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    Neglect+ +PAP+528+ +MCS+ 2011

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    Jim21874291
    This document defines and discusses various forms of child abuse and neglect, including physical abuse, sexual abuse, psychological maltreatment, neglect, and failure to thrive. It provides definitions for each type of abuse and neglect and describes behaviors that should trigger consideration of whether abuse or neglect is occurring. Key statistics from 2004 data on substantiated child abuse cases in the US are presented, showing that neglect was the most common form of maltreatment while boys and girls were equally at risk. The document stresses the importance of healthcare professionals recognizing, documenting, reporting, and referring suspected cases of child abuse and neglect.

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    Neglect+ +PAP+528+ +MCS+ 2011

    Uploaded by

    Jim21874291
    15 views25 pages
    This document defines and discusses various forms of child abuse and neglect, including physical abuse, sexual abuse, psychological maltreatment, neglect, and failure to thrive. It provides definitions for each type of abuse and neglect and describes behaviors that should trigger consideration of whether abuse or neglect is occurring. Key statistics from 2004 data on substantiated child abuse cases in the US are presented, showing that neglect was the most common form of maltreatment while boys and girls were equally at risk. The document stresses the importance of healthcare professionals recognizing, documenting, reporting, and referring suspected cases of child abuse and neglect.

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    1. Neglect+ +PAP+528+ +MCS+ 2011

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    This document defines and discusses various forms of child abuse and neglect, including physical abuse, sexual abuse, psychological maltreatment, neglect, and failure to thrive. It provides definitions for each type of abuse and neglect and describes behaviors that should trigger consideration of whether abuse or neglect is occurring. Key statistics from 2004 data on substantiated child abuse cases in the US are presented, showing that neglect was the most common form of maltreatment while boys and girls were equally at risk. The document stresses the importance of healthcare professionals recognizing, documenting, reporting, and referring suspected cases of child abuse and neglect.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    15 views25 pages

    Neglect+ +PAP+528+ +MCS+ 2011

    Uploaded by

    Jim21874291
    This document defines and discusses various forms of child abuse and neglect, including physical abuse, sexual abuse, psychological maltreatment, neglect, and failure to thrive. It provides definitions for each type of abuse and neglect and describes behaviors that should trigger consideration of whether abuse or neglect is occurring. Key statistics from 2004 data on substantiated child abuse cases in the US are presented, showing that neglect was the most common form of maltreatment while boys and girls were equally at risk. The document stresses the importance of healthcare professionals recognizing, documenting, reporting, and referring suspected cases of child abuse and neglect.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    Abuse and Neglect

    PAP 528 Summer 2011 Mark C. Stoddart, DHSc(c), MBA, RPA-C RPAAssistant Professor

    Challenge: Defining the Problem


    Lack of definitions for neglect, physical abuse, sexual abuse, or psychological maltreatment that are used consistently across multiple disciplines and local/state/federal agencies that deal with this problem.

    Psychological Maltreatment Definition


    Psychological Neglect: the consistent failure of a parent or caretaker to provide a child with appropriate support, attention, and affection. Psychological Abuse: a chronic pattern of behaviors such as belittling, humiliating, and ridiculing a child.
    3

    Psychological Maltreatment
    Should be considered when:
    Lack of attachment between infant & parent Lack of responsiveness to environment Failure-to-thrive Parent is highly critical & negative toward the infant/child
    4

    Neglect A Definition
    The chronic failure of a parent or caretaker to provide a child 18 yo with basic needs such as food, clothing, shelter, medical care, educational opportunity, protection, and supervision.

    Neglect should be considered when:


    Significantly below height/weight for age. Inappropriate clothing for weather. Lack of safe, sanitary shelter. Lack of necessary medical care.
    6

    Neglect should be considered when:


    Reports no caretaker in the home. Untreated illness or injury. Poor hygiene, incl. lice, body odor, scaly skin. Child abandoned or left with inadequate supervision.
    7

    Failure-toFailure-to-Thrive A Definition
    FTT is a condition in which children show a marked retardation or cessation of growth. FTT can result from: a medical condition; environmental factors; or combination of these.
    8

    Physical Abuse A Definition


    Any non-accidental injury to a child by a parent or caretaker. These injuries may include: beatings, shaking, burns, human bites, strangulation, immersion in scalding water, with resulting bruises and welts, broken bones, scars, burns, retinal hemorrhage, internal injuries.
    9

    Physical Abuse should be considered when:


    History given by parent does not match the injury [mechanism of injury]. Child gives implausible explanation for the injuries [MOI]. Child reports injury by parent. Child is fearful of going home or requests to stay at hospital, school, daycare.

    10

    Child Sexual Abuse A Definition


    The exploitation of a child or adolescent for the sexual gratification of another person.

    11

    Incest A Definition
    The occurrence of sexual relations between close blood relatives. Broader interpretation: sexual intercourse between participants who are related to each other by formal or informal kinship bond that is culturally regarded as a bar to sexual relations; ie- between stepparents & stepchildren, among stepsiblings.
    12

    Statutory Rape
    Intercourse is unlawful between a man > 16 yo and a woman under the age of consent (14 21 yo,
    depending on jurisdiction).

    Legal charges typically pursued by parents of consenting girl, rather than the girl herself.

    13

    Separated Parents
    When marital discord is severe, children are often caught in the line of fire. Fabrication vs. Denial Chronic severe parental conflict can be as destructive for a child as physical and sexual abuse.

    14

    Sexually Abusive Behaviors


    Voyeurism Fondling Child prostitution Child pornography Intercourse Sodomy Oral-genital stimulation Exhibitionism
    15

    Sexual Abuse should be considered when:


    Injury to genital area or other medical indicators. H/O somatic complaints, incl. pain or irritation of genitals. Sexually transmitted disease. Frequent unexplained sore throats, yeast infex, or UTIs (urinary tract infex). Child reports inappropriate sexual behavior. Child engaged in highly inappropriate sexual behavior. Pregnancy in young adolescent or child. 16

    2004 Data Analysis Child Abuse


    3 million children reported; 870,000 reports were substantiated. Boys & Girls equally at risk for maltreatment. Children 3 yo more likely to be maltreated. 58% of perpetrators = females 42% of perpetrators = males 81% of perpetrators = 1 parent acting alone. 17

    2004 Data Analysis* of Substantiated Cases


    62% 18% 10% 20% Neglect Physical abuse Sexual abuse additional types of maltreatment, incl. 7% psychological
    maltreatment/emotional abuse.
    *Data total exceeds 100% due to cases w/ multiple components.
    18

    = = = =

    When to Report
    It is your Professional, Moral, Legal Obligation to report suspected child abuse. Formal Training New York State Mandated Reporter Training Didactic Term 4, Community Health course.

    19

    Domestic Violence
    The Secret Epidemic. Intimate Partner Violence: 85% = women, 15% = men. Adult battering and other maltreatment. Harmful, w/ medical & psychiatric consequences.

    20

    Domestic Violence
    Pregnant women at increased risk. Clinicians: plausible MOI? educate all patients (incl.batterers); documentation [caution: Dx]; referrals; help available for victims & batterers.
    21

    Other Vulnerable Populations


    Infirm; Handicapped; Elderly; MR/DD; Mentally ill; Et al.
    * increasingly recognized.
    22

    Prevention/Intervention
    Education (patients & clinicians) Recognition Stop this from re-cycling Documentation Reporting Referral

    23

    Cases from Marks Annals of Clinical Practice


    Puss n Boots X 2 Saturday Night Bath by Grandma Pregnant @ 10 Battered Spouse stands by her man no matter what. Pregnant Mom & her 4 y.o. Son.

    24

    Sources
    Synopsis of Psychiatry (2008), Chap. 32; CDC / DHHS; American Academy of Pediatrics; MCS Clinical Archives; NYSDOHs OPDV; NYSCADV.
    25

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