Crimes Against Children Flashcards
Physical Abuse
intentional infliction of physical injury
Neglect
Failure to meet the child’s basic needs
Sexual Abuse
Sexual conduct and/or exploitation
Emotional Abuse
Behaviors resulting in humiliation, rejection, fear isolation
4 categories of child abuse
-Physical abuse
-Neglect
-Sexual abuse
-Emotional abuse
Who was the first legal child abuse case
Mary Ellen Wilson
1874
Who is required to report animal abuse IC 16-1605
-Any physician…nurse, coroner, school teacher, daycare personnel, social worker or other person
(ANYONE)
-Having reason to believe that a child under the age of 18 YOA has been abused, abandoned or neglected
Shall report within 24 hrs to proper LE agency, Dept of health & welfare or CPS
IC 16-1605
Reporting Immunity ID 16-1606
Any person who reports suspected child abuse shall have immunity from any liability, civil, or criminal
Any person who reports in bad faith or with malice shall not be protected
The only person that the reporting requirement does not apply to is
A person at a church that hears confessions
I.C. 18-1501
Injury to child
I.C. 18-918(4)
If an act of domestic assault, battery, or violence occurs “in the physical presence of a child or if a child (under the age of 16 in this case) may see/hear the act the maximum penalties provided in code “shall be doubled” for what the suspect is convicted or pleads guilty
Factors that may make a parent abusive
-Parents abused as children
-Family stressors and lack of support (money, homelessness)
-Lack of appropriate parenting skills
-Mother less than 20 YOA
-Limited education
-Low self-esteem/depression
-Alcoholism, Addiction, or psychosis
-Unrealistic expectations of child behavior
Indicators of child abuse
-History inconsistent with injuries
-History incompatible with child’s development
-History that changes with time
-Contradictory histories
-Delay in seeking treatment
-Pathognomic injuries
Conditions that mimic child abuse (Mongolian spots)
-Congenital birthmark
-Often mistaken for bruising
-Common among dark-skinned infants
-Usually fades by 3-4 years
-Color blue or gray
-Does not change color like a bruise
Conditions that mimic child abuse
(coining)
Alternative health practice common in SE Asia
-Heated oil rubbed onto the skin
-A coin then rubbed over the area until red mark appears
-Red mark believed to be “path” that releases ilness
Conditions that mimic child abuse (cupping)
Traditional Chinese medicine
-Heated cups applied to skin causing a vacume
-Release toxin and bad energy
How to determine physical child abuse
-Is the history consistent with the injury pattern?
-Is the history vague or changing
-Is the history consistent with child’s developmental level?
Inflicted vs accidental bruising
INFLICTED:
-Upper arms
-Trunk
-upper anterior
-Sides of face
-Ears and neck
-Genitalia,buttocks
ACCIDENTAL:
-Shins
-Bony prominences
-Lower arms
-Forehead
-Under chin
Ten 4 bruising rule
Be aware of ANY bruising to the
-Torso
-Ears
-Neck or bruising on a child 4 months old or younger
Bruising pattern (Sparing)
High-velocity force causes blood to pool around the area of impact
Accidental vs Intentional Fractures
COMMON:
-Clavicle
-Wrist
-Forearm
-Lower leg
SUSPICIOUS:
-Long bones
-Metaphyseal fractures
-Ribs
Posteria rib fractures
Squeezing of the ribs causing multiple fractures
Accidental vs Intentional head injuries
POSSIBLE ACCIDENTAL HEAD INJURIES:
-Bruising to bony areas of the head
-Simple skull fracture
SUSPICIOUS HEAD INJURIES:
-Any Skull fracture(s) in infants
-Complex skull fracture
-Bleeding in brain
Shaken Baby Syndrome
-Shaking, Slamming, Throwing of a child tears veins between the layers of the brain’s outer layers
-Results from acceleration-deceleration forces or blunt force impact to the brain
Classic triad
-Retinal hemorrhages- bleeding between layers of retina at the back of the eyeball
-Rib fractures
-Subdural hemorrhage
Sudden unexplained death in infancy (SUDI)
-Unexpected death in a healthy infant
-Peak age 2-5 months
-Infant put to sleep in usual manner
-No signs of trauma
-Autopsy no other traumatic or medical explanation
-Scene investigation negative
-Different from co-sleeping, overlaying infant, suffocation from bleeding
SUDI stands for
Sudden unexplained death in infancy
Tap water burns
-120 deg-15 mins exposure
-130 deg- 30 sec exposure
-140 deg- 5 sec exposure
-149 deg- 2 sec exposure
-158 deg- 1 sec exposure
Accidental vs Accidental burns
COMMON BURNS:
-Spill/Splatter/Splash pattern
-Contact burns (touching an oven)
-Burns consistent w history & child developmental level
SUSPICIOUS BURNS:
-Immersion/dunking patterns
-Burns on the buttocks, back, ankles, wrist, palms, soles
-Character burns
-cigarette burns
Gloving pattern burns
- Feet or hands in hor liquid
-Demarcation line highly sus of non-accidental injury
-Bilateral burns are very sus