Child Protection Companion
Child Protection Companion
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儿童保护伴侣
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
T. David
中科院分区：
文献类型：
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作者：
T. David
儿科教科书中有关虐待儿童问题的内容有很大的不同。1另一本北美儿科教科书(2808页)的篇幅略长(2808页)，其中关于虐待儿童的章节略长(14页)。2相比之下，英国标准和权威的儿科学教科书福尔法尔和阿奈尔的儿科学教科书(1985页)有27页的篇幅，涵盖了各种类型的虐待和忽视。
我们需要另一本关于儿童保护主题的书吗？答案是，这是一本极具原创性、急需的书，填补了一些重要的空白。然而，这并不是一本关于虐待儿童的教科书。没有描述受伤情况的插图。例如，如果你想查找‘摇晃婴儿综合症’，这不是使用的来源。这是一本手册，旨在帮助医生在儿童保护病例管理过程中。其中有几章涉及重要的实际问题，如与其他专业人员合作、同意和保密、如果你担心儿童可能受到虐待该怎么办、文件和记录、撰写医疗报告和警方证人陈述、法庭诉讼程序和作证，以及对医生的培训和支持。有18个附录，其中包括形式表、核对表、方案、同意书、流程图和如何组织医疗报告的插图。有一章是关于受伤摄影的实用建议。
这本书包括一个关于承认虐待的章节，这有助于提供证据来支持所提出的建议。因此，例如，该书(关于瘀伤的主题)指出，非虐待性瘀伤与儿童的发育阶段有直接关系，男孩和女孩的非虐待性瘀伤比例相同，身体的某些部位在任何年龄都很少擦伤。所有这些陈述都有对已发表证据的引用作为支持，本节的引用清单包括一份推荐阅读清单。此外，还有一个有用的网站列表。
所有儿科医生都需要能够认识到虐待和忽视的症状，儿童保护和儿童保护中心已启动了一项全面的儿童保护培训方案，这是一个非常宝贵、文字清晰和实用的组成部分。对于那些质疑皇家学院的相关性或效用的人来说，没有什么比皇家儿童保护委员会最近在儿童保护领域所做的努力更能体现领导力和提供更好的培训了，为这一优秀资源做出贡献的作者和编辑团队值得祝贺。RCPCH免费向所有人提供该出版物，这一点特别值得赞扬。
There is a marked variation in the coverage of the subject of child abuse in paediatric textbooks. The standard and arguably definitive North American paediatric textbook (Nelson), contains only a short 12 page chapter (out of a total of 2618 pages) briefly reviewing the subject.1 Another North American paediatric textbook of biblical dimensions (2808 pages), Oski's Pediatrics, has a marginally longer (14 page) chapter on child maltreatment.2 In contrast, the standard and definitive UK paediatric textbook, Forfar & Arneil's Textbook of Pediatrics (1985 pages), has a substantial 27 page chapter covering the various types of abuse and neglect.3 To supplement these sources, there is an assortment of textbooks devoted solely to one or more facets of child abuse.
Do we need another book on the subject of child protection? The answer is that this is a highly original and much-needed book which fills some important gaps. It is not, however, a textbook on child abuse. There are no illustrations depicting injuries. For example, if you want to look up ‘shaken baby syndrome’, this is not the source to use. This is a handbook aimed at helping doctors in the process of child protection case management. There are chapters on important practical issues such as working with other professionals, consent and confidentiality, what to do if you are concerned that a child may be abused, documentation and recording, writing medical reports and police witness statements, court proceedings and giving evidence, and training and support for doctors. There are 18 appendices with examples of proformas, checklists, protocols, consent forms, flow charts and illustrations of how to structure medical reports. There is a chapter of practical advice on the photography of injuries.
The book includes a section on the recognition of maltreatment, and this helpfully sets out to provide evidence to support the advice given. Thus, for example, the book states (on the subject of bruising) that non-abusive bruising has a direct correlation to the developmental stage of the child, that boys and girls have equal rates of non-abusive bruising, and that certain areas of the body are rarely bruised at any age. All these statements are backed up by references to published evidence, where it exists, and the list of references to this section includes a recommended reading list. In addition there is a helpful list of useful websites.
All paediatricians need to be able to recognize the symptoms of abuse and neglect, and the RCPCH has embarked on a comprehensive programme of child protection training, of which this is an invaluable, clearly written and practical component. For those who question the relevance or utility of Royal Colleges, there could be no better example of leadership and provision of improved training than the recent efforts of the RCPCH in the field of child protection, and the team of authors and editors who contributed to this excellent resource are to be congratulated. That the RCPCH has made the publication freely available to all is particularly commendable.