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KMID : 1130320090520111207
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Korean Journal of Pediatrics
2009 Volume.52 No. 11 p.1207 ~ p.1215
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A multidisciplinary approach for the treatment of child abuse in Korea
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Song Bong-Kyu
Kim Do-Kyun
Park Hye-Young
Hwang Jun-Won
Kwak Young-Ho
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Abstract
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Purpose : To review and determine the complications in 76 child abuse cases recorded by a multidisciplinary hospital- based child protection team between 1987 and 2007.
Methods : We retrospectively reviewed the reports and medical records of child abuse cases maintained by a university hospital-based child protection team. We devised a questionnaire for standardized interviews with the victims’ guardians to determine the current physical and mental status of the children; questionnaires were answered by social workers of the child protection team who interviewed the present fosterers of 24 (35.8%) children.
Results : Of the 76 children, 6 were infants, 10 were 1-3 years old, were 3?10 years old, and 19 were over 10 years old. Seven children (9.2%) were neglected and 27 (35.5%) and 44 (57.9%) were sexually and physically abused, respectively. In more than half of the cases, the perpetrators were the father or mother of the children. Most children (41 cases, 53.9%) were abused at their homes. The mean follow-up duration from the time of abuse infliction was 54.3±49.2 months, and the current mean age of the children was 8.3±6.4 years. Moderate and severe developmental delay and physical disability were observed in 6 (25.0%) and 3 (12.5%) cases, respectively. In 13 children (54.2%), the Global Assessment of Functioning Scale (GAF) score was less than 60, which indicates mild mental disability.
Conclusion : A hospital-based child protection team may witness the different proportion of abuse types and patterns by conducting a nation-wide survey of child abuse cases.
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KEYWORD
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Child abuse, Child advocacy
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