Description of Services

Child Advocacy Forensic Program
The Child Advocacy Center (CAC) at Children's Hospital of Pittsburgh of UPMC provides comprehensive evaluations for children and adolescents who may be victims of physical or sexual abuse, or neglect. Services include forensic interviews, psychosocial history-taking, medical examinations, support service referrals and behavior therapy. All staff members have expertise and experience in the area of child maltreatment. Staff includes physicians, nurse practitioners and nurses, advocacy specialists, forensic interviewers, social workers and therapists.

The CAC program has received certification as a child advocacy center and is a full member of the National Children's Alliance, a national organization representing these specialized programs.

Appointments are necessary and can be made by calling the intake line at 412-692-8747.

ARCH Outpatient Clinic
The CAC houses an outpatient clinic that provides several services. The main focus is providing primary medical care to any child involved in the Child Protective Services system, especially when the child is in a nonpermanent living arrangement. This service involves comprehensive age-appropriate medical care, as well as medical case management. The case management team assists in coordination of care, securing past medical records, arranging for subspecialty referrals, obtaining durable medical equipment and medications, and referring to community resources. An emphasis in the clinic is the necessary communication between health care providers, caregivers, caseworkers, families and foster families. Other services provided in this clinic include follow-up for recently hospitalized patients and Emergency Department patients, serial appointments for a specific medical problem involving social concerns, and transfer physical examinations for children in the Allegheny County Children, Youth and Family (CYF) Program.

Appointments can be made by calling 412-692-8662. For children followed in the clinic, medical consultation is available by phone 24 hours a day.

Referral Requirements

Appointments to the forensic program typically follow referrals from a primary care physician, from a subspecialty physician, or from a child protection service agency. However, families in Allegheny County may self-refer, and an intake process will determine the most beneficial evaluation service. Referrals from primary care physicians, as well as prior authorizations from insurance companies, will expedite the process. Patients without insurance or for whom insurance claims are denied will be referred to a state victims compensation program or to Children's Free Care Fund.

Appointments to the ARCH Clinic can be a one-time consultation by a medical specialist, which requires a referral from the primary care provider. Alternatively, the physicians in the ARCH Clinic can serve as a child's primary care provider, especially appropriate for children with active Allegheny County CYF status.

Chief of Service
Janet Endress Squires, MD

Our Physicians
Rachel Berger, MD, MPH
Injury Research

Monique Higginbotham, MD
Community and Public Health

Clinical Support Staff
Carol Byers, MSN, CRNP
Primary Care and Colposcopic Examinations

Jacqueline Destro, MSN, CRNP
Primary Care