虐待或忽视的儿童提供了更全面的文件记录和后续行动。这是否与涉嫌虐待或忽视儿童的更好结果有关尚不清楚。
Objectives. The objectives of this study were to describe the number of children with suspected abuse or neglect (CAN) cared for in selected children's hospitals, to determine how they are tracked and followed, and to better describe the composition, function, and financial support of child protection teams (CPTs).Methods. A self-administered survey was mailed to child abuse contact leaders at institutions that were members of the National Association of Children's Hospitals and Related Institutions in 2001. Responses from rehabilitation hospitals and those that did not indicate whether a CPT was present were excluded.Results. One hundred thirty-four of 157 leaders responded. One hundred twenty-two (91%) met study criteria. Eighty-eight hospitals (72%) had a CPT-54% were pediatric facilities, 59% had >100 beds, and 89% had a pediatric residency. Compared with institutions without a CPT, institutions with a CPT were less likely to be located in the South (28% vs 70%) and more likely to have >200 beds (26% vs 1%), a medical school affiliation (92% vs 74%), and a pediatric residency (98% vs 68%).Sixty-one percent of institutions cared for 300 evaluations per year. In general, institutions with CPTs provided more comprehensive documentation and follow-up of children suspected of having been abused or neglected than institutions without CPTs. Whether this is associated with better outcomes for children suspected of abuse or neglect is unknown.