By Dr. Beth Brownlee, MD, FAAP
Pediatric forensic medical exams help check the health of children who might have been hurt or neglected. These specialized examinations, conducted by trained medical professionals, are designed to assess a child’s physical and emotional well-being. It’s important to do these exams in a way that makes the child feel safe and comfortable. Besides medical care, these exams provide important evidence for legal cases and help protect children.
It is important that children do not feel scared during forensic medical exams. Forensic medical professionals use age-appropriate language and techniques. Examiners use specialized tools to look closely at a child without causing harm or discomfort. Children are given choices and explanations throughout the process to help them feel in control. By caring about the child’s feelings, these exams not only help find out what is wrong but also prevent additional trauma.
Many people think these exams always show signs of abuse, but most of the time, they do not. This does not mean abuse did not happen; it just shows how the body can heal. For children and their caregivers, a normal exam can be comforting. Legal experts need to know that not finding physical signs does not mean abuse did not happen. It’s important for judges, lawyers, and police to understand this so they can use the medical evidence correctly. Communication about physical exam results is an important part of a forensic medical provider’s job.
Testing for sexually transmitted infections (STIs) is a key part of these exams if sexual abuse is a concern. Many STIs don’t show symptoms in children, so testing is important when abuse is suspected. Finding and treating STIs early keeps the child healthy and helps in protecting them. A positive STI test in a child can be a strong sign of abuse, but doctors and nurses need to explain other ways the child might have gotten the infection. Early treatment of STIs can also prevent long-term health problems.
Forensic medical exams go beyond abuse detection; they also help children who might not have regular access to medical care. Many children who undergo these exams present with previously undiagnosed conditions or unaddressed injuries. By identifying these health concerns, professionals help ensure that children receive the necessary treatment. Additionally, doctors and nurses check the child’s mental health to see if they are feeling anxious, sad, or have other emotional issues.
Pediatric forensic medical exams are critical in cases of child abuse and neglect. They need to be done in a way that does not scare the child and can help show if the child is OK. Forensic medical providers also help in court by explaining the medical evidence. These exams help find STIs, provide general health care, and support mental health, making them valuable for protecting children. It is important to keep improving how these exams are done to make sure children get the care and protection they need.
This awareness campaign is part of a statewide initiative of Children’s Advocacy Centers of Mississippi to educate communities on this important issue.
Beth Brownlee is associate professor of pediatrics in the department of pediatrics, division of forensic medicine, at University of Mississippi Medical Center.