MDT Child Abuse

Question 0

Who are some mandated reporters for child abuse?

Answer 0

Physicians 
Dentist 
School employees 
RN's
Police

Question 1

What are the definitions of child abuse?

Answer 1

Physical- injury to a child 
Emotional maltreatment-impairment of child's mental/psychological ability
Sex abuse and exploitation 
Neglect
Threat to harm child 
Buying/selling child
Having a child 18 yrs or younger be around controlled substances 
Exposure to controlled substances

Question 2

What is reporter immunity?

Answer 2

Immune from civil and criminal prosecution

For good faith reports
Not for false reports

Question 3

What are the methods of report?

Answer 3

Report ASAP
Telephone or written
To DHS or police
DHS and Police are cross reporting

Question 4

What is the report content?

Answer 4

Name 
Parent/guardians 
Age
Address 
Nature of abuse 
Explanation 
Additional info

Question 5

What are the dynamics of victims families?

Answer 5

Often passed thru non offending patent

Sex abuse victims- 20% vs 80% of claims

Question 6

How does child abuse affect child development?

Answer 6

Physical
Intellectual 
Emotional 
Social 
Moral

Question 7

What are considerations in a child abuse case?

Answer 7

Officer survival
Cultural/religious
Appropriate discipline
Reasonable/necessary

Question 8

What are the priorities of the investigation?

Answer 8

It's a criminal investigation 
Safety if child and victim 
Protect innocent 
Preserve evidence 
ID the principles 
Obtain medical exam

Question 9

What should be done during the initial investigation?

Answer 9

Information from reporting party
Considerations for preliminary investigators
Contact with DHS children protective services

Question 10

What are the principles of risk assessment?

Answer 10

Past incidents of abuse 
Fear by child 
Hazardous environment
Signs of sex abuse 
Abuse by siblings

Question 11

What is MDT?

Answer 11

Multi disciplinary team approach

Mandated by law by lack of communication from continued events

Question 12

What is the purpose of MDT?

Answer 12

Improve case management
Investigative focus and follow up
Sharing the weight
Better tracking and coordination of victim services and offender treatment

Question 13

Who are the members of MDT?

Answer 13

DA-leads team 
Police 
Schools 
Medical 
MH 
DHS
Corrections

Question 14

What are the most common abusive fractures?

Answer 14

Ribs
Humorous
Femur

Question 15

What is the leading cause of traumatic death for victims under one?

Answer 15

Head injuries
Often no bruising
2/3rds do not in love fracture of skull

Question 16

What is rapid deceleration?

Answer 16

Caused by baby thrown into a hard surface causing the brain to strike inside the skull

Question 17

What is failure to thrive (FFT) ?

Answer 17

Chronic maltreatment
Emotional deprivation
Measured by physical characteristics

Question 18

What are the three types of investigation burns?

Answer 18

Contact-cigarettes, lighters, heaters
Hot liquid
Other- chemicals, shocks ovens

Question 19

What are resources for families?

Answer 19

Services to children and families (SCF)
Public agencies
Private/public fund
Religious organizations

Question 20

What are accidental skull fracture features?

Answer 20

Single linear, no displaced fracture
No trauma to the brain interior
Consistent history of traumatic incident

Question 21

What are skull fracture abuse signs?

Answer 21

Multiple or complex fractures
Fracture width greater than 3.0 mm
Depressed fractures
Growing fractures

Question 22

What is Münchausen syndrome by proxy?

Answer 22

Suspect gains benefit from the suffering if the child

Often perpetrator is mother

Indicators: episodes of apnea, crisis in presence of one person, no medical cause discovered, history of MD shopping

Question 23

What are the investigative neglect steps?

Answer 23

1) document the presence of children
2) document potential dangers
3) document the accessibility of hazard
4) remove children
5) interview the children)
6) suspect interview
7) medical
8) abandonment/inadequate supervision
9) neighborhood check

Question 24

What are clues to abusive burn injuries?

Answer 24

Inconsistent findings with history, age and ability of child 
Sparing 
Delay in seeking care
No witness or absent caregiver 
Siblings alleged to cause injury 
Changing stories

Question 25

What are possible dispositions to child anise cases?

Answer 25

Unfounded allegations
Unable to prosecute or protect
Service contract with DHS