Physical abuse results in a wide array of adverse outcomes, and victims of child abuse often require long-term, intensive care depending on the scope and severity of their trauma. The present study is an extension of a study which examined the services provided in the hospital to children with physical abuse that resulted in hospitalization (Kazandjian, et. al., 2016). It will examine the nature of subsequent hospital encounters in pediatric victims of Non-Accidental Trauma (NAT) at the Loma Linda University Children’s Hospital (LLUCH). Researchers will investigate the short-term and long-term physical, neurological, cognitive/developmental, behavioral, and social emotional effects experienced by pediatric NAT victims. Researchers will examine a random subset (n = 38) of the original 151 cases from the LLUCH trauma registry using an in-depth chart review of medical records to determine: the duration between initial discharge and first return to the hospital; the frequency with which children are returning to the hospital; and the nature of subsequent encounters, as well as the problems for which they are seeking care. Results will help identify more specific effects of severe child physical abuse following hospitalization compared to those currently outlined in the literature, and aid researchers in recognizing the health-related needs of these children with regard to their long-term trajectory. It is anticipated that the vast majority of survivors require long-term routine care, rather than short-term care, and that most children will present with an array of physical, psychological, neurological, cognitive/developmental, and behavioral or socio-emotional needs requiring intensive treatment post-discharge.

LLU Discipline





School of Behavioral Health

First Advisor

Cameron L. Neece

Second Advisor

Edward P. Tagge

Degree Name

Doctor of Psychology (PsyD)

Degree Level


Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Child abuse; Hospital admission & discharge; Mental health services; Medical care


Doctoral Project

Page Count

51 p.

Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website



Loma Linda University. Del E. Webb Memorial Library. University Archives