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Original Articles and Reviews

First Approach to Abused Children by Health and Educational Professionals

A Comprehensive Review

Published Online:July 09, 2020https://doi.org/10.1027/1016-9040/a000412

Abstract

Abstract. The present review aims to address child abuse, a phenomenon to which society has become more aware and directed more efforts, and the role that health and education professionals can play in its prevention and intervention. Based on the premise that professionals with a primary role of working with children, who may have the first contact with them after a situation of abuse, are mostly in the fields of health and education, it is important to reflect on their practices in these cases, which have particular relevance in order to avoid potential situations of secondary victimization, contamination of speech, or even withdrawal of revelation. This review examines the preparation of these professionals to address the allegedly abused child and to report abuse if they feel fit to take appropriate action, focuses mainly on the context of Portugal. What the literature shows is that there are still difficulties in making decisions and taking action in situations where abuse is suspected, based on physical or behavioral evidence from the child, or before his/her disclosure. Further studies are needed on the knowledge of the actions to be taken, and on the actions taken before there is a referral to the competent entities by these professionals. Moreover, there is a discussion on the need to develop training as well as brief and structured protocols for action, in this first line of intervention, when facing potential situations of child abuse.

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