This book deals with child abuse and neglect as it presents itself in primary care. All health professionals, including those who work in primary care, have an important role to play in the child protection process. Inappropriate management of suspected instances of child abuse may result in serious implications for the child, family and involved professionals. Primary health care teams have specific and unmet training needs in this area and many general practitioners express anxiety regarding their involvement in child protection work. The overall aim of this book is to enable members of the primary health care team to fulfil their responsibilities in the protection of children from the threat of abuse or neglect. Readers are made aware of the skills required both to protect children and to subsequently maintain relationships with families. The contents have been extended to include child protection issues in our multi-cultural society along with comparison of different systems across Europe. The book is primarily aimed at GPs and their teams; social workers and health care managers will also benefit from its unique treatment of child protection issues in a primary care setting. 'This book addresses these issues with sagacity and imagination. The reader (all primary care team members would benefit from it) is offered facts, skills, attitudes and insights to help in this difficult area. We can all do child protection better - let us use this book to achieve that aim.' From the foreword by Professor Michael Pringle, Immediate Past Chairman, Council of Royal College of General Practitioners

This book deals with child abuse and neglect as it presents itself in primary care. Readers will gain a better understanding of how the child protection process works. The book takes a broad perspective, taking into account domestic violence, adult survivors of abuse and the often forgotten plight of children who are in the care of local authorities. A primary care perspective of this complex and challenging subject is maintained throughout.

Each year, child protective services receive reports of child abuse and neglect involving six million children, and many more go unreported. The long-term human and fiscal consequences of child abuse and neglect are not relegated to the victims themselves-they also impact their families, future relationships, and society. In 1993, the National Research Council (NRC) issued the report, Under-standing Child Abuse and Neglect, which provided an overview of the research on child abuse and neglect. New Directions in Child Abuse and Neglect Research updates the 1993 report and provides new recommendations to respond to this public health challenge. According to this report, while there has been great progress in child abuse and neglect research, a coordinated, national research infrastructure with high-level federal support needs to be established and implemented immediately. New Directions in Child Abuse and Neglect Research recommends an actionable framework to guide and support future child abuse and neglect research. This report calls for a comprehensive, multidisciplinary approach to child abuse and neglect research that examines factors related to both children and adults across physical, mental, and behavioral health domains-including those in child welfare, economic support, criminal justice, education, and health care systems-and assesses the needs of a variety of subpopulations. It should also clarify the causal pathways related to child abuse and neglect and, more importantly, assess efforts to interrupt these pathways. New Directions in Child Abuse and Neglect Research identifies four areas to look to in developing a coordinated research enterprise: a national strategic plan, a national surveillance system, a new generation of researchers, and changes in the federal and state programmatic and policy response.

This volume provides readers around the globe with a focused and comprehensive examination of how to prevent and respond to child maltreatment using evidence-informed public health approaches and programs that meet the needs of vulnerable children, and struggling families and communities. It outlines the system failures of contemporary forensically-driven child protection practice. Detailed guidance is provided about how to re-think earlier intervention strategies, and establish stronger and more effective programs and services that prevent maltreatment at the population level. Service user and stakeholder perspectives, particularly from marginalized groups including Indigenous peoples, highlight how public health approaches can better support families and keep children safe. Case studies from different countries grapple with the fraught nature of large system change and the various strategies needed to effect multi-level reforms. Presenting the reader with an array of innovative services used in different institutional and community context, this volume confronts the complex challenges found in implementing successful prevention programs that are aligned with diverse cultural and political environments and community expectations.

This thought-provoking volume defines child abuse and neglect as a public health crisis, both in terms of injuries and mental health problems and as a link to poverty and other negative social outcomes. The author identifies key factors contributing to this situation—in particular juvenile ageism, the pervasive othering of children and youth—coupled with the assumption of parental competence until severe abuse or neglect proves otherwise. The book’s practical answers to these complex issues involve recognizing and balancing the rights of parents and children, and responding to the diverse needs of new, competent, and dysfunctional families. To this end, a comprehensive prevention model is outlined, featuring primary, secondary, and tertiary interventions. Included in the coverage: • Child abuse and neglect in the United States • The impact of juvenile ageism on individuals • The devaluation of parenthood • The rights and needs of newborn babies and young children • Overcoming our crisis-recoil response • Barriers to change and hope for the future Dealing with Child Abuse and Neglect as Public Health Problems should engage professionals in the public health, healthcare, and social services sectors. It should also attract parents in struggling families as well as other laypersons, such as policymakers and child advocates, interested in improving current social conditions.

"The timing of the publication with the revised Working Together guidelines could not be more advantageous. This book is a unique and important contribution to child care literature. No agency should be without." - Child Abuse Review Professionals concerned with the protection of children face many challenges. This work demands knowledge from several disciplines, a wide variety of skills, and interdisciplinary collaboration. The editors, Howard Dubowitz, a pediatrician, and Diane DePanfilis, a social worker, together with over 70 experts in this field offer what is known about how best to work with maltreated children and their families, in a very practical, concise, and user-friendly way. Structured to follow the life of a case from the time a report of child maltreatment is made through the various pathways in the child protection system, this edited volume synthesizes the best practice principles for responding to reports of child abuse and neglect; engaging children and other family members in intervention; developing cross-cultural practice competencies; assessing risk, evaluating safety, and conducting family assessments; defining outcomes and planning intervention; evaluating risk reduction; and making permanency decisions; and discusses the unique legal, medical, ethical, and other practice issues that work in the child protection field involves. Professionals facing tough dilemmas in practice should find valuable guidance in these pages.

This book written for multidisciplinary child protection teams and presents guidelines for identification, assessment and case management on various forms of child maltreatment.