| Sub-title | |
| Authors | M Mangion D Zerafa S Attard Montalto |
| Abstract | Background and Aims: The socially complex aetiology of child abuse makes its eradication difficult yet it's significant negative impact demands early identification and appropriate management. To this end, local authorities have established efficient tracking and processing protocols for suspected cases, covering medical, social, legal and police aspects. This review presents the current status of abuse in Malta. National Statistics: Child abuse is steadily on the increase: from 1993 up to 2004, Agenzija Appogg recorded a total of 6,711 reports under the Child Protection Services, of which 4,136 involved some form of child abuse, 55% in those aged 6-15 years and 12% in preschool children with a M:F ratio of 1:1.5 (1:5 for sexual abuse). 2% were referred from Health Services, 30% from Appogg, 27% relatives, 25% other agencies, 12% Education and 4% from the Police. Types of abuse: As in other countries, physical abuse comprises 30% of cases; neglect 17% and sexual abuse 13%, although all types are likely to be under-reported. This is especially so for sexual abuse that involves preschool children who may not report the event compounded by the absence of penetration and external physical signs in just 2 out of 11 cases in one local review. Abuse by proxy (Munchausen syndrome) is only diagnosed once every 10 years in Malta. Conclusion: Whilst case identification has increased steadily, the enhanced support services (Paediatric team, Appogg, Vice Squad, Family Court, etc), have considerably improved the overall liaison and medicosocio- legal package available, and those filing reports are protected by the Data Protection Act. Nevertheless, much still needs to be done to improve inter-agency liaison. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | 18 Supplement |
| Page | |
| Date | 01/12/2006 |
| Link to journal | |
| Key words | case identification, child abuse, inter-agency liaison, national statistics, support |