Behandlungsbedarf nach Kindesmisshandlung, -missbrauch und –vernachlässigung

Zusammenfassung

Angesichts hoher Prävalenzen von Kindesmisshandlung, -missbrauch und psychischer Folgestörungen stellt die Kinder- und Jugendarztpraxis einen idealen Ort dar, um miss-handlungsbedingte Risiken für die Entwick-lung und psychische Gesundheit frühzeitig zu erkennen. Dieser Artikel beschreibt anhand von zwei Fallbeispielen die Vorteile des aktiven Hinsehens und Nachfragens nach Miss-handlungserlebnissen bei allen pädiatrischen Patienten zur frühzeitigen Aufdeckung psychischer Folgestörungen und zur Einleitung angemessener psychiatrischer und psycho-therapeutischer Interventionen. Ein Früherkennungs- und -interventionsansatz für die pädiatrische Praxis wird dargestellt.

Summary

In light of high prevalence rates of child abuse and neglect and resulting emotional and behavioral problems the pediatrician’s office is an optimal environment to screen for child abuse and neglect and possible developmental risks and psychological sequelae. This article consists of two case studies that exemplarily demonstrate the advantages of actively assessing maltreatment history and possible resulting emotional and behavioral problems in all pediatric patients to enable early identification of victims suffering from mental health disorders and timely referral to appropriate psychiatric and psychotherapeutic treatments. An early intervention approach for pediatricians is presented.

Schlüsselwörter

Interdisziplinäre Versorgung - Kindesmisshandlung - Posttraumatische Belastungsstö-rung - sexueller Missbrauch - Vernachlässigung

Keywords

Child abuse and neglect - posttraumatic stress disorder - sexual abuse - neglect

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