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Prevention of Child Physical Abuse

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Book cover A Practical Guide to the Evaluation of Child Physical Abuse and Neglect

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Abstract

In the US over 900,000 children are victims of child maltreatment each year, resulting in physical and non-physical injuries, which can be both acute and long lasting. In over 80% of these cases, the perpetrator is one or both of the child’s parents. Theories on the etiology of child abuse have evolved significantly over the past three decades. The causes of child abuse are now appreciated to be a complex interconnected web of influences rather than a single cause—a symptom of a larger disease or diseases of a family or community. The evolution of thought regarding the etiologies of child abuse has been paralleled by changes in theories of child abuse prevention strategies. Conventional interventions strategies in child abuse prevention have included Primary, Secondary, and Tertiary programs. One of the most studied and effective prevention interventions is home visitation by a nurse or paraprofessional. Other child abuse prevention strategies include in-hospital education and community-based family centers. Due to the complexity of the problem of child abuse, it is not surprising that a universal solution remains elusive. Interventions can be either Ameliorative (attending to the current problems) or Transformative (addressing the underlying social risks). Future directions of child abuse prevention will involve coordinating successful interventions into a larger community context to achieve the correct intervention at the optimal dosage. This will require an increased dependence on data derived from methodologically strong clinical trials to ensure that interventions which are brought to scale are evidence based.

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  1. Department of Pediatrics, University of Texas health Sciences Center at Houston, Houston, Texas, USA

    Christopher S. Greeley MD (Vice Chair for Academic Affairs)

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  1. Christopher S. Greeley MD
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  1. Texas Children's Health Plan, Inc., Holcombe Blvd. 2450, Houston, 77021, Texas, USA

    Angelo P. Giardino

  2. Texas Children’s Hospital, Children's Assessment Center, Baylor College of Medicine, Fannin St. 6621, Houston, 77030-2399, Texas, USA

    Michelle A. Lyn

  3. School of Nursing at Houston, Department of Integrative Care, University of Texas, Bertner 6901, Houston, 77030, Texas, USA

    Eileen R. Giardino

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Greeley, C.S. (2010). Prevention of Child Physical Abuse. In: Giardino, A., Lyn, M., Giardino, E. (eds) A Practical Guide to the Evaluation of Child Physical Abuse and Neglect. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0702-8_12

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