Chapter 9 and 15 Flashcards
Why does neglect appear to receive less attention than physical/sexual abuse?
1) Because of the vague definitions of neglect, many professionals are understandably unclear about what constitutes neglect, how to identify neglect, and what course of action is appropriate and effective.
2) The strong association between child neglect and poverty often evokes a sense of hopelessness among professionals, deterring them from becoming involved in the complex issues underpinning neglect situations.
3) Neglect does not evoke the horror and outrage of abuse.
The neglect of health care that occurs when children’s basic health needs are not met is ______.
medical neglect
What 4 groups of people may be involved in a neglectful situation?
dad, mom, child, and health care professional
A __________ involvement in medical neglect can include emotional problems (emotional disturbances, especially depression), intellectual deficits, substance abuse, intellectual impairment (including mental retardation and lack of education).
mother’s
Crittenden’s model helps refine our understanding of parental difficulties by considering 4 steps, they are:
1) perception of the child’s problem
2) interpretation of the problem
3) response, and
4) implementation
What are some ways in which a parent might negatively respond to medical issues?
- may be in denial about a child’s condition
- may perceive or interpret problem incorrectly
- they may hope that the problem will resolve spontaneously or with a home remedy (carefully judge delay if medical care was eventually received.)
- distracted by other priorities (eviction notice, obtaining drugs, depression, difficulty accessing health care.)
What are some ways in which a parent might positively respond to medical issues?
- confident in the remedy or in one’s ability to implement the treatment
- motivated to address a health problem
- well balanced needs and priorities
What are some ways in which a child may contribute to their own neglect?
-denial
-refusing to adhere to the treatment plan despite efforts of parents
- give no cues to the fact that they need help
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Children’s age may influence perceptions of their vulnerability, with more concern directed to _________.
younger children (the unmet needs of adolescents may not evoke the same level of concern as a small child).
Sullivan and Knutson found in a population-based study that disabled children were ____ times more likely to be identified as maltreated than non disabled peers.
3.4
What are some ways that a social work professional can assist a family to eliminate medical neglect?
-frame goals in a way that resonates with the goals of the child and family (goal is to play soccer rather than improve pulmonary tests).
- help ensure that parents have both the competence and confidence to follow through with treatment.
- If there are financial issues, help the family consider less expensive options or look for strategies to minimize costs
- help families incorporate recommended treatment into their daily routine, which helps families adhere to recommendations and avoid neglect.
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The most common form of neglected health care involves a lack of ______ with health care appointments, treatment, or recommendations, resulting in actual or potential harm.
adherence
Amy not geting her prescribed treatment is an example of_______.
nonadherence
A study found that ____ of adolescents were nonadherent with medical regiments.
one-half
The evaluation of a possible sexual abuse begins with presenting the ______.
chief complaint
What are the 8 things a professional will want to find out about the alleged victim?
1) the circumstances of the child’s disclosure
2) the alleged perpetrator’s relationship to the child
3) details of the alleged abuse
4) efforts by the perpetrator or others to silence the child
5) the child’s worries and concerns
6) the child’s perception of what happened, especially the child’s perception of penetration if penetration is suspected
7) exposure to pornography
8) whether pictures were taken of the child
What are some reasons that an emergency medial examination should be conducted as quickly as possible?
1) the child complains of genital or anal discomfort
2) there is a history of genital or anal bleeding
3) the latest sexual contact was within 72 hours
4) there is a need for medical treatment of possible pregnancy, sit, or injury
5) the emotional condition of the child or caretakers call for an immediate examination
The child’s ______ is often the most important and powerful evidence of the abuse.
description of sexual abuse
Rapport building, reassurance, and patience are essential for successful _____.
questioning
What children say to ________ is often used in legal proceedings.
medical professionals
Less than ____ of sexually abused children have physical finding that produce definitive findings of abuse.
5%
________ is defined as sexual intercourse (penetration) by force and without the victim’s consent.
rape
___ is the act of entering a space.
penetration
With rape, penetration past the hymen and into the vagina is ________. Penetration, however slight, is sufficient to be considered rape.
not required.
