Missouri

University of Missouri Child Abuse Evaluation Program
Department of Child Health
University of Missouri Hospital
Columbia, MO 65212
(573) 882-4141
(573) 884-5282 (Fax)

Children are evaluated under Missouri's SAFE program for sexual abuse and physical abuse. The SAFE network requires formal education to become state approved in order to receive full reimbursement for sexual abuse evaluations.

The CARE (Children at Risk Evaluation) Team
Children's Mercy Hospital
2401 Gillham Road
Kansas City, MO 64108
(816) 234-3691
Medical Director: Irene Walsh, MD, FAAP
Additional Providers: Barbara Allphin, MD, FAAP
Bruce Peters, DO, FAAP
Katherine Smith, MD, FAAP
Kathe Kraly, RN, MSN, CPNP

The CARE Team provides medical evaluation and treatment for children and adolescents of all ages who are at risk of physical abuse, sexual abuse and neglect. It has two main components: (1) the CARE clinic for scheduled outpatient evaluation, and (2) an in-patient consultative service for hospitalized children. The CARE team functions as a part of the Division of Pediatric Emergency Medicine and works collaboratively with multiple other disciplines within the hospital. Providers are members of the SAFE-CARE Network of the State of Missouri.

St. Louis University
Division of Child Protection
Cardinal Glennon Children's Hospital
1465 South Grand
St. Louis, MO 63104
Director: James Monteleone, MD, FAAP
(314) 268-6406
Special Assessment and Management (SAM) Clinic
(314) 577-5347

Children who are alleged victims of sexual or physical abuse are evaluated by a physician trained by the SAFE (Sexual Abuse Forensic Exam) Network of Missouri. Specifically, the SAM Team of Cardinal Glennon Hospital provides physical and psychological evaluations of children and adolescents who are alleged victims of sexual abuse. All requests for examinations are reviewed by the SAM Team.

University of Missouri-Columbia Hospitals & Clinics
Julie A. Aucar, MSN, RN, CPNP
Department of Child Health - Pediatrics
SAFE/CARE Medicial Office
108 E. Green Meadows, Suite 7A
University of Missouri - Columbia, MO 65203
(573)884-2323 or 882-4141
(573)884-5741 (Fax)
Director: Thomas Selva, MD

This program is a medical center-based multidisciplinary team that serves a resource for the hospital, surrounding local community hospitals and physicians, and other involved professionals in the mid-Missouri region for the evaluation of children for sexual abuse, physical abuse and neglect. The team is beginning to utilize telemedicine and other technologies to better serve providers in outlying areas of the state.

Child Protection Program & Sexual Abuse Management Clinic (SAM)
St. Louis Children's Hospital
One Children's Place
St. Louis, MO 63110
(314) 454-2879
(314) 454-2473 (Fax)
Program Coordinator: Lee Ann Taylor, MSEd, MSW, LCSW
Nurse Practitioner: Nancy Duncan, RN, CPNP
SAM Clinic Medical Director: Robert T. Paschall, MD, FAAP
(314) 454-2341
(314) 454-4345 (Fax)

This hospital-based program provides evaluations for victims of child maltreatment. The scope of our services include both inpatient and outpatient evaluations. A Sexual Abuse Management Clinic provides comprehensive forensic evaluations encompassing the psychosocial and medical aspects of care. Interviewers are skilled in utilizing accepted forensic techniques. Most interviews are documented on videotape with facilities available for involved professionals to view the interview process through a one-way mirror. Physical examinations are conducted in a clinic setting by a pediatrician and/or nurse practitioner. Video colposcopy is utilized for purposes of documentation, case review, peer review, and education. Examiners are providers and trainers for the Missouri Sexual Assault Forensic Examination-Child Abuse Resources and Education (SAFE-CARE) Network.