ED Pathway for Evaluation/Treatment of Children with Sexual Abuse Concerns

Social Work Triage

SART Team Evaluation

ED Team Evaluation

Concern for patient safety:

  • Intoxicated /altered caretaker
  • Unstable home environment
  • Chronic history of abuse that has not been addressed by history
  • Triage history is unclear regarding the last alleged contact.
  • Patients/ family behavior not conducive to a CARE Clinic referral
  • Patients who refuse to leave without an evaluation
  • Disruptive behaviors that cannot be redirected

Referring patients ineligible for evaluation in CHOP ED

Patients ≥ 16 years of age who require medical evaluation will be evaluated at The Children’s Hospital of Philadelphia after they are screened by the CHOP triage nurse, social worker and attending physician.

Asymptomatic patients ≥ 16 years of age who present to CHOP ED following an acute sexual assault and require evidence collection will be referred to The Special Victims Unit.

Directions to The Special Victims Unit from CHOP Main Hospital

The Special Victims Unit
300 E. Hunting Park Ave
Philadelphia, PA, 19125

Google Maps directons to The Special Victims Unit

Special Victims Unit Telephone Number:
215-685-3251
215-685-3252
215-685-3253

CARE Clinic

Non-acute assault in patients < 16 years of age

CONSIDER NEED FOR FILING POLICE/CY 47 REPORTS BASED ON HISTORY, EVEN IF PATIENT IS BEING REFERRED AWAY.

Summary of Guidelines for Triage:

Acute episode and/or symptoms SART Team
Acute psychosocial needs or more in depth evaluation ED Team
Chronic abuse, > 72 hours, no symptoms CARE referral

The SART TEAM can be called in at anytime during the patient's evaluation.