Transcript The Safety of Minors on College and University Campuses: A

The Safety of Minors on College and University
Campuses: A Social Justice Challenge
Bethany Mohr, MD, FAAP
Clinical Assistant Professor
Medical Director, Child Protection Team
Department of Pediatrics and Communicable Diseases
University of Michigan Health System
The University of Michigan Child Protection Team
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Bethany Mohr, MD and Lisa Markman, MD
Provide expert medical opinions regarding:
 Physical Abuse, Sexual Abuse, Neglect
 Medical Child Abuse
Martha Kerr, LMSW, Clinical Coordinator (Abuse Prevention Initiative)
 Child Abuse
 Domestic Violence (Intimate Partner Violence)
 Vulnerable Adult Abuse
Donna Schaefer, LMSW, CPT SW
All members of the CPT work closely with DHS/LE/Judicial System and
have the means to readily communicate regarding specific children and
cases.
Maltreatment Types
US Department of Health and Human Services ,
Administration for Children and Families,
Administration on Children,Youth and Families, Children’s Bureau. (2012). Child Maltreatment 2011.
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Jenson, 36, who was fired from the hospital in late
December 2011, is charged with four counts of
possessing child sexually abusive material.
Records show university officials waited six months
before filing a report with university police after
another resident physician told them she found child
porn on a thumb drive that was left in a computer at
the Pediatric Emergency Department. She reported
that she saw a photo of a “nude adult lying” on a
young child whose arms "were bound" and appeared
to be tied to a bed frame.
They found child porn on a thumb drive in his work
bag, on a laptop computer in his living room and on a
hard drive in his bedroom.
State suspends Ann Arbor pediatrician
Howard Weinblatt's medical license
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Weinblatt pled no contest to one count of surveilling an
unclothed person in January 2012 and was sentenced to
5 years of probation and a $2,000 fine. Weinblatt was also
required to move from his home and to register as a sex
offender.
Weinblatt was accused of watching a 12-year-old girl (a
family friend and one of his patients) change clothes in
her bedroom. At his sentencing, he expressed remorse
for the pain and suffering the case had caused to the
victim, her family and his family. His Burns Park home was
situated just 11 feet from the girl’s home.
During their investigation, Ann Arbor police found images
of suspected child porn on computers they seized from
Weinblatt's home Nov. 22, the police report says. Some of
those images the federal government considers "child
exploitation material," the report says.
Protecting Children from Abuse by
Health Care Providers
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SEXUAL ABUSE
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Occurs when a child is engaged in sexual activities that the child cannot comprehend,
for which the child is developmentally unprepared and cannot give consent, and/or
that violate the law or social taboos of society.
Dominant or more powerful person (“control and authority”) coercing a child or
adolescent to engage in sexual activities for that dominant person’s own sexual
stimulation or gratification of other people.”
Someone the child:
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Knows and trusts; position of authority  Health Care Provider
Sexual Abuse
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Sexual activities
 Rape to physically less intrusive acts done to or by the child:
 Oral-genital
 Digital-genital
 Anal contact
 “Non contact abuse”
 Exhibitionism, voyeurism, pornography
DEFINITIONS
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Pedophilia
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Over at least 6 months, recurrent, intense sexually arousing fantasies,
sexual urges or behaviors involving sexual activity with a
prepubescent child or children
Hebephilia/ephebophilia
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Sexual focus on postpubertal minor girls/boys
Paraphilias
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Persistent, deviant patterns of primary sexual attraction
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Exhibitionism
Fetishism
Frotteurism
Pedophila
Masochism
Sadism
Transvestitiism
Voyeurism
PEDOPHILIC MOLESTERS
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Often choose vocations/activities that provide access
Select vulnerable victims and groom them
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Prolonged periods
Assess response to gradually more intrusive sexual activities
Assess ability to remain silent
Groom parents and community
HEALTH CARE PROVIDERS
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Frequency of sexual abuse of pediatric patients?
Incidence of pedophilia among pediatricians?
Frequent, potentially private, contact with children
History-taking and verbal interaction
Physical Examination
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Annual assessment of anogenital region; and with complaints
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Gloves
Draping/gowning
Chaperones
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Joint decision
Provider directed
INDICATORS
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Favors, gifts, unusual social
contact
Exam indications,
frequencies, techniques
unusual
Parents/chaperones
excluded from exams
PARENTS SHOULD BE
INFORMED THAT:
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Chaperoned exams can be
requested
Any concerns about
sexually inappropriate
exams or provider actions
should be reported to the
institution’s administration
They have the right to
report directly to CPS
UMHS HEALTH CARE PROVIDERS
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Should be trained to recognize and abide by appropriate
provider-patient boundaries
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Medical institutions:
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Policies
Should screen staff members for a history of child abuse issues
Establish policies and procedures to receive and investigate
concerns about patient abuse
Each person has a responsibility to ensure the safety of
children in health care setting and follow appropriate legal
and ethical reporting and investigation procedures
Pediatrics 2011; 128:407-426
UMHS HEALTH CARE PROVIDERS
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Training
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Screening
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Appropriate professional boundaries
Professional interactions during sexually sensitive/explicit
discussions/examinations
When and how to use chaperones
Past employment
Criminal and child abuse registry checks
Assessment
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Review which queries peers, parents, nursing staff and
supervisors
UMHS POLICIES NEEDED
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Maintaining a Professional Relationship with
Patients/Families
Patient Chaperones
Allegations of Abuse or Neglect by a UMHS Staff Member
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Staff Allegation Protocol for Staff
REASONABLE CAUSE TO SUSPECT
ABUSE/NEGLECT OF A CHILD BY A MEDICAL
PROVIDER
Report to
Report to
licensing
CPS/LE
authorities
The University of Michigan Child Protection Team
24/7
734-763-0215
855-264-9763