The Safety of Minors on College and University Campuses: A Social Justice Challenge - PowerPoint Presentation

1. The Safety of Minors on College and University Campuses: A Social Justice ChallengeBethany Mohr, MD, FAAPClinical Assistant ProfessorMedical Director, Child Protection TeamDepartment of Pediatrics and Communicable DiseasesUniversity of Michigan Health System

2. The University of Michigan Child Protection TeamBethany Mohr, MD and Lisa Markman, MDProvide expert medical opinions regarding:Physical Abuse, Sexual Abuse, NeglectMedical Child AbuseMartha Kerr, LMSW, Clinical Coordinator (Abuse Prevention Initiative)Child AbuseDomestic Violence (Intimate Partner Violence)Vulnerable Adult AbuseDonna Schaefer, LMSW, CPT SWAll members of the CPT work closely with DHS/LE/Judicial System and have the means to readily communicate regarding specific children and cases.

3. Maltreatment TypesUS Department of Health and Human Services , Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2012). Child Maltreatment 2011.

4. Former U-M resident physician Stephen JensonJenson, 36, who was fired from the hospital in late December 2011, is charged with four counts of possessing child sexually abusive material. Records show university officials waited six months before filing a report with university police after another resident physician told them she found child porn on a thumb drive that was left in a computer at the Pediatric Emergency Department. She reported that she saw a photo of a “nude adult lying” on a young child whose arms "were bound" and appeared to be tied to a bed frame.They found child porn on a thumb drive in his work bag, on a laptop computer in his living room and on a hard drive in his bedroom.

5. State suspends Ann Arbor pediatrician Howard Weinblatt's medical licenseWeinblatt pled no contest to one count of surveilling an unclothed person in January 2012 and was sentenced to 5 years of probation and a $2,000 fine. Weinblatt was also required to move from his home and to register as a sex offender.Weinblatt was accused of watching a 12-year-old girl (a family friend and one of his patients) change clothes in her bedroom. At his sentencing, he expressed remorse for the pain and suffering the case had caused to the victim, her family and his family. His Burns Park home was situated just 11 feet from the girl’s home. During their investigation, Ann Arbor police found images of suspected child porn on computers they seized from Weinblatt's home Nov. 22, the police report says. Some of those images the federal government considers "child exploitation material," the report says.

6. Protecting Children from Abuse by Health Care ProvidersSEXUAL ABUSEOccurs when a child is engaged in sexual activities that the child cannot comprehend, for which the child is developmentally unprepared and cannot give consent, and/or that violate the law or social taboos of society. Dominant or more powerful person (“control and authority”) coercing a child or adolescent to engage in sexual activities for that dominant person’s own sexual stimulation or gratification of other people.”Someone the child:Knows and trusts; position of authority  Health Care Provider

7. Sexual AbuseSexual activitiesRape to physically less intrusive acts done to or by the child:Oral-genital Digital-genital Anal contact“Non contact abuse”Exhibitionism, voyeurism, pornography

8. DEFINITIONSPedophiliaOver at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges or behaviors involving sexual activity with a prepubescent child or childrenHebephilia/ephebophiliaSexual focus on postpubertal minor girls/boysParaphiliasPersistent, deviant patterns of primary sexual attractionExhibitionismFetishismFrotteurismPedophilaMasochismSadismTransvestitiismVoyeurism

9. PEDOPHILIC MOLESTERSOften choose vocations/activities that provide accessSelect vulnerable victims and groom themProlonged periodsAssess response to gradually more intrusive sexual activitiesAssess ability to remain silentGroom parents and community

10. HEALTH CARE PROVIDERSFrequency of sexual abuse of pediatric patients?Incidence of pedophilia among pediatricians?Frequent, potentially private, contact with childrenHistory-taking and verbal interactionPhysical ExaminationAnnual assessment of anogenital region; and with complaintsGlovesDraping/gowningChaperonesJoint decisionProvider directed

11. INDICATORSPARENTS SHOULD BE INFORMED THAT:Favors, gifts, unusual social contactExam indications, frequencies, techniques unusualParents/chaperones excluded from examsChaperoned exams can be requestedAny concerns about sexually inappropriate exams or provider actions should be reported to the institution’s administrationThey have the right to report directly to CPS

12. UMHS HEALTH CARE PROVIDERSShould be trained to recognize and abide by appropriate provider-patient boundariesPoliciesMedical institutions:Should screen staff members for a history of child abuse issuesEstablish policies and procedures to receive and investigate concerns about patient abuseEach person has a responsibility to ensure the safety of children in health care setting and follow appropriate legal and ethical reporting and investigation proceduresPediatrics 2011; 128:407-426

13. UMHS HEALTH CARE PROVIDERSTrainingAppropriate professional boundariesProfessional interactions during sexually sensitive/explicit discussions/examinationsWhen and how to use chaperonesScreeningPast employmentCriminal and child abuse registry checksAssessmentReview which queries peers, parents, nursing staff and supervisors

14. UMHS POLICIES NEEDEDMaintaining a Professional Relationship with Patients/FamiliesPatient ChaperonesAllegations of Abuse or Neglect by a UMHS Staff MemberStaff Allegation Protocol for Staff

15. REASONABLE CAUSE TO SUSPECT ABUSE/NEGLECT OF A CHILD BY A MEDICAL PROVIDER

16. The University of Michigan Child Protection Team24/7734-763-0215 855-264-9763