Child Abuse and Neglect and Family Violence: The Texas Medical Association has a continuing commitment to the identification, treatment, and prevention of child abuse, neglect, and family violence, and recognizes the need to assert its medical leadership in these areas. To attain these goals, the association supports the following initiatives:
(1) Legislation to strengthen Texas child protection laws.
(2) Provision for adequate funding for protective, health, and social services for maltreated children and their families.
(3) Recommendation for all medical schools and primary care residency programs in the state to provide education and to encourage research at the undergraduate, graduate, and postgraduate levels in the diagnosis, treatment, and prevention of child abuse and neglect.
(4) Encouragement of continuing medical education for physicians who provide evaluations and care to abused minors in child abuse referral centers and emergency rooms.
(5) Promotion of the use of diagnostic and treatment guidelines for cases of suspected child abuse and neglect and examination and treatment by a physician of victims of maltreatment whenever possible or by a qualified physician extender (e.g., child health associate, nurse practitioner, or physician assistant) in areas or situations when a physician is unavailable.
(6) Compliance with reporting provisions of state child abuse laws by health care personnel and others.
(7) Recognition of the importance of encouraging members to become more aware of the following aspects of child abuse and family violence: (a) need to publicize the dangers of shaking a child; (b) existence of child pornography and ritual abuse; (c) importance of the role of substance abuse in the etiology of child maltreatment; (d) adverse consequences of corporal punishment in the schools; (e) importance of regional child death review teams to determine and address preventable causes of child death, including abuse and family violence.
(8) Dedication to child abuse prevention through improvement of availability, accessibility, and quality of health and social services to abused children and their families.
(9) Support of home visitation programs and establishment of physician supervision to evaluate and recommend treatment of abused children (Committee on Maternal and Child Health, p 142, I-94; reaffirmed CM-CAH Rep. 4-A-04; amended CM-CAH Rep. 1-A-14).