Arkansas Children's House
Arkansas Children's House (ARCH) is the clinic on the Arkansas Children's Hospital (ACH) campus where children who are suspected victims of sexual abuse, physical abuse or neglect can be referred for outpatient medical evaluation. It is a collaborative partnership between ACH and the University of Arkansas for Medical Sciences. The ARCH clinic is on the campus of ACH, but not in the main hospital complex. It is set in a renovated home as the goal is to provide a non-threatening, child-friendly environment to reduce the trauma of these stressful evaluations. The evaluations at ARCH are a collaborative effort between medical specialists in child abuse (specialty nurse and child abuse pediatricians) and medical social workers from ACH. These professionals form the core of the Team for Children at Risk which also provides evaluations for children who require admission to ACH for concerns related to suspected abuse/neglect.
Referrals to the ARCH outpatient clinic come from law enforcement agencies, Department of Human Services, the courts and primary care physicians. Due to the nature of the evaluations, self-referrals by families are not accepted, and primary care physicians who suspect abuse or neglect has occurred are mandated by state law to make a report to the child abuse hotline prior to referring the patient for a specialty evaluation. An intake coordinator can be reached for referrals by calling 501-364-2680
501-364-2680. The office administrator can be reached at 501-364-1013
501-364-1013. The medical records of patients evaluated at ARCH are housed within ACH medical records.
Families referred for evaluations of possible child sexual abuse are provided information ahead of the appointment when possible describing the evaluation process. Even though the medical evaluation for suspected sexual abuse is a specialty evaluation requiring in depth knowledge by the medical provider and specialized equipment (for magnification and photo-documentation), the exam itself is not invasive to the child and is typically very well tolerated.
(intakes and clinic)
Fax: (501) 364-3939
1600 Maryland Avenue
Little Rock, AR 72202
1 Children's Way, SLOT 512-24A
Little Rock, AR 72202
Monday through Friday
Karen J. Farst, MD, MPH
Rachel Clingenpeel, MD
Maria T. Esquivel, MD
Toss Worthington, RNP, BSN, SANE-P
Note: Community physicians, law enforcement investigators and DHS staff can contact the physician on-call with the Team for Children at Risk for guidance on issues related to child abuse/neglect situations outside of regular office hours by contacting the ACH operator at
501-364-1100and requesting to speak to the physician on call for the Team for Children at Risk. In situations where a child is directed to the ACH Emergency Department for concerns of suspected abuse/neglect, care is greatly facilitated if the professional directing the family to the ED notifies the ED directly (501-364-1185
501-364-1185) or ACH social worker assigned to the ED at that time (501-364-1100