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Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK

OBJECTIVES: To determine any change in referral patterns and outcomes in children (0–18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years. DESIGN: Retrospective observational study, analysing routinely collected clinical data from CPM...

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Autores principales: Garstang, Joanna, Debelle, Geoff, Anand, Indu, Armstrong, Jane, Botcher, Emily, Chaplin, Helen, Hallett, Nutmeg, Morgans, Clare, Price, Malcolm, Tan, Ern Ern Henna, Tudor, Emily, Taylor, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526028/
https://www.ncbi.nlm.nih.gov/pubmed/32994262
http://dx.doi.org/10.1136/bmjopen-2020-042867
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author Garstang, Joanna
Debelle, Geoff
Anand, Indu
Armstrong, Jane
Botcher, Emily
Chaplin, Helen
Hallett, Nutmeg
Morgans, Clare
Price, Malcolm
Tan, Ern Ern Henna
Tudor, Emily
Taylor, Julie
author_facet Garstang, Joanna
Debelle, Geoff
Anand, Indu
Armstrong, Jane
Botcher, Emily
Chaplin, Helen
Hallett, Nutmeg
Morgans, Clare
Price, Malcolm
Tan, Ern Ern Henna
Tudor, Emily
Taylor, Julie
author_sort Garstang, Joanna
collection PubMed
description OBJECTIVES: To determine any change in referral patterns and outcomes in children (0–18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years. DESIGN: Retrospective observational study, analysing routinely collected clinical data from CPME reports in a rapid response to the pandemic lockdown. SETTING: Birmingham Community Healthcare NHS Trust, which provides all routine CPME for Birmingham, England, population 1.1 million including 288 000 children. PARTICIPANTS: Children aged under 18 years attending CPME during an 18-week period from late February to late June during the years 2018–2020. MAIN OUTCOME MEASURES: Numbers of referrals, source of disclosure and outcomes from CPME. RESULTS: There were 78 CPME referrals in 2018, 75 in 2019 and 47 in 2020, this was a 39.7% (95% CI 12.4% to 59.0%) reduction in referrals from 2018 to 2020, and a 37.3% (95% CI 8.6% to 57.4%) reduction from 2019 to 2020. There were fewer CPME referrals initiated by school staff in 2020, 12 (26%) compared with 36 (47%) and 38 (52%) in 2018 and 2019, respectively. In all years 75.9% of children were known to social care prior to CPME, and 94% of CPME concluded that there were significant safeguarding concerns. CONCLUSIONS: School closure due to COVID-19 may have harmed children as child abuse has remained hidden. There needs to be either mandatory attendance at schools in future or viable alternatives found. There may be a significant increase in safeguarding referrals when schools fully reopen as children disclose the abuse they have experienced at home.
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spelling pubmed-75260282020-09-30 Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK Garstang, Joanna Debelle, Geoff Anand, Indu Armstrong, Jane Botcher, Emily Chaplin, Helen Hallett, Nutmeg Morgans, Clare Price, Malcolm Tan, Ern Ern Henna Tudor, Emily Taylor, Julie BMJ Open Paediatrics OBJECTIVES: To determine any change in referral patterns and outcomes in children (0–18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years. DESIGN: Retrospective observational study, analysing routinely collected clinical data from CPME reports in a rapid response to the pandemic lockdown. SETTING: Birmingham Community Healthcare NHS Trust, which provides all routine CPME for Birmingham, England, population 1.1 million including 288 000 children. PARTICIPANTS: Children aged under 18 years attending CPME during an 18-week period from late February to late June during the years 2018–2020. MAIN OUTCOME MEASURES: Numbers of referrals, source of disclosure and outcomes from CPME. RESULTS: There were 78 CPME referrals in 2018, 75 in 2019 and 47 in 2020, this was a 39.7% (95% CI 12.4% to 59.0%) reduction in referrals from 2018 to 2020, and a 37.3% (95% CI 8.6% to 57.4%) reduction from 2019 to 2020. There were fewer CPME referrals initiated by school staff in 2020, 12 (26%) compared with 36 (47%) and 38 (52%) in 2018 and 2019, respectively. In all years 75.9% of children were known to social care prior to CPME, and 94% of CPME concluded that there were significant safeguarding concerns. CONCLUSIONS: School closure due to COVID-19 may have harmed children as child abuse has remained hidden. There needs to be either mandatory attendance at schools in future or viable alternatives found. There may be a significant increase in safeguarding referrals when schools fully reopen as children disclose the abuse they have experienced at home. BMJ Publishing Group 2020-09-29 /pmc/articles/PMC7526028/ /pubmed/32994262 http://dx.doi.org/10.1136/bmjopen-2020-042867 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Paediatrics
Garstang, Joanna
Debelle, Geoff
Anand, Indu
Armstrong, Jane
Botcher, Emily
Chaplin, Helen
Hallett, Nutmeg
Morgans, Clare
Price, Malcolm
Tan, Ern Ern Henna
Tudor, Emily
Taylor, Julie
Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK
title Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK
title_full Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK
title_fullStr Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK
title_full_unstemmed Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK
title_short Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK
title_sort effect of covid-19 lockdown on child protection medical assessments: a retrospective observational study in birmingham, uk
topic Paediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526028/
https://www.ncbi.nlm.nih.gov/pubmed/32994262
http://dx.doi.org/10.1136/bmjopen-2020-042867
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