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CAC Director Resource: Orienting Your Medical Provider to the CAC and Multidisciplinary Team
This document is designed to assist the CAC Director in orienting the medical provider who will be conducting medical evaluations for children seen at their center either on-site or off-site and as an employee, through a linkage agreement, or through a contract. It is not uncommon for a new medical provider to think that their only task is to provide medical examinations. It is important that they understand the full scope of their responsibilities so that they understand what they are taking on in this capacity as part of the Multidisciplinary Team (MDT). This document is a high-level outline of the different responsibilities they may be asked to undertake and can be added to in greater detail to help to orient them to the other multidisciplinary team members in the context of your community.
Access to Medical Evaluations in Cases of Child Sexual Abuse
This tool, developed by the Midwest Regional CAC and our Child Abuse Medical Advisory Council, is designed to assist Child Advocacy Centers (CACs) and State Chapter organizations assess the gaps in medical care for child sexual abuse victims and provide steps for improving this care along the continuum. Because of geographic location, availability of medical providers with expertise in child abuse, and budgetary constraints, centers will fall along the spectrum of meeting the National Children’s Alliance (NCA) Medical Standard for Accreditation. This tool can be utilized to implement all criteria in the “Meets Standard” category to be in compliance, but suggests additional components to implement, thus providing the child and their family with the most desirable medical care possible.
Access to Medical Evaluations in Cases of Child Physical Abuse
This tool can be utilized by individual CACs and Chapters to help in shaping medical programming to address child physical abuse. Not all children’s advocacy centers (CACs) will see child physical abuse victims, for those who are either considering and/or actively seeing physical abuse cases, the contents of this tool can help guide the types of services your center may be interested in/able to provide. The different levels of practitioners are defined. Guiding questions are also included to help make decisions surrounding the types of services your site is able to provide. This is followed by the Spectrum of Services to see the continuum.
Medical Provider Guidelines: What is the Role of the Medical Provider for Children Under 12 with Problematic Sexual Behaviors (YPSB)?
This document, developed by the Midwest Regional CAC and our Child Abuse Medical Advisory Council, is designed to assist Child Advocacy Centers (CACs) and State Chapter organizations assess the gaps in medical care for child sexual abuse victims and provide steps for improving this care along the continuum. Because of geographic location, availability of medical providers with expertise in child abuse, and budgetary constraints, centers will fall along the spectrum of meeting the National Children’s Alliance (NCA) Medical Standard for Accreditation. This tool can be utilized to implement all criteria in the “Meets Standard” category to be in compliance, but suggests additional components to implement, thus providing the child and their family with the most desirable medical care possible.
Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused
The Midwest Regional CAC is honored to have been involved in the preparation and publication of this important manuscript. The medical evaluation is an important part of the clinical and legal process when child sexual abuse is suspected. Practitioners who examine children need to be up to date on current recommendations regarding when, how, and by whom these evaluations should be conducted, as well as how the medical findings should be interpreted. A previously published article on guidelines for medical care for sexually abused children has been widely used by physicians, nurses, and nurse practitioners to inform practice in this field. Since 2007, when the paper was published, new research has suggested changes in some of the guidelines and in the table that lists medical and laboratory findings in children evaluated for suspected sexual abuse and suggests how these findings should be interpreted with respect to sexual abuse.
Medical Standard Assessment Tool
Are you beginning to write or rewrite your Medical Standard? This tool will give you insight on many of the aspects involved in the Medical Standard including photodocumentation and training guidelines.
The Importance of the Medical Exam: What MDT Partners Need to Know
The Northeast Regional Children's Advocacy Center created an orientation video to the medical exam for both current and incoming multidisciplinary team (MDT) members. The training highlights the importance of the medical exam, the importance of specialized providers, and why normal results are normal. NRCAC has also created a medical fact sheet to accompany the video training.
Medical Issues in Child Abuse Resource List
The Regional Children's Advocacy Centers have compiled a list of foundational medical training, continuing education and quality improvement activities, and additional resources for the MDT and CAC related to medical issues in child abuse.
Child Abuse Pediatrician Providers by State and Province
To locate a program in your area with a child abuse pediatrician, visit the American Academy of Pediatrics' state information and resources listing.
Western Regional Children's Advocacy Center has created a curated a number of resources to assist CACs interested in providing telemental health services.
The National Child Traumatic Stress Network
This site provides a number of resources for parents, lay people, and specialized mental health providers around trauma and mental health.
Ideas for Reducing Disparities in Care
Describes the Midwest Regional CAC's Equity Council, our commitment to reducing disparities in care, and ideas for CACs to begin equity work.
Cultural Competency Resources
Curated online trainings and downloadable documents to help CACs meet the NCA standard on cultural competency and to provide culturally competent services for children, families and communities
Tips for Foreign Language Interpreters
This video will discuss best practices for interpreting child abuse forensic interviews, let interpreters know what they should expect in an interview on possible child abuse (content and process) and help interpreters avoid common errors that might invalidate a child abuse interview.
Language Competence in Forensic Interviews for Suspected Child Sexual Abuse + other Lisa Aronson Fontes Articles
Via her webpage, you can view a number of articles written by or in collaboration with Lisa Aronson Fontes. The 2016 article referenced above focuses on language competence of forensic interviewers, along with recommendations for practice and further research.
Serving Children and Parents who Identify as LGBTIQ
Collected resources around same-sex parenting, children who identify as LGBTIQ, and more
Journal Club Application
The Midwest Regional CAC hosts journal club calls to help forensic interviewers stay current with research and connect with like professionals. Each call runs on a quarterly basis and is accessed by a 1-800 telephone line. All calls are FREE of charge to participants. Click on the link above to apply or click here for more information.
Consultants, presenters and training attendees who are interested in receiving reimbursement for activities with the Midwest Regional CAC can consult this handy one-page guide on reimbursement dos and don'ts.
2017 NCA Revised CAC Accreditation Standards
A complete description of the most recent revision of the 10 standards of accreditation.
Online Accreditation Bootcamp
Includes expert interviews; presentations by Teresa Huizar, Executive Director of the National Children’s Alliance; and supportive documents for each of the standards, including sample cultural competency plans. You will need to have an account on NCA Engage to access the course.
Child Abuse Library Online (CALiO)
CALiO is one of the largest professional resource collections available today, providing access to published knowledge, educational materials and resources related to child maltreatment, as well as online search services, topic-specific annotated bibliography creation, resource package development.
Victim Advocacy Guidelines
The Regional CACs have created Victim Advocacy Guidelines to help CACs provide specialized advocacy services to the children and families in your communities and to help CACs meet the Victim Advocacy Standard for Accreditation for National Children’s Alliance (NCA). This is one tool to assist in your development. Additional support can be found within the document Putting Standards into Practice: A Guide for Implementing the 2017 Standards for Accredited Members.
Building a Better Case Review Together
The intent of this template is to help you expand and enhance your Case Review process. It was developed by the Northeast Regional Children’s Advocacy Center (NRCAC). These guidelines, along with an online training in 2019, will help your staff and MDT plan and evaluate your case review process.
Child Victim Web
Child Victim Web is a multimedia, online training resource designed for professionals from all disciplines who work with children and adolescents who have experienced or witnessed serious violence. This course describes the prevalence and characteristics of different forms of victimization often experienced in childhood, their psychological, behavioral, social, and health consequences, and implications for practice. Assessment strategies, an evidence-based approach to treatment planning, trauma-informed case management skills, and information about evidence supported treatments are presented. Child Victim Web is FREE and provides 8 hours of Continuing Education Credit.
Children’s Advocacy Center Accessibility Toolkit
The CAC Accessibility Toolkit was created by the Children's Advocacy Center of North Dakota, working with a coalition of professionals from around the nation, to help multidisciplinary professionals better serve children with disabilities who have been abused.
Law Enforcement Guide on Recognizing Child Abuse
The guide provides information to help law enforcement differentiate between physical abuse and accidental injury during a child abuse investigation. The guide also identifies questions that law enforcement should address during an investigation, describes how to conduct a caretaker assessment when a child is injured, and highlights ways to work with the medical community to distinguish types of injuries and bruises.
NCTSN-Curated Child Sexual Abuse Resources
The National Child Traumatic Stress Network has compiled a number of useful resources regarding child sexual abuse as well as other types of child trauma.
Snap Chat Law Enforcement Guide
Snapchat is a smart phone application accessed through the iPhone AppStore or Google Play. The application provides a new way to share moments with photos and videos. The purpose of this guide is to familiarize law enforcement agencies with the categories of information available from Snapchat and the specific legal process necessary to obtain that information.
Snapshot 2017: Advocacy, Efficacy, and Funding in CACs
Snapshot 2017 is a report that provides data and primary information on how Children’s Advocacy Centers (CACs) are organized and funded, and identifies the key characteristics and attributes of high-performing CACs.
2013 Salary Survey
Our most recent and final salary survey looked at salary ranges and aggregated them according to CAC structure, population size, and children seen at the center.
2013 Multi-Site Survey of CACs
This report includes important updates regarding current trends in the Child Advocacy Center movement including medical evaluations, forensic interview and working with CSEC victims.
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