When determining if a child shows indicators of maltreatment or abuse it is important to remember:
A. indicators will always be of a physical nature and will be visible
B. not to view indicators in isolation
C. the explanation for the presenting concern is irrelevant
D. your prior experience with this child should not be factored in
Answer: B. not to view indicators in isolation
When doctors detect maltreatment or abuse indicators in a child, they must not draw hasty conclusions, but instead they need to take into account the whole clinical picture. Maltreatment covers different types of behaviors such as physical, psychological, sexual or neglective. Focusing on a single marker or viewing it isolated may cater to an oversimplified comprehension of the child’s circumstances.
We have to acknowledge that indicators should be treated as one of the elements, whose correct functioning ensure a child’s harmonious development including their behavior, environment, and relationships. The evaluation based on the comprehensive assessment should focus on different sources of information and take into account all the indicators at a time. To do so, system level approach would allow agencies to implement response protocols, risk identification, and adequate decision making about the possible presence of maltreatment or abuse.