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1000 Titel
  • Kindeswohlgefährdung – Ausweitung des Hellfeldes durch Neukonzeption der klinischen Kinderschutzarbeit
1000 Titelzusatz
  • Child abuse—reduction in the estimated number of unreported cases by restructuring a clinical child protection program
1000 Autor/in
  1. Schmidt, Claudia Maria |
  2. Klein, Saskia |
  3. Stock, Philippe |
  4. Reinshagen, Konrad |
  5. Königs, Ingo |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-09-22
1000 Erschienen in
1000 Quellenangabe
  • 63(10):1241-1249
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00103-020-03217-5 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Identification of child abuse is a daily challenge in medical work. The estimated number of unreported cases of child abuse and neglect is high.!##!Objectives!#!The aim of this study was to investigate the effectiveness of the redesigned clinical child protection program of a major German pediatric hospital and to improve programs in other hospitals for children and physicians through presentation of the advantages of the new structure.!##!Methods!#!All cases of child protection at the Altona Children's Hospital were retrospectively analyzed before and after restructuring of the clinic's child protection program for a two-year period each, and a comparison was made. The child protection program was restructured and the new program subsequently managed by a fulltime coordinator.!##!Results!#!The prevalence of both suspected and substantiated cases of child abuse was significantly higher after restructuring of the child protection program. Before the change, 24 cases were investigated, of which 23 were substantiated; afterward, 124 cases were investigated and 89 were substantiated. Despite the high number of false-positive suspected cases, stigmatization of the families during the clarification progress was avoided by using a very sensitive approach, and the family was not confronted until the suspicion was affirmed.!##!Conclusion!#!The presented concept of child protection in medical clinics seems to facilitate a higher detection rate of child abuse cases. The reduction in the number of undetected cases and thereby prevention of possible escalation of abuse, as well as the decline in the immense social follow-up costs, justifies the increased personnel costs.
1000 Sacherschließung
lokal Child Welfare [MeSH]
lokal Neglect
lokal Vernachlässigung
lokal Child abuse
lokal Child protection
lokal Humans [MeSH]
lokal Dunkelziffer
lokal Family [MeSH]
lokal Retrospective Studies [MeSH]
lokal Child hazard
lokal Germany/epidemiology [MeSH]
lokal Kindermisshandlung
lokal Originalien und Übersichten
lokal Kinderschutz
lokal Child Abuse/diagnosis [MeSH]
lokal Estimated number of unreported cases
lokal Kindeswohlgefährdung
lokal Child [MeSH]
lokal Child Abuse/prevention
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/U2NobWlkdCwgQ2xhdWRpYSBNYXJpYQ==|https://frl.publisso.de/adhoc/uri/S2xlaW4sIFNhc2tpYQ==|https://frl.publisso.de/adhoc/uri/U3RvY2ssIFBoaWxpcHBl|https://frl.publisso.de/adhoc/uri/UmVpbnNoYWdlbiwgS29ucmFk|https://frl.publisso.de/adhoc/uri/S8O2bmlncywgSW5nbw==
1000 Hinweis
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1000 Erstellt am 2023-04-25T18:07:12.577+0200
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1000 Zuletzt bearbeitet Thu Oct 19 10:47:25 CEST 2023
1000 Objekt bearb. Thu Oct 19 10:47:25 CEST 2023
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