title: Assessments carried out by a child abuse and neglect team in an Amsterdam teaching hospital led to interventions in most of the reported cases.
abstract: OBJECTIVE
  This study described cases of child abuse and neglect (CAN) that were reported to the multiagency CAN team at the Emma Children's Hospital in Amsterdam and the resulting interventions.
  
  
  METHODS
  We carried out a retrospective review of all cases that were reported to the CAN team from 1 January 2010 to 31 December 2012.
  
  
  RESULTS
  There were 27 prenatal cases, 92 referrals based on parental characteristics and 523 children. Overall, 1.2% of the children visiting the emergency department of our hospital, attending the outpatients department or being admitted were reported to the team. More than half of the referrals (55.1%) were confirmed as CAN. The most common diagnoses were as follows: witnessing intimate partner violence, physical neglect and emotional abuse. If CAN was confirmed an intervention was offered in 98.3% of cases. If a CAN diagnosis was undetermined or rejected, the figures were still 83.5% and 64.2%, respectively.
  
  
  CONCLUSIONS
  Our results showed that CAN affected more than one in every 100 children visiting our hospital, and the expertise of our hospital-based CAN Team led to an intervention in the majority of the reported cases. The broad scope of problems that were encountered underlined the importance of a multidisciplinary CAN team.
authors.affiliation: Department of Social Paediatrics, Emma Children's Hospital - Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Arianne H
authors.initials: AH
authors.lastname: Teeuw
authors.affiliation: Department of Social Paediatrics, Emma Children's Hospital - Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Tessa
authors.initials: T
authors.lastname: Sieswerda-Hoogendoorn
authors.affiliation: Faculty of Medicine, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Daniel
authors.initials: D
authors.lastname: Aaftink
authors.affiliation: Faculty of Medicine, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Ilsa A V
authors.initials: IAV
authors.lastname: Burgers
authors.affiliation: Department of Social Paediatrics, Emma Children's Hospital - Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Thekla F
authors.initials: TF
authors.lastname: Vrolijk-Bosschaart
authors.affiliation: Department of Social Paediatrics, Emma Children's Hospital - Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Sonja N
authors.initials: SN
authors.lastname: Brilleslijper-Kater
authors.affiliation: Department of Paediatrics, Emma Children's Hospital - Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Hugo S A
authors.initials: HSA
authors.lastname: Heymans
authors.affiliation: Department of Radiology, Emma Children's Hospital - Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Rick R
authors.initials: RR
authors.lastname: van Rijn
mesh_terms: D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000517:prevention & control / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003419:Crisis Intervention; D005260:Female; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008297:Male; D009426:Netherlands; D012189:Retrospective Studies
keywords: Child abuse and neglect; Child sexual abuse; Emotional abuse; Hospital-based team; Intimate partners violence