Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspective
Medically minor abusive injuries, known as sentinel injuries, are often missed in clinical settings. Child physical abuse, which frequently presents with medically minor or no visible injury, is a common adverse childhood experience (ACE). Practitioners are not typically trained to consider the incr...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Child Protection and Practice |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950193824000524 |
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| _version_ | 1850263726728413184 |
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| author | Megan Cooney Suzanne Kathleen Robinson |
| author_facet | Megan Cooney Suzanne Kathleen Robinson |
| author_sort | Megan Cooney |
| collection | DOAJ |
| description | Medically minor abusive injuries, known as sentinel injuries, are often missed in clinical settings. Child physical abuse, which frequently presents with medically minor or no visible injury, is a common adverse childhood experience (ACE). Practitioners are not typically trained to consider the increased risk of detrimental outcomes described with ACE exposures when young children present with sentinel injuries. However, these injuries may be the only visible signs that a young child is at increased risk of detrimental health, social, and behavioral concerns both imminently and over the lifespan. This Practice Perspective aims to describe common sentinel injuries, discuss why they are underrecognized by practitioners, and describe the clinical approach to assessing these injuries from a Canadian perspective. It will also discuss how improving recognition could decrease subsequent severe presentations with child maltreatment while also identifying children at risk for the detrimental outcomes described in adults with exposures to ACEs. |
| format | Article |
| id | doaj-art-b2a53ea84e1641ffb3a86226b31fe141 |
| institution | OA Journals |
| issn | 2950-1938 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Child Protection and Practice |
| spelling | doaj-art-b2a53ea84e1641ffb3a86226b31fe1412025-08-20T01:54:54ZengElsevierChild Protection and Practice2950-19382024-12-01310005210.1016/j.chipro.2024.100052Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspectiveMegan Cooney0Suzanne Kathleen Robinson1Corresponding author.; University of Manitoba, CanadaUniversity of Manitoba, CanadaMedically minor abusive injuries, known as sentinel injuries, are often missed in clinical settings. Child physical abuse, which frequently presents with medically minor or no visible injury, is a common adverse childhood experience (ACE). Practitioners are not typically trained to consider the increased risk of detrimental outcomes described with ACE exposures when young children present with sentinel injuries. However, these injuries may be the only visible signs that a young child is at increased risk of detrimental health, social, and behavioral concerns both imminently and over the lifespan. This Practice Perspective aims to describe common sentinel injuries, discuss why they are underrecognized by practitioners, and describe the clinical approach to assessing these injuries from a Canadian perspective. It will also discuss how improving recognition could decrease subsequent severe presentations with child maltreatment while also identifying children at risk for the detrimental outcomes described in adults with exposures to ACEs.http://www.sciencedirect.com/science/article/pii/S2950193824000524 |
| spellingShingle | Megan Cooney Suzanne Kathleen Robinson Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspective Child Protection and Practice |
| title | Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspective |
| title_full | Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspective |
| title_fullStr | Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspective |
| title_full_unstemmed | Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspective |
| title_short | Adverse childhood experiences, sentinel injuries, and effective clinical responses: Can we do better? – A Canadian perspective |
| title_sort | adverse childhood experiences sentinel injuries and effective clinical responses can we do better a canadian perspective |
| url | http://www.sciencedirect.com/science/article/pii/S2950193824000524 |
| work_keys_str_mv | AT megancooney adversechildhoodexperiencessentinelinjuriesandeffectiveclinicalresponsescanwedobetteracanadianperspective AT suzannekathleenrobinson adversechildhoodexperiencessentinelinjuriesandeffectiveclinicalresponsescanwedobetteracanadianperspective |