As diagnostic expertise increases, child-care professionals face new responsibilities for recognizing the short- and long-term consequences of childhood victimization and for effectively treating victims of the various forms of child maltreatment. Achieving treatment goals requires that consultations among mental health, medical and legal practitioners be conducted on common ground, and this text seeks to provide that common ground. Combining theory about treating child abuse with practice guidelines, the book provides professionals with the guidance they need to take the correct steps to restore the child and the family as much as possible to normal. In addition, it addresses the rising demand for accountability in the healthcare system, which increasingly requires professionals to justify their efforts and their methods. The result is a single reference source for the clinician who needs to know which approach to treatment might be most appropriate for a given child trying to cope with the aftermath of physical, emotional or sexual abuse.
It provides guidelines for treatment of the different categories of abuse, as well as neglect, Munchausen by proxy, and multiple traumatization. Initial medical management, legal interventions, long-term medical management, and long-term management of developmental and psychological consequences are thoroughly covered, as are complicated issues such as treatment-resistant families, the treatment of offenders, forensic implications (including confidentiality), and the long-term consequences of childhood victimization.
Robert M. Reece, M.D., is Clinical Professor of Pediatrics at Tufts University School of Medicine and Visiting Professor of Pediatrics at Dartmouth Medical School. He is also the executive editor at The Quarterly Update.