Woodman, Jenny, Brandon, Marian, Bailey, Sue (Sue E.), Belderson, Pippa, Sidebotham, Peter and Gilbert, Ruth. (2011) Healthcare use by children fatally or seriously harmed by child maltreatment : analysis of a national case series 2005-2007. Archives of Disease in Childhood, Vol.96 (No.3). pp. 270-275. ISSN 0003-9888

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Abstract

Aim To determine antecedent patterns of healthcare use by children fatally or seriously harmed by maltreatment. Methods The authors analysed recorded healthcare use for children who were the subject of a serious case review (SCR) in England in 2005-2007. The SCRs were initiated when a child under 18 years old died or was seriously harmed, maltreatment (abuse or neglect) was a factor, and there were lessons for interagency working. The authors analysed a purposive sample (N=40), similar in key demographics to all 189 SCRs in England in 2005-2007. Results Children had extensive recorded contact with universal (N=34/40; 85%) and secondary (N=26/40; 65%) healthcare services and children's social care (N=21/40; 53%). Thirty-one children (78%) had recorded health visitor and/or school nurse contact. Fourteen children (35%) had missed appointments. Almost three-quarters (N=29) had complex family problems recorded (parental domestic violence, alcohol/drug and/or mental health problems). Data quality regarding healthcare use was poor, and the extent and type of 'missing data' varied by age. Conclusions Complex paediatric and family problems and a high level of contact with services preceded serious adverse events. Universal health services are likely to be well placed for giving ongoing and family-orientated support to vulnerable families. The absence of standardised data collection and any control group limits how far the Biennial Analyses of SCRs can meet their stated objective of identifying national trends and patterns. Linking SCRs to healthcare databases would provide a control group, improve understanding of the population context and diminish demands for data from professionals delivering care.

Item Type:	Journal Article
Subjects:	H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions:	Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Child abuse -- Forecasting, Child abuse -- Great Britain, Children -- Medical care -- Great Britain
Journal or Publication Title:	Archives of Disease in Childhood
Publisher:	BMJ
ISSN:	0003-9888
Date:	March 2011
Volume:	Vol.96
Number:	No.3
Page Range:	pp. 270-275
Identification Number:	10.1136/adc.2010.190314
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Great Britain. Dept. of Health (DoH), Medical Research Council (Great Britain) (MRC), Economic and Social Research Council (Great Britain) (ESRC), Great Britain. Dept. for Children, Schools and Families
References:	1. Laming L. The Victoria Climbie Inquiry: Report of an Inquiry. London: HMSO, 2003. http://www.victoria-climbie-inquiry.org.uk/fi nreport/fi nreport.htm (accessed 15 March 2010) 2. Care Quality Commission. Review of the Involvement and Action Taken by Health Bodies in Relation to the Case of Baby P. London: Care Quality Commission, 2009. http://www.cqc.org.uk/_db/_documents/Baby_P.pdf (accessed 15 March 2010) . 3. Spivey MI, Schnitzer PG, Kruse RL, et al. Association of injury visits in children and child maltreatment reports. J Emerg Med 2009 ; 36 : 207 – 14 . 4. Guenther E, Knight S, Olson LM, et al. Prediction of child abuse risk from emergency department use. J Pediatr 2009 ; 154 : 272 – 7 . 5. Friedlaender EY, Rubin DM, Alpern ER, et al. Patterns of health care use that may identify young children who are at risk for maltreatment. Pediatrics 2005 ; 116 : 1303 – 8 . 6. Palazzi S, de Girolamo G, Liverani T. Observational study of suspected maltreatment in Italian paediatric emergency departments. Arch Dis Child 2005 ; 90 : 406 – 10 . 7. Woodman J, Lecky F, Hodes D, et al. Screening injured children for physical abuse or neglect in emergency departments: a systematic review. Child Care Health Dev 2010 ; 36 : 153 – 64 . 8. Woodman J, Pitt M, Wentz R, et al. Performance of screening tests for child physical abuse in accident and emergency departments. Health Technol Assess 2008 ; 12 : iii xi–xiii 1–95 . 9. Stockwell MS, Brown J, Chen S, et al. Is there a relationship between lacking a primary care provider and child abuse? Ambul Pediatr 2007 ; 7 : 439 – 44 . 10. Stockwell MS, Brown J, Chen S, et al. Is underimmunization associated with child maltreatment? Ambul Pediatr 2008 ; 8 : 210 – 13 . 11. Govindshenoy M, Spencer N. Abuse of the disabled child: a systematic review of population-based studies. Child Care Health Dev 2007 ; 33 : 552 – 8 . 12. Jaudes PK, Mackey-Bilaver L. Do chronic conditions increase young children’s risk of being maltreated? Child Abuse Negl 2008 ; 32 : 671 – 81 . 13. W alrath C M, Ybarra ML, Sheehan AK, e t al. Impact of maltreatment on children served in community mental health programs. J Emot Behav Disord 2006 ; 14 : 143 . 14. Brandon M, Bailey S, Belderson P, et al. Analysing Child Deaths and Serious Injury Through Abuse and Neglect: What Can We Learn? A Biennial Analysis of Serious Case Reviews 2005-2007. London: Department for Children, Schools and Families, 2009. http://www.dcsf.gov.uk/research/data/uploadfi les/DCSFRR129( R).pdf (accessed 15 March 2010) . 15. HM Government. Chapter 8: Serious case reviews. In: Working Together to Safeguard Children: A Guide to Inter-agency Working to Safeguard and Promote the Welfare of Children. London: DCSF; 2009:233–55. http://publications. education.gov.uk/eOrderingDownload/00305-2010DOM-EN-v3.pdf (last accessed 17 September 2010) . 16. HM Government. Chapter 8: Serious case reviews. In: Working Together to Safeguard Children: A Guide to Inter-agency Working to Safeguard and Promote the Welfare of Children. London: The Stationary Offi ce; 2006: 170 – 86 . 17. Kelly Y, Panico L, Bartley M, et al. Why does birthweight vary among ethnic groups in the UK? Findings from the Millennium Cohort Study. J Public Health (Oxf) 2009 ; 31 : 131 – 7 . 18. Lis Y, Mann RD. The VAMP Research multi-purpose database in the U.K. J Clin Epidemiol 1995 ; 48 : 431 – 43 . 19. Samad L, Tate AR, Dezateux C, et al. Differences in risk factors for partial and no immunisation in the fi rst year of life: prospective cohort study. BMJ 2006 ; 332 : 1312 – 3 . 20. F eder G , Ramsey J, Dunne D, et al. How Far Does Screening Women for Domestic (partner) Violence in Different Health Care Settings Meet Criteria for a Screening Programme? Systematic Reviews of Nine UK National Screening Committee criteria. London: Health Technology Assessment, 2009 . Report No: 13(16). http:// www.hta.ac.uk/fullmono/mon1316.pdf (accessed 17 September 2010) . 21. D avé S , Petersen I , Sherr L, et al. I ncidence of maternal and paternal depression in primary care: a cohort study using a primary care database. Arch Pediatr Adolesc Med 2010 ; 164 : 1038 – 44. http://archpedi.ama-assn.org/cgi/ reprint/2010.184v1 (accessed 15 September 2010) . 22. O ’Donnell M , Nassar N, Leonard H, et al. Characteristics of non-Aboriginal and Aboriginal children and families with substantiated child maltreatment: a population-based study. Int J Epidemiol 2010 ; 39 : 921 – 8 . 23. H irte C , Rogers N, Wilson R. Contact with the South Australian child protection system: a statistical analysis of longitudinal child protection data. South Australia: Department for Families and Communities 2008 . 24. P earson G EE. W hy Children Die: A Pilot Study 2006; England (North East, South West and West Midlands), Wales and Northern Ireland. London: CEMACH, 2008. http://www.cmace.org.uk/getattachment/72d46ead-b529-466d-b0c3- 4794d6a30203/Why-Children-Die--A-pilot-study-%282006%29.aspx (accessed 17 September 2010) . 25. Fish S, Munro E, Bairstow S. Learning Together to Safeguard Children: Developing a Multi-Agency Systems Approach for Case Reviews. Children’s Services Report, SCIE: London, 2008. http://www.scie.org.uk/publications/reports/report19.asp (accessed 17 September 2010) . 26. M unro E . B eyond the blame culture: When child protection fails, we need a system of accountability that asks not who, but why. The Guardian, Tuesday 3 November 2009. http://www.guardian.co.uk/commentisfree/2009/nov/03/ serious-case-review-child-protection (accessed 17 September 2010) . 27. NHS: The Information Centre for Health and Social Care. Table 8.1 2007-08 A&E HES attendance broken down by age and gender, HES (Hospital Episode Statistics). http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=19 37&categoryID=1272 (accessed 20 October 2010). 28. ONS (Offi ce for National Statistics). Mid-2007 Population Estimates: England; Estimated Resident Population by Single Year of Age and Sex, Population Estimates for UK, England and Wales, Scotland and Northern Ireland—Current Datasets. http://www.statistics.gov.uk/statbase/product.asp?vlnk=15106 (accessed 20 October 2010) . 29. Saxena S, Eliahoo J, Majeed A. Socioeconomic and ethnic group differences in self reported health status and use of health services by children and young people in England: cross sectional study. BMJ 2002 ; 325 : 520 . 30. Green H, McGinnity A, Meltzer H, et al. Mental Health of Children and Young People in Great Britain, 2004. Basingstoke, UK: Palgrave Macmillan 2005. http:// www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/ DH_4118332 (accessed 17 September 2010) . 31. Sidebotham P, Heron J. Child maltreatment in the ‘children of the nineties’: a cohort study of risk factors. Child Abuse Negl 2006 ; 30 : 497 – 522 .
URI:	http://wrap.warwick.ac.uk/id/eprint/38818

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