Paeds Vivas · child-safety-and-social-paediatrics
Neglect and supervisory neglect — branching viva
Branching viva on the omission-versus-commission definition, the six domains, the supervision-and-injury evidence, separating neglect from poverty, the SEEK-model prevention evidence, the support-versus-protection threshold, and a safeguarding conversion.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the general paediatrician assessing a child whose presentation suggests chronic unmet need across several domains and an inadequately-supervised injury. The examiner will test the definition, the domain classification, the neglect-versus-poverty distinction, the supervision evidence, the stepped management with support and threshold, and a safeguarding twist.
Stem
The examiner opens with a child seen after an inadequately-supervised injury and a chaotic home, then escalates through the definition, the domain classification, the neglect-versus-poverty distinction, the supervision evidence, the stepped management with support and threshold, and a safeguarding twist. [1] [7]
References8ShowHide
- [1]Dubowitz H Neglect in children. Pediatr Ann, 2013.PMID 23556521
- [2]Dubowitz H, Bennett S Physical abuse and neglect of children. Lancet, 2007.PMID 17544770
- [4]Dubowitz H The Safe Environment for Every Kid model: promotion of children's health, development, and safety, and prevention of child neglect. Pediatr Ann, 2014.PMID 25369580
- [6]Hildyard KL, Wolfe DA Child neglect: developmental issues and outcomes. Child Abuse Negl, 2002.PMID 12201162
- [7]Saluja G, Brenner R, Morrongiello BA, Haynie D, Rivera M, Cheng TL The role of supervision in child injury risk: definition, conceptual and measurement issues. Inj Control Saf Promot, 2004.PMID 14977501
- [8]Morrongiello BA Caregiver supervision and child-injury risk: I. Issues in defining and measuring supervision; II. Findings and directions for future research. J Pediatr Psychol, 2005.PMID 16166243
- [12]Norman RE, Byambaa M, De R, Butchart A, Scott J, Vos T The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med, 2012.PMID 23209385
- [13]Runyan DK, Hunter WM, Socolar RR, Amaya-Jackson L, English D, Landsverk J Children who prosper in unfavorable environments: the relationship to social capital. Pediatrics, 1998.PMID 9417144