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Medical Response to Child Sexual Abuse

Child sexual abuse and exploitation are difficult concepts for any professional to address, but as reports continue to grow more prevalent, it becomes clear that medical providers must have the knowledge and tools to deal with these types of cases. Medical Response to Child Sexual Abuse serves as a resource to help prepare nurses, clinicians, and other medical professionals to evaluate and treat victims of abuse.

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Medical Response to Child Sexual Abuse

A Resource for Professionals Working with Children and Families

Child sexual abuse remains a difficult and disturbing challenge for medical providers. Clinicians are often faced with complex and frequently painful emotional issues, a need to work productively and openly with nonmedical interdisciplinary team members, and the possibility of being called to provide testimony in the uncomfortable and sometimes adversarial courtroom. Medical Response to Child Sexual Abuse: A Resource for Professionals Working with Children and Families was specifically developed with these challenges in mind, serving as a resource to equip clinicians, nurses, and other medical professionals with the essential tools for navigating the vexing territory of child sexual abuse.

Including chapters with dedicated focuses on aspects such as basic anogenital anatomy, the medical approach to evaluating victims of abuse, sexually transmitted infections, and more, this text examines both the technical and practical elements of working with abused, assaulted, or exploited children. Medical Response to Child Sexual Abuse has a completely pediatric focus and adds an illustrative multimedia component with its supplementary CD-ROM, which combines relevant data and practical solutions to identifying and treating the sexual abuse, assault, and exploitation of children in an accessible format comprised of forensic images and easy-to-use PowerPoint presentations.

Product Details:

Flexibound 10 x 7 inches with supplementary CD-ROM
440 pages, 603 images, 31 contributors

Audience:

Physicians, ER Personnel, Pediatricians, EMTs, Pediatric Nurses, Forensic Nurses, Sexual Assault Examiners, Medical and Nursing Schools

Publication date:

January 2011

ISBN-13:

978-1-878060-12-9 (Print)
978-1-936590-10-0 (eBook)

Table of Contents

1. The Medical Response to Child Sexual Abuse: A Historical Overview
2. Basic Anatomy of the Genitalia and Anus
3. The Medical Evaluation of an Alleged Childhood Sexual Abuse Victim
4. The Sexual Abuse Postexamination Conference with Families
5. Non-Emergent Medical Examination Procedures and Techniques
6. Adolescent Issues in Sexual Abuse and Assault
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. The Medical Evaluation of Acute Sexual Abuse or Assault in Children and Adolescents
12. Distance Learning and Imaging Technology
13. Developing Standards for Education and Qualifications of the Child Sexual Abuse Examiner
14. Collaborative Practice and Pediatric Care
15. The Multidisciplinary Team and Child Sexual Abuse
16. The Medical Professional’s Guide to Court Process and Procedures 17. Child Sexual Exploitation
18. Child Sexual Abuse: An International Perspective
19. Therapy for the Child Sexual Abuse Victim
20. Child Sexual Abuse in Children with Disabilities
21. Child Sexual Abuse: Reframing and Expanding Our Perspective
22. The Path to Prevention

Rich Kaplan

Rich Kaplan, MSW, MD, FAAP† was a board-certified pediatric child abuse specialist at Children’s Hospitals and Clinics of Minnesota, Professor of Pediatrics and Director of the Center for Safe and Healthy Children at the University of Minnesota Amplatz Children’s Hospital, and Associate Medical Director at Midwest Children’s Resource Center. He worked with victims of child abuse for over 30 years, first as a social worker and then, for the rest of his career, as a pediatrician. In addition to his work in general pediatrics, Dr. Kaplan was a pioneer in the field of child abuse pediatrics, being among the earliest certified in that specialty. He was internationally recognized as a leading figure in pediatric medicine and received many awards and honors for his dedication to the field. Dr. Kaplan passed away August 19, 2013.

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Joyce A. Adams, MD

Joyce A. Adams, MD has been involved in the medical evaluation of suspected sexual abuse since 1984, first as the director of the Sexual Abuse Evaluation Program at the University of Kansas Medical Center, and then at Valley Medical Center in Fresno, California. She has published extensively in the field of medical evaluation of suspected sexual abuse. She also speaks regularly at national and international meetings on topics of sexual abuse and adolescent gynecology, and is active as an expert witness in child sexual abuse cases nationwide. Currently, Joyce Adams is a Professor of Clinical Pediatrics in the Division of Primary Care Pediatrics and Adolescent Medicine at UCSD. She is involved in teaching, clinical care, and research in several settings, including the Chadwick Center for Children and Families at Rady Children’s Hospital of San Diego. She also acts as a consultant for the Sexual Abuse Response Team and Child Abuse Program at Palomar and Pomerado Hospitals in San Diego County.

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Suzanne P. Starling, MD, FAAP

Suzanne P. Starling, MD, FAAP is a professor of pediatrics at Eastern Virginia Medical School and medical director of the Child Abuse Program at Children’s Hospital of The King’s Daughters in Norfolk, Virginia, where she also directs the Child Abuse Pediatrics Fellowship program. She earned her medical degree from East Carolina University in Greenville, NC, completed her pediatrics residency in Greenville, South Carolina, and her fellowship in Child Abuse Pediatrics at the University of Colorado and The Children’s Hospital in Denver Colorado. She testifies nationally as an expert witness in child abuse and neglect cases and has published more than 25 journal articles and book chapters in the field. Suzanne Starling is immediate past chair the Executive Committee of the Section on Child Abuse of the American Academy of Pediatrics. She also serves as chair of the American Board of Pediatrics subboard on Child Abuse Pediatrics, the board that oversees the education and certification process in the field of child abuse. She is a charter member of the Ray E. Helfer Society, an honorary society for physician specialists in child abuse. She has received many awards for her work, including being named Outstanding Professional by the American Professional Society on the Abuse of Children.

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Angelo P. Giardino, MD, PhD

Angelo Giardino is the medical director of Texas Children’s Health Plan, a clinical associate professor of pediatrics at Baylor College of Medicine, and an attending physician for the Texas Children’s Hospital’s forensic pediatrics service at the Children’s Assessment Center in Houston, Texas. Angelo Giardino completed his residency and fellowship training in pediatrics at the Children’s Hospital of Philadelphia. Immediately after his fellowship training, Angelo Giardino became the assistant, and then the associate, medical director at Health Partners of Philadelphia, where he had primary responsibility for utilization management, intensive case management, and health care data analysis. He also shared responsibility for the plan’s quality improvement program. Additionally, he began the Child Abuse and Neglect Team for Children with Special Health Care Needs, which was funded by a three-year grant from a local philanthropy. In 1998, he was appointed associate chair of clinical operations in the Department of Pediatrics at the Children’s Hospital of Philadelphia (CHOP), and in June of 1999 he was asked to chair the CHOP Quality Committee. These accomplishments are only a few of his career.

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5 Stars ***** from Doody’s
Overall, this is an excellent, compact reference for recognizing and medically managing sexually abused children. It is very useful for practitioners confronted with the potentially sexually abused child and guides the decision-making and management process to ensure the child receives appropriate care. It also offers many features which make it useful in the training of physicians and others involved in the care of children.

James Hanley, MD
Ochsner Clinic Foundation

Y’all are wonderful. I use the Medical Response for my Peds course. In fact I use your books for all my classes. I teach 4 forensic nursing courses through University of California Riverside, Extension. Thank you, so much for your great customer service and your friendship through the years.

Cari Caruso RN SANE-A
Forensic Nurse Professionals
Southern California

This text is destined to be an excellent resource for novices as well as experienced providers of medical care to victims of sexual abuse. In addition, investigators and social workers without medical backgrounds will benefit from increased understanding of the nature, importance, and value of these medical assessments. Clinicians faced with the seemingly never-ending stream of victims will find the last chapter on prevention particularly helpful, providing hope that we can effect change.

Deborah Lowen, MD
Associate Professor of Pediatrics
Director Child Abuse Pediatrics
Vanderbilt University School of Medicine
Nashville, Tennessee

This textbook offers a comprehensive and detailed accounting of the medical assessment of the alleged childhood sexual abuse victim. It serves as an excellent resource for the multidisciplinary team responsible for the evaluation of these complex cases. Both Martin Finkel and Allan De Jong have provided the clinician with a well-referenced guide for how to accurately and effectively medically assess, interpret, and document sexual abuse or assault in children and adolescents. Anyone working in the field of child maltreatment should add this publication to their annals.

Barbara L. Knox, MD, FAAP
Medical Director Child Protection Program
University of Wisconsin
American Family Children’s Hospital
Assistant Professor Department of Pediatrics
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

This is a valuable, exhaustive resource combining anatomic, epidemiologic, therapeutic, and preventative strategies for children and young adults. Beginning with historical context and moving through basic anatomy, physiology, and pathology, the reader quickly learns best practices in health services for sexual abuse, assault, and exploitation. Team approaches, collaboration, telemedicine, training, treatment, and mental health services are reviewed in great detail, and there is a superlative discussion of research methods and the state of knowledge in the field topped off with legal and international issues and prevention. This book should be read by any professional who wants to responsibly provide services for children and families facing these difficult problems.

Vincent J. Palusci, MD, MS, FAAP
Professor of Pediatrics
New York University School of Medicine
New York, New York

Dr. Kaplan’s new text is much more than a “how to do a sexual abuse exam” or a “how to interpret the exam” handbook. The book includes chapters on how to talk with families after the examination, the history and future of child sexual abuse prevention, and child and youth prostitution and pornography. This is both a reference book and a thoughtful stimulus to broaden our thinking about the causes and effects of child sexual abuse and the role of the medical professional in caring for our patients and for the community.

Naomi F. Sugar MD
Clinical Professor of Pediatrics
University of Washington Medical Director
Center for Sexual Assault and Traumatic Stress
Harborview Medical Center
Seattle, Washington

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