Medical Response to Child Sexual Abuse 2E

Medical Response to Child Sexual Abuse, Second Edition has been updated to include the most contemporary practices for identifying sexual abuse in children. This text supports a wealth of clinical research and includes practical guidelines for the evaluation of young patients.

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Medical Response to Child Sexual Abuse 2E
A Resource for Professionals Working With Children and Families

The second edition of Medical Response to Child Sexual Abuse discusses the best practices for a pediatric approach to sexual abuse in children. This text has been specifically developed to provide physicians, nurses, and other medical professionals with the necessary tools to diagnose cases of child sexual abuse and how to effectively treat patients.

This reference features the most up-to-date recommendations on identifying injuries indicative of sexual abuse, with chapters covering topics such as anatomy, evidence collection, and abusive mimics. With its inclusion of 315 informational tables and full-color clinical images, Medical Response to Child Sexual Abuse 2E is an essential tool for experienced medical professionals and students alike.

Features & Benefits:

  • Over 300 high-quality images
  • Comprehensive overview of child sexual abuse
  • Responses for special populations
  • Ideal for multidisciplinary use

STM Learning’s editorial team has also developed a set of flashcards on child sexual abuse to accompany the text.

Product Details:

Perfect Bound 7 x 10 inches
546 pages, 315 images, 46 contributors


Forensic Nurses, Sexual Assault Nurse Examiners, Sexual Assault Forensic Examiners, Emergency Nurses, Nurse Practitioners, Nursing Students, Physicians, Emergency Physicians, Medical Students, Physician Assistants, Victim Advocates

Publication date:

April 2019


978-1-936590-74-2 (Print)
978-1-936590-75-9 (eBook)

Table of Contents

1. The Medical Response to Child Sexual Abuse: An Historical Overview
2. Basic Anatomy of the Genitalia and Anus
3. The Medical Evaluation of a Suspected Childhood Sexual Abuse Victim
4. The Medical Evaluation of Acute Sexual Abuse or Assault in Children and Adolescents
5. The Sexual Abuse Post-examination Conference With Families
6. Non-Emergent Medical Examination Procedures and Techniques
7. Evidence-based Approach to Child Sexual Abuse Examination Findings
8. Interpretation of Genital and Anal Findings in Children and Adolescents With Suspected Sexual Abuse: State of the Science
9. Medical Conditions That Mimic Sexual Abuse
10. Sexually Transmitted Infections
11. Collection and Testing of DNA Evidence
12. Child Sexual Abuse Medical Examiners
13. The Multidisciplinary Team and Child Sexual Abuse
14. Child Sexual Abuse: An International Perspective
15. Adolescent Issues in Sexual Abuse and Assault
16. Child Sexual Exploitation
17. Child Sexual Abuse of Children With Disabilities
18. The Medical Professional’s Guide to Court Process and Procedures
19. The Adverse Effects of Sexual Abuse
20. Therapy for the Child Sexual Abuse Victim
21. The Path to Prevention

Randell Alexander, MD, PhD

Randell Alexander is a professor of pediatrics at the University of Florida and the Morehouse School of Medicine. He currently serves as chief of the Division of Child Protection and Forensic Pediatrics and interim chief of the Division of Developmental Pediatrics at the University of Florida-Jacksonville. In addition, he is the statewide medical director of child protections teams for the Department of Health’s Children’s Medical Services and is part of the International Advisory Board for the National Center on Shaken Baby Syndrome. He has also served as vice chair of the US Advisory Board on Child Abuse and Neglect, on the American Academy of Pediatrics Committee on Child Abuse and Neglect, and the boards of the American Professional Society on the Abuse of Children (APSAC) and Prevent Child Abuse America. Randell Alexander has served on state child death review committees in Iowa, Georgia, and Florida, and two regional child death review committees. He is an active researcher, lectures widely, and testifies frequently in major child abuse cases throughout the country.

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Nancy Sanders Harper, MD, FAAP

Nancy Sanders Harper is the Medical Director for the Otto Bremer Trust Center for Safe & Healthy Children at University of Minnesota Masonic Children’s Hospital and Hennepin Healthcare. Dr. Harper is board certified in Pediatrics and subspecialty certified in Child Abuse Pediatrics. Dr. Harper graduated from Geisel School of Medicine at Dartmouth in 1995, and completed her pediatric residency in 1998 at Naval Medical Center Portsmouth in Virginia. After graduation, Dr. Harper served as a staff pediatrician and child abuse consultant for Naval Medical Center Portsmouth and US Naval Hospital Okinawa in Japan. In 2004, Dr. Harper resigned from the US Navy and entered into fellowship training in Forensic Pediatrics at Brown University in Rhode Island, graduating in January 2007. Dr. Harper then served as the Medical Director for the CARE Team at Driscoll Children’s Hospital in Corpus Christi, Texas from 2007 through 2014. Dr. Harper served on the Committee on Pediatric Centers of Excellence (79th Legislature) tasked with the development of guidelines for designating regional centers of excellence for child abuse in Texas. Governor Perry appointed Dr. Harper to the statewide Blue Ribbon Task Force to Reduce Child Abuse and Neglect (81st Legislature SB 2080) and the Task Force to Reduce Child Abuse and Neglect and Improve Child Welfare (82nd Legislature SB 1154). The Task Force was legislatively charged with addressing child abuse prevention and the promotion of child well-being for the state of Texas. Dr. Harper served as the programming chair for the AAP Section on Child Abuse and Neglect (SOCAN) from 2012 through 2017 and is invested in improving educational opportunities on child maltreatment both nationally and internationally.

View author publications

Professionals working in the field of child sexual abuse have an important task. They should be dedicated to help abused children and their families in the best possible way. This means that talking to children, performing the examination and tests, interpreting findings and results, and providing therapy should be based on best practice and scientific evidence. This text offers an excellent evidence based resource for the complete workup of sexually abused children in a multidisciplinary approach. This book also provides information about abused children with disabilities, child sexual exploitation, prevention, and the court process. Every professional working in this field should be familiar with this textbook.

Wouter A. Karst, MD
Forensic Physician
Netherlands Forensic Institute
The Hague, Netherlands

A valuable text for medical providers (physicians, forensic nurses, and advance practice providers) whether novice or expert, who provide care to children, adolescents, and their families when there is a suspicion of sexual abuse. Dr. Finkel provides meticulous detail describing elements of the medical history, components of the examination, screening for trauma symptoms, the value of anticipatory guidance on personal space and safety, and the mandate for precise and accurate medical documentation. An updated review is summarized regarding the collection and testing of items with potential evidentiary value with a forward focusing lens. Dr. Kellogg contributes a thorough blueprint on the testing, imaging, treatment, and reporting of STIs in addition to a valued approach to providing care to adolescents with concerns of sexual abuse. Dr. Nazer provides a detailed course on the structures of the genitalia and Dr. Adams provides the most recent information regarding the interpretation of medical findings in suspected child sexual abuse. This book is valuable to all members of the multidisciplinary team providing care, comfort, investigation, guidance, and resolution for children and adolescents affected by child sexual abuse.

Sonja Eddleman, MSN, RN, SANE-A, SANE-P
Child Abuse Resource and Evaluation (CARE) Team
Clinical Coordinator
Driscoll Children’s Hospital
Corpus Christi, Texas

Readers across multiple disciplines—including healthcare providers, social workers, child protection teams, legal professionals, and law enforcement—will find this text highly relevant. The necessity of a multidisciplinary team to optimally care for children who have experienced sexual abuse and recommendations for the role of each team member are outlined. All disciplines will find practical applications for the information in chapter 3: “The Medical Evaluation of a Suspected Child Abuse Victim.” This chapter details key elements to approaching the child victim and family, the specifics of the history and physical exam, and highlights legal aspects of documentation with specific examples provided. Notably, this text ends with a review of the effects of sexual abuse on the genetic/epigenetic level of the brain and highlights the long term psychological and health consequences. For all who care for children and families affected by sexual abuse, I highly recommend this text as an engaging and thorough resource.

Kelly C. Dauk, MD
Professor of Pediatrics
University of Louisville School of Medicine
Louisville, Kentucky

Dr. Alexander and Dr. Harper provide a bright and fast-moving discussion covering a wide expanse of multidisciplinary history, describing society’s concept of the disease of child sexual abuse around the globe. The chapter maintains an optimistic tone even in the realistic criticism of past missteps and frames goals for the future of the field. Dr. Liker and Dr. Thackeray give an informative review addressing the application of evidence-based medicine criteria to the Child Abuse Pediatrics literature with a clever use of well-known publications for analysis of individual concepts. This chapter flows easily, reminiscent of participation in a journal club, and provides a grounded discussion that can (and no doubt will!) be referred to repeatedly by readers.

Marcella Donaruma, MD, FAAP
Associate Professor of Pediatrics
Baylor College of Medicine
Section of Public Health Pediatrics
Texas Children's Hospital
Houston, Texas

This comprehensive digest offers a concise assimilation of chapters summarizing the latest research on child abuse practice for both advanced and beginner medical providers and multidisciplinary team members. Covering a broad range of topics with ample illustrations, this text will likely become the go-to resource on the shelves of child advocacy centers. In addition to a descriptive examination technique chapter, Dr. Harper provides useful explanations on the necessity of the non-acute examination beyond the forensics. The chapter on the importance of the post-examination conference offers lists and questions that are a must-read for practitioners and CAC family advocates. The chapter on therapy explains the unique effectiveness and application TF-CBT and the importance of parental engagement. Emphasizing how prevention efforts must move beyond child-based training, the prevention chapter describes new trends. Beyond child abuse pediatricians and medical providers, this book offers valuable information for all members of the multidisciplinary team.

Stacie LeBlanc, MEd, JD
Executive Director
New Orleans Children's Advocacy Center
Department Head
Audrey Hepburn CARE Center
Children's Hospital of New Orleans
New Orleans, Louisiana

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