THE NEWZ Vol.21 English Ver.
9/17

After temporary protection, if there is an improvement in the home environment, support is provided for the child’s return home. If necessary, educational programs and counselling are offered to the parents.  The Japanese approach emphasizes early detection and intervention, and continuous efforts are made to improve the system for the protection and support of children. Child abuse is also recognized as a serious issue in Canada. Each province and territory has its laws and regulations, and all work towards the prevention of child abuse. Responses are based on Child Protective Services (CPS), which operate under similar definitions of abuse as in Japan: physical abuse, sexual abuse, psychological abuse, and neglect. The main agency responsible for addressing child abuse in Canada is the Child Protective Services (CPS). When a child’s safety is at risk, CPS can take measures to remove the child from their home temporarily. This is referred to as “temporary protection,” and it involves moving the child to a safe place, such as a foster home or a facility. If returning the child to their home is not feasible, CPS takes long-term protective measures. These measures can include foster care, adoption, or placement in a child welfare facility. The goal is to provide a stable living environment that considers the child’s best interests. Similar to Japan, Canada’s approach emphasizes early detection and intervention. Efforts are continually made to improve the protection and support systems for children to ensure their safety and well-being. Japanese medical institutions play a crucial role in the early detection and response to child abuse. Specifically, doctors, nurses, public health nurses, and other healthcare professionals at hospitals and clinics are involved in the following ways:1.Observation and Assessment: Medical professionals carefullyobserve and evaluate a child’s physical condition and behaviorduring examinations and treatments, striving to catch any signsof abuse. Pediatricians and emergency medical personnel, inparticular, undergo training to detect signs of abuse, such as unusualbruises or injuries, poor nutritional status, or signs of psychologicalstress.2.Mandatory Reporting: If child abuse is suspected, healthcareprofessionals are required to promptly report it to child consultationcenters. This mandatory reporting prioritizes the child’s safety andnecessitates collaboration between medical institutions and childconsultation centers.3.Physical Treatment and Psychological Care: Children who havebeen abused may require physical treatment, but psychologicalcare is equally essential. Medical institutions provide mentalhealth support through specialized psychologists and psychiatristswho treat trauma and help restore the child’s sense of security. Coordination between medical institutions and child consultation centers ensures appropriate support.4.Ongoing Training: Regular training for doctors and nurses isconducted to enable early detection and appropriate responseto signs of child abuse. This education ensures that healthcareprofessionals are equipped with the latest knowledge and techniquesto protect children. These initiatives demonstrate how Canadian medical institutions contribute to the early detection and response to child abuse. Child abuse is a societal issue, and the role of healthcare professionals is incredibly important. Medical institutions have significant responsibilities and play an indispensable role in safeguarding the safety and health of children.1.Professional Training: Physicians and nurses undergo specializedtraining to recognize signs of child abuse, ensuring they are preparedto respond appropriately to indicators such as physical injuries,bruises, and behavioural changes.2.Comprehensive Care: Medical institutions provide comprehensivesupport including physical care specialized psychological counselling and psychiatric support for children who have experienced abuse.Long-term support through counselling and support groups createsan environment conducive to children’s recovery and peace ofmind.3.Education and Awareness: Regular educational programsequip healthcare professionals with the latest knowledge on childabuse, enabling them to maintain and enhance their ability torespond effectively. These initiatives are integral to the healthcareinstitution’s efforts to address and prevent child abuse.4.Community Collaboration: Strengthening efforts for earlydetection and prevention of child abuse through collaboration withthe community, utilizing extensive networks to ensure children’ssafety is upheld across communities. Through these meticulous efforts, Canadian healthcare institutions achieve a comprehensive approach to addressing child abuse, actively contributing to the protection of children’s safety and health. The specialized knowledge of healthcare professionals and collaboration with the community are critical elements in resolving issues related to child abuse. The approaches to addressing child abuse and the role of medical institutions in Japan and Canada vary based on their respective societal backgrounds and legal frameworks. In Japan, child consultation centers play a central role, with medical institutions providing early detection and psychological care. In contrast, Canada operates under varying provincial laws with CPS taking the lead, in establishing comprehensive support systems. Both countries continue to advance efforts to protect children’s safety and health, yet further improvements and international cooperation are essential. Readers must deepen their understanding of child abuse issues and pay attention to children in their communities.

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