Medical evaluation of abused and neglected children
E. G. Flaherty and H. Weiss
Department of Pediatrics, Columbus Hospital, Chicago, IL 60614.
Children who have been abused and neglected may have a variety of medical
problems not apparent to a social worker or other nonmedical professional
investigating the allegations. A joint project between a state child
protective agency and an urban teaching hospital was undertaken to provide
for the systematic medical screening of all children brought to the agency
before their placement in foster care. These children received a complete
medical evaluation with emphasis on documenting the abuse and neglect and
also were screened for other medical problems. A total of 5181 children
were evaluated. Forty-four percent of these children had some medical
problem, including anemia, otitis media, sexually transmitted infections,
and lead poisoning. Additional instances of abuse and neglect were
identified and documented. This systematic evaluation allows for the
optimal identification, documentation, and treatment of abuse, neglect, and
other medical problems that may affect a child's outcome and adaptation.
