Childhood neglect: a clinical perspective and introducing the Graded Care Profile 2 |
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| Affiliation: | 1. Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health (BIH), Institute of Medical Psychology, 10117 Berlin, Germany;2. Department of Pediatrics, University of California, Irvine, CA 92617, USA;3. Development, Health and Disease Research Program, University of California, Irvine, CA 92617, USA;1. Department of Anesthesiology, University of California San Diego, 200 West Arbor Drive, MC 8770, San Diego, CA 92103-8770, USA;2. Division of Biostatistics and Bioinformatics, University of California San Diego, 200 West Arbor Drive, MC 8770, San Diego, CA 92103-8770, USA;3. Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA;4. Department of Outcomes Research, Cleveland Clinic, Cleveland, OH, USA |
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| Abstract: | Neglect has serious consequences for children in terms of their health, growth, and development. Neglect may even directly cause or contribute to child deaths. In common with other forms of abuse and exposure to adverse childhood experiences, neglect is linked with health risks in adulthood that lead to diseases that cause premature death. Healthcare professionals working with children and young people must be skilled in identifying and dealing with it. Early recognition is vital but whilst neglect is the most prevalent form of abuse it remains difficult to identify and assess. This review examines how neglect can impact on the developmental process and how this can be identified. Clinically discernible features are described, along with advice about how best to address them. It also introduces a tool which can help overcome some of the difficulties associated with the assessment of neglect: The Graded Care Profile 2 (GCP2). |
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| Keywords: | child abuse child maltreatment neglect psychological maltreatment |
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