000			02962nab a2200385Ia 4500
001			112637
005			20250625151155.0
008			110331s2002 eng
022			_a0110-022X
040			_aWSS _dAFV
100			_aJacobs, Phil _91422
245			_aLessons to be learned from the Health and Disability Commissioner's findings : _bsexual abuse _cJacobs, Phil; Webber, Cathy
260			_aWellington _bThe Royal New Zealand College of General Practitioners _c2002
300			_a1 p. ; computer file : PDF format (58Kb)
365			_a00 _b0
500			_aNew Zealand Family Physician 29(5) October 2002 : 344
520			_aThis article discusses the educational opportunities presented by the Health and Disability Commissioner's findings in relation to the case of a 7-year-old girl who was sexually abused by a family member, and the resulting lack of compliance on the part of her family general practitioner (GP) with the Code of Health and Disability Services Consumers' Rights by not complying with certain professional standards and exposing her to further risk of abuse. A brief examination of the Health and Disability Commissioner's findings and further discussion is provided in the article, as well as key points to be learned from the case. These include: keeping an open mind to the possibility of child abuse; taking and documenting an accurate patient history; looking for signs of abuse and neglect; and referrals to appropriate specialist individuals or agencies for a proper forensic examination. The article also points out that any case of a sexually transmitted disease (STD) in a child must alert the GP to the possibility of sexual abuse, and that referral to the appropriate authorities (Child Youth and Family (CYF) and/or Police) is essential, even if against parental wishes. It makes it clear that investigation and interview of the child is the responsibility of CYF and the Police, that forensic examination should be carried out following CYF referral to Doctors for Sexual Abuse Care (DSAC), that prior treatment of an STD negates this, and that there are no legal barriers to GPs for referral to CYF where it is deemed they have acted in good faith, as the care of the child takes precedence over the care of the family.
522			_anz
650	2	7	_2FVC _aCHILDREN _9127
650	2	7	_2FVC _aINTERVENTION _9326
650		5	_aMEDICAL CARE _9368
650	2	7	_2FVC _aNEGLECT _9401
650	2	4	_aSOCIAL SERVICES _9555
650	2	7	_2FVC _aTREATMENT _9613
650	2	7	_2FVC _aVICTIMS _9622
651		4	_aNEW ZEALAND _92588
650	2	7	_9458 _aPREVENTION _2FVC
650	2	7	_9336 _aLAW
650	2	7	_9103 _aCHILD ABUSE _2FVC
650	2	7	_9121 _aCHILD SEXUAL ABUSE
700	1		_aWebber, Cathy _92297
773	0		_tNew Zealand Family Physician 29(5) October 2002 : 344
856	4		_uhttp://www.rnzcgp.org.nz/assets/documents/Publications/Archive-NZFP/Oct-2002-NZFP-Vol-29-No-5/HDC-October-02.pdf
942			_2ddc _cM
999			_c2168 _d2168