Child abuseby the numbers Each year in the United States hotline reports are filed on more than 6 million children On average between four and seven children die every day from abuse ID: 907911
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Slide1
Child Abuse
Howell County Health Department
Slide2Child abuse….by the numbers
Each year in the United States, hotline reports are filed on more than
6 million
children.
On average,
between
four
and seven children
die every
day
from abuse
and
neglect.
More than
90%
of juvenile sexual abuse victims know their perpetrator in some
way
Child abuse occurs at every socioeconomic level, across ethnic and cultural lines, within all religions and at all levels of education.
Hollywood star Judith
Barsi
About
30%
of abused and neglected children
will later abuse their own children,
continuing the horrible cycle of
abuse
.
About
80
%
of 21 year olds that were abused as children
meet
criteria for
at least one psychological
disorder.
Children who experience child abuse & neglect are
about 9 times more likely to become involved in criminal activity.
Slide3By the numbers…cont’d
47.3
%
of child
victims are male
, and
50.7 %
are
female. Victimization rates
are
highest among the youngest population of children, birth to 3 years, at a rate of
16.5 per 1,000 children
49.7
%
of children who
are maltreated are
white,
23.1 %
are
African American, and
17.4
%
are
Hispanic. American Indians and Alaska Natives
account
for
1.2
%
of victims, and Asian-Pacific Islanders
account
for less than 1 percent of
victims
79.4 percent of perpetrators
are
parents and 6.8 percent
are
other relatives. The largest remaining categories of perpetrators
are
the unmarried partner of a child’s parent (3.8 percent) and other perpetrators (4.1 percent)
Slide4Child abuse around the world: how does the US shape up?
25th
of
27
among developed nations based on the rate of child deaths from abuse and neglect
.
The rate of child abuse fatalities in the United States is three times the rate of Germany’s, more than twice the rate of the UK or Japan, and almost twice the rate of France.
Slide5How about Missouri?
Childcare workers (child care providers) are
MANDATED
REPORTERS
.
In 2012
,
72,110 children were reported to DFS. Of those children,
57,727 had only one report during the year. The remaining 14,383 children had more than one report during 2012.Fifty-nine percent (59%) of the reports made in 2012 were made by mandated reporters and thirty-eight percent (38%) were made by permissive reporters. Childcare center or other child care worker 554 reports or
0.8%
Missour
CTF YouTube site
Slide6What is Abuse?
Physical Abuse
Citation: Ann. Stat. § 210.110
'Abuse' means any physical injury inflicted on a child by other than accidental means by those responsible for the child's care, custody, and control.
Neglect
Citation: Ann. Stat. § 210.110
'Neglect' means failure to provide, by those responsible for the care, custody, and control of the child, proper or necessary support; education as required by law; nutrition; or medical, surgical, or any other care necessary for the child's well-being.
Slide7Statutes cont’d..
Sexual Abuse/Exploitation
Citation: Ann. Stat. § 210.110
The term 'abuse' includes sexual abuse.
Emotional Abuse
Citation: Ann. Stat. § 210.110
The term 'abuse' includes emotional abuse inflicted on a child by those responsible for the child's care, custody, and control.
Slide8Statutes cont’d…..
Abandonment
This issue is not addressed in the statutes reviewed.
Standards for Reporting
Citation: Ann. Stat. § 210.115
A report is
required
when there is reasonable cause to suspect that a child has been or may be subjected to abuse or neglect.
Slide9Slide10Statistics of Child Abuse for 2012
Slide11Warning signs of Neglect
Possible signs of neglect could include:
Soiled clothing or clothing not appropriate for the weather
Signs of hunger, hoarding or stealing food, poor nutrition
Listlessness or fatigue
Poor hygiene (urine or feces, bad breath, poor oral hygiene)
Untreated medical problems
Observe regular or frequent:
Poor relationships
Withdrawal from othersCraving attention (even to get negative responses from others)Low self-esteemCared for regularly or frequently by another child too young or immature to be a responsible caregiver
Slide12Physical Abuse
Injury location: elbows, knees, shins, hands, chin, forehead are all more likely to be from common childhood accidental injuries
Injuries on thighs, calves, genitals, buttocks, cheeks, earlobes, lips, neck and back are more frequently associated with abuse
Bruises on infants are suspicious considering their limited ability to either be mobile, or to cause harm to themselves
Slide13Warning
Signs of Physical Abuse
Child is fearful of being touched
Child is wary of adult contact
Appears to be or says they are frightened of parents or others
Afraid to go home or to another location
Appears to feel they deserve punishment
Are apprehensive when other children cry
Behavioral extremes (aggression and withdrawal)Manipulates to get attention
Seeks affection indiscriminatelyPoor self esteemStays very still while surveying a roomVacant or frozen starePhysical aggression
Slide14Emotional Abuse
The indicators of child abuse and neglect vary. No child or caretaker will exhibit all of the physical or behavioral indicators and some of the indicators are contradictory. The behavior of an abused or neglected child and other family members may be sporadic and unpredictable. Indicators should be used only as a general guide.
Slide15Warning
Signs of Emotional Abuse
Lags in physical development
Failure to thrive
Lags in emotional development
Empty or blank expression
Speech disorders
Lags in intellectual development
Attempted suicide Avoidance of eye contact Habit disorders (sucking, biting, rocking, bedwetting, feeding)
Self-destructive or antisocial behaviorSleep problems, depression, anxiety, fearfulnessBehavior extremes—demanding or overly compliant; passive or aggressive; impulsive or withdrawnInappropriately adult behaviors (parenting) or infantile (rocking, thumb sucking, head-banging)
Slide16Sexual Abuse
The indicators of child abuse and neglect vary. No child or caretaker will exhibit all of the physical or behavioral indicators listed and some of the indicators are contradictory. The behavior of an abused or neglected child and other family members may be sporadic and unpredictable. Indicators should be used only as a general guide. The presence of indicators alone does not establish that sexual abuse or exploitation has occurred. It should be noted that physical indicators are present in only a very small percentage of sexual abuse cases.
Slide17Warning
Signs of Sexual Abuse
Bizarre or unusual knowledge about sex; masturbation
Sexual acting out; extreme curiosity
Fear of men or women; affectionless or overly affectionate
Confusion over sexual identity
Night terrors
Difficulty sitting or walking
Withdrawn, unstable emotions, depressed, regressed, poor peer relationshipsAggressive, problems in school, defiant, tells lies, retreats into fantasy world
Self destructive
Slide18Slide19Reporting
Reports are to be made immediately to the 24 hour, 7 day a week
Child Abuse/Neglect Hotline telephone number (1-800-392-3738
& TDD 1-800-669-8689) maintained by CD. The Hotline is staffed by trained Children’s Service Workers whose responsibility is to accept the information and make the determination that the information constitutes a child abuse/neglect report.
Missouri
ChildAbuse
Reporting Webpage
Slide20Slide21Children’s Service Worker Role
Determine if the alleged victim is a child (less than eighteen (18) years-old) at the time of the hotline call;
Whether or not the person who is alleged to have abused the child was “responsible for the care, custody, and control” of the child at the time of the incident;
The alleged abuse or neglect is having an adverse effect on the child;
The incident occurred in Missouri;
The report meets the definition of abuse or neglect as defined by law; and
Identifying information is available to locate the child/family.
*from Child Care Basics module #1*
Slide22Reporter (You)
The name, address, present whereabouts, sex, race, and birth date or estimated age of the reported child or children and of any other children in the household;
The name(s), address(
es
), and telephone number(s) of the child’s parent(s), or other person(s) responsible for the child’s care;
The name(s), address(
es
), and telephone number(s) of the person(s) alleged to be responsible for the abuse or neglect, if different from the parent(s);
Directions to the home, if available, when the child’s address is general delivery, rural route, or only a town;
Other means of locating the family; Parents’/alleged perpetrators’ place of employment and work hours, if known; The full nature and extent of the child’s injuries, abuse, or neglect, and any indication of prior injuries, including the reason for suspecting the child may be subjected to conditions resulting in abuse or neglect; Any event that precipitated the report*from Child Care Basics module #1*
Slide23Reporter (You) cont’d…
Adverse reactions to the child(
ren
);
An assessment of the risk of further harm to the child and, if a risk exists, whether it is imminent;
If the information was provided by a third party, or if there were witnesses, the identity of that person(s);
The circumstances under which the reporter first became aware of the child’s alleged injuries, abuse or neglect;
The action taken, if any, to treat, shelter, or assist the child;
Present location of the child;
Whether the subjects of the report are aware a report is being made; The name, address, work and home telephone numbers, profession, and relationship to the child of the reporter; When was the child last seen by the reporter; Whether other children are in the home. *from Child Care Basics module #1*
Slide24Slide25After the Call
If the call is accepted as a child abuse/neglect report, the information is transmitted electronically to the county Children’s Division office within a designated circuit, and an investigation or family assessment is begun immediately or initiated within 24 hours, depending on the severity of the allegations.
The worker completing the investigation or family assessment will contact the reporter in order to ensure that full information has been received, to obtain any additional information, and to determine the safety of the child. The mandated reporter shall be contacted when the report is sent to the county office or within 48 hours of receipt of the report. If the worker is unable to contact the reporter, the investigation or family assessment will be initiated by seeing the child.
*from Child Care Basics module #1*
Slide26What if I don’t report?
Section 210.135
RSMO
Failure to report is a
Class A misdemeanor
for a person who is required under the law to report. Filing a false report is also a
Class A misdemeanor
.
The law provides immunity from civil or criminal liability to those who are required to make reports . Immunity is provided regardless of the outcome of the investigation/family assessment . Immunity does not protect persons filing false reports
.*from Child Care Basics module #1*
Slide27Slide28S
tats…cont’d….
Slide29Slide30Slide31Don’t look away…DO SOMETHING
!
Slide32Slide33Slide34Slide35Grace's Story
Slide36Resources/References
http://www.safehorizon.org
/
http://www.helpguide.org
/
http://www.childhelp.org
/
http://www.thecapcenter.org
/
http://www.lcsun-news.com/ci_21106150/baby-briannas-death-still-resonates-after-10-years?source=most_viewedhttp://ripeace.wordpress.com/2013/01/17/the-worst-case-of-child-abuse-in-us-history-the-murder-of-baby-brianna/https://www.firststar.org/library/national-statistics.aspxhttp://dss.mo.gov/cd/pdf/guidelines_can_reports.pdf
http://
dss.mo.gov/re/pdf/can/2012-missouri-child-abuse-neglect-annual-report.pdf
Some slides taken from Child Care Basics series module #1 on Shaken Baby Syndrome/Abusive Head Trauma/Mandated Reporter: Child Abuse
Slide37Slide38