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Council on Scientific Affairs

JAMA. 1985;254(6):796-800.

Abstract
Child maltreatment is a serious and pervasive problem. Every year, more than a million children in the United States are abused, and between 2,000 and 5,000 die as a result of their injuries. Physicians are in a unique position to detect child abuse and neglect and are mandated by law to report such cases. These guidelines were developed to assist primary care physicians in the identification and management of the various forms of child maltreatment. A brief historical introduction and specific information about vulnerable families and children are presented. The physical and behavioral diagnostic signs of physical abuse, physical neglect, sexual abuse, and emotional maltreatment are delineated. Information about specific techniques for interviewing the abused child and family, case management objectives, reporting requirements, and trends in treatment and prevention are also provided.

(JAMA 1985;254:796-800)

Author Affiliations
From the Council on Scientific Affairs, Division of Drugs and Technology, American Medical Association, Chicago.

Footnotes
Adopted at the Interim Meeting, December 1984, by the House of Delegates of the American Medical Association. These guidelines, submitted by the AMA's Council on Scientific Affairs, were prepared under the guidance of its advisory Panel on Child Abuse and Neglect.

This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the views of scientific literature as of December 1984.

Reprint requests to Council on Scientific Affairs, Division of Drugs and Technology, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (John C. Ballin, PhD).

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