What Do Child Abuse and Neglect Medical Evaluation Consultation Notes Tell Researchers and Clinicians?-Reference-Cited by-同舟云学术

What Do Child Abuse and Neglect Medical Evaluation Consultation Notes Tell Researchers and Clinicians?

Published:2022-10-20 Issue: Volume: Page:107755952211345
ISSN:1077-5595
Container-title:Child Maltreatment
language:en
Short-container-title:Child Maltreat

Author:

Golonka Megan¹²^ORCID,Liu Yuerong¹^ORCID,Rohrs Rosie³^ORCID,Copeland Jennifer¹,Byrd Jessalyn⁴^ORCID,Stilwell Laura⁵⁶,Crew Carter⁷,Kuehn Molly⁵,Snyder-Fickler Elizabeth¹,Hurst Jillian H.⁸⁹,Evans Kelly E.¹,Terrell Lindsay¹⁰,Gifford Elizabeth J.¹⁶⁸¹¹

Affiliation:

1. Center for Child and Family Policy, Duke University, Durham, NC, USA

2. Center for the Study of Adolescent Risk and Resilience, Department of Psychology and Neuroscience, Duke University, Durham, NC, USA

3. Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, MA, USA

4. School of Nursing, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA

5. Duke University School of Medicine, Durham, NC, USA

6. Sanford School of Public Policy, Duke University, Durham, NC, USA

7. Division of Reproductive, Maternal, Newborn, and Child Health, FHI 360, Durham, NC, USA

8. Children’s Health and Discovery Initiative, Duke University, Durham, NC, USA

9. Department of Pediatrics, School of Medicine, Duke University, Durham, NC, USA

10. Department of Pediatrics, Duke Children’s Primary Care, Duke University Medical Center, Durham, NC, USA

11. Margolis Center for Health Policy, Duke University, Durham, NC, USA

Abstract

Child abuse and neglect (CAN) medical experts provide specialized multidisciplinary care to children when there is concern for maltreatment. Their clinical notes contain valuable information on child- and family-level factors, clinical concerns, and service placements that may inform the needed supports for the family. We created and implemented a coding system for data abstraction from these notes. Participants were 1,397 children ages 0–17 years referred for a consultation with a CAN medical provider at an urban teaching and research hospital between March 2013 and December 2017. Coding themes were developed using an interdisciplinary team-based approach to qualitative analysis, and descriptive results are presented using a developmental-contextual framework. This study demonstrates the potential value of developing a coding system to assess characteristics and patterns from CAN medical provider notes, which could be helpful in improving quality of care and prevention and detection of child abuse.

Funder

Translating Duke Health Children's Health and Discovery Initiative

ABC Thrive Bass Connections

Duke Endowment

Publisher

SAGE Publications

Subject

Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

Link

http://journals.sagepub.com/doi/pdf/10.1177/10775595221134537

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