Dovi Allison T, Macaulay Jennifer L, Repine Andrea, De Jong Allan, Williams Randall E, Deutsch Stephanie Anne
Nemours Children's Health , Delaware.
Chief Executive Officer, Children's Advocacy Center (CAC) of Delaware.
Dela J Public Health. 2022 May 31;8(2):22-27. doi: 10.32481/djph.2022.05.004. eCollection 2022 May.
In 2019, 4.4 million referrals of maltreatment were made that affected approximately 7.9 million children. It was estimated that 9.3% of the referrals were related to child sexual abuse (CSA). To prevent negative psychosocial and health-related outcomes associated with CSA, CSA survivors often participate in a forensic interview, medical and behavioral health assessments, and behavioral health treatment while navigating other life disruptions or changing family dynamics precipitated by the CSA (e.g., change in custody or household, lack of contact with preparator, etc.). The assessment and treatment of pediatric survivors of CSA by multidisciplinary teams (MDT) can enhance families' engagement and participation with the legal process, medical evaluation, and behavioral health services. This paper explores the Nemours Children's Health, Delaware MDT's approach to assessing and treating CSA, explores benefits and barriers associated with the current model, and discusses public health implications of a MDT approach to addressing CSA.
2019年，共收到440万起虐待儿童转介报告，涉及约790万名儿童。据估计，9.3%的转介报告与儿童性虐待（CSA）有关。为预防与儿童性虐待相关的负面心理社会和健康后果，CSA幸存者在应对其他因CSA引发的生活混乱或家庭动态变化（如监护权变更、家庭变动、与施虐者失去联系等）时，通常会接受法医询问、医学和行为健康评估以及行为健康治疗。多学科团队（MDT）对CSA儿童幸存者进行评估和治疗，可提高家庭对法律程序、医学评估和行为健康服务的参与度。本文探讨了特拉华州Nemours儿童健康中心多学科团队评估和治疗CSA的方法，探讨了当前模式的益处和障碍，并讨论了多学科团队应对CSA的公共卫生意义。
