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Children’s advocacy centre fails to respond to dental, mental and physical ill‐health in abused children
Department of Gynaecology and Obstetrics Eksjö Hospital Eksjö Sweden.
Primary Care Ystad Sweden.
Department of Internal Medicine and Emergency Care Skåne University Hospital Lund Sweden.
Malmö University, Faculty of Odontology (OD).ORCID iD: 0000-0002-1371-8770
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2022 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 111, no 6, p. 1186-1193Article in journal (Refereed) Published
Abstract [en]

Aim

Sweden´s first multidisciplinary children's advocacy centre (CAC) was founded in 2005 as a collaborative practice between child protection services, the legal system and health care in response to police-reported child abuse. CACs were introduced in the county of Skåne in 2007. The aim of the study was to describe the health of children investigated at the CAC in Lund, and to examine whether the CAC model of collaboration responded to the healthcare needs of these children.

Methods

All children aged 0–17 years investigated at the CAC in 2015 were included in this retrospective study. We reviewed the CAC files and the children's medical and dental records from one year prior to, until one year after their assessment at the CAC.

Results

Our review of the medical and dental records (n = 298) showed a high prevalence of mental, dental and physical ill-health. After the CAC joint meeting, only 1% of the children were referred for a medical examination and 4% for a focused forensic evaluation.

Conclusion

Our study demonstrates limitations in the CAC process in responding to extensive health issues of the young victims of crime. We suggest mental, dental and physical health assessments to be statutory in CACs.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 111, no 6, p. 1186-1193
Keywords [en]
children's advocacy centre, core standards of outcome variables, forensic evaluation, healthcare needs, medical examination
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-50729DOI: 10.1111/apa.16328ISI: 000771722300001PubMedID: 35279867Scopus ID: 2-s2.0-85126831826OAI: oai:DiVA.org:mau-50729DiVA, id: diva2:1646677
Available from: 2022-03-23 Created: 2022-03-23 Last updated: 2024-02-05Bibliographically approved

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Klingberg, GunillaRidell, Karin

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