title: Missed cases of multiple forms of child abuse and neglect.
abstract: Child abuse and neglect is a public health problem and usually associated with family dysfunction due to multiple psychosocial, individual, and environmental factors. The diagnosis of child abuse may be difficult and require a high index of suspicion on the part of the practitioners encountering the child and the family. System-related factors may also enable abuse or prevent the early recognition of abuse. Child abuse and neglect that goes undiagnosed may give rise to chronic abuse and increased morbidity-mortality. In this report, we present two siblings who missed early diagnosis and we emphasize the importance of systems issues to allow early recognition of child abuse and neglect.
authors.affiliation: Ege University, Turkey.
authors.forename: Feyza
authors.initials: F
authors.lastname: Koc
authors.affiliation: University of Iowa, Iowa City.
authors.forename: Resmiye
authors.initials: R
authors.lastname: Oral
authors.affiliation: St. Luke's Hospital Child Protection Center, Cedar Rapids, Iowa.
authors.forename: Regina
authors.initials: R
authors.lastname: Butteris
mesh_terms: D000300:Adoption; D002648:Child; D002649:Child Abuse / Q000175:diagnosis* / Q000523:psychology; D002669:Child Welfare; D016241:Child of Impaired Parents / Q000523:psychology; D002675:Child, Preschool; D003299:Cooperative Behavior; D057210:Delayed Diagnosis; D002658:Developmental Disabilities / Q000175:diagnosis / Q000523:psychology; D004332:Drowning; D006708:Homicide / Q000331:legislation & jurisprudence / Q000523:psychology; D006801:Humans; D013287:Illicit Drugs; D033183:Interdisciplinary Communication; D008297:Male; D009035:Mothers / Q000523:psychology; D009104:Multiple Trauma / Q000175:diagnosis / Q000523:psychology; D035781:Siblings; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation
chemical_list: D013287:Illicit Drugs
keywords: child; prevent; system; undiagnosed