OVC-ARC Riverside Online Professional Training Conference 9/9-9/29 2004 WORKSHOP INFORMATION FOR CEU CREDIT The Medical System's Response to Abuse in Children With Disabilities Jamie Hoffman-Rosenfeld, MD Workshop Description: Children with disabilities are at a greater risk of becoming victims of all forms of child abuse and neglect than children without disabilities. Recognizing signs and symptoms of maltreatment in children continues to be a challenge for pediatric practitioners. Identifying child abuse and neglect in children with disabilities is all the more difficult because communication problems prevent children from understanding and verbalizing that they have been victimized. Once identified as being at risk for abuse or as a victim of maltreatment, children with disabilities are at a disadvantage in the child protective and legal systems because of commonly held myths and lack of knowledge about abuse of disabled children. Pediatric health care providers are in a unique position to educate patients and parents about sexuality and abuse prevention strategies. Pediatric health care providers are often the "first stop" when parents and guardians fear that a child with a disability is being abused. They can also be effective advocates within the broader health care, child protective, legal, educational and disability communities by identifying gaps in knowledge and implementing educational and outreach interventions. The aims of this workshop are to review the epidemiology of maltreatment in children with disabilities and to review the relevant literature. Further, the workshop will focus on the medical community's role in educating professionals and non-professionals about the relevant issues, recognizing child maltreatment in children with disabilities and providing a leadership role in seeing that the child and family are appropriately referred and supported as they negotiate the broader child protection and legal systems. Course Outline: I. Introduction to topic II. Definitions of Child Maltreatment and Disability III. Epidemiology of maltreatment in children with disabilities a. Statistics b. Risk-factors for abuse c. Common myths about children with disabilities IV. The medical provider's role a. Identification and reporting b. Treatment c. Education d. Prevention e. Advocacy V. Recommendations by the American Academy of Pediatrics Learning Objectives: 1. Participants will understand the relevant terminology including definitions of child maltreatment and disability. 2. Participants will understand the epidemiology of maltreatment in children with disabilities including prevalence and risk factors. 3. Participants will understand the role of medical providers including identification and reporting, treatment, education, prevention and advocacy.