Current directory

EDITORIAL

Evaluation, treatment, reporting, and prevention of maltreatment in children with disabilities

Introduction

Assessment and treatment

Reporting and legal response

Prevention

Conclusion

References

REVIEW ARTICLES

Physical abuse and neglect in children with disabilities: Medical evaluation

Abstract

Introduction

Physical abuse

Neglect

Risk factors for physical abuse and neglect

Corporal punishment

Presentation of physical abuse and neglect

Medical history

Physical examination

Cutaneous injuries

Skeletal injuries, fractures, and imaging

Further investigations

Conclusion

References

Medical evaluation and management of sexual abuse in children with disabilities

Abstract

Introduction

Presentation of child sexual abuse

Sexual behaviors

Evaluation of child sexual abuse

Medical history

Table 1. Normal genital anatomy to be examined in cases of suspected sexual abuse

Physical examination

Table 2. Testing for sexually transmitted infections and their implications in children evaluated for sexual abuse

Commercial sexual exploitation of children with disabilities

Conclusion

References

Sexual behaviors in children with developmental disabilities

Abstract

Introduction

Normative childhood sexual behavior

Young children

Older children

Table 1. Typical childhood sexual behaviors

Sexual play

Adolescents

Problematic sexual behavior (PSB)

Association with sexual abuse

Other potential causes for problematic sexual behavior

Children with ASD and PSBs

Effects of disability and other co-morbid factors

Adolescents with ASD and sexualized behaviors

Issues for assessment

Issues for treatment

The impact of caregivers

Sex education

Conclusion

References

Children with medical complexity: Neglect, abuse, and challenges

Abstract

Introduction

The case of Angel, part I of III

What is meant by the term “children with medical complexity?”

Table 1. Terms used to refer to children with special health care needs, or the chronic conditions with which they live, over the past five decades

Table 2. Definitions of a sample of terms used to refer to children with a variety of special health care needs and their conditions

The case of Angel, part II of III

What constitutes medical neglect of children with medical complexity?

The case of Robin, part I of III

How can health care providers recognize instances of “medical child abuse?”

Table 3. Medical child abuse: Steps needed (16)

The case of Robin, part II of III

What are some of the challenges facing mandated reporters and members of the health care and case planning teams in recognizing and responding to suspected medical neglect or abuse of children with medical complexity?

The case of Robin, part III of III

The case of Angel, part III of III

Conclusion

References

Children with disabilities: Legal issues in child welfare cases

Abstract

Introduction

United States constitutional framework

Child maltreatment and the United States Constitution

The federal statutory framework of child welfare cases

Child abuse prevention and treatment act

Adoption Assistance and Child Welfare Act of 1980

Adoption and Safe Families Act

Multiethnic Placement Act and the interethnic adoption provisions

The Foster Care Independence Act

Indian Child Welfare Act

Application of Disability Law to child welfare cases: The Americans with Disabilities Act and similar laws

Application of the ADA

Developing reasonable accommodations

Special Education Law

Social security

Conclusion

References

Children with disabilities: Prevention of maltreatment

Abstract

Introduction

The case for prevention

What is prevention?

Child maltreatment prevention strategies

Table 1. Examples of strategies by prevention level

Home visiting

Family wellness and parenting programs

The prenatal and perinatal periods

Health-based services

Community strategies

Social policies

Targeting specific types of child maltreatment

Importance of health professional involvement

Integrating prevention into professional practice

Table 2. Summary of steps to take to integrate prevention in daily work (72)

Paying for prevention

Table 3. Risk reductions, cost estimates, and savings for selected conditions and strategies

Conclusion

References