CHILD ABUSE Responsibilities and Reporting Procedures Georgia CTAE Resource Network Instructional...

CHILD ABUSE

Responsibilities and Reporting Procedures

Georgia CTAE Resource Network

Instructional Resources Office

July 2009

www.health-nurses-doctors.blogspot.com

CHILD ABUSE

80% OF CHILD ABUSERS ARE

PARENTS OR OTHER RELATIVES

• 3 out of 4 child slayings in the industrialized world occur in USA

• 1 out of 3 girls are sexually abused before they reach age 18

• 1 out of 5 boys will be sexually abused before they reach age 18


RISING INCIDENCE OF CHILD ABUSE

The number of cases of child abuse or neglect reported to State Child protective Services Agencies rose 65%, and the number of substantiated cases rose 44%. Because many cases are never reported, actual incident rates are much higher.


RISKS:

• Child doesn’t match well with parent (emotional or developmental disabilities)

• Parent under stress

• Little community support (child care or medical care)

CHILD + STRESS = ABUSE(Remove child or stress to avoid abuse)


Parental Characteristics

• Abused as child• Belief in corporal discipline• May have spouse violence• Belief that father should dominate• Low self-esteem• Unrealistic expectations of children• Role reversal, uses child to gratify their

needs• Unconcerned about seriousness of abuse


Child Characteristics

• “Normal” but born out of wedlock or unplanned• “Abnormal” – low birth weight or serious illness• “Difficult” – may be fussy


Family Characteristics• Unemployment• Isolated• Low income, economic stress• Unsafe neighborhood• Home is crowded, dirty, unhealthy• Often single parent (overstressed)• One or more family members has health

problems• Larger familySibling/sibling violence is most common form of family violence


IS THIS ABUSE? • A girl is slapped for screaming at her mother; the slap

stings, but leaves no lasting mark or pain.• A boy is punished in a way that requires stitches.• A father burns his daughter’s palms with a lighted

cigarette when he finds her smoking.• A mother is careless and spills scalding coffee on her

daughter, who is seriously burned.• A boy’s arm is broken after wrestling with his father for

sport.• A girl is spanked so hard she is badly bruised, but the

father says he did not mean to hurt her.• A boy is grounded for a week for a minor offense.• A father takes away his son’s driver’s license for getting

a parking ticket.• A young mother was asked to get help and get off drugs

but her baby was born addicted to drugs.


SHAKEN BABY SYNDROME – NEVER SHAKE A BABY

• Head trauma is the leading cause of disability and death among infants and children.

• Violent shaking is involved in many of these cases.• 25-50% of the American public does NOT know that

shaking an infant can cause brain damage or death.• The brain keeps vibrating within the skull cavity after

shaking occurs.• The brain swells, creating pressure, leading to retinal

bleeding and can lead to blindness.• Veins feeding the brain are torn away, leading to brain

damage or brain visual disability, speech disability, and seizures.


PLAY ACTIVITIES THAT ARE HAZARDOUS:

• Tossing a small child into the air

• Jogging while carrying an infant on the back or shoulders

• “Riding a horse” – bouncing on the knee

• Swinging the child around by his/her ankles

• Spinning a child around

WARNING: If this happens take child to Emergency Room immediately. The child can be treated.


TECHNIQUES FOR SOOTHING A CRYING BABY:

• TOUCH: Cuddling, swaddling, warm water bottle, warm bath

• MOTION: Rocking, walking, stroller, car ride, rhythmic patting

• SOUND: Rhythmic chants, ticking clock, singing, recording of heartbeat or womb sounds


PHYSICAL ABUSE:

Behavior indicators: Aggressive or

withdrawn Afraid to go home Stealing Lying Layered clothing

Non-accidental injury of a child that leaves marks, scars, bruises,

or broken bones.


NEGLECT:

Behavior indicators: • Hunger• Poor hygiene• Excessive sleepiness• Lack of appropriate supervision• Unattended physical problems or

medical needs• Abandonment• Inappropriate clothing for weather

conditions

Failure of parents or caretakers to provide needed, age appropriate care. Including food, clothing, shelter, protection from harm, supervision appropriate to the child’s development, hygiene, and medical care.


EMOTIONAL ABUSE:

• Behavior indicators: Failure to thrive

• Speech disorders

• Lags in physical development

• Habit disorders, conduct disorders

• Sleep disorders or inhibition of play

• Aggressive or passive

Rejecting, terrorizing, berating, ignoring, and isolating, that is likely to cause serious impairment of the physical, social, mental,

or emotional capacities of the child.


SEXUAL ABUSE:

• Behavior indicators: Inappropriate sexual knowledge

• Abrupt change in personality• Withdrawn• Poor peer relationships• Promiscuous behavior/seductive behavior• Sleep disturbances• Regressive behavior

Fondling, sexual intercourse, assault, rape, date rape, incest, child prostitution,

exposure and pornography


CHILD SEX ABUSE

• Pedophilia: Adult sexual attraction to prepubescent children that is intense and recurring; an adult’s use of children for sexual purposes.

• Incest: Sexual intercourse between individuals too closely related to marry, usually interpreted to mean father/daughter, mother/son, or brother/sister.

• At risk: 8-12 years, girls, stepfathers, poor parent relationships.(no relation between race & socio economics)


LOOK OUT FOR:

• A person always alone with the child.

• A person always buying things for the child.

• A person always wanting to take the child places.


WHY CHILDREN DON’T TELL

• Too young• Fear, threatened• Bribed• Affection• Told that the abuse is normal• Want to please adults• Guilt


PROCEDURES FOR CHILD CARE PROFESSIONALS:

• Always ask parents about injuries.• Watch their reaction and explanation

which should be logical.• They should not be defensive and should

willingly give explanations.• Any suspected child abuse should first be

reported to the director of the day care.

.5% of children don’t tell the truth about abuse


PRIMARY TARGET ZONE:

• Most NORMAL injuries occur on the front of the body.

• Primary target zone for abuse is the back, the elbows and knees, also includes the face, hands & wrists.


CHARACTERISTICS OF ABUSE INJURIES:

• Most abuse injuries occur in multiples. Parent was out of control.

• Wrist and upper arms may have finger bruises.

• The back of the arms may have bruises where the child put arm in front of face to protect self.


DOCUMENTATION:

• Document every injury noticed. (date, time, description, comments by child, etc.)

• Even document injuries that occur at the daycare. Send a copy home to parents.


DECLARATION OF ABUSE: When a child gives you a declarative

statement about abuse

• Document the words exactly as you heard them.

• Get other witnesses to document what was said.

• Record date, time, location, etc.


HOW TO REACT IF A CHILD TELLS YOU ABOUT ABUSE:

• Listen, do not infer, assume or interrogate.• Reassure the child that he/she has done the right thing by

telling you and that you are glad they told you.• Make sure they understand it was not their fault.• Remain calm and accepting, don’t over react.• Do not promise not to tell.• Be honest and tell the child what to expect.• Reassure them you will do what needs to be done to make sure

it doesn’t happen again. • Determine the child’s needs for safety.


YOUR ROLE:

• To protect

• To love

• To teach

It is important to rebuild self-esteem through sincere praise and reassurance of the child’s abilities.


THE LAW:

• UNDER Georgia Law, EVERYONE HAS A LEGAL OBLIGATION TO REPORT SUSPICION OR KNOWLEDGE OF CHILD ABUSE!!!!

• It is a misdemeanor if you don’t report it.• Reporters name can remain anonymous.


WHO TO CALL TO REPORT CHILD ABUSE:

• Georgia Department of Human ResourcesDivision of Family & Children ServicesConstituent Services2 Peachtree Street, NWSuite 18-486Atlanta, Georgia 30303

404-651-9361 • Domestic Violence

1-800-869-1150 • Local Police

Report in a request for an investigation, not a proven fact.

Reports can be done anonymously.

CHILD ABUSE Responsibilities and Reporting Procedures Georgia CTAE Resource Network Instructional...

Documents

Transcript of CHILD ABUSE Responsibilities and Reporting Procedures Georgia CTAE Resource Network Instructional...