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Child Abuse: We Have a Role to Play - AAFP

"Physicians in all 50 states are required to report suspected maltreatment of a child.... 

"The AAFP and the U.S. Preventive Services Task Force recently issued final recommendations stating that current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent maltreatment in asymptomatic children....

"So what do the new recommendations mean? 

"Well, they don't mean we should stop evaluating children, thinking about abuse in our differential, asking the tough questions when indicated and doing a thorough exam. A child or teen who starts wetting the bed, who is fighting an eating disorder or who is pregnant may be a victim of forms of abuse. We must do our best to prevent and stop abuse. We must educate ourselves about trauma survivorship and its clinical presentations and advocate for healthy homes and communities for our children.

"And it means that more research is needed to tell us what interventions make a difference. Can we change the trajectory of an abused child?...

http://blogs.aafp.org/cfr/leadervoices/entry/child_abuse_we_have_a

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Hi Chris.

I think it's wonderful progress you mention, the example of Tarpon Springs and the Washington State School. There is a moral obligation, professional and social protection of victims, and especially if they are children. I appreciate the link to learn more about about this and about Spanish resources I provide.

Warm greetings, Ana Casas.

Hi Ana,

Yes, I understand. In areas where people are not protected adequately by police/courts this can be a problem. That has to be in place at a minimum. "Trauma-informed care" does require a cultural systems shift to be truly effective. In the U.S. there is one town that is becoming a "trauma-informed community." It is Tarpon Springs. You can read more about it here. People around the U.S. that are trying to make this change usually start with changing the institution they are working in to become a "Trauma-Informed System of Care." For example in Washington State, one school has become trauma-informed.

Here are translated links if they can be of help to you.

Tarpon Springs

Washington State School

We have information on how to become a Trauma-Informed System of Care here.

I hope this information is helpful to you. Let me know if I can answer anymore questions. I know Google Translate isn't perfect but if you need to know how to use it to translate documents, please let me know.

 

Hi Chris.

Thank you for your answer and forgive my insistence. What worries me is that in very small towns may be some constraints. The doctor, such as social workers, teachers, counselors or therapists may fear retaliation by abusers, who may live near them or their families. This may conditioning them somewhat. And finally, leaving the issue to the awareness and value of each one. 

Greetings.

Hello Chris.

I have the conviction that these actions can change the course of the life of an abused child, to a greater or less extent. It is a part of the way forward. But I worry about the small towns, villages. Do you work in exactly the same way?. 

Warm Greetings, 

Ana Casas.

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