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Cases of domestic abuse recorded by police and children's services have risen significantly over the past decade. The government has published a draft bill containing new protections to tackle the problem

Data shows the number of child abuse, parental neglect and domestic violence cases is rising, raising tough challenges for how child protection services and professionals work effectively with families

AbstractThis article reports on a study designed to investigate the effects of preseparation hassles, preseparation abuse, and evaluations of the mediation process on postmediation abuse and hassles among a stratified, random, sequential sample of participants in marital conflict mediation. Hassles prior to mediation were found to be associated with postmediation hassles. Engaging in violence‐prevention activities prior to separation and being frightened of one's partner were associated with postseparation abuse. Evaluations of the mediation process were associated with postseparation abuse and only among those who participated in mandatory legal aid mediation. The authors discuss the implication of these findings for the construction of a screening instrument for mediation participants.

Ketamine was developed in the 1960s and promoted as a dissociative anesthetic because of its ability to induce a lack of responsive awareness not only to pain but to the general environment. The subjective experiences of ketamine intoxication range from pleasant dreams to intensely visual or polysensual hallucinations. Occasionally a brief full-blown delirium occurs. Despite warnings about its abuse potential, ketamine eventually appeared on the streets in the early 1970s in the same way that phencyclidine (PCP) did in the 1960s. By the early 1980s various preparations of ketamine were available on the street with such names as Special K, 1980 acid, and Super C. In the 1990s the social-recreational use of ketamine reemerged in the context of a subcultural music phenomenon known as "acid house" music. Large-scale parties, usually called "raves," combine acid house music and ketamine use. Ketamine abuse appears to be on the increase. Clinically significant consequences range from occasional flashbacks to delirious reactions, and every type of dissociative symptomology.

The aim of this study was to examine the frequency with which child abuse pediatricians (CAPs) assess consultations as low versus high likelihood of abuse. In this retrospective secondary analysis of data from the Examining Siblings to Recognize Abuse (ExSTRA) study, the likelihood of abuse score for 2890 consultations at 20 medical centers was collected. Descriptive statistics were used to examine the percentage of cases representing low versus high likelihood of abuse (i.e., score of 1–4 vs. 5–7 on a 7-point scale). Linear and logistic regression analyses were used to examine score variability between medical centers. Overall, fifty-three percent of cases were assessed as low likelihood of abuse, suggesting that CAPs were equally as likely to assess a high versus low likelihood of abuse. The percentage of cases representing low likelihood of abuse differed significantly ( P < .001) between medical centers after controlling for patient age, sex, race/ethnicity, twin/triplet status, injury types, and injury severity. The variability between CAP assessments at different medical centers is discussed, along with potential contributors to this variability and directions for future work.