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Primary Care Perspectives

Primary Care Perspectives: Episode 76 - Identifying Signs of Child Abuse and Neglect

Apr 14, 2020
Dr. Cindy Christian, a medical expert on child welfare, discusses the alarming rise in child abuse rates during the COVID-19 pandemic. She examines how reduced visibility of children to mandated reporters has led to an increase in unreported cases. The conversation delves into pediatricians' roles in identifying signs of abuse, specific injury patterns to watch for, and the importance of documenting concerns accurately. Dr. Christian also highlights the transformative role of telemedicine in monitoring and addressing these critical issues.
28:17

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Quick takeaways

  • The COVID-19 pandemic has significantly increased the risk of child abuse due to heightened family stress and reduced visibility for detection by mandated reporters.
  • Pediatricians play a crucial role in identifying potential signs of abuse by being vigilant about unexplained injuries and unusual bruising patterns in children.

Deep dives

Prevalence of Child Abuse

Child abuse is alarmingly prevalent, with over 3 million reports made to child protective services in the United States annually. However, this figure represents only a fraction of actual abuse occurring, as many cases remain unrecognized and unreported. The COVID-19 pandemic has exacerbated this issue, as children are less visible to mandated reporters such as teachers, who typically identify signs of abuse while children are in school. Consequently, there are concerns that the number of unrecognized cases may lead to a surge of child abuse incidents once social distancing restrictions are lifted.

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