Presentations text content in Medical Standard
Slide1
Medical Standard
MDT Training
May 24, 2017
National Children’s Alliance
Slide2Foothills Child Advocacy Center: Children Served
Slide3Children Receiving Medical Services
Slide4Medical Standard
2011
Specialized medical evaluation and treatment services are routinely made available to all CAC clients and
coordinated with
the Multidisciplinary Team response.
2017
Specialized medical evaluation and treatment services are available to all CAC clients and are
coordinated as part of
the Multidisciplinary Team response.
Slide52017: Tougher Guidelines for Medical Professionals
Increased continuing education requirement to
8 hours
every 2 years (was 3 hours).
50% of all findings
deemed abnormal or “diagnostic” of trauma from sexual abuse must have undergone expert review by an “advanced medical consultant” (was only “encouraged” before).
Stricter requirements
for the “advanced medical consultant” who provides this expert review.
Slide62017: Rationale
All children
who are suspected victims of child sexual abuse are
entitled
to a medical evaluation by a provider with specialized training.
However, the referral of children for medical examinations should
NOT be limited
to those for which forensically significant information is anticipated.
Slide72017: Rationale
Medical evaluations should be prioritized as
emergent, urgent, and non-urgent
based on specific screening criteria.
Information gathering must be coordinated with the MDT to
avoid duplication.
Slide82017: Purpose of a Medical Evaluation
“The purpose of a medical evaluation
in suspected child abuse extends
far beyond
providing
an evidentiary examination
for the purpose of the
investigation.”
Slide9Help ensure the health, safety, and well-being of the child;
Evaluate, document, diagnose, and address medical conditions resulting from abuse;
Goals of Medical Evaluation
Slide10Differentiate medical findings that are indicative of abuse from those which may be explained by other medical conditions;Document, diagnose, and address medical conditions unrelated to abuse;Assess the child for any developmental, emotional, or behavioral problems needing further evaluation and treatment and make referrals as necessary;
Goals of Medical Evaluation
Slide11Reassure and educate the child and family;
andRefer for therapy to address trauma related to the abuse/assault, if not provided by another member of the MDT/CAC.
Goals of Medical Evaluation
Slide12Education Reduces Anxiety
Children and families are anxious usually
due to misconceptions
about the exam.
Designated
non-medical MDT members and CAC staff should be trained and be able to competently respond
to common questions, concerns, and misconceptions.
Slide13Are Changes Needed to Our Protocols?
Yes, to meet the new standard and as the UVA Forensic Team expands its protocols.
UVA recently expanded acute protocols for child abuse to include physical and strangulation, and also added elder abuse and domestic violence.
Slide14Recommended Changes Reflected in the Referral Tool
Forensic medical evidence will be collected when an acute sexual assault occurred
within 120 hours
.
In NON-EMERGENCY cases, the Foothills staff
will work with the investigators, Dr. Parrish, and the family to schedule the appointment as soon after the forensic interview as possible.
Medical Standard
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