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American Academy of Pediatrics
Article

Child Abuse in Children and Youth with Special Health Care Needs

Nicola Brodie, Maria D. McColgan, Nancy D. Spector and Renee M. Turchi
Pediatrics in Review October 2017, 38 (10) 463-470; DOI: https://doi.org/10.1542/pir.2016-0098
Nicola Brodie
*Department of Pediatrics,
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Maria D. McColgan
†Child Protection Program,
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Nancy D. Spector
‡Executive Leadership in Academic Medicine Program, and
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Renee M. Turchi
§Center for Children and Youth with Special Health Care Needs, Drexel University College of Medicine, St Christopher’s Hospital for Children, Philadelphia, PA
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  1. Nicola Brodie, MD*
  2. Maria D. McColgan, MD†
  3. Nancy D. Spector, MD‡
  4. Renee M. Turchi, MD, MPH§
  1. *Department of Pediatrics,
  2. †Child Protection Program,
  3. ‡Executive Leadership in Academic Medicine Program, and
  4. §Center for Children and Youth with Special Health Care Needs, Drexel University College of Medicine, St Christopher’s Hospital for Children, Philadelphia, PA
  • AUTHOR DISCLOSURE

    Drs Brodie and Turchi have disclosed no financial relationships relevant to this article. Dr McColgan has disclosed that she is principal investigator for Children’s Trust Fund’s Family Safe Zone Project, that she provides expert witness testimony and expert opinion in legal cases, and that she owns employee stock in Tenet Health. Dr Spector has disclosed that she is coinvestigator on PCORI CDR-1306-03556, Bringing I-PASS to the Bedside: A Communication Bundle to Improve Patient Safety and Experience; that she mentored implementation of the I-PASS Program as coinvestigator on AHRQ 1R18HS023291; and that she is a member of the Coordinating Council and Scientific Oversight Committees and co-chair of the Educational Executive and Dissemination Committees for both projects. Dr McColgan's current affiliation is The CARES Institute, Rowan University School of Osteopathic Medicine, Stratford, NJ. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

  • Abbreviation:
    AAP:
    American Academy of Pediatrics
  • Education Gap

    As the number of children and youth with special health care needs increases, it is imperative that pediatricians garner the skills to identify patients at increased risk for abuse, to correctly differentiate child abuse and neglect from accidental injury or sequelae of specific disease processes, to appropriately report child abuse, and to integrate prevention strategies into the medical home for our most vulnerable patients.

    Objectives

    After completing this article, readers should be able to:

    1. Detail the definition and epidemiology of children with special health care needs.

    2. Describe the epidemiology of child abuse and neglect.

    3. Review the prevalence of abuse in children with special health care needs.

    4. Determine the psychosocial and environmental risk factors for child abuse and neglect.

    5. Differentiate the findings associated with physical abuse from those of accidental injury or illness.

    6. List unique barriers to identifying and reporting abuse in children with special health care needs.

    7. Identify strategies to prevent child abuse …

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    In this issue

    Pediatrics in Review: 38 (10)
    Pediatrics in Review
    Vol. 38, Issue 10
    1 Oct 2017
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    Child Abuse in Children and Youth with Special Health Care Needs
    Nicola Brodie, Maria D. McColgan, Nancy D. Spector, Renee M. Turchi
    Pediatrics in Review Oct 2017, 38 (10) 463-470; DOI: 10.1542/pir.2016-0098

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    Child Abuse in Children and Youth with Special Health Care Needs
    Nicola Brodie, Maria D. McColgan, Nancy D. Spector, Renee M. Turchi
    Pediatrics in Review Oct 2017, 38 (10) 463-470; DOI: 10.1542/pir.2016-0098
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    • Article
      • Education Gap
      • Objectives
      • Case
      • Introduction
      • Scope of the Problem
      • Specific Risk Factors
      • Identification of Child Abuse
      • Prevention of Abuse
      • Case Resolution
      • Conclusion
      • References
    • Figures & Data
    • Supplemental
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    • Medical Education
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