Child Abuse and Neglect Flashcards
Child Abuse Prevention and Treatment Act of 1974 states
“the physical or mental injury, sexual abuse, negligent treatment or maltreatment of a child under the age of eighteen by a person who is responsible for the child’s welfare”
Federal Child Abuse and Prevention Treatment Act (PL 93-247) requires
Requires every state to have a system for reporting suspected child abuse and neglect
Child abuse mandates a breach of confidentiality that is supported by federal law
T/F: child abuse is both a major cause of neurological trauma in children and children with disabilities are at an increased risk of child abuse
TRUE
Signs of Abuse in the child (7)
- Sudden change in behavior or school performance
- Has not received help for physical or medical problems brought to the parents’ attention
- Has learning problems or difficulty concentrating that cannot be attributed to specific physical or psychological causes
- Always watchful, as though preparing for something bad to happen
- Lacks adult supervision
- Is overly compliant, passive, or withdrawn
- Comes to school or other activities early, stays late, and does not want to go home
Signs of child abuse in the parent (6)
- Shows little concern for the child
- Denies the existence of or blames the child for the child’s problems in school or at home
- Asks teachers or other caregivers to use harsh physical discipline if the child misbehaves
- Sees the child as entirely bad, worthless, or burdensome
- Demands a level of physical or academic performance the child cannot achieve
- Looks primarily to the child for care, attention, and satisfaction of emotional needs
Signs of abuse in parent and child together (3)
- Rarely touch or look at each other
- Consider their relationship entirely negative
- State that they do not like each other
Types of abuse (4)
- Physical
- Neglect
- Sexual
- Emotional
often in combo together
T/F: Child abuse is usually a combination of
Signs of Physical Abuse (6)
- Unexplained burns, bites, bruises, broken bones, or black eyes
- Fading bruises or other marks noticeable after an absence from school
- Seems frightened of the parents and protests or cries when it is time to go home
- Shrinks at the approach of adults
- Head and brain injuries
- Internal injuries
Signs of Neglect (6)
- Unexplained burns, bites, bruises, broken bones, or black eyes
- Fading bruises or other marks noticeable after an absence from school
- Seems frightened of the parents and protests or cries when it is time to go home
- Shrinks at the approach of adults
- Head and brain injuries
- Internal injuries
Signs of sexual abuse (7)
- Behavioral
- Anorexia
- Bulimia
- Eneuresis
- Encopresis
- Abdominal pain without organic cause
- Atypical shyness
- Extroverted or hostile
- Difficulty walking/sitting
- Suddenly refuses to change for gym or participate in physical activities
- Nightmares
- Bizarre or unusual sexual knowledge
- Becomes pregnant or contracts VD
- Runs away
Signs of Emotional Abuse (7)
- Extremes in behavior
- Overly compliant or demanding
- Extreme passivity or aggression
- Inappropriately adult or infantile
- Delayed physical or emotional development
- Attempted suicide
- Lack of attachment
Munchausen Syndrome by Proxy
specialized form of child abuse in which a physical or mental disorder of the child is either fabricated or induced by a parent or other adult caretaker
Signs of Munchausen Syndrome by Proxy
- Persistent or recurrent illnesses for which a cause cannot be found
- Discrepancies between hx and clinical findings
- Symptoms and signs that do not occur when a child is away from the caregiver/parent
- Unusual symptoms that do not make clinical sense
- Persistent failure of a child to tolerate or respond to medical therapy without clear cause
- A parent less concerned than the physician, sometimes comforting the medical staff
- Repeated hospitalizations and vigorous medical evaluations of mother/child without definitive diagnoses
- A parent who welcomes medical tests on their child, even if painful
