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Suspected Child Abuse and Neglect Interview and Physical Exam

In order to identify and verify abuse, we interview children in a comfortable, non-threatening environment. This is actually part of a larger “evidence gathering” process, as well as part of the initial treatment for the client.

Both nonverbal and verbal communications are observed, an initial visual assessment is done, and the general state of the child is noted.

Other information collected, include:

  1. When and where did the “event” take place?
  2. Who were present?

We employ a “no blame” approach to therapy. Clients are reassured which helps to build trust and return a sense of power and ownership of “self”.

 

Physical Examination

It is a legal requirement that all children suspected of being abused or neglected undergo a physical examination. This helps the SCAN Team to get an accurate picture of what was done and what treatment may be needed to help the client recover fully. Additionally, this is an important step in “evidence gathering”.

During the examination, the client is not exposed unduly. A guardian or other trusted person is asked to stand at the head of the bed for emotional support. A complete, “head-to-toe” examination is done. Notes are also made that are included in the client’s file.

 

Frequently Asked Questions:

  1. Is the interview confidential?
    Yes. However, in the event that a case has to go to court, certain aspects of the interview may be viewed as evidence, and therefore, may be summarized by the doctor.
  2. Would the offending party attend the interview session as well?
    No!
  3. Who will be present during the interview?
    Only the core SCAN Team, which consists of the nurse, physician, social worker, psychologist and police.
  4. What is the "atmosphere" of the interview session?
    We try to create a quiet, soothing and child-friendly environment that provides privacy.
  5. How long is the pre-exam counseling?
    About 10 mins.
  6. Why is pre-exam counseling needed?
    It helps to alleviate fears and anxiety about the examination.
  7. How long does examination usually last?
    45 minutes - 1 hour.
  8. Can teddy or other play toy be in the room as well?
    Yes!

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