Child mlatreatment

Question 1

5 forms of child maltreatment

Answer 1

1. physcial abuse
2. sexual abuse
3. neglect
4. emotional maltreatment
5. exposure to intimate partner violence

Question 2

how common is maltreatment

Answer 2

14/1000 - but underestimated

only 40% substantiated

Question 3

3 most common forms

Answer 3

1. neglect
2. exposure to violence
3. physcial abuse

Question 4

how common is physcial and sexual abuse in ontario

Answer 4

20% of adult report physcial under 16

22% of women and 8% of men report sexual under 16

Question 5

3 bruising red flags

Answer 5

1. Age/dev. level - bruises in ambulating children abnormal
2. loaction - on well-cushioned areas
3. pattern - objects/lines

Question 6

what defines child

Answer 6

under 16

Question 7

purpose of child and family services act

Answer 7

promote the best interests, protection and well being of the child

Question 8

what is duty to report

Answer 8

anyone who has reasonable grounds to suspect that a child in need of protection must PROMPTY report to childrens aid society

Question 9

what is ongoing duty to report

Answer 9

anyone with ADDITIONAL REASONABLE GROUNDS shall make a further report even if has already made one

Question 10

what is delegation

Answer 10

must make report yourself, not delegate

Question 11

2 parts of medical workup

Answer 11

1. evalaution of underlying problems
   - lab tests for bruising
2. evaluate for additional injury

Question 12

4 labs for additional injury

Answer 12

1. labs for occult abdo injury
2. skeletal survey
3. brain imaging
4. optho exam

Question 13

def. neglect

Answer 13

• helpful to focus on impact on child

- neglect occurs when child’s basic needs are not being adequately met

Question 14

6 general steps to approach neglect

Answer 14

1. are child’s needs being met
2. is there a pattern of neglect
3. what is contributing to neglect
4. what strengths/protections are avail
5. what interventions have been tried
6. what is prognosis

Question 15

5 possible contributions to neglect

Answer 15

1. child - high needs
2. parent - mental illness, cog., medical
3. family- chaos, social isolation, lack of support
4. context - poverty, culture, religion
5. community - poor access to health care, few supports

Question 16

5 possible strengths

Answer 16

1. child
2. parents- child focused, motivated
3. family - extended fam. will help
4. context - religous, cultural supports
5. community - programs avail

Question 17

what is prev. of intimate partner violence

Answer 17

23% report being abuse in preceeding year

- only 22% report

Question 18

most common age for IPV

Answer 18

25-34yo

Question 19

2 most commonly associated abuses of child with IPV

Answer 19

1. neglect

2. emotional maltreatment

Question 20

relat. between IPV and child abuse

Answer 20

53-70% of wife batterers also abused children

- with IPV are 15x more likely to be abused

Question 21

6 barrier to recognition of IPV

Answer 21

1. not seen as peds problems
2. no routine inquiry
3. lack of private area/ time contraints
4. fear of offending parents
5. misconception about batterer/victim
6. lack of training/knowledge