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Background <p>Low-threshold and widely available services for medical (legal) care for children and adolescents who are (presumed) victims of violence require differentiated structures that consider their age and stage of development as well as the purpose of the examination and the different needs of minors.</p> Objective <p>The evaluation and comparison of data from the two low-threshold services offered by <i>Netzwerk ProBeweis</i> and <i>forensische Kinderschutzambulanz</i> was intended to analyze the extent to which care centered on victims of violence and a&#xa0;Lower Saxony service could be implemented.</p> Methods <p>The data from physical examinations at both of the services described, collected systematically since 2010 at the <i>forensische Kinderschutzambulanz</i> and since 2012 through <i>Netzwerk ProBeweis</i> as well as data from consultations at <i>forensische Kinderschutzambulanz</i> were anonymized and retrospectively evaluated using MS Excel in terms of the total number of cases, age and gender distribution and reasons for referral. To verify the distribution across the state of Lower Saxony the cooperating clinics as well as referring clinics and private practices were also geographically visualized.</p> Results <p>During the period under review 1155 predominantly female minors were reached, with age peaks in utilization corresponding to the respective service structures. Both in <i>Netzwerk ProBeweis</i> and in <i>forensische Kinderschutzambulanz</i>, sexual violence or suspected sexual violence was the main reason for referral. Through the involvement of partner clinics and referring hospitals and practices, comprehensive care was achieved throughout Lower Saxony.</p> Discussion <p>When implementing low-threshold care structures, the special need for protection and the different needs of minors depending on their age and developmental stage should be considered in the context of the issue addressed, such as diagnosis confirmation and/or securing evidence. In this respect, appropriate comprehensive structures can be used to close unacceptable gaps in care in the long term and ensure the (medical) protection of children and adolescents.</p>

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Minderjährig und (fraglich) gewaltbetroffen – Wie können in der Fläche niedrigschwellig bedarfsadaptierte Strukturen im Gesundheitssystem geschaffen werden?

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月2日

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  • Theresa A. Engelmann,
  • Sarah Stockhausen,
  • Michael Klintschar,
  • Anette Solveig Debertin

摘要

Background

Low-threshold and widely available services for medical (legal) care for children and adolescents who are (presumed) victims of violence require differentiated structures that consider their age and stage of development as well as the purpose of the examination and the different needs of minors.

Objective

The evaluation and comparison of data from the two low-threshold services offered by Netzwerk ProBeweis and forensische Kinderschutzambulanz was intended to analyze the extent to which care centered on victims of violence and a Lower Saxony service could be implemented.

Methods

The data from physical examinations at both of the services described, collected systematically since 2010 at the forensische Kinderschutzambulanz and since 2012 through Netzwerk ProBeweis as well as data from consultations at forensische Kinderschutzambulanz were anonymized and retrospectively evaluated using MS Excel in terms of the total number of cases, age and gender distribution and reasons for referral. To verify the distribution across the state of Lower Saxony the cooperating clinics as well as referring clinics and private practices were also geographically visualized.

Results

During the period under review 1155 predominantly female minors were reached, with age peaks in utilization corresponding to the respective service structures. Both in Netzwerk ProBeweis and in forensische Kinderschutzambulanz, sexual violence or suspected sexual violence was the main reason for referral. Through the involvement of partner clinics and referring hospitals and practices, comprehensive care was achieved throughout Lower Saxony.

Discussion

When implementing low-threshold care structures, the special need for protection and the different needs of minors depending on their age and developmental stage should be considered in the context of the issue addressed, such as diagnosis confirmation and/or securing evidence. In this respect, appropriate comprehensive structures can be used to close unacceptable gaps in care in the long term and ensure the (medical) protection of children and adolescents.