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R A Hibbard

Publications and source records attributed to R A Hibbard.

23 records · Page 2Linked to original sources
PubMedDate not supplied

Components of child and parent interviews in cases of alleged sexual abuse.

Considerable discussion in child sexual abuse evaluation centers around minimizing the number of victim interviews, however, the completeness of one professional's interview is not always addressed. In this study, professionals (medical, social, law enforcement/legal, mental health) indicated what components they included in their interviews of sexual abuse victims and their parents. Components included: details of abuse, family relationships, school situation/performance, child's development (toilet training, bed wetting, language development, etc.), child's knowledge of body part names, child's knowledge of body part functions, child-rearing practices (bathing, sleeping), medical history (illnesses, surgery), behavior problems, psychological symptoms (nightmares, sadness), physical complaints (pain, discharge), parental teaching about sex, and child's access to sexually explicit television or magazines. Interview components varied by profession, consistent with expected professional bias. This study demonstrates some professional bias in interviewing children and parents and suggests that having a single interview or interviewer may not always be optimal for a thorough evaluation. Increased communication and teamwork among professionals, and cross-training among disciplines could facilitate both the recognition of appropriateness of some "multiple interviews" as well as provide efforts to consolidate interviews when possible.

Adult↗
PubMedDate not supplied

Munchausen syndrome by proxy: a different kind of child abuse.

Munchausen syndrome by proxy (MSBP) continues to mystify health care professionals, law enforcement officials and the judicial system. Even though the first cases were described in 1977, it remains puzzling why a parent would want to induce fictitious symptoms and illnesses in a child. Many professionals do not consider MSBP as a diagnosis because the parent, usually the mother, is so convincing that she is a "good" mother, cares about and wants the best for her child. This article is offered to further educate physicians that MSBP exists, can present in the form of anything and should be considered as a diagnosis in cases that do not make medical sense. Case examples are provided, along with common and not so common presentations. MSBP is a form of severe child abuse that must be reported to Child Protection Service when a child is endangered. Physicians play a critical role in identifying these children and recommending the best course of action to the rest of the system.

Child Abuse↗
PubMedDate not supplied

Child abuse education: do not overlook dental professionals.

Dental professionals are mandated by law to report suspicions of child abuse and neglect (CAN), but surveys show dentists do not fulfill their obligation to report. Even though more than 50 percent of physical abuse occurs to the head and facial area, and more than 70 percent of child abuse and neglect fatalities are caused by injuries to the head and neck, dental professionals are often overlooked in efforts to educate the public on the problem. Pre-program questionnaires completed by dental professionals attending an educational program on identifying and reporting child abuse indicated that 70 percent had no previous training in identifying and reporting child abuse, 65 percent had suspected child abuse in their patients, but only 19 percent reported the abuse. As a result of this educational program, it is expected that some children in the state of Indiana will receive improved assessments by dentists and suspected child abuse and neglect will be reported to the proper agencies when identified.

Child↗
PubMedDate not supplied

Domestic violence: a health concern.

Domestic violence may be the single most common etiology for injuries in women presenting to the health care system. There is a national effort to begin to ask all female patients about family violence. Physicians have a responsibility to identify, educate and appropriately manage and/or refer patients in violent relationships.

Battered Women↗