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Child Protective Services Has Outlived Its Usefulness

Child Protective Services Has Outlived Its Usefulness EDITORIAL Child Protective Services Has Outlived Its Usefulness HE CONCEPT OF CHILD PROTECTIVE SER- the number of reported cases of physical and sexual abuse vices (CPS) was idealistic when it first came has fallen, the number of neglect cases has remained rela- into being in the early 1970s. Following tively level and now constitutes almost three-quarters of the lead of Henry Kempe and colleagues cases reported to CPS. The types of substantiated mal- T at the University of Colorado, pediatric treatment in 758 289 children reported in 2008 were ne- centers began putting together multidisciplinary teams glect, 73%; physical abuse, 16%; psychological maltreat- to evaluate infants and children with suspected inflicted ment, 7%; sexual abuse, 9%; and other, 9%. (The injuries. Initially the task of identifying nonaccidental percentages exceed 100% because some victims experi- trauma was relatively straightforward because it was the enced more than 1 type of maltreatment.) classic “battered child” that was among most frequent di- How has CPS responded to these changed responsi- agnoses. (That is, the classic picture was an infant or child bilities? Not well, according to the study by Campbell with multiple fractures incurred at varying ages, often co- and colleagues in this http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Child Protective Services Has Outlived Its Usefulness

JAMA Pediatrics , Volume 164 (10) – Oct 1, 2010

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/archpediatrics.2010.175
pmid
20921359
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL Child Protective Services Has Outlived Its Usefulness HE CONCEPT OF CHILD PROTECTIVE SER- the number of reported cases of physical and sexual abuse vices (CPS) was idealistic when it first came has fallen, the number of neglect cases has remained rela- into being in the early 1970s. Following tively level and now constitutes almost three-quarters of the lead of Henry Kempe and colleagues cases reported to CPS. The types of substantiated mal- T at the University of Colorado, pediatric treatment in 758 289 children reported in 2008 were ne- centers began putting together multidisciplinary teams glect, 73%; physical abuse, 16%; psychological maltreat- to evaluate infants and children with suspected inflicted ment, 7%; sexual abuse, 9%; and other, 9%. (The injuries. Initially the task of identifying nonaccidental percentages exceed 100% because some victims experi- trauma was relatively straightforward because it was the enced more than 1 type of maltreatment.) classic “battered child” that was among most frequent di- How has CPS responded to these changed responsi- agnoses. (That is, the classic picture was an infant or child bilities? Not well, according to the study by Campbell with multiple fractures incurred at varying ages, often co- and colleagues in this

Journal

JAMA PediatricsAmerican Medical Association

Published: Oct 1, 2010

References