Reports alleging maltreatment of more than three million children
were made in the United States in 1996, a rate of 44 per 1,000
children in the population. Of those reports, child protective
services substantiated abuse or neglect in nearly one million
children -- an 18 percent increase since 1990. More than half the
1996 reports alleging maltreatment came from medical, social
services, education, or law enforcement professionals, and almost
two-thirds of the substantiated reports were made by these
professionals.
As diagnostic expertise has increased, child care professionals
face new responsibilities for recognizing the short-term and
long-term consequences of childhood victimization and for
effectively treating victims of the various forms of child
maltreatment. Achieving treatment goals requires that consultations
among mental health, medical, and legal practitioners be conducted
on common ground. This book seeks to provide that common
ground.
Combining current theory about treating child abuse with current
practice guidelines, Treatment of Child Abuse provides
professionals with the guidance they need to take the correct steps
to restore the child and the family as much as possible to normal.
In addition, it addresses the rising demand for accountability in
the health care system, which increasingly requires professionals
to justify their efforts and their methods. The result is the first
single reference source for the clinician who needs to know which
approach to treatment might be most appropriate for a given child
trying to cope with the aftermath of physical, emotional, or sexual
abuse. It provides guidelines for treatment of the different
categories of abuse as wellas neglect, Munchausen by proxy, and
multiple traumatization. Initial medical management, legal
interventions, long-term medical management, and long-term
management of developmental and psychological consequences are
thoroughly covered, as are complicated issues such as
treatment-resistant families, the treatment of offenders, forensic
implications (including confidentiality), and the long-term
consequences of childhood victimization.
General
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