Child Abuse (F)

Question 1

What is any recent act of failure to act on part of parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation; or an act or failure to act which presents an imminent risk or serious harm called?

Answer 1

child abuse and neglect

Question 2

What are the signs from the child of physical abuse?

Answer 2

o Has unexplained burns, bites, bruises, broken bones, bizarre marks, or black eyes
o Has fading bruises or other marks noticeable after an absence from school (soft tissue areas)
o Seems frightened of the parents and protests or cries when its time to go home
o Shrinks at the approach of adults
o Reports injury by a parent or another adult caregiver
o Abuses animals or pets

Question 3

Who are usually the reporters of physical/sexual abuse?

Answer 3

o 75% by professionals
o Teachers 24%
o Police/lawyers 23%
o Medical staff 12%

Question 4

What is the demographic of the perpetrators of death in child abuse and neglect?

Answer 4

o Mid-20’s
o Little education
o Poverty
o Depressed
o Unable to cope with stress
o Abuse victim

Question 5

What type of killing are men more likely to commit upon children? 1. Women? 2

Answer 5

1. physical abuse

2. neglect

Question 6

What are the long term consequences of abuse and neglect?

Answer 6

o 80% of 21 year olds who reported childhood abuse met the criteria for at least one psychological disorder
o As many as 2/3 of people in treatment for drug abuse reported abuse or neglect as a child
o Male children with 6 or more childhood adverse experiences were >4,000% more likely to use IV drugs later in life
o 14% of men in prison and 36% of women in prison in USA were abused as children
o Abused/neglected children are 9 times more likely to become involved in criminal activity.

Question 7

Are men or women more likely to be the perpetrator of abuse and neglect?

Answer 7

women (58%)

Question 8

What are the signs from the child of abuse?

Answer 8

o Shows sudden changes in behavior or school performance
o Has not received help for physical or medical problems brought to parents’ attention
o Has learning (or attention) problems that cannot be attributed to physical or psychological causes
o Always watchful, as though preparing for something bad to happen
o Lacks adult supervision
o Is overly compliant, passive, or withdrawn
o Comes to activities early, stays late and does not want to go home
o Is reluctant to be around particular person
o Discloses maltreatment

Question 9

What is the type of abuse that is a pattern of behavior that impairs child’s emotional development or sense of self-worth?

Answer 9

emotional abuse

Question 10

What is the type of neglect that is failure to educate a child or attend to their special education needs?

Answer 10

educational neglect

Question 11

What are the signs from the parent or adult of abuse?

Answer 11

o Denies the existence of – or blames the child for – the child’s problems in school or at
home
o Asks teachers or other caregivers to use harsh physical discipline if the child behaves
o Sees the child as entirely bad, worthless, or burdensome
o Demands a level of physical or academic performance the child cannot achieve
o Looks primarily to the child for care, attention, and satisfaction of the parent’s emotional
needs
o Shows little concern for the child

Question 12

What are the signs from the parent or adult of neglect?

Answer 12

o Appears to be indifferent to child
o Seems apathetic or depressed
o Behaves irrationally or in a bizarre manner
o Is abusing alcohol or drugs

Question 13

What are the signs from the parent or adult of sexual abuse?

Answer 13

o In unduly protective of the child or severely limits the child’s contact with other children, especially of the opposite sex
o Is secretive and isolated
o Is jealous or controlling of family members

Question 14

What are our clinic procedures for suspecting abuse?

Answer 14

• Consult with clinical attending (Interns never report suspected abuse directly)
• Document reasons for suspicion and actions taken in clinic record (Attending to notify Associate Dean)

Question 15

What is the type of abuse that is the employment, use, persuasion, inducement, enticement or coercion of any child to engage in any sexually explicit conduct or simulation of such conduct … ; or the rape, … statutory rape, molestation, prostitution or other form of sexual exploitation of children, or incest with children?

Answer 15

sexual abuse

Question 16

What are the signs from the child of neglect?

Answer 16

o Is frequently absent from school
o Begs or steals food or money
o Lacks needed medical or dental care, immunizations or glasses
o Is consistently dirt and has severe body odor
o Lacks sufficient clothing for weather
o Abuses alcohol or drugs
o States there is no one at hone to provide care

Question 17

What is the type of abuse that involves prenatal exposure to drugs/alcohol, drug manufacturing in presence of child, selling/distributing/giving drugs/alcohol to child, use of controlled substances by caregiver that impairs ability to care for child?

Answer 17

substance child abuse

Question 18

What are the signs from the parent or adult of physical abuse?

Answer 18

o Offers conflicting, unconvincing or no explanation for the child’s injury or provides an explanation not consistent with the injury
o Describes the child as “evil” or in some other very negative way
o Uses harsh physical discipline with the child
o Has a history of abuse as a child
o Has a history of abusing animals or pets

Question 19

What is the type of abuse that is a non-accidental physical injury inflicted by a parent, caregiver or other person who has responsibility for the child?

Answer 19

physical abuse

Question 20

What is the type of neglect that is the failure to provide necessary food or shelter along with a lack of appropriate supervision?

Answer 20

physical neglect

Question 21

What are the victim demographics of abuse and neglect?

Answer 21

- Age:
o 50% younger than 1 year
o 75% younger than 4 years
- Race/Ethnicity:
o African American, Native American, multiple race rate – 15-20 per 1000
o White, Hispanic rate = 11 per 1000
o Asian rate = 3 per 1000

Question 22

What is the type of neglect that is failure to provide necessary medical or mental health treatment?

Answer 22

medical neglect

Question 23

What are the signs from the child of sexual abuse?

Answer 23

o Has difficulty walking or sitting
o Suddenly refuses to change for gym or to participate in physical activities
o Reports nightmares or regressive bedwetting
o Experiences sudden change in appetite
o Demonstrates bizarre, sophisticated, or unusual sexual knowledge or behavior
o Becomes pregnant or contracts STD, particularly if under age 14 years
o Runs away
o Attaches very quickly to strangers or new adults
o Reports sexual abuse

Question 24

What is the type of neglect that is failure to attend to a child’s emotional needs or to provide psychological care?

Answer 24

emotional neglect