Details:

Alternative Title:
Child Abuse Negl
Personal Author:
Cleek, Elizabeth A. ; Johnson, Norah L. ; Sheets, Lynn K.
Cleek, Elizabeth A. ; Johnson, Norah L. ; Sheets, Lynn K. Less -
Description:
Background.

Despite reporting legislation, healthcare providers (HCPs) do not always report and collaborate in cases of suspected child abuse. Recognizing this leaves children at risk, the Wisconsin Child Abuse Network (WI CAN) sought to understand barriers to mandated reporting and collaboration with child abuse investigators.

Objective.

The purpose of the study was to investigate barriers for professionals in providing and obtaining high-quality medical information in child abuse investigations.

Participants and Setting.

Participants included five discipline-specific focus groups: HCPs, child protective services (CPS), law enforcement, lawyers, and judges. All professionals had been directly involved in Wisconsin child abuse cases.

Methods.

This qualitative study consisted of discipline-specific focus groups, directed by open-ended interview questions. Data analysis was completed through the narrative inquiry methodology.

Results.

Barriers to providing and obtaining high-quality medical information in child abuse investigations were both discipline-specific and universal amongst all groups. Discipline-specific barriers included: HCPs’ discomfort with uncertainty; CPS’ perception of disrespect and mistrust by HCPs; law enforcement’s concerns with HCPs’ overstepping professional boundaries; lawyers’ concern of HCPs’ discomfort with court proceedings; and judges’ perception of a lack of understanding between all disciplines. Universal barriers included: value of high-quality medical information in child abuse investigations, burden of time and money; unequal resources between counties; a need for protocols, and a need for interdisciplinary collaboration.

Conclusion.

Findings from this study suggest several ways to address identified barriers. Possible interventions include equalizing resources between urban and rural counties (specifically financial resources and access to child abuse experts); protocolizing reporting and investigations; and, increasing interprofessional education.


Keywords:
[+]
Attitude Of Health Personnel Child Child Abuse Child Protective Services Collaboration Cooperative Behavior Female Focus Groups Health Personnel Health Resources Humans Interprofessional Relations Investigation Lawyers Male Mandated Reporting Medical Informatics Qualitative Research Rural Health Uncertainty Urban Health Wisconsin
Source:
Child Abuse Negl. 92:167-178
Pubmed ID:
30999166
Pubmed Central ID:
PMC6513678
Document Type:
Journal Article
Funding:
TL1 TR001437/TR/NCATS NIH HHSUnited States/ ; U01 CE002944/CE/NCIPC CDC HHSUnited States/ ; U01 NS088034/NS/NINDS NIH HHSUnited States/ ; UL1 TR001436/TR/NCATS NIH HHSUnited States/
TL1 TR001437/TR/NCATS NIH HHSUnited States/ ; U01 CE002944/CE/NCIPC CDC HHSUnited States/ ; U01 NS088034/NS/NINDS NIH HHSUnited States/ ; UL1 TR001436/TR/NCATS NIH HHSUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:6def6bf4c2e2e47e5604403fabdbcd03390538dbe954e8542c0d8d61e81772f1
Download URL:
https://stacks.cdc.gov/view/cdc/119163/cdc_119163_DS1.pdf
File Type:

Supporting Files

• nihms-1527130.nxml

  xml

More +