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Asheville Pediatric Association 77 McDowell Street Asheville, NC 28801 (704) 254-5326 (704) 251-5954 (Fax) Asheville Pediatric Association is a general pediatric office which is also interested in evaluating children in our community and surrounding counties for evaluation of child abuse and neglect. We work closely with the WNC Regional Child Abuse Center in Asheville.
The program
is supported by Mission Children's Hospital and serves more than 20 counties
in western North Carolina in providing medical evaluations of children
suspected of being abused and/or neglected. The evaluation includes a
diagnostic interview, colposcopy and photodocumentation of exam
findings in physical or sexual abuse cases. With appropriate consent, reports
that address diagnostic and treatment recommendations are sent to the referring physician or agency. Inpatient consultations are performed when a child's injury or illness raises concern for maltreatment. Educational lectures and seminars on child abuse issues are provided to the surrounding medical and lay community. Child Abuse Prevention
Services The CAPS center is a non-profit agency involved in prevention and educational programming for children, day care and school personnel. The Center is actively involved in the county Child Protection Team and the Child Fatality Review Team. Classes are also provided to educate parents on appropriate developmental expectations, as well as discipline and behavioral techniques that will enhance their ability to parent their children.
The Child Sexual Abuse Team (CSAT) at WakeMed evaluates children less than 16 years of age that are suspected of having been sexually abused. The referral base spans 12 countries in North Carolina. Referrals are received from county departments of social services, physicians, law enforcement agencies, district attorney's offices, mental health professionals, and parents. Evaluations consist of structured, diagnostic interviews conducted by a trained masters-level social worker, videotaping of interviews, physical examinations with the use of colposcopy, and testing for STD's. Training on the medical evaluation for child sexual abuse is offered to physicians, social workers, law enforcement personnel, and other professionals. Data regarding physical examination findings, sexually transmitted diseases, and psychosocial issues are continuously being gathered for prospective research projects.
U.S. Navy Family Advocacy Program with child abuse evaluation coordinated by Department of Pediatrics of local naval hospital. Active local program included medicolegal interviews, comprehensive physical evaluations, emergency room consultations and inpatient admissions. Program strives for active involvement of military base authorities and support programs, county department of social services and area counseling/psychological resources. Research focused on discipline and violence issues. Program limited to active duty military, retired military and their dependents.
The Brenner Children's Hospital Child Medical Evaluation Team provides comprehensive in-patient and outpatient evaluations for suspected physical abuse, sexual abuse, emotional abuse and neglect. There is a special hospital team for suspected Pediatric Condition Falsification (Munchausen Syndrome by Proxy) cases. The multidisciplinary medical evaluation team is comprised of three pediatricians and four hospital social workers. One social worker is a child interview specialist. Referrals are accepted from physicians, county social workers, law enforcement, the court and mental health professionals. Telephone calls from the public are screened by social worker to assess the need for evaluation or reporting of suspected abuse or neglect. Referrals are accepted for children and adolescents from birth to age 18. For sexual abuse evaluation, colposcopy is available. For all evaluations, court testimony is provided if necessary.
The Child Abuse Clinic at the Southern Regional Area Health Education Center provides outpatient medical evaluations for suspected physical, sexual or emotional abuse and neglect. Referrals are accepted from regional DSS and law enforcement agencies as well as health care providers. Primary evaluations and second opinion examinations are available.
Established in 1976, the Child Medical Evaluation Program (CMEP) is a cooperative effort of the UNC School of Medicine's Department of Pediatrics, the North Carolina State Division of Social Services, the North Carolina Legislature, local Departments of Social Services, and local medical and mental health providers. The CMEP staff have developed a statewide network of local providers who perform medical and psychological assessments of children referred by DSS agencies to help determine the presence or extent of abuse and neglect. Payment for the services is provided through a contract with the State Office of Social Services. There are approximately 350 medical providers and 200 psychological providers in the state as well as referral clinics at the major medical centers. The CMEP of North Carolina has served as a model for the development of similar programs in other states in efforts to identify, treat, and prevent maltreatment of children.
The Duke Child Abuse and Neglect Medical Evaluation Clinic (CANMEC) is the outpatient component of the Duke University Medical Center Child Abuse and Neglect Consult Service. Outpatient and inpatient evaluations for suspected child physical abuse, sexual abuse, emotional abuse and neglect are conducted by a multidisciplinary team of clinicians, including two Child Abuse Pediatric physicians, one Sexual Assault Nurse Examiner and one clinical social worker. Referral area includes seven surrounding counties, as well as the general medical catchment area for the Duke University Health System. Referrals are received from physicians, mental health professionals, county department of social services, law enforcement and the courts. Other referrals are reviewed in order to provide assistance with reporting or intake into the evaluation system. Evaluations include intake information, histories from caregivers and agency members, diagnostic interviewing of children and adolescents, physical exams (including colposcope and androscope exams), labs/studies, case review and final conclusions, recommendations and report. The Child Abuse Medical Team works closely with community mental health providers and family support services in assuring that a broad spectrum of child and family needs are met.
TEDI BEAR CAC
provides multidisciplinary diagnostic medical evaluations including
medical exams and forensic interviews for children from 29 counties
in eastern North Carolina. TEDI BEAR: CAC is supported primarily by
Brody School of Medicine at East Carolina University and Pitt County
Memorial Hospital. In addition to outpatient evaluations, center medical
staff provide in-patient evaluations at Pitt County Memorial Hospital.
TEDI BEAR staff also provide in-home support services, parenting groups,
educational outreach, professional training and individual, family and
group therapy. TEDI BEAR is a fully accredited member of National Children's
Alliance and a Prevent Child Abuse North Carolina affiliate. Referrals
for medical evaluations are taken primarily from DSS and law enforcement
agencies in the region. Pat's Place Child Advocacy Center
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