Fig 1.
SPUTOVAMO-R2 screening instrument for child abuse.
Reporting code: In the Netherlands, in case of a suspicion of child abuse, medical doctors are obligated to act according to the five steps of the reporting code for child abuse [17]. This reporting code ensures a thorough diagnostic process and careful communication with patient and family. With consistent use of the steps, a sound decision on whether to report to child protection services can be reached.
Fig 2.
Flow diagram of screening for child abuse in the five Out-of-hours Primary Care locations.
Table 1.
Value of the checklist SPUTOVAMO-R2 for diagnosis of child abuse reported to CPS in 10 months follow up.
Fig 3.
Type of abuse (%) reported to CPS in 10 months follow up in 61 study cases versus type of abuse (%) reported to CPS in the Netherlands in the year 2013 (n = 33571).In 38 study cases there were multiple types of abuse reported.
Fig 4.
Person reporting the child to CPS in 10 months follow up, in 61 cases.
Fig 5.
Adapted checklist SPUTOVAMO-R3.
Table 2.
Value of adapted checklist SPUTOVAMO-R3 for the diagnosis of child abuse reported to CPS in 10 months follow up.