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Child Abuse and Neglect Syndrome (sy CAN) in Our Society and Medical Staff


Authors: Z. Novotný 1;  S. Jelen 2;  M. Holčáková 3
Authors‘ workplace: Dětský domov pro děti do 3 let, p. o., Ostrava ředitel MUDr. Z. Novotný 1;  Oddělení centrálního příjmu Fakultní nemocnice s poliklinikou, Ostrava primář MUDr. S. Jelen 2;  Krizové centrum pro děti a rodinu Centra sociálních služeb Magistrátu města Ostravy, Ostrava vedoucí Ing. J. Drastík 3
Published in: Čes-slov Pediat 2007; 62 (1): 25-30.
Category: Original Papers

Overview

Goal:
Description of today’s state of sy CAN.

Methodology:
Processing of created forms – „reports“ in MS Excel programme, comparison of incidence of detached signs and interpretation of results. Attempt to introduce an electronic form to report susp. sy CAN.

Results:
Medical staff appears to be the weak link in the detection of suspected sy CAN detection. Social workers are the most successful specialists in finding susp. sy CAN. The roles of police and school have been continually improving. The electronic form of the report failed down. Two hundred and eight children were reported as susp. CAN. Only 8 forms were duplicated. Twenty children were reported twice, five other three times and one child four times. Nearly all CASE (97%) passed at home. The children did not know only 3% of abusers.

Conclusions:
Medical experts surprised with their lowest activity in detection, they also were the most conservative ones – they did not use possibility to report the case of abuse by an electronic way. Alcohol and drug abuse, sexual promiscuity, and physical violence among adult members in the family were the most frequent (72%) manifestations of social pathology in these families. Alcohol abuse and family violence coincide in one third of all cases. The authors also show general recommendation, when the susp. sy CAN could be speculated. The necessity of working together is stressed at the end. Nevertheless, in spite of doing the best we did not manage to demonstrate correlation of values in our country and in Europe. Our numbers are 20 times lower.

Key words:
CAN syndrome, alcoholism, family violence, working together, family, child


Labels
Neonatology Paediatrics General practitioner for children and adolescents
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