Medical Standard

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MDT Training. May 24, 2017. National Children’s Alliance. Foothills Child Advocacy Center: Children Served. Children Receiving Medical Services. Medical Standard. 2011. Specialized medical evaluation and treatment services are routinely made available to all CAC clients and . ID: 614683 Download Presentation

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Medical Standard

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Medical Standard

MDT Training

May 24, 2017

National Children’s Alliance


Foothills Child Advocacy Center: Children Served


Children Receiving Medical Services


Medical Standard


Specialized medical evaluation and treatment services are routinely made available to all CAC clients and

coordinated with

the Multidisciplinary Team response.


Specialized medical evaluation and treatment services are available to all CAC clients and are

coordinated as part of

the Multidisciplinary Team response.


2017: 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.


2017: Rationale

All children

who are suspected victims of child sexual abuse are


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.


2017: 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.


2017: Purpose of a Medical Evaluation

“The purpose of a medical evaluation

in suspected child abuse extends

far beyond


an evidentiary examination

for the purpose of the



Help ensure the health, safety, and well-being of the child;

Evaluate, document, diagnose, and address medical conditions resulting from abuse;

Goals of Medical Evaluation


Differentiate 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


Reassure 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


Education Reduces Anxiety

Children and families are anxious usually

due to misconceptions

about the exam.


non-medical MDT members and CAC staff should be trained and be able to competently respond

to common questions, concerns, and misconceptions.


Are 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.


Recommended 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.

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