Transcript Child Abuse and Neglect - Extension Online: online courses

Editor: LaShonda Y. Brown - NTI Trainer
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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An estimated 905,000 children were victims
of maltreatment
Younger children have the highest rate of
victimization
1,530 children died from abuse or neglect
83% of victims are abused by a parent
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Name the four types of child maltreatment
Describe the common indicators of child
maltreatment
Discuss the role of child care providers in
reporting child maltreatment
Understand the role of the CCHC in
preventing and responding to child
maltreatment
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Click on the “Next Section” button at the
bottom of the page to continue with the
course.
Follow this procedure for each subsequent
section.
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Personal
Professional
Legal
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Training and Referral
Policy Development
Staff Support
Reporting
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Any recent act or failure to act on the part of
a parent or caretaker which results in death,
serious physical or emotional harm, sexual
abuse or exploitation; or
An act or failure to act which represents an
imminent risk of serious harm.
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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A repeated pattern of caregiver behavior or
extreme incidents that convey to children that
they are worthless, flawed, unloved,
unwanted, endangered, or only of value in
meeting another’s needs.
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Blaming, belittling, or rejecting a child
Threatening violence toward a child
Placing a child in isolation
Exploiting or corrupting
Failing to express affection
Constantly treating siblings unequally
A persistent lack of concern for the child’s
welfare
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Intentional injury to the child
Causing tangible physical harm
Physical abuse may result from hitting,
pushing, burning, biting, shaking, etc.
Physical punishment practices (such as
spanking)
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Use, persuasion, or coercion of any child to
engage in any sexually explicit conduct
Might involve touching (fondling, penetration
or any type of inappropriate contact with a
child’s genitals, buttocks, or breasts)
It may include non-physical acts such as
exposure to sexually explicit materials
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Failure to provider for the child’s basic needs.
While abuse tends to be episodic, neglect
tends to be chronic. There are three main
types:
▪ Physical
▪ Educational
▪ Emotional
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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64.1 % experienced neglect
16% physically abuse
8.8% sexual abuse
6.6% emotional abuse
2% medical neglect
15.1% (abandoned, threats and congenital
drug addiction)
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Recognition of child maltreatment is based on the
detection of a cluster of indicators rather than
observation of one or two clues.
 Appearance of indicators does not necessarily mean
that abuse has occurred. When observed, they
should be explored to determine the cause.
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Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Intentional injuries often appear on the face,
lips, mouth, torso, back, buttocks, and thighs.
Bruises may be at various stages of healing.
Infants who are not yet mobile may have
abnormal bruising or other injuries.
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Behavioral extremes – passive or aggressive
Wariness of adult contact
Inappropriate or precocious maturity
Vacant or frozen stares
Apprehension when other children cry
Indiscriminant seeking of affection
Wearing clothing inappropriate for the weather (in
order to cover bruises or injuries)
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Pain, itching, bruises, swelling, or bleeding around
the genital area
 Stained or bloody underclothing
 Demonstrated difficulty sitting or walking
 Bedwetting or nightmares
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(Sexually transmitted diseases ((STDs)) can be an indicator, but are not common.)
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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The report of sexual abuse
Frequent touching/fondling of genitals or masturbation
Inappropriate sexual expression with trusted adults
“Clinginess”, fear of separation
Excessive bathing
Reenactment of abuse using dolls, drawings, or friends
Neglected appearance
Avoidance of certain staff, relatives, or friends
Lack of involvement with peers
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Delayed physical, emotional, or intellectual
development
 Habits inappropriate for the child’s developmental
stage, such as rocking, or sucking on fingers
 Displays signs of suicide attempts or physical harm
to self
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Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Withdrawal
Apathy
Low social interaction
Fear of parent/caregiver/guardian
Behavioral extremes – passive or aggressive
Developmentally delayed
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Inappropriate dress
Poor hygiene
Consistent hunger
Unattended medical needs
Recurring cases of lice/scabies
Fatigue or listlessness
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Fatigue or listlessness
Whispering speech
Expressionless face
Frequently absent or tardy
Begging for or hoarding food
Reports no caretaker at home
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Changes in behavior or attitude
Reports of maltreatment from the child
Fearfulness of parents/caretakers/guardians
and/or fear of going home
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Aggressiveness and/or defensiveness when
asked about problems concerning their child
Apathy
Little or no concern about child
Overreaction to child’s behavior
Not forthcoming with events
surrounding injury
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Blaming or belittling the child
Makes negative comments about the child
Labels the child as “bad” or “evil”
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Individual characteristics of the mother and
infant
Family and social factors
Culturally-related parenting beliefs, practices
and experiences
Handout: Overview of Risk and
Protective Factors
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Buffer risk factors, providing a cushion
against negative effects
Interrupt the processes through which risk
factors operate
Prevent the initial occurrence of a risk factor
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Anyone can report child maltreatment
Child Protective Services will investigate the
report
Depending on the results, the family may
receive treatment and services
Texas Hotline
1-800-252-5400 or
www.txabusehotline.org
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Three different levels
 Primary: educating the general public
 Secondary: providing preventive services to high-
risk families
 Tertiary: preventing recurrence among families in
which maltreatment has already occurred
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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Providers should be able to take breaks and find
relief during stressful times
 Staff policies that allow for an immediate break
anytime they feel they are about to loose control
 The physical layout allows all areas to be viewed by
at least one other adult
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Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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In the next section, you will find a link to an
activity related to reporting child
maltreatment.
Download and complete the activity.
Submit the activity to your facilitator via email.
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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This concludes the informational portion of
the course.
Please click on the “Next Section” button to
advance to the post-test.
To review previous sections, click on desired
title in left menu bar.
Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants
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