Okato Ayumi, Hashimoto Tasuku, Tanaka Mami, Tachibana Masumi, Machizawa Akira, Okayama Jun, Endo Mamiko, Senda Masayoshi, Saito Naoki, Iyo Masaomi
Department of Psychiatry, Graduate School of Medicine, Chiba University.
Division of Clinical Study on Juvenile Delinquency, Center for Forensic Mental Health, Chiba University.
J Multidiscip Healthc. 2018 Feb 22;11:121-130. doi: 10.2147/JMDH.S155352. eCollection 2018.
Child abuse and/or neglect is a serious issue, and in many cases, parents are the perpetrators. Hospital-based child protection teams (CPTs) play pivotal roles in the management of not only abused and/or neglected children but also of their parents; this is generally conducted through multidisciplinary practice. The aim of this study is to survey hospital-based CPT members to determine the professions they perceive to be most applicable to participation in CPTs.
The participants were members of CPTs affiliated with hospitals that had pediatric emergency departments and which were located in Chiba Prefecture; specifically, 114 CPT members from 23 hospitals responded to this survey. The two main questionnaire items concerned are as follows: 1) each respondent's evaluation of conducting assessments, providing support, and implementing multidisciplinary collaborative practice in the treatment of abusive and negligent parents, and 2) each CPT member's opinion on the professions that are most important for CPT activities. An exploratory factor analysis (EFA) was performed to explore the factor structure of the data, and a correlation analysis was performed using the result obtained.
The EFA returned two factors: multidisciplinary collaborative practice (α = 0.84) and assessment and support (α = 0.89). A correlational analysis showed that multidisciplinary collaborative practice had a positive correlation for obstetricians ( = 0.315, = 0.001), neonatologists ( = 0.261, = 0.007), midwives ( = 0.248, = 0.011), and psychiatrists ( = 0.194, = 0.048); however, assessment and support was only significantly correlated with midwives ( = 0.208, = 0.039).
This study showed that hospital-based CPT members highly evaluate multidisciplinary collaborative practice for the management of abusive and/or negligent parents, and they believe that, in addition to pediatric physicians and nurses, perinatal care and mental health professionals are the most important participants in advanced CPT activities.
虐待和/或忽视儿童是一个严重问题，在许多情况下，父母是施虐者。医院儿童保护团队（CPT）不仅在受虐待和/或被忽视儿童的管理中发挥关键作用，在其父母的管理中也发挥关键作用；这通常通过多学科实践来进行。本研究的目的是对医院CPT成员进行调查，以确定他们认为最适合参与CPT的专业。
参与者是隶属于千叶县设有儿科急诊科的医院的CPT成员；具体而言，来自23家医院的114名CPT成员对本次调查做出了回应。两个主要问卷项目如下：1）每位受访者对在虐待和疏忽父母的治疗中进行评估、提供支持和开展多学科协作实践的评价，以及2）每位CPT成员对CPT活动最重要专业的看法。进行探索性因素分析（EFA）以探索数据的因素结构，并使用所得结果进行相关分析。
EFA得出两个因素：多学科协作实践（α = 0.84）和评估与支持（α = 0.89）。相关分析表明，多学科协作实践与产科医生（r = 0.315，p = 0.001）、新生儿科医生（r = 0.261，p = 0.007）、助产士（r = 0.248，p = 0.011）和精神科医生（r = 0.194，p = 0.048）呈正相关；然而，评估与支持仅与助产士显著相关（r = 0.208，p = 0.039）。
本研究表明，医院CPT成员对虐待和/或疏忽父母的管理高度评价多学科协作实践，并且他们认为，除儿科医生和护士外，围产期护理和心理健康专业人员是高级CPT活动中最重要的参与者。
