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Information for Referring Agencies and Physicians
ARKANSAS CHILDREN'S HOUSE
The Arkansas Children's House is
part of both Arkansas Children's Hospital and the University of Arkansas for
Medical Sciences. The atmosphere at the Arkansas Children's House is warm
and friendly, which creates a needed sense of safety and security for
children. The staff, known as the Team for Children at Risk (TCAR), prides
itself on providing evaluations in the least traumatic manner possible.
Arkansas Children's House
primarily examines children thought to have been sexually abused. We perform
over 400 sexual abuse evaluations per year. We also provide evaluations for
physical abuse that is not acute (no fresh marks, abrasions, or fractures).
The Arkansas Children's House is
located at 1600 Maryland Street on the campus of Arkansas Children's
Hospital. A map will be sent to a parent or guardian to assist them in
locating our facility. Parking is located behind and to the left side of the
building.
Who May Refer Children
We accept referrals for
appointments from Arkansas State Police, Arkansas Division of Children and
Family Services, local law enforcement agencies, prosecuting attorneys,
physicians and
other health care professionals. A report of a suspicion of abuse must have
been made to the Arkansas State Police Child Abuse Hotline and an
investigation initiated.. An interview of the child must have been conducted
before an appointment can be scheduled, since the results of the interview
can guide the tests to be performed.
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Intake
When you call (501) 364-2680 to
schedule an appointment at the Arkansas Children's House, an intake form
will be completed. A copy of the form with its needed information is as
follows: Intake Form
Please note the criteria we must
meet to be able to give an appointment; they are enclosed in the box on the
form. If a child does not meet any one of these criteria, the child likely
will need an immediate examination in the Arkansas Children's Hospital
Emergency Department. We can help you determine that need and notify the
Emergency Department for you.
In order to ensure that every
child who comes to the Arkansas Children's House feels safe and secure, we
do not permit access of alleged offenders. We follow strict policies and
procedures regarding patient confidentiality and are cautious about
releasing information regarding a child's visit over the telephone.
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Insurance
When a child is covered under
Medicaid, ArKids First, Champus, or Tricare Foundation, we will bill those
programs if we receive a referral from the child's primary care physician.
If a child has private insurance or no insurance coverage, the Arkansas
Crime Victims Reparations Board will almost always pay the cost of the
medical evaluations when an incident report has been completed by law
enforcement. The parent must provide the child's social security number at
the time of the visit in order to file the necessary paperwork. In the rare
cases in which law enforcement is not involved, it may be necessary for us
to bill private medical insurance or bill the parent. We encourage parents
to contact their medical insurance company for pre-authorization and/or
referral before their child's appointment.
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Services Provided
Some of the services provided to
parents, their children, and referral agencies are:
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Preparation of the child and
parent before the examination
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Comprehensive general and colposcopic genital and anal examinations
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Needed laboratory and
radiographic tests
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Conference with the parent or
guardian to assist in understanding the examination and other related issues
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Guidance for resources that
are available to families from community agencies
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Counseling resources for the
child and family
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Prompt reports to the referral
and other involved investigating agencies
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Telephone consultations and
case conferences
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Court testimony
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Medical Evaluations
The evaluations performed at the
Arkansas Children's House are not physically traumatic to children, and they
are rarely emotionally traumatic. A parent may bring a child to tour our
facility and meet the staff before the scheduled appointment time. Our staff
spends as much time as possible at the time of the evaluations interacting
with children to prepare them for their examinations. We use innovative
techniques that include multiple methods of distraction to ease children's
fears. A video colposcope is used in our examinations for magnification,
photodocumentation and as a lighting source. It does not touch a child's
body at any time during the evaluation. However, some laboratory tests of
the genital and/or anal areas might be needed. The parent will be able to
stay with the child during the examination. After the examination, the
physician or nurse practitioner and social worker will meet with the parents
to discuss the examination and other related issues. At this time, the child
will be in the waiting room, and the family will need to bring someone with
them to watch over their child while they visit with the staff. At the close
of the visit, it may be necessary for the child to have laboratory tests
performed.
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How to Read the Medical Report
(Suspected Child Sexual Abuse/Assault Medical Record)
The first page of this report
will contain the following information:
The second page of the
medical report deals with the general health of the child. The third page describes the genital and anal examinations.
The fourth page lists the tests taken. The investigating
agency primarily will be interested in the information on the fifth page. This is the statement regarding presence
or absence of medical findings of sexual abuse/assault. It also includes a notation
that the absence of physical findings does not rule out prior sexual abuse.
(More than half of sexually abused boys and girls will have a normal
examination). The last page includes our recommendations for the child
and the family.
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Who Receives the Medical Report
The medical record is released to
the referring agency, referring physician and/or primary care physician, the
Medical Records Department of Arkansas Children's Hospital, and the offices
of the appropriate law enforcement agency and Arkansas Department of Human
Services.
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Who to Call for Questions
You may contact the Arkansas
Children's House by phone, Monday through Friday from 8:00 am to 4:30 PM.
The following is a list of the staff and their phone numbers:
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Robin Gipson, Clinic/Intake
Coordinator (501) 364-2680, in order to:
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Schedule or cancel an
appointment
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Inquire about the examination
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Assist in obtaining Medicaid
transportation
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Inquire about requirements
for insurance referrals
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Gina McGee, Administrative
Assistant (501) 364-1013, for:
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Toss Worthington, Nurse
Practitioner (501) 364-2680, for:
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Jerry G. Jones, M.D., Director,
Center for Children at Risk: (501) 364-1013
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Social Worker (501-364-1406)
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Social issues
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Resources for services
We appreciate the opportunity to
participate with you in the evaluation and management of abused children and
their families. Please call any of us for concerns or questions.
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FAMILY TREATMENT PROGRAM
The Family Treatment Program
provides mental health services to children and families of sexual abuse. It
also provides evaluation and treatment of adolescent offenders under ASAP
(Adolescent Sexual Adjustment Project).
Who May Refer Children
Families may call for an
appointment for sexual abuse treatment. Referrals for ASAP are accepted only
from the AR Department of Human Services (DHS).
Intake
When parents call for an
appointment for family treatment services, the name and telephone number
will be taken. A therapist will return the call, obtain intake information,
and provide further information about the program. When a representative
from DHS calls for an ASAP evaluation, an appointment date will be given by
the ASAP intake coordinator, ArCola Henderson.
Services Provided
Specialized services in the
Family Treatment Program include individual, family, and group therapies for
victims, non-offending parents, and non-abused siblings. Treatment is
delivered by a multidisciplinary team comprised of psychologists and social
workers. ASAP is a specialty treatment program within the Family Treatment
Program for treatment of children and adolescents with sexual behavior
disorders (e.g. child molesting). This treatment is critical in reducing the
risk for re-offense.
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