Child abuse and Neglect

Question 1

Child Abuse

Answer 1

recurrent infliction of physical or emotional injury on a dependent minor, through intentional beatings, uncontrolled corporal punishment, persistent ridicule and degradation, or sexual abuse.
-Most child abuse is committed by parents, guardians, or caretakers.

Question 2

Child neglect

Answer 2

• The failure of those responsible for the care of a minor to provide the resources needed for healthy physical, emotional, and social development.
• Child neglect is seen as an act of omission by caregivers because of limited abilities or resources or other circumstances; it is differentiated from child abuse, which is seen as more willful.

Question 3

Physical Indicators of Abuse

Answer 3

• The presence of multiple injuries in different stages of healing.
• Unusual marks on the body.
• The history “doesn’t fit.”
• Bruises on soft body parts of typically protected body parts (eg, buttocks, abdomen, genitals).
• Linear bruises
• Bruises on the neck
• Rope burns.
• Bite marks
• Burns
• Head injuries, skull fractures.

Question 4

Indicators of Neglect

Answer 4

• Self-Stimulatory behavior or attempts to comfort themselves instead of turning to adults.
• Developmental delay, failure to thrive, poor weight gain, thin extremities, protruding abdomen.
• Hoarding or stealing of food.
• Chronic tiredness or drowsiness; falling asleep in school.
• Dirty, unwashed, foul body odor, unchanged diapers, etc.
• Awkward peer relationships, half-hearted attempts at play.
• A variety of behavioral problems, due to lack of limits from caregivers.

Question 5

Behavioral and Emotional Indicators of Abuse

Answer 5

• A child is remote; withdrawn, compliant, detached, and unresponsive to engagement.
• Ambivalent, insecure attachment patterns.
• Regressive behavior.
• Frozen watchfulness
• Aggressive or hyperactive behavior
• Difficulty concentrating
• Lying, stealing, fighting, angry outbursts, aggression, drug use, truancy, social withdrawl, anxiety, depression, or dissociative episodes (important to rule out abuse before viewing this is antisocial behavior or conduct disorder.

Question 6

Signs of Sexual Abuse

Answer 6

• Marked change in childs behavior like soiling in bed.
• Bedwetting
• Falling asleep in class
• Not taking showers
• Highly sexualized behavior with peers and or adults.
• Talking in an explicit manner-not enough ask child may be watching rated R movies vs. abuse.
• Teachers see change in school.

Question 7

Medical Neglect

Answer 7

family refuses medical treatment due to spiritual beliefs.

You must REPORT-let CPS determine how to handle.

Question 8

Adults that were sexually abused as children

Answer 8

• Will have a Dissociative state when asked.

- Person checks out, zones out when asked.

Question 9

Sex between minors

Answer 9

-right answer is to refer to state guidelines.

Question 10

Reporting Responsibilities

Answer 10

• We are mandated reporters. It is not our job to investigate.
• gather enough information to report or to provide psychoeducation.