A Nation's Shame: Fatal Child Abuse and Neglect in the U.S.

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DIANE Publishing, Jul 1, 1996 - Social Science - 248 pages
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Defines the nature & extent of child abuse & neglect fatalities in the U.S. Recommendations are offered for problems in the law enforcement, child protection & health agencies, & the court system. Chapters: defining the scope & nature of fatal abuse & neglect; addressing shared responsibility: case investigation & prosecution; the need for a nationwide system of child death review teams; toward a better future: services & interventions for children & families & fatality prevention. Review of child fatalities research & literature.
 

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Contents

REFERENCES
xliv
PREFACE
1
INTRODUCTION
5
DEFINING THE SCOPE AND NATURE OF FATAL ABUSE AND NEGLECT
7
WHAT DO THE DATA TELL US?
11
Who Is Committing These Acts?
13
What Are the Causes of Death?
15
Which Children Are Likely to Die?
16
OFFICIAL UNDERREPORTING DEFINITIONS THAT OBSCURE ABUSERELATED CAUSES AND POOR CASELEVEL DATA
18
The Annual Survey by the National Committee to Prevent Child Abuse
19
The Federal Bureau of Investigations Uniform Crime Report
20
The National Center for Health Statistics Vital Statistics
21
Unclear Definitions and Poor CaseLevel Data
23
Insufficient Data Collection on Individual Cases
24
STRATEGIES FOR IMPROVEMENT
26
Sending a Clear Public Message
27
A New Effort by the National Child Abuse and Neglect Data System
28
The Emergence of Child Death Review Teams
29
CHAPTER ONE RECOMMENDATIONS
30
CHAPTER ONE REFERENCES
33
ADDRESSING SHARED RESPONSIBILITY CASE INVESTIGATION AND PROSECUTION
39
The Child Protection System of Mandated Reporters and Agencies
40
The Role of Child Protective Services
42
The Role of Prosecution
43
Provision of Available and Necessary Medical Care to Children
45
TRAINING WEAKNESSES
49
Physicians and Other Hospital Personnel Are Unaware of Abuse Clues
50
Few Medical Examiners or Coroners Know How to Detect Child Abuse and Neglect
51
Police Often Are Not Trained to Detect or Deal With Serious and Fatal Child Abuse
53
Child Protection Workers Are Often Inexperienced Undertrained or Overextended
55
Multiple Problems Deter the Prosecution of Perpetrators
57
EXPANDING THE EXPERTISE
59
Increased Use of Immediate Response Joint Criminal Investigations
61
Suspected Child Abuse and Neglect Teams and Other Hospital Efforts
63
Mandated Autopsies
64

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Page 5 - A simple child, That lightly draws its breath, And feels its life in every limb, What should it know of death?
Page 107 - Your Children are not your children, They are the sons and daughters of life's longing for itself,
Page 46 - a parent or guardian legitimately practicing religious beliefs who thereby does not provide specified medical treatment for a child, for that reason alone shall not be considered a negligent parent or guardian.
Page 39 - In the little world in which children have their existence, Whosoever brings them up, There is nothing so finely
Page 234 - C. Henry Kempe Center for the Prevention and Treatment of Child Abuse and Neglect 1205 Oneida Street Denver, CO 80220 (303)321-3963
Page 234 - Mary Lee Allen Director Child Welfare and Mental Health Division Children's Defense Fund 25 "E" Street, NW Washington, DC 20001 (202) 628-8787 (202)
Page 46 - such an exception shall not preclude a court from ordering that medical services be provided to the child, where his health requires it.
Page 235 - Lockwood Humane Society of the United States 2100 "L" Street, NW Washington, DC 20037 (202)
Page 157 - John J. Wilson Acting Administrator, Office of Juvenile Justice and Delinquency Prevention Office of Justice Programs Department of Justice
Page 183 - Paulson, JA & Rushforth, NB (1986). Violent death in children in a metropolitan county: Changing patterns of homicide 1958-1982. Pediatrics. 78(6), 1013-1020.

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