HOSPITALS: PATIENTS : SEXUAL ABSUES : CHILDREN : POLICIES AND PROCEDURES: Alleged Abuse [Policies for Handling Abuse Cases]
David P. Dillard
HOSPITALS: PATIENTS :
SEXUAL ABSUES :
POLICIES AND PROCEDURES:
Alleged Abuse [Policies for Handling Child Sexual Abuse Cases]
This message is reposted with the permission of the original poster on the PED list.
We had a prosecutor come talk to us about this very issue just this week in a presentation that had social workers, child life specialists, sexual assault nurses, forensic interviewers from Children’s protective services and physicians present and all gave some good info.
For our ED, we have a stepwise approach: 1.the patient and parent check in with chief complaint. (Little to no details taken just yet).
2. The Social worker is immediately called who then talks to the parent alone and gets the story and history and if the patient is old enough or an adolescent, will get history.
3. The case is hotlined accordingly. If an acute injury is suspected or present, the social worker notifies the physician right away.
4. The physicians don’t ask any history about the events and does more of a medical screen and past medical history. If bruising or injuries seen on exam, photos are taken that go directly into our child abuse database photos that our Child Abuse specialists look at daily and make recommendations such as “the patient needs a forensic interview to be set up with a child forensic interviewer who specializes in children interviews.” This will often be set up within the next couple of days. We limit the story being told to the social worker only as often as we can.
5. If police needs to be called, they come and interview the parent alone and get their own story. We again try to limit them asking the children any questions if possible since they may have a forensic interview set up and the prosecutors can use that interview as part of their case. Parents can be asked as many times as long as everyone quotes things being said by parent and not the child.
6. After all the players have all their key info given to them by the social worker or parent, the patient is sent home or admitted accordingly with follow up in the appropriate location.
Hope this helps.
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