Multidisciplinary Approach to Emergent Sexual Abuse in a Pediatric Emergency Department: A Simulated Child Advocacy Center Model of Care.

IF 1 4区医学 Q3 CRIMINOLOGY & PENOLOGY

Journal of Forensic Nursing Pub Date : 2022-07-01 Epub Date: 2022-01-19 DOI:10.1097/JFN.0000000000000365

Gail Hornor, Avery M Anderson, Stacy Baumeyer, Alicia Daniels, Katharine Doughty, Jessica Hollar, Celeste Prince, Micah Skeens, Kerri Wilkinson

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引用次数: 0

Abstract

Introduction: The purpose of this study was to compare child sexual abuse interview disclosures and judicial outcomes for cases of child and adolescent sexual abuse/assault seen in a pediatric emergency department (PED) before and after the implementation of a simulated child advocacy center (CAC) multidisciplinary model of care.

Method: A retrospective chart and legal records review was conducted from both the PED model of care group and the simulated CAC multidisciplinary model of care for judicial outcomes, child sexual abuse interview disclosures, and sexual abuse case characteristics.

Results: The simulated CAC multidisciplinary model of care did not result in increased indictments, pleas, trials, or disclosure of sexual abuse in the sexual abuse interview when compared with the PED model of care. The simulated CAC multidisciplinary model of care did result in a significantly higher rate of sexual abuse interview completion.

Discussion: Demographic risk factors for sexual abuse victimization as well as perpetration have been identified in the literature and were supported by this study. Law enforcement and child protective services were more frequently present in the PED under the simulated CAC multidisciplinary model allowing for improved protection of children.

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多学科方法紧急性虐待在儿科急诊科:模拟儿童倡导中心模式的护理。

前言:本研究的目的是比较儿童急诊科(PED)实施模拟儿童倡导中心(CAC)多学科护理模式前后儿童和青少年性虐待/性侵犯案件的访谈披露和司法结果。方法:从护理组的PED模型和模拟CAC多学科护理模型对司法结果、儿童性虐待访谈披露和性虐待案件特征进行回顾性图表和法律记录回顾。结果:与PED治疗模式相比，模拟CAC多学科治疗模式并没有导致性虐待访谈中起诉、请求、审判或披露性侵犯的增加。模拟CAC多学科治疗模式确实显著提高了性虐待访谈完成率。讨论:在文献中已经确定了性侵犯受害者和犯罪者的人口统计学风险因素，并得到了本研究的支持。在模拟CAC多学科模型下，PED中更经常出现执法和儿童保护服务，从而改善了对儿童的保护。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Forensic Nursing NURSING-

CiteScore

1.50

自引率

10.00%

发文量

120

期刊介绍： The Journal of Forensic Nursing (JFN) the official journal of the International Association of Forensic Nurses, is a groundbreaking publication that addresses health care issues that transcend health and legal systems by articulating nursing’s response to violence. The journal features empirical studies, review and theoretical articles, methodological and concept papers, and case reports that address the provision of care to victims and perpetrators of violence, trauma, and abuse. Topics include interpersonal violence (sexual assault, abuse, intimate partner violence); death investigation; legal and ethical issues; forensic mental health nursing; correctional nursing; and emergency and trauma nursing.