Published online August 1, 2008
PEDIATRICS Vol. 122 Supplement September 2008, pp. S10-S12 (doi:10.1542/peds.2008-0715e)
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SUPPLEMENT ARTICLE


Child Abuse Recognition and Reporting: Supports and Resources for Changing the Paradigm

Carol D. Berkowitz, MD

Department of Pediatrics, Harbor/UCLA Medical Center, Los Angeles, California

As shown previously in the Child Abuse Recognition Experience Study (CARES), primary care providers reported that they decided not to report a substantial proportion of injuries that they suspected might have resulted from abuse. The most serious cases result in death. This article provides detailed reports of 2 illustrative cases from the author's experience as a member of a multidisciplinary child fatality review team and discusses several alternative legal mechanisms for improving mandated reporting. Regional centers of excellence in child protection may be an effective way of improving child protection; current proposals to establish such centers are reviewed.

Key Words: CARES • child abuse • child protection • child death review

Abbreviations: CARES—Child Abuse Recognition Experience Study

Accepted May 28, 2008.


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