@article{ref1,
title="In-house consultation to support professionals' responses to child abuse and neglect: determinants of professionals' use and the association with guideline adherence",
journal="Child abuse and neglect",
year="2017",
author="Konijnendijk, Annemieke A. J. and Boere-Boonekamp, Magda M. and Kaya, Anna H. and Haasnoot, Maria E. and Need, Ariana",
volume="69",
number="",
pages="242-251",
abstract="This study examined the presence and strengths of determinants associated with consultation of an in-house expert on child abuse and neglect (CAN) by preventive child health care professionals who suspect CAN. This study also assessed the relationship between in-house CAN expert consultation and professionals' performance of six recommended activities described in a national guideline on preventing CAN for preventive child health care professionals. A total of 154 professionals met the study's inclusion criteria. They filled in a questionnaire that measured in-house consultation practices and twelve determinants associated with the professional, the in-house expert, and the organizational context. Bivariate and multivariate regression analyses were performed. Almost half of the participants (46.8%) reported to consult the in-house expert in (almost) all of their suspected CAN cases. Professionals who reported better recollection of consulting the in-house expert (i.e. not forgetting to consult the expert) (p=.001), who were more familiar with consultation (p=.002), who had more positive attitudes and beliefs about consultation (p=.011) and who reported being more susceptible to the behavior (p=.001) and expectations/opinions (p=.025) of colleagues regarding in-house expert consultation were more likely to consult the in-house expert. Furthermore, in-house expert consultation was positively associated with two of six key guideline activities: consulting the regional child protection service and monitoring whether support was provided to families. The implications of these results for improving professionals' responses to CAN are discussed.<br><br>Copyright © 2017 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2017.04.025",
url="http://dx.doi.org/10.1016/j.chiabu.2017.04.025"
}