[BEHSCI] Child/Elder Abuse [Schmidt]

Question 1

What are some risk factors for Child Maltreatment?

Answer 1

Fussy, Colicky Infant

Hyperactive

Illness

Non-biologic relationship with caregiver

prematurity

(Caregiver abuses drugs, has criminal history, mental health problems)

Question 2

What is meant by Child Abuse?

Answer 2

A recent act of failure to act that results in death, serious physical or emotional harm, sexual abuse or exploitation, or imminent risk of serious harm.

Question 3

What are the 4 main types of Child Abuse?

Answer 3

Neglect

Emotional

Physical

Sexual

Question 4

If a child is not being provided their basic needs (physical, emotional, educational or medical) what type of abuse is this?

Answer 4

Neglect

*Most common cause of death of abused children

Question 5

If you suspect Neglect, what are some things you need to do to investigate the matter?

Answer 5

Full Medical History

Psychosocial History

Complete Physical Exam

*Arrange a home visit by a social worker or home nurse or local police force*

Question 6

If you are worried about child abuse what must you always do?

Answer 6

Report/Contact Child Protective Services

Question 7

If you have a child that comes in that is social withdrawn, aggressive, is failing to thrive, has self-injurious behaviors and/or emotional disturbances – among other things what sort of abuse may be present?

Answer 7

Emotional Abuse

Question 8

If you have a child that is being emotionally abused, what are some ways you can intervene?

Answer 8

If isolated/child in no apparent harm: family therapy, parenting classes

If recurrent/child in imminent harm: CHILD PROTECTIVE SERVICES

Question 9

What are some suspicious signs on physical exam of abuse?

Answer 9

Posterior Rib Fractures

Scapular Fracture

Retinal Hemorrhages

Sternal Fracture

Cigarette Burns

Metaphyseal Lesions

Question 10

What type of burn patter is common with child abuse?

Answer 10

Glove and Stocking Burn

Cigarette Burns

Question 11

What is meant by Sexual Abuse?

Answer 11

Employment, use, persuasion, inducement, enticement or coercion of any child

or rape, molestation, prostitution, sexual exploitation of children (incest included)

Question 12

What are the 3 types of Sexual Abuse?

Answer 12

Non-Touching – exposing kid to porn

Touching – Fondling/penetration

Exploitation – prostitution

Question 13

What is the average age of sexual abuse victims?

Answer 13

9-12 years old

most likely by Stepfather, boyfriend of mother, uncles or older siblings

Question 14

What are the roles of physicians when suspecting sexual abuse?

Answer 14

usually no physical findings

History

Document using quotations

Do PE ASAP for dysuria/bleeding/discharge

(dont touch hymen)

NO SINGLE BEHAVIOR/SIGN IS DIAGNOSTIC

Question 15

Could the PE be normal on a child who is being Sexually abused?

Answer 15

Yes, if the victim is being “reused”, and or there is delay between incident and seeing the doctor

Question 16

What is the best practice when considering Sexual Abuse?

Answer 16

Minimal Facts Interview

(Who, What, Where, How)

– avoid when, because kids have bad spatial timing

Question 17

What are high risk populations for sexual abuse?

Answer 17

Intellectually disabled

Deaf Children

Developmentally disabled adults

LGBTQ

Trans

Question 18

Not reporting in Missouri is a ____?

Not Reporting in Kansas is a ____?

Answer 18

Class A Misdemeanor

Class B Misdemeanor

Question 19

What are some risk factors for elder abuse?

Answer 19

Dementia/Psychiatric Dx

Physical Dependence

Incontinence

– abusers can be found to have a substance abuse among others –

Question 20

What are types of Elder Abuse?

Answer 20

Physical

Sexual

Psychological

Financial

Neglect

Question 21

Failure to report Elder Abuse in Missouri is a ______

Failure to report Elder Abuse in Kansas is a ______

Answer 21

Class A Misdemeanor (1 year in jail + $2000)

Class B Misdemeanor (6 months in jail + $1000)