CDA II: Welcome

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CDA II Welcome Child Abuse Neglect

• Sharon Hirschy, CCCC

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Lets Go Over

• Syllabus
• Get-Acquainted
• Group Discussion What are my questions and
  concerns about handling child abuse?

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Statistics on Abuse

• A. In 2002, more than one quarter of all child
  abuse and neglect victims were age 3 or younger
  (28.1) slightly more than half (51.9) were 7
  or younger. More than four-fifths (80.0) were
  abused or neglected by their parents, including
  birthparents, adoptive parents, and stepparents.
  Fathers more than mothers commit abuse. Evidence
  suggests that school-aged children may be abused
  more often but younger children are at greatest
  risk because they cannot protect themselves or
  readily seek assistance.
• Daily 4 children die from abuse.
• Based on the data from 44 States, 80 percent of
  perpetrators of child maltreatment were parents
  2 percent of perpetrators were caretakers 10
  percent were other relatives of the victim. About
  5 percent of all perpetrators were noncaretakers

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• In 2002, state and local CPS agencies received an
  estimated 2.6 million reports of abuse and
  neglect for 4.5 million children because family
  members, professionals, or other citizens were
  concerned about the safety and well-being of
  children. (Child Maltreatment 2002 Reports from
  the States to the National Child Abuse and
  Neglect Data Systems.) An estimated 896,000 of
  these reports were substantiated. That is, after
  follow-up and investigation, officials found
  reason to believe abuse and neglect had occurred
  or that the children continued to be at risk of
  further harm. CWLA

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• In 2002, abused and neglected children endured
  the following forms of maltreatment
• 60.5 were neglected (basic physical needs were
  not being met)
• 18.6 were physically abused
• 9.9 were sexually abused
• 6.5 suffered from emotional abuse and other
  forms of maltreatment
• 18.9 experienced such other types of
  maltreatment as abandonment, threats of harm to
  the child, and congenital drug addiction.
• These percentages total more than 100 because
  many children were victims of more than one type
  of maltreatment and were coded multiple times.
  CWLA

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Abused and Neglected Children

• Age Group Rate per 1,000 Children
• 0-3 16.0
• 4-7 13.7
• 8-11 11.9
• 12-15 10.6
• 16-17 6.0

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Shaken Baby Syndrome

• Shaken baby syndrome is caused by
• Shaking babies and toddlers
• Throwing them in the air repeatedly
• Swinging them hard and repeatedly such as round
  and round

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Shaken Baby Syndrome

• Injury to the brain of an infant or toddler
  (children under 3 and usually under 18 months)
  caused by severe shaking of the child by the
  legs, arms or shoulders.  
• The brain tissue can tear, bleeding can occur in
  the back of the eye, the retina can detach from
  the eye, blood can collect between the skull and
  the brain. Children can suffer fractures and
  internal injuries. All of these can lead to
  mental retardation, blindness, coma, and death.

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Symptoms of Shaken Baby Syndrome

• Breathing difficulties
• The child will not arouse from sleep
• Seizures or convulsions
• Irritability, pain
• Glassy-eyed look, blood in the eye, or fixed
  pupils
• Vomiting or choking
• Swelling of head

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What is Child Abuse? Handout!

• It is the inflicting of harm on a child.
• Physical Abuse Inflicting bodily injury on a
  child.
• Sexual abuse Using a child in or exposing him to
  sexual activities, with or without his consent.
• Emotional abuse Requiring a child to do more
  than he is able, criticizing, humiliating the
  child, screaming and yelling at a child
  continually.
• Neglect Failure to provide adequate medical
  care, food, shelter, or clothing, supervision,
  education and guidance, love and affection.

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Neglect

• Neglect Failure to provide adequate medical
  care, food, shelter, or clothing, supervision,
  education and guidance, love and affection.
• In comparison to children who experienced
  physical abuse, children who were neglected were
  46 percent more likely to experience recurrence.
• Sometimes it is culturally defined How old
  should children be before left alone?
• studies of children in orphanages who lacked
  emotional contact, and a large number of animal
  deprivation and enrichment studies point to the
  need for children and young nonhuman mammals to
  have both stable emotional attachments with and
  touch from primary adult caregivers. If these
  connections are lacking, brain development both
  of caring behavior and cognitive capacities is
  damaged in a lasting fashion.

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Why is Child Abuse Committed

• Lack of knowledge about children, parenting,
  guidance
• Unrealistic expectations of children
• Social Isolation
• Unmet emotional needs
• Poor childhood experiences
• Crises
• Drug or alcohol problems
• Emotional Instability/Personality disturbances

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How do you stop abuse?

• Education
• Counseling
• Assistance with employment
• Teach decision-making, stress-coping skills
• Provide a support system
• Poor prognosis
• Psychosis
• Battered Baby Syndrome
• Character Disorders Sociopath

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Child Abuse Scenarios

• You see a Dad continually tossing his 4 month old
  in the air. The baby looks frightened and is
  turning blue. What do you do?
• A 4 year old cries when you touch him and upon
  examining his back you find multiple bruises. He
  appear to have burns on his arms, and is crying
• You have a baby that has screamed for four hours.
  She is teething and nothing you do seems to
  help. You have 3 other children who are
  demanding your attention and you feel so
  frustrated. You pick up the baby and wonder if
  you just shook her, if she would get quiet. What
  should you do?
• You care for a 12 month old that seems to come
  back from home every Monday with new bruises on
  back, legs, buttocks, and arms. The parent says
  that he is learning to walk and is always
  falling.
• A 2 year old is scared to death to go into the
  bathroom, and seems afraid of any man.
• You have a 1 year old toddler that loves to be
  swung around and around. Mom often does it until
  they are both dizzy. What should you do?