<< Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment (Trauma CME)

Special Circumstances

Children With Special Needs

Multiple studies have shown that children with disabilities are at greater risk of being victims of abuse and neglect compared to children without disabilities.27,209 Up to 18% of children in the United States aged < 18 years have disabilities and up to 54% of children served by CPS have some form of disability.209,210 Some children with special needs are also more likely to sustain injury in the course of their normal activities, especially if decreased mobility leads to decreased bone density. Emergency clinicians should have a lower threshold to consider abuse, and to consult a child abuse pediatrician for children with special needs.

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