HOSPITALS: PATIENTS :
SEXUAL ABSUES :
POLICIES AND PROCEDURES:
Alleged Abuse [Policies for Handling Child Sexual Abuse Cases]
This message is reposted with the permission of the original poster on the
We had a prosecutor come talk to us about this very issue just this week
in a presentation that had social workers, child life specialists, sexual
assault nurses, forensic interviewers from Children’s protective services
and physicians present and all gave some good info.
For our ED, we have a stepwise approach: 1.the patient and parent check in
with chief complaint. (Little to no details taken just yet).
2. The Social worker is immediately called who then talks to the parent
alone and gets the story and history and if the patient is old enough or
an adolescent, will get history.
3. The case is hotlined accordingly. If an acute injury is suspected or
present, the social worker notifies the physician right away.
4. The physicians don’t ask any history about the events and does more of
a medical screen and past medical history. If bruising or injuries seen on
exam, photos are taken that go directly into our child abuse database
photos that our Child Abuse specialists look at daily and make
recommendations such as “the patient needs a forensic interview to be set
up with a child forensic interviewer who specializes in children
interviews.” This will often be set up within the next couple of days. We
limit the story being told to the social worker only as often as we can.
5. If police needs to be called, they come and interview the parent alone
and get their own story. We again try to limit them asking the children
any questions if possible since they may have a forensic interview set up
and the prosecutors can use that interview as part of their case. Parents
can be asked as many times as long as everyone quotes things being said by
parent and not the child.
6. After all the players have all their key info given to them by the
social worker or parent, the patient is sent home or admitted accordingly
with follow up in the appropriate location.
Hope this helps.
(215) 204 - 4584
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