Pediatr Ann. 2020 May 1;49(5):e215-e221. doi: 10.3928/19382359-20200421-01.
Applications for asylum in the United States have increased significantly in the past decade, including those by children fleeing persecution. Pediatricians may serve as a resource for children seeking asylum by participating in specialized training and performing forensic medical evaluations for use in the legal process. A forensic medical evaluation comprises an interview to elicit a narrative of reported abuse, a psychological assessment, and/or a medical assessment. Evaluators document an impression of the consistency of medical and psychological findings with the trauma, which forms the legal basis for a child's asylum claim. This article provides guidance to pediatrician evaluators with an emphasis on an age- and development-specific approach to a forensic medical evaluation of children seeking asylum. Collaboration with primary care pediatricians and community partners about asylum evaluations is important to building support for immigrant children who have experienced trauma. [Pediatr Ann. 2020;49(5):e215-e221.].
在过去十年中,美国寻求庇护的申请显著增加,包括那些因遭受迫害而逃离的儿童。儿科医生可以通过参加专门培训并进行法医医学评估来为寻求庇护的儿童提供资源,以用于法律程序。法医医学评估包括对报告的虐待行为进行访谈以得出叙述、心理评估和/或医疗评估。评估人员记录医学和心理发现与创伤之间的一致性印象,这构成了儿童庇护申请的法律依据。本文为儿科医生评估人员提供指导,重点是针对寻求庇护的儿童进行法医医学评估的年龄和发育特异性方法。与初级保健儿科医生和社区合作伙伴合作进行庇护评估对于支持经历过创伤的移民儿童非常重要。[儿科学报。2020;49(5):e215-e221。]。