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Update in Child Maltreatment

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Update in Pediatrics

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Abstract

A 3 month old is noted to have two small bruises on her arm.

A 15 month old presents with a humeral fracture from an unwitnessed fall.

A 2½ year old is non-verbal, aggressive, and noted to be dirty at a routine medical visit.

A 7 year old reports that her mother’s boyfriend likes to give her a massage in the shower.

A 10 year old tells his teacher that his father hit him with a belt last night for his poor grades.

A 15 year old is worried that she might have been sexually assaulted but can’t remember much about the party she was at the night before.

Child maltreatment (abuse and neglect) is a common problem and one that has long-term consequences for children’s physical, emotional, developmental and social health and well-being. Health care professionals have an ethical, and in many cases, legal obligation to assist children who may be affected by maltreatment. They are also in a unique position to identify maltreatment, explain its impact on the child, and help children and families confronted by these issues. However, many clinicians feel poorly prepared to do this accurately and effectively. This chapter will provide a practical approach for front-line clinicians seeing cases of child abuse and neglect.

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Authors and Affiliations

  1. Division of Child and Youth Protection, Department of Pediatrics, Children’s Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, K1H 8L1, Ontario, Canada

    Michelle G. K. Ward M.D., F.A.A.P., F.R.C.P.C.

  2. Associate professor, Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada

    Michelle G. K. Ward M.D., F.A.A.P., F.R.C.P.C.

  3. Department of Pediatrics, IWK Health Centre, Halifax, NS, Canada

    Amy E. Ornstein MDCM, MSc, FRCPC, FAAP

  4. Department of Pediatrics, Dalhousie University, Halifax, NS, Canada

    Amy E. Ornstein MDCM, MSc, FRCPC, FAAP

  5. The Suspected Child Abuse and Neglect (SCAN) Program, The Hospital for Sick Children, Toronto, ON, Canada

    Tanya Deurvorst Smith M.N., N.P.-Paediatrics & Karla Wentzel M.N., N.P.-Paediatrics

  6. Lawrence S. Bloomberg Faculty of Nursing, The University of Toronto, Toronto, ON, Canada

    Tanya Deurvorst Smith M.N., N.P.-Paediatrics & Karla Wentzel M.N., N.P.-Paediatrics

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  1. Michelle G. K. Ward M.D., F.A.A.P., F.R.C.P.C.
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  2. Amy E. Ornstein MDCM, MSc, FRCPC, FAAP
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  3. Tanya Deurvorst Smith M.N., N.P.-Paediatrics
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  4. Karla Wentzel M.N., N.P.-Paediatrics
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Corresponding author

Correspondence to Michelle G. K. Ward M.D., F.A.A.P., F.R.C.P.C. .

Editor information

Editors and Affiliations

  1. Chief/Medical Director of Pediatrics at Quinte Health Care, Assistant Professor at Queen’s University, Belleville, Ontario, Canada

    Shalea Piteau

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Ward, M.G.K., Ornstein, A.E., Smith, T.D., Wentzel, K. (2018). Update in Child Maltreatment. In: Piteau, S. (eds) Update in Pediatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-58027-2_4

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  • DOI: https://doi.org/10.1007/978-3-319-58027-2_4

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