his book addresses a very difficult topic—child abuse and neglect. Almost every photograph and case study in the book represents a real-life tragedy—a child who needlessly suffered or died. Although recording and reporting their stories is necessary to educate health professionals and others, we continue to be reminded of the extraordinary amount of human suffering contained within the book's covers.
In 2009 the first cadre of board-certified child abuse pediatricians was recognized by the American Board of Pediatrics. This group of pediatricians has worked for many years to develop the subspecialty, dedicating their careers to the diagnosis, treatment, and prevention of child maltreatment. Knowledge in this field has exploded over the past 47 years since C. Henry Kempe published his landmark paper on “The Battered Child Syndrome.” Although several excellent textbooks on medical aspects of child abuse are available, we believe this comprehensive volume will contribute significantly as a resource of evidence-based knowledge for the new subspecialty.
Child abuse and neglect were not thought of as “medical” problems until the 1960s. Since that time, an enormous amount of clinical research has led to a more sophisticated knowledge of the intersection between medicine and child maltreatment. The National Library of Medicine added the subject heading, “Child Abuse,” to its catalog in 1963. That year, 12 articles were categorized as pertaining to child abuse. Currently approximately 600 articles are cataloged under the heading “Child Abuse” each year.
The National Association of Children's Hospitals and Related Institutions has recognized the importance of child maltreatment in pediatric medicine. In 2006 the organization published guidelines for children's hospitals’ child protection teams, advising that every children's hospital should house a formal program to diagnose and treat child abuse.
The extraordinary effect that child maltreatment has over the lifespan has been overwhelmingly demonstrated. For example, the Adverse Childhood Experiences study done at the University of California–San Diego showed that childhood events such as experiencing physical abuse, sexual abuse, psychological abuse, and neglect increase the chances of an adult developing a wide variety of illnesses, including heart and lung disease, obesity, liver disease, and depression. Adverse childhood events also were associated with disability and early death.
At this point, child maltreatment is as much a medical problem as it is a social problem. The active participation of health professionals in identifying, treating, and preventing child abuse and neglect has become imperative. Thus, this book was conceived to provide a complete overview of the crossroads of medicine and child maltreatment.
The book is divided into eight sections. The first section discusses the epidemiology of child abuse and neglect. The second section concentrates on interviewing children and families. The third section addresses sexual abuse, followed by a section on sexually transmitted diseases. Physical child abuse is covered in Section V. Section VI, containing 10 chapters, specifically addresses aspects of abusive head trauma. Section VII covers psychological aspects of child maltreatment, including diagnosis, treatments, and outcomes. The final section is a collection of 16 “special topics” that did not fit into any other category but nevertheless are important to address, such as child death review, failure to thrive, prevention of abuse and neglect, and medical child abuse.
Although the book was written as a medical text, there is much in this volume that will be helpful to other professionals who work with abused and neglected children, including attorneys, social workers, mental health professionals, law enforcement officers, and social service administrators. Our aim with this book is to create a “one-stop shopping” source of information on all aspects of child maltreatment. One noticeable omission is our lack of information on legal aspects of child protection. Fortunately, there are several outstanding texts and periodicals in existence that cover this topic extensively.
When possible, we strived to put the information in each chapter into context by commenting on the strength of the medical evidence and pointing out areas for which future research should be directed. Although controversy persists around many topics in child protection, the book demonstrates that there is extensive literature based on research and practice that is available to professionals in the field. We have attempted to put information from the best of this literature into a single volume.
-- Carole Jenny, MD, MBA --
Key Features
- Identify an abusive injury and treat it effectively by reviewing evidence and critical analyses from leading authorities in the field.
- Recognize the signs of shaken baby syndrome, sex offenders and abuse in religious organizations.
- Understand the biomechanics of injury to determine whether abuse was truly the cause of a child's injury.
- View illustrations that show first-hand examples of child abuse or neglect.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
Contents
I - Epidemiology of Child Maltreatment
- Chapter 1 - Epidemiological Issues in Child Maltreatment Research, Surveillance, and Reporting
- Chapter 2 - Epidemiology of Physical Abuse
- Chapter 3 - Epidemiology of Sexual Abuse
- Chapter 4 - Epidemiology of Intimate Partner Violence
- Chapter 5 - Epidemiology of Child Neglect
- Chapter 6 - Epidemiology of Abusive Head Trauma
II - Interviewing
- Chapter 7 - Interviewing Children and Adolescents About Suspected Abuse
- Chapter 8 - Interviewing Caregivers of Suspected Child Abuse Victims
III - Sexual Abuse of Children
- Chapter 9 - The Physical Examination of the Child When Sexual Abuse Is Suspected
- Chapter 10 - Normal and Developmental Variations in the Anogenital Examination of Children
- Chapter 11 - Physical Findings in Children and Adolescents Experiencing Sexual Abuse or Assault
- Chapter 12 - Medical Conditions with Genital/Anal Findings that Can Be Confused with Sexual Abuse
- Chapter 13 - The Forensic Evidence Kit
- Chapter 14 - Tests Used to Analyze Forensic Evidence in Cases of Child Sexual Abuse and Assault
- Chapter 15 - Drug-Facilitated Sexual Assault
- Chapter 16 - Adolescent Sexual Assault and Statutory Rape
- Chapter 17 - Female Genital Mutilation/Cutting
- Chapter 18 - Internet Child Sexual Exploitation
- Chapter 19 - Evaluating Images in Child Pornography
- Chapter 20 - Child Molesters
IV - Sexually Transmitted Infections in Children—Epidemiology, Diagnosis and Treatment
- Chapter 21 - Nonsexually Transmitted Infections of the Genitalia and Anus of Prepubertal Children
- Chapter 22 - Bacterial Sexually Transmitted Infections in Children
- Chapter 23 - Viral and Parasitic Sexually Transmitted Infections in Children
- Chapter 24 - HIV and Aids in Child and Adolescent Victims of Sexual Abuse and Assault
- Chapter 25 - Laboratory Methods for Diagnosing Sexually Transmitted Infections in Children and Adolescents
V - Physical Abuse of Children
- Chapter 26 - Documenting the Medical History in Cases of Possible Physical Child Abuse
- Chapter 27 - Photodocumentation in Child Abuse Cases
- Chapter 28 - Abusive Burns
- Chapter 29 - Bruises and Skin Lesions
- Chapter 30 - Skin Conditions Confused with Child Abuse
- Chapter 31 - Bone Health and Development
- Chapter 32 - Abusive Fractures
- Chapter 33 - Imaging of Skeletal Trauma in Abused Children
- Chapter 34 - The Role of Cross-Sectional Imaging in Evaluating Pediatric Skeletal Trauma
- Chapter 35 - Long Bone Fracture Biomechanics
- Chapter 36 - Abdominal and Chest Injuries in Abused Children
- Chapter 37 - Ear, Nose, and Throat Injuries in Abused Children
- Chapter 38 - Sudden Infant Death Syndrome or Asphyxia?
VI - Abusive Head Trauma
- Chapter 39 - Abusive Head Trauma
- Chapter 40 - Biomechanics of Head Trauma in Infants and Young Children
- Chapter 41 - The Case for Shaking
- Chapter 42 - Imaging of Abusive Head Trauma
- Chapter 43 - Neck and Spinal Cord Injuries in Child Abuse
- Chapter 44 - Eye Injuries in Child Abuse
- Chapter 45 - Neuropathology of Abusive Head Trauma
- Chapter 46 - Biochemical Markers of Head Trauma in Children
- Chapter 47 - Conditions Confused with Head Trauma
- Chapter 48 - Outcome of Abusive Head Trauma
VII - Psychological Aspects of Child Maltreatment
- Chapter 49 - Psychological Impact and Treatment of Sexual Abuse of Children
- Chapter 50 - Psychological Impact and Treatment of Physical Abuse of Children
- Chapter 51 - Psychological Impact and Treatment of Neglect of Children
- Chapter 52 - Psychological Impact on and Treatment of Children Who Witness Domestic Violence
- Chapter 53 - Effects of Abuse and Neglect on Brain Development
VIII - Special Topics
- Chapter 54 - Substance Abuse and Child Abuse
- Chapter 55 - Definitions and Categorization of Child Neglect
- Chapter 56 - Dental Neglect
- Chapter 57 - Failure to Thrive
- Chapter 58 - Detecting Drugs in Infants and Children
- Chapter 59 - Injuries Resulting from Falls
- Chapter 59 Supplemental Resources - Injuries Resulting from Falls
- Chapter 60 - Forensic Dentistry
- Chapter 61 - Medical Child Abuse
- Chapter 62 - Child Death Review
- Chapter 63 - Religion and Child Neglect
- Chapter 64 - The Prevention of Child Abuse and Neglect
- Chapter 64 Supplemental Resources - The Prevention of Child Abuse and Neglect
- Chapter 65 - Caring for Foster Children
- Chapter 66 - The Response of Professional and Other Nonprofit Organizations to Child Maltreatment
- Chapter 67 - International Issues in Child Maltreatment
- Chapter 68 - The Essentials of an Effective Child Welfare System
- Chapter 69 - The Costs of Child Maltreatment
- Chapter 70 - Caring for the Caretakers
About the Author
Carole Jenny, MD, MBA, Editor, Professor Of Pediatrics, Warren Alpert Medical School Of Brown University; Director, Childsafe Child Protection Program, Hasbro Children's Hospital, Providence, Rhode Island.
Product Details
- Hardcover: 688 pages
- Publisher: Saunders; Har/Psc edition (2011)
- Language: English
- ISBN-10: 1416063935
- ISBN-13: 978-1416063933
- Product Dimensions: 11.1 x 8.7 x 1.2 inches
List Price: $99.95