3 results on '"Charles A. Jennissen"'
Search Results
2. Child welfare professionals’ determination of when children’s access or potential access to loaded firearms constitutes child neglect
- Author
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Gerene M. Denning, Resmiye Oral, Erin Evans, and Charles A. Jennissen
- Subjects
Male ,Child abuse ,Firearms ,Pediatrics ,medicine.medical_specialty ,Adolescent ,media_common.quotation_subject ,Child Welfare ,Poison control ,Critical Care and Intensive Care Medicine ,Suicide prevention ,Occupational safety and health ,Neglect ,03 medical and health sciences ,Accident Prevention ,0302 clinical medicine ,Surveys and Questionnaires ,Injury prevention ,Humans ,Medicine ,Child Abuse ,030212 general & internal medicine ,Child ,Child neglect ,media_common ,business.industry ,Infant ,Human factors and ergonomics ,030208 emergency & critical care medicine ,United States ,Child, Preschool ,Family medicine ,Female ,Wounds, Gunshot ,Surgery ,business - Abstract
Background Pediatric deaths and injuries from access to firearms are a significant public health problem. No studies have examined how experts determine child neglect regarding firearm access in the home. Our study objectives were to identify factors that influenced pediatric experts' finding of firearm-related child neglect and to assess their attitudes toward child access prevention (CAP) laws. Methods A survey was distributed to the American Academy of Pediatrics Section on Child Abuse and Neglect members. Demographics, attitudes regarding CAP laws, and ages (up to 14 years old) at which experts deemed several scenarios as child neglect were determined. Scenarios tested potential versus actual loaded firearm access, presence or absence of a CAP law, and injury versus no injury when the firearm was accessed. Results One hundred ninety-three surveys were completed. Experts agreed (>95%) that CAP laws were important, even for children up to age 15 years. Although a high percentage considered potential access to a loaded firearm as child neglect, a CAP law significantly increased the percentage for each age. In addition, higher percentages of respondents from states with CAP laws than those without deemed potential access as child neglect for 12- and 14-year-olds. In contrast, if the child had accessed a loaded firearm, there were no significant differences in the high percentages that deemed the scenario as child neglect under any conditions, including with and without a CAP law. Conclusions Although almost all child neglect experts considered potential and actual access to loaded firearms as child neglect, CAP laws increased the percentage for cases of potential access. Universal CAP laws may help ensure that determinations of child neglect are more consistent across states. The deterrent effect of potential child neglect findings may increase the number of parents securing firearms in ways that prevent child access and reduce firearm-related deaths and injuries. Level of evidence Epidemiologic study, level III.
- Published
- 2017
- Full Text
- View/download PDF
3. Link for Injured Kids
- Author
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Charles A. Jennissen, Maisha Toussaint, Karisa K. Harland, Graeme Pitcher, Kristel Wetjen, Briana Woods-Jaeger, Marizen R. Ramirez, and Tammy Wilgenbusch
- Subjects
medicine.medical_specialty ,education.field_of_study ,business.industry ,Population ,Psychological intervention ,Poison control ,030208 emergency & critical care medicine ,General Medicine ,medicine.disease ,Suicide prevention ,3. Good health ,03 medical and health sciences ,0302 clinical medicine ,Intervention (counseling) ,Pediatrics, Perinatology and Child Health ,Injury prevention ,Emergency Medicine ,medicine ,030212 general & internal medicine ,Psychiatry ,education ,business ,Psychosocial ,Pediatric trauma - Abstract
OBJECTIVE: Injury, the most common type of pediatric trauma, can lead to a number of adverse psychosocial outcomes, including posttraumatic stress disorder. Currently, few evidence-based parent programs exist to support children hospitalized after a traumatic injury. Using methods in evaluation and intervention research, we completed a formative research study to develop a new program of psychological first aid, Link for Injured Kids, aimed to educate parents in supporting their children after a severe traumatic injury. METHODS: Using qualitative methods, we held focus groups with parents and pediatric trauma providers of children hospitalized at a Level I Children's Hospital because of an injury in 2012. We asked focus group participants to describe reactions to trauma and review drafts of our intervention materials. RESULTS: Health professionals and caregivers reported a broad spectrum of emotional responses by their children or patients; however, difficulties were experienced during recovery at home and upon returning to school. All parents and health professionals recommended that interventions be offered to parents either in the emergency department or close to discharge among admissions. CONCLUSIONS: Results from this study strongly indicate a need for posttrauma interventions, particularly in rural settings, to support families of children to address the psychosocial outcomes in the aftermath of an injury. FINDINGS presented here describe the process of intervention development that responds to the needs of an affected population. Language: en
- Published
- 2017
- Full Text
- View/download PDF
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