Chapter 9

Question 1

Discovering Maltreatment

Answer 1

Found by radiologists in 1940s

Question 2

Why no pediatricians?

Answer 2

Lack of understanding, unwillingness to believe parents can do this, patient confidentiality

Question 3

“unspecified trauma”

Answer 3

NOW called “battered child syndrome” in 1962

Question 4

Child Maltreatment Laws

Answer 4

Passed first in 1960s and 1970s
Physical, emotional, sexual abuse and neglect

Question 5

Incidents of Child Abuse

Answer 5

true numbers hard to define
some studies suggest 4-5 children die everyday from maltreatment
600,000 children were victims and 1,820 died

Question 6

Who are the victims of child abuse?

Answer 6

Youngest children (1st year of life)
boy and girl children are at equal risk
sexual victimization (girls)
males have higher risk of dying from child maltreatment
largest number of maltreated kids are white
American Alaskan or American Native have highest RATE

Question 7

Perpetrators

Answer 7

Biological parents
90% of kids abused by one or both parents
mothers more likely than fathers

Question 8

Family risk factors Child

Answer 8

Poverty, unemployment and lack of resources, single-parent households or those with parent who has cohabiting partner, family size

Question 9

Individual Risks Child

Answer 9

Witnessing or experiencing abuse, young parents, substance use by parents, mental illness, children with disabilities behavioral issues or complex medical needs

Question 10

Consequences of Child Maltreatment

Answer 10

Physical, cognitive, and developmental effects
PTSD, depression, ADHD, attachment disorder
Criminality
adult poverty

Question 11

Responses to Child Maltreatment

Answer 11

Legislation: mandated reporting, doctor-patient privilege does not apply in cases of child maltreatment, immunity provided if acting in good faith
CJS: GAL, child abuse registries, in camera testimony, relaxing hearsay, closing courtroom to public, courthouse dog program

Question 12

Prevention for child abuse

Answer 12

Education, home visits for pregnant women, safe haven laws

Question 13

Elder Maltreatment

Answer 13

Mistreatment of a person over the age of 60
Physical/ emotional/psychological/ sexual abuse, financial exploitation, power of attorney abuse

Question 14

Measurement and Extent of Elder Abuse

Answer 14

adult protective services, nursing home abuse

Question 15

Who are victims of elder abuse?

Answer 15

Women more likely than males
those over the age of 80
race is not signifcant

Question 16

Risk Factor Elders

Answer 16

Adult children
Nurses Aids
Dependency theory

Question 17

Dependency Theory

Answer 17

as elderly people become more dependent on caregivers, stress increases, as does the risk of victimization

Question 18

responses to elder maltreatment

Answer 18

Legislation
Multidisciplinary and multiagency teams investigate nursing homes only
databases to track offenders
prevention efforts are few