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Re: History of mandated reporting
<x-html><HTML><FONT FACE=arial,helvetica><FONT SIZE=2>The first family and child courts were set up in Colorado in, I beleive,
<BR>1916. Whether it included reporting requirements I do not know. Its a
<BR>starting point.</FONT></HTML>
</x-html>From ???@??? Thu Mar 09 11:58:40 2000
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From: "Dodgen, Dan" <ddodgen@apa.org>
To: Child Maltreatment Researchers <CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Subject: RE: APA Recommends that docs start screening patients for violenc
e.
Date: Thu, 9 Mar 2000 10:25:20 -0500
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I just wanted to clarify that the American Academy of Pediatrics is usually
known as "AAP" rather than "APA." Most of us typically think of my
organization, the American Psychological Association, when they hear "APA"
and I wanted to avoid any confusion.
Daniel Dodgen, Ph.D.
Senior Legislative and Federal Affairs Officer
Public Policy Office
American Psychological Association
750 First St., NE 20002
(202) 336-6068
(202) 336-6063 fax
internet: ddodgen@apa.org
-----Original Message-----
From: sarah webb [mailto:s.webb@sacpc.demon.co.uk]
Sent: Thursday, March 09, 2000 5:58 AM
To: Child Maltreatment Researchers
Cc: portia@eurekanet.com
Subject: Re: APA Recommends that docs start screening patients for
violence.
Re;'APA Recommends screening children for violence'
-a comment and questions from the UK perspective -
I was very interested to read of the new American Academy of Paediatricians
guidelines on screening for violence.
Firstly, in England currently, for your information, the Government has
distributed to all professionals a consultation document on discipline of
children which advocates that the "reasonalbe chastisement clause" in law,
allowing parents to physically punish their children should remain, and
asking for responses as to in which circumstances parents should be able to
chastise their children. Many child welfare professionals including
Paediatricians are submitting responses which are criitcal of the
governments suggestions, as we try to (but struggle, without backing in
criminal law) to advise parents that physical chastisement is dangerous, and
can lead to other violence,physical and emotional abuse. Many child welfare
organisations are asking for a chnage in the criminal law which would give
children the same protection from assault in law as adults. The European
Court of Human Rights is asking the UK to change our law after a case of
"reasonable chastisement" in the UK was overturned by the European Court
(AvUK).
Secondly, do you have a reference source please for your info/quotes etc.
Thirdly, do you know what the APA/Paediatricians intend to do with the
information they collect on violence - In terms of individual cases, will
they report child abuse if children disclose?, and re the wider perspective,
will the overall info be published?
Many thanks
Sarah Webb
Sheffield Area Child Protection Committee, UK
-----Original Message-----
From: Portia Davis <portia@eurekanet.com>
To: Child Maltreatment Researchers
<CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Date: 08 March 2000 13:42
Subject: APA Recommends that docs start screening patients for violence.
>Doctors to screen kids for violence
>
>By Kristen Go
>Denver Post Staff Writer
>
>Mar. 7 - The next time you and your child visit a pediatrician, don't be
>surprised if the doctor asks about spanking, how often your child sees
>violence on television or if there has been violence in your home.
>
>On Monday, the American Academy of Pediatrics recommended that doctors ask
>those questions to help them recognize violence in the home or possible
>indicators that a child might ultimately become violent.
>
>It is the first time a medical organization has recommended that physicians
>look at violence prevention during routine visits to the doctor.
>
>"We've always known that violence has been a major health problem for
>children, but it seems to be getting even more concerning every year," said
>Dr. Jack Swanson, a member of the American Academy of Pediatrics who was on
>the committee that made the recommendation.
>
>The 53,000-member academy is the nation's largest organization for
>pediatricians.
>
>The academy said homicide and suicide have become the second- and
>third-leading causes of death in teenagers. In 1995, children younger than
>17 made 517,000 hospital emergency department visits for assault-related
>incidents.
>
>After doctors ask the questions, they may choose to follow up at later
>visits or refer their patients to other agencies for follow-up help aimed
at
>preventing violence.
>
>The last time the academy's recommendations - which also include guidelines
>for care such as vision and hearing screening - were revised was in 1995.
>Violenceprevention screening is not the only new recommendation this year.
>However, Dr. Eric Cox, a member of the American Academy of Pediatrics, said
>violence prevention is the most topical subject, especially since there
have
>been several high profile school shootings.
>
>Cox said the organization began looking at pediatricians' role in the
>prevention of violence in the home in the early 1990s.
>
>The recommendation includes asking about a family's mental history,
domestic
>violence, gun ownership and beliefs on discipline. Studies have shown that
>those questions could indicate potential violence in the home.
>
>A recent report from the Massachusetts Department of Youth Services said
>children who witness domestic violence are more likely to become sexual
>perpetrators, commit an assault and attempt suicide.
>
>The American Academy of Pediatrics also reports that family members are
more
>likely to cause violent injury or death than strangers.
>
>Dr. Andrew Sirotnak, director of Kempe Child Protection Team at Children's
>Hospital in Denver, said violence-prevention screening is definitely
needed.
>
>"Violence is a national problem, and it hasn't gone away," he said. "As
>physicians, we should say, "Are we doing a good job (of prevention)?'- "
Dr.
>Howard Spivak of the New England Medical Center in Boston helped develop
>some of the screening tools. He said there isn't a lot of research on the
>scientific correlations between the factors identified by the screening
>questions and actual commission of violent acts. However, he said, the
>screening guidelines were based on up-todate research.
>
>The screening tools address what doctors can look for at different stages
of
>a child's development.
>
>"We're not going to reduce violence in this country if we just (remain)
>reactive," Spivak said.
>
>Dr. Patti Rosquist, a consultant in child abuse for Denver Health and
>Hospitals, said she believes the new recommendations and guidelines will
>help keep children safe. She said she was not involved in the
>decision-making process.
>
>Some of the screening tools may be seen as controversial, Rosquist said.
>
>"A lot of people have strong feelings about handgun ownership and parents'
>disciplinary practices," she said. "As a physician, I have to pay attention
>to the research that shows there are risk factors to child violence.
>Unfortunately, some of those risk factors include some of these
>controversial topics." Dr. Paul Melinkovich, president of the academy's
>Colorado chapter, also believes the recommendation will be helpful.
>
>"We're learning more and more that this is an important area of screening,"
>he said. "Unfortunately, when you're really busy seeing a whole bunch of
>kids, you don't get around for screening everything."
>
>Sally Holloway, executive director of the Denver Child Advocacy Center,
said
>she's glad that pediatricians are recognizing how much violence children
are
>exposed to. The Denver Child Advocacy Center helps families deal with child
>abuse.
>
>"We have got to wise up about the whole subject matter as a society," she
>said. "It'll take a long time to get down to the grassroots level, but if
>you never stand up and say, "This is the right thing to do for kids,' it'll
>never happen."
>
>---------------------------------------------------------------------------
-
>----
>
>WHAT DOCTORS SHOULD LOOK FOR
>
>The American Academy of Pediatrics has devised some screening tools to help
>signal potential violence in the home. The tools were designed after
>reviewing the most up-to-date research. Below is a list of the areas
doctors
>should focus on.
>
>- History of mental illness, previous domestic violence or substance abuse
>in parents or other family members.
>
>- Family stresses such as unemployment, divorce or death.
>
>- Disciplinary attitudes and practices of the parents or caregivers.
>
>- Exposure to violence in the home, school or community.
>
>- Degree of exposure to media violence.
>
>- Access to firearms in family's or neighbor's home, or the community. -
>Gang involvement or exposure in family, school or neighborhood.
>
>- Presence of signs of poor selfesteem or depression.
>
>- Issues such as poor school performance and physical, emotional or
>developmental disabilities.
>
>http://www.denverpost.com/news/violence/viol0307.htm
>
>Portia Davis, Executive Director
>The Ross County Network For Children
>http://www.geocities.com/Heartland/Village/3648/
>