Maternal & Child Health (MCH) - Medical Child Abuse Resources and Education System (MEDCARES)

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Texas Medical Child Abuse Resources and Education System (MEDCARES)

Senate Bill 2080, 81st Legislative Session, amended sections of the applicable code, Health and Safety Code, Chapter 1001, Subchapter F (§1001.151 - §1001.157) to establish MEDCARES.  The goal is to improve services related to the assessment, diagnosis, and treatment of child abuse and neglect in hospital or academic health care settings through funding, collaboration, and outcome reporting. 

MEDCARES Grant Program

The purpose of the grant program is to provide funds for developing and supporting regional programs to improve the assessment, diagnosis, and treatment of child abuse and neglect.  The funds are slated for hospitals or academic health centers with expertise in pediatric health care with a demonstrated commitment to developing basic programs in the same field for the assessment, diagnosis, and treatment of child abuse and neglect.

Child Abuse Specialists: 

Child Abuse Pediatricians (CAPs) are highly-trained physicians available for consultation to children and adolescents with suspected child abuse and neglect injuries. Child Abuse Pediatrics is a relatively new subspecialty that provides assessment, diagnosis and treatment for children with suspected child maltreatment injuries.  The CAPs and their team of other trained specialists provide careful, objective and meticulous evaluations with consideration to alternative diagnoses using evidence-based standards and collaboration from multiple outside sources including law enforcement, the judicial system, advocacy centers, Child Protection Services and others.  In simpler terms, child abuse specialists (CAPs, Forensic Nurse Examiners, Sexual Assault Nurse Examiners, Physician Assistants, Psychologists, etc.) improve timely and accurate diagnoses, provide treatment and give support to investigations.  

Medical services include comprehensive medical evaluations in an inpatient or outpatient setting and access to subspecialties like radiology, toxicology, neurology, trauma care, and burn care.  Depending on the type of maltreatment, a child could require access to specialized equipment and/or the care of additional specialized medical professionals. These facilities are equipped to handle such needs or have relationships in place to ensure the child receives the full spectrum of care. 

In addition to providing direct services, these highly trained professionals also provide education and training to those who work on the front lines with children at risk (such as law enforcement, case workers, members of the judiciary) as well as other members of the public (parents, teachers, students, medical professionals).  Information is regularly provided on topics such as how to identify various types of abuse, reporting requirements, abuse mimickers, abusive head trauma, and photodocumentation.

The list below includes the specialists across the state, all of which participate in the MEDCARES Grant Program in some capacity:

NOTE: Those with an asterisk (*) by their name indicate sites that have at least one CAP.

 

Children’s Medical Center Dallas*
REACH Program
1935 Medical District Drive
Dallas, TX 75235
214-456-6919 

Trinity Mother Frances Hospital
SANE Department
611 S Fleishel
Tyler, TX 75701
903-531-4214 or 903-531-4589 

Children’s Hospital of San Antonio*
Center for Miracles
315 N. San Saba, Ste 201
San Antonio, TX 78207
210-704-3800 

Peterson Regional Medical Center
Emergency Department
551 Hill Country Drive
Kerrville TX 78028
830-896-4200 

Cook Children’s Medical Center*
CARE Team
801 Seventh Avenue
Fort Worth, TX  76104
682-885-3953     

Hendrick Medical Center
Emergency Department
1900 Pine St.
Abilene, Texas 79601
(325) 670-3541 

Dell Children's Medical Center*
CARE Team
4900 Mueller Blvd.
Austin, TX  78723
512-324-0095 

 

Driscoll Children’s Hospital*
CARE Team
3533 South Alameda
Corpus Christi, TX 78411
(361) 694-CARE (2273) 

Valley Baptist Medical Center
CAART – Child to Adult Abuse Response Team
2101 Pease 
Harlingen, TX 78550
(956) 389-4NSC (4672) 

El Paso Children’s Hospital
Center for the Prevention of Child Abuse
4845 Alameda
El Paso, TX 79905
915-521-7024 or 915-521-7732

Big Bend Regional Medical Center
Emergency Department           
2600 N Highway 118
Alpine, TX 79830
432-837-0427

Texas Children’s Hospital*
CAP Program
6621 Fannin Street
Houston, TX 77030
832-824-5507

CHRISTUS Hospital St. Elizabeth
Forensic Nursing Department
2830 Calder
Beaumont, TX 77702
409-899-7100 

UTHSC at Houston*
CARE Center
6410 Fannin Street, Suite 1425
Houston, TX 77030
713-500-6064

TTUHSC
Pediatrics
3601 4th Street
Lubbock, TX  79423
806 743-2244

MEDCARES Advisory Committee

The Committee is composed of nine appointed members.  The role of the Committee is to advise DSHS and the HHSC Executive Commissioner in establishing rules and priorities for the use of the MEDCARES grant funds awarded through the program.  Members are as follows:

Member Name

City

Profession/Occupation

Jamye Coffman, MD

Fort Worth

CARE Team Medical Director,

Cook Children’s Physician Network

Matthew Cox, MD

Dallas

Assistant Professor of Pediatrics,

UT Southwestern Medical Center

Joy Rauls

Austin

Executive Director,

Children’s Advocacy Centers of Texas , Inc

Sonja Eddleman, RN

Corpus Christi

CARE Team Clinical Coordinator,

Driscoll Children’s Hospital

George Edwards, MD

Austin

Pediatrics Program Director,

UT Medical Branch Austin

William Glomb, MD

Austin

Medicaid Director,

Texas Health and Human Services Commission

Nancy Kellogg, MD

San Antonio

Professor,

UT Health Science Center at San Antonio-Pediatrics

Jim Rogers, MD

Austin

Medical Director,

Texas Department of Family and Protective Services

Joan Shook, MD

Houston

Professor of Pediatrics,

Baylor College of Medicine at Texas Children’s Hospital

 


Meeting Minutes

November 2009
(89kb, DOC)

March 2010
(69kb, DOC)


Reports, Protocols, and Guidelines

MEDCARES Grant Report 2012
(487kb, pdf)

MEDCARES Grant Report 2010
(467kb, PDF)

Health & Safety Code, Chapter 1001, Section 1001.151
(52kb, DOC)

Pediatric Centers of Excellence Report
(2,192kb, PDF)


 

For more information on MEDCARES contact:

Kim Wilson
State Child Health Coordinator & Project Lead
Texas Department of State Health Services
1100 W. 49th Street MC1922
Austin, TX 78756
512.458.7111 ext 2021

Contact Us

 

 

Last updated July 18, 2013