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A Practical Guide to the Evaluation of Child Physical Abuse and Neglect (Paperback, 2nd ed. 2009)
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A Practical Guide to the Evaluation of Child Physical Abuse and Neglect (Paperback, 2nd ed. 2009)
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As we near the 50th anniversary of the landmark article by C. Henry
Kempe and his colleagues entitled "The Battered Child Syndrome",
which ushered in the modern era of professional attention by
pediatricians and other child health professionals, we have reason
for both celebration and concern. We can take heart that over the
recent ve decades, a great deal of professional attention focused
on the problem of child abuse and neglect. In every state of the
country, there are mandatory repo- ing laws that require nurses,
physicians, and social workers to report suspicions of maltreatment
to the appropriate authorities for investigation. The act of repo-
ing provides legal immunity to the reporter except when performed
in bad faith. Progress in understanding the factors that place
children at risk for harm from ph- ical abuse and neglect now
permits prevention and intervention. The peer-reviewed literature
dealing with child abuse and neglect has proliferated with high
quality work being done and reported on the many dimensions related
to the epidemi- ogy, mechanism, treatment, and prognosis of child
maltreatment. Efforts are being directed toward developing an
evidence-based approach to the prevention of child abuse and
neglect. These are some of the positives. However, negatives exist
and remain reasons for concern. Despite a tremendous amount of
attention to the pr- lem of maltreatment, there are at least 3
million reports of suspected child abuse and neglect made annually,
with nearly 1 million cases being substantiated.
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