Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Box # 16, Chicago, IL, 60611, USA; Northwestern University Feinberg School of Medicine, 420 E Superior St, Chicago, IL, 60611, USA.
Meharry Medical College, 1005 Dr D.B. Todd Jr., Blvd, Nashville, TN, 37208, USA.
J Forensic Leg Med. 2024 Apr;103:102685. doi: 10.1016/j.jflm.2024.102685. Epub 2024 Apr 18.
Since 2019, the number of children apprehended by the United States Custom and Border Patrol at the southern border continues to increase. Many of these children are fleeing violence and extreme poverty and qualify for several forms of humanitarian relief. Trained pediatric health professionals have an essential role to play in documenting evidence to support their petitions. The goal of a forensic medical and psychological evaluation is to establish the facts related to the reported incident(s), provide forensic evidence to support these claims, and provide an expert opinion on the degree to which a finding correlates with the client's reports through a written affidavit. Research studies have demonstrated a significant increase in asylum grant rate for cases that include an evaluation. As demand for forensic evaluations has grown, multiple clinic models have emerged, including volunteer networks, student-led clinics, and faculty-led clinics. The Forensic Assessment for Immigration Relief (FAIR) Clinic offers a sustainable infrastructure while emphasizing the training of pediatric healthcare professionals on the conduct of trauma-informed, culturally attuned, and developmentally appropriate forensic evaluations. This paper outlines the year-long process of developing and launching a clinic specializing in pediatric forensic medical and psychological evaluations as a blueprint for replication.
自 2019 年以来,美国海关和边境巡逻队在南部边境逮捕的儿童人数持续增加。这些儿童大多是为了逃离暴力和极端贫困,有资格获得多种形式的人道主义援助。经过培训的儿科保健专业人员在记录证据以支持他们的申请方面发挥着至关重要的作用。法医医学和心理评估的目的是确定与所报告的事件相关的事实,提供支持这些主张的法医证据,并通过书面宣誓书就调查结果与客户报告的相关性程度提供专家意见。研究表明,包括评估在内的案件的庇护批准率显著提高。随着对法医评估的需求不断增长,已经出现了多种诊所模式,包括志愿者网络、学生主导的诊所和教师主导的诊所。法医移民救济评估(FAIR)诊所提供了一个可持续的基础设施,同时强调对儿科保健专业人员进行创伤知情、文化敏感和发展适当的法医评估方面的培训。本文概述了专门从事儿科法医医学和心理评估的诊所的一年发展和启动过程,为复制提供了蓝图。