CHILD ABUSE PROGRAM
The Spurwink Child Abuse Program was developed in 1994 in response to the need for expert diagnostic services for children who may have been abused. The program serves children throughout Maine with clinics in Portland, Bangor, Lewiston, and Waterville. Annually the program evaluates approximately 1200 children and 250 adults. The purpose of the Child Abuse Evaluation is to determine the existence and extent of any child abuse and the emotional, physical and behavioral effects of such abuse. We utilize a multidisciplinary team of medical and mental health professionals to provide the most accurate diagnosis and the best treatment recommendations possible for each individual case. The clinical staff has had extensive training and experience in evidence based forensic child abuse evaluations and treatment. In addition, the staff is actively involved in peer review, clinical research, publication, and teaching. Our services include:
MEDICAL FORENSIC EVALUATION
The evaluation includes an interview of the parent or guardian and an examination of the child by the program medical director, a board certified pediatrician…
These assessments of children are completed by specially trained master’s level mental health clinicians not only to obtain specific information regarding abuse concerns…
The team evaluates youth, age 12-18, with problematic sexual behavior to assess their risk of continued sexual behavior problems. The evaluation includes an interview…
PEDIATRIC RAPID EVALUATION PROGRAM
provides a medical and psychological screening for children newly placed in foster care to assist providers with appropriate treatment.
FAILURE TO THRIVE CLINIC
provides diagnostic evaluations and follow up for children with failure to thrive. Once a diagnosis of failure to thrive has been established…
The program provides 24 hour telephone medical consultations to professionals throughout the state.
CHILD ADVOCACY CENTER
Spurwink is the fiscal owner and physical site of the Cumberland County Child advocacy center which provides forensic interviews…
TRAINING AND EDUCATION
The program provides ongoing training at Maine Medical Center for medical students, residents, and attendings.
Dr Ricci and Ms Camire provide 24/7 consultation for caseworkers including record review…
Program staff are active in a number of local and state initiatives including the child death review panel…
Includes a board certified child abuse pediatrician, a nurse practitioner, two full time and two part time social workers, 3 full time and one part time psychologist and four administrative assistants.
In summary, child abuse evaluations at the Spurwink Child Abuse Program may include a general physical examination, specific child abuse examination, growth, behavior and developmental screening, psychosocial evaluation of the child, evidentiary interview of the child, psychological evaluation of the child, parent/child interaction assessment, team discussion, and final summary report. The end result of the Child Abuse Evaluation is a legally defensible forensic diagnosis and treatment recommendations for the child and family. The guiding philosophy of the Child Abuse Program is the protection of children from abuse and the preservation and promotion of safe and healthy families through rigorously applied, scientifically supported diagnosis and treatment. An accurate diagnosis serves the best interest of the child and family by assuring appropriate treatment and avoiding the costly results of an inaccurate diagnosis (such as further abuse because of a missed diagnosis or inappropriate intervention if abuse is incorrectly diagnosed).
Joyce Wientzen, LCSW Program Director
Lawrence R. Ricci, MD Program Medical Director and Clinical Professor of Pediatrics TUFTS Medical School and Maine Medical Center
Spurwink Child Abuse Program