The Impact of Neglect and Abuse On Children's Language Development

Question 1

Children may experience ______ and/or ______ (AN)

The _______ rate of child ______ is experienced by children between ______ and __ years of age

Answer 1

Children may experience abuse and/or neglect (AN)

The highest rate of child abuse is experienced by children between birth and 3 years of age

Question 2

The American Society for the Positive Care of Children found that over the past __ years, more than _______ American children are believed to have been ______ in their own ______ by ______ members. That is nearly _____ times the number of US soldiers killed in Iraq and Afghanistan. The child ________ death rate in the US is ______ that of _______ and ___ times that of ______.

Answer 2

The American Society for the Positive Care of Children found that over the past 10 years, more than 20,000 American children are believed to have been killed in their own homes by family members. That is nearly four times the number of US soldiers killed in Iraq and Afghanistan. The child maltreatment death rate in the US is triple that of Canada’s and 11 times that of Italy.

Question 3

Sheehan from Stanford child neurology found that about ___ of ______ babies ____ and ___ survive with significant _________ deficits

Answer 3

Sheehan from Stanford child neurology found that about 25% of abused babies die and 50% survive with significant neurological deficits

Question 4

Neglect is the ______ to provide for a child’s ______ _______. It can be ________, ________, or ________

Answer 4

Neglect is the failure to provide for a child’s basic needs. It can be emotional, educational, or physical

Question 5

Children who experience _______ neglect often experience this because their _______ are unable to _______ what they _____ because they are _____

They may also be __________ left at ______ alone

Answer 5

Children who experience physical neglect often experience this because their parents are unable to provide what they need because they are poor

They may also be inappropriately left at home alone

Question 6

_________ neglected children often have trouble doing _____ in _______ because their _____ needs are not met.

These children are often _______, ______, may have ______, and difficulty ________

Answer 6

Physically neglected children often have trouble doing well in school because there basic needs are not met.

These children are often hungry, cold, may have lice, and difficulty concentrating

Question 7

Recent national statistics indicate that in terms of perpetrators by relationship to the victim, _____ are ________

Answer 7

Recent national statistics indicate that in terms of perpetrators by relationship to the victim, 78.5% are parents

Question 8

Children who have experienced severe ________ neglect may be ________, ________, demonstrate learned _________, and have _______ problems, including difficulty with _______ control and ______-________ skills.

Answer 8

Children who have experienced severe emotional neglect may be lethargic, apathetic, demonstrate learned helplessness, and have cognitive problems, including difficulty with impulse control and problem-solving skills.

Question 9

Physical and _______ abuse of individuals with ________ runs __ to __ times ______ than abuse in the _______ population

Disabled _____ are especially ________ targets. Often, _______ members abuse them.

Answer 9

Physical and sexual abuse of individuals with disabilities runs 3-4 times higher than abuse in the general population

Disabled girls are especially vulnerable targets. Often, family members abuse them.

Question 10

If a ________ child reports ______, s/he is often not seen as _______

SLP’s are sometimes called to assist in ______ cases

SLP’s ensures that _______ are conducted at ch’s appropriate ________ and _______ levels

Answer 10

If a disabled child reports abuse, s/he is often not seen as credible

SLP’s are sometimes called to assist in court cases

SLP’s ensures that interviews are conducted at ch’s appropriate cognitive and linguistic levels

Question 11

Some research suggest that _______ of babies with _________ anomalies such as ______ ______ may be less ________ to and _______ of their infants

________ attachment _______ risk of __&__. Babies with ________ problems are vulnerable to _______.

This is one reason that we need to provide _______ care for these babies as ______ as possible

Answer 11

Some research suggest that mothers of babies with craniofacial anomalies such as cleft palate may be less attached to and nurturing of their infants

Decreased attachment increases risk of A&N. Babies with craniofacial problems are vulnerable to abuse.

This is one reason that we need to provide medical care for these babies as early as possible

Question 12

Children with ________ put a lot more _______ on their _________

When _________ are _________ and have no _______, they are more likely to ________ and ________ their children.

Answer 12

Children with disabilities put a lot more stress on their caregivers

When caregivers are stressed and have no respite, they are more likely to neglect and abuse their children.

Question 13

_________ may not see ______ at the end of the _______ like parents of ________ developing children

They may be ________ because _______ child ________ are not available (ex: birthday parties, sleepovers, sports)

Parents of ________ developing children are usually _________ and don’t send _________

Overall, special needs parents and children are very _________

Answer 13

Caregivers may not see light at the end of the tunnel like parents of typically developing children

They may be stressed because typical child experiences are not available (ex: birthday parties, sleepovers, sports)

Parents of typically developing children are usually uncomfortable and don’t send invitations

Overall, special needs parents and children are very isolated

Question 14

Kids who are abused and neglected…

Are often very ______

Difficulties with ________ language

Have less ________ skills than their ______

May be ______ likely than ______ to _______ information or ________

These children often do more _______ in _______

They __________ academically

They have more _________ problems

Answer 14

Kids who are abused and neglected…

Are often very quiet

Difficulties with expressive language

Have less conversational skills than their peers

May be less likely than peers to discuss information or volunteer

These children often do more poorly in school

They underperform academically

They have more behavior problems

Question 15

Specific difficulties with ________ in kids who have been abused and neglected may include:

Decreased _________ utterances

Use __________ to get things done with little social _______

Have poor __________ skills overall and shorter ____________

Inability to discuss _______

Lack ability to take ________ of a conversational partner (TOM)

Demonstrate __________, which is the absence of words for ________

Answer 15

Specific difficulties with pragmatics in kids who have been abused and neglected may include:

Decreased descriptive utterances

Use language to get things done with little social affect

Have poor conversation skills overall and shorter conversations

Inability to discuss feelings

Lack ability to take perspective of a conversational partner (TOM)

Demonstrate alexithymia, which is the absence of words for emotions

Question 16

Specific pragmatic language issues may also include:

________, less _______ utterances

Fewer _________ utterances; more talk about the ______ and ______

__________ and reading __________ problems

Answer 16

Specific pragmatic language issues may also include:

Shorter, less complex utterances

Fewer decontextualized utterances; more talk about the here and now

Auditory and reading comprehension problems

Question 17

Mothers who neglect or abuse babies may ______ normal _____-______“adventurous” ________, avoid __________ and may be _________ when babies _______, so babies learn to be _______

Answer 17

Mothers who neglect or abuse babies may punish normal risk-taking“adventurous” behavior, avoid interaction and may be unresponsive when babies initiate, so babies learn to be passive

Question 18

_______ ______ syndrome may occur

We must stress to caregivers that they should NEVER _______ a baby

This causes lifetime ________ and ________ damage

Answer 18

Shaken baby syndrome may occur

We must stress to caregivers that they should NEVER shake a baby

This causes lifetime cognitive and linguistic damage

Question 19

Sheehan Stanford Neurology found that when a _______ is done _______ a baby, s/he usually ______ the baby hard against a surface like a ______, or _______. This is what usually leads to _____.

Answer 19

Sheehan Stanford Neurology found that when a caregiver is done shaking a baby, s/he usually slams the baby hard against a surface like a wall, or table. This is what usually leads to TBI.

Question 20

We need to work as part of a __________ team

This team often includes a _______ worker and a ________

We are ________ to ________ and report what we _____ and ______

In the schools, we would tell the _______

Answer 20

We need to work as part of a multidisciplinary team

This team often includes a social worker and a psychologist

We are mandated to document and report what we see and hear

In the schools, we would tell the principal

Question 21

In assessment, we especially need to focus on evaluating:

Overall ________ language skills

_________ skills

________ skills

__________

Answer 21

In assessment, we especially need to focus on evaluating:

Overall expressive language skills

Pragmatics skills

Narrative skills

Vocabulary

Question 22

Intervention should involve:

encouraging verbal ________, especially _______

providing a warm, nurturing ________ with clear ______ and ________

increasing ch’s ability to accurately _______ and appropriately express ________ (e.g. use your ______, not hitting or kicking)

Intervention may especially need to involve:

________!

We can provide appropriate dolls/action figures, art supplies, etc.

As the child is playing or drawing, describe his _______ or _______

Answer 22

Intervention should involve:

encouraging verbal expression, especially description

providing a warm, nurturing environment with clear rules and boundaries

increasing ch’s ability to accurately describe and appropriately express emotions (e.g. use your words, not hitting or kicking)

Intervention may especially need to involve:

Playing!

We can provide appropriate dolls/action figures, art supplies, etc.

As the child is playing or drawing, describe his actions or drawings

Question 23

________ and _______ children are more likely than ______ to engage in behavior that elicits ________ reactions from those around them

________ ability to ________ socially

Answer 23

Abused and neglected children are more likely than peers to engage in behavior that elicits negative reactions from those around them

Decreased ability to communicate socially

Question 24

We can work on self esteem by using ideas such as:

_____ of the _____

Me ______

______ Wall

______ to the ______

Answer 24

We can work on self esteem by using ideas such as:

Star of the Week

Me Collage

Problem Wall

Trip to the Future

Question 25

Remember that ________ and ________ diverse families may especially need direct ________ about American child abuse ______

We should do this before we refer the family to ____

Answer 25

Remember that culturally and linguistically diverse families may especially need direct instruction about American child abuse laws

We should do this before we refer the family to CPS

Question 26

Many _______ parents have experienced great ______, and may have developed ______. They are more likely to _______ and/or _______ their children

Answer 26

Many refugee parents have experienced great trauma, may have developed PTSD and may neglect and/or abuse ch.

Question 27

Remember that in the ____., most people do not have ______ and _______ from extended ________ like they do in other _________

Frequently, caregivers are ________ with their ________, and they can become extremely _________

When a baby _____ nonstop for hours and you are ______ with no ______, you still can’t _______

Answer 27

Remember that in the U.S., most people do not have help and support from extended families like they do in other countries

Frequently, caregivers are isolated with their children, and they can become extremely stressed

When a baby cries nonstop for hours and you are alone with no help, you still can’t leave

Question 28

Sheehan from Stanford Neurology found that when you just can’t take it anymore, there is still ________ you can call…not even the _________

Answer 28

Sheehan from Stanford Neurology found that when you just can’t take it anymore, there is still nobodyyou can call…not even theghostbusters

Question 29

Ask caregivers about their own ______, and attempt to help them meet these ______ or guide to them to _________ who can help them (e.g., parenting classes, food stamp programs)

Provide key _________ about overall child __________. Research shows that some ________ abuse their children because the caregivers’ _________ are too high.

Answer 29

Ask caregivers about their own needs, and attempt to help them meet these needs or guide to them to professionals who can help them (e.g., parenting classes, food stamp programs)

Provide key information about overall child development. Research shows that some caregivers abuse their children because the caregivers’ expectations are too high.

Question 30

Sheehan found that parents who _______ have ________ ability to tolerate infant ________

Abused babies don’t actually cry ______ than other babies, parents just _______ they do

_________ parents often have unrealistic ________ of baby

Answer 30

Sheehan found that parents who abuse have decreased ability to tolerate infant crying

Abused babies don’t actually cry more than other babies, parents just THINK they do

Abusive parents often have unrealistic expectations of baby

Question 31

To assist caregivers:

Point out what caregivers are already doing ______

Provide ________ groups of other _______ whose ch. have similar ________

Use ______ that model good ________ skill

Teach caregivers how to use ______/______ to _________ instead of using ________ means such as slapping. For example, caregivers can be taught how to apply ________ and ________.

Model language _________ strategies such as ________ that caregivers can easily fit into their daily ________.

Answer 31

To assist caregivers:

Point out what caregivers are already doing right

Provide support groups of other caregivers whose ch. have similar challenges

Use DVD’s that model good parenting skill

Teach caregivers how to use language/words to discipline instead of using physical means such as slapping. For example, caregivers can be taught how to apply choices and consequences.

Model language stimulation strategies such as extensions that caregivers can easily fit into their daily routines.