Riley Children's Health Annual Report 2022 – 2023

Child Protection at Riley Children’s Health offers multidisciplinary clinical services and education to improve the evaluation and care of maltreated children. Our team of board certified physicians provides evidence-based consultation in cases of suspected child maltreatment. These consultations are objective assessments to help determine the extent of injury and whether medical cause or accidental mechanism accounts for the injury pattern. CHILD PROTECTION

RESEARCH HIGHLIGHTS

Our physicians are currently engaged in research related to: ■ Evaluation of physical abuse when domestic violence occurs ■ Disparities in evaluation and reporting of drug ingestions by children ■ Caregiver understanding of adverse childhood experiences (ACEs) ■ Radiography use in assessing possible child maltreatment – Use of postmortem body CT scans to evaluate occult injuries – Spinal fractures in children evaluated for nonaccidental trauma ■ Analysis of demographics in child maltreatment evaluation using skeletal surveys as a proxy and employing multicenter trauma databases ■ Spatial distributions of child trauma and fatalities in Marion County, Indiana

Children Served: 2022 Child abuse consults: 4,733 Pediatric Center of Hope consults: 750 Crisis counseling: 1,555 DCS consults: 5,483 The child protection team led 48 community education programs.

See full team member list DIVISION CHIEF Shannon L. Thompson, MD, FAAP Associate Professor of Clinical Pediatrics, IU School of Medicine > Connect with Dr. Thompson on Doximity. > 5 board certified physicians >

Program distinctions

■ Only physicians in Indiana who are board certified in child abuse pediatrics

■ Consults with the Indiana Department of Child Services (DCS) on more than 5,000 cases of suspected child maltreatment each year ■ Extensive history of collaboration and care coordination with healthcare providers, child protection case managers, law enforcement and the judicial system

NOTABLE PUBLICATIONS

Child Abuse & Neglect: November 2022 Chest CT in the Evaluation of Child Abuse – When Is It Useful? American Journal of Roentgenology: December 2022 Radiologists’ Diagnostic Performance in Differentiation of Rickets and Classic Metaphyseal Lesions on Radiographs: A Multicenter Study American Journal of Roentgenology: January 2022 Whole-Spine MRI in Children with Suspected Child Abusive Head Trauma

■ Home to one of only 31 ACGME-accredited child protection fellowship programs in the nation

Physical and Sexual Abuse Consultations by Year: 2018 – 2022

6,116

5,572 5,355 5,483

Specialized programs Child Abuse Consultation Service

Foster Care Bridge Program Encounters: 2019 – 2022

246

Our team facilitates comprehensive medical evaluations for children alleged to have been physically abused or neglected. Foster Care Bridge Program Riley Children’s offers a multidisciplinary clinic to serve as a bridge—providing comprehensive healthcare and acquiring appropriate resources for children entering and making transitions within the foster care system until a permanent medical home is identified. Pediatric Center of Hope Our specialists in child abuse pediatrics provide comprehensive medical evaluation for children alleged to

234

198

2019–20

2020–21

2021–22

2018–19

2019–20

2020–21

2021–22

Docs InCASE Program In collaboration with 15 pediatric practices across the state, we facilitate pediatric care and coordination in advancing the medical role in child protection.

Our specialists are active in national and local organizations, including: ■ American Academy of Pediatrics Council on Child Abuse and Neglect ■ U.S. Department of Health and Human Services Children’s Justice Act Task Force ■ USA Gymnastics Safe Sport Committee ■ Ray E. Helfer Society

have been sexually abused. Crisis Counseling Services

■ Children’s Policy and Law Initiative of Indiana ■ Local and state child fatality review teams and child advocacy centers

These services bridge the gap from the time a child is identified as a possible child sexual abuse victim to when formal ongoing counseling may become available.

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Annual Report 2022 – 2023

317.274.2617

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