Child mlatreatment Flashcards Preview

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Flashcards in Child mlatreatment Deck (21):
1

5 forms of child maltreatment

1. physcial abuse
2. sexual abuse
3. neglect
4. emotional maltreatment
5. exposure to intimate partner violence

2

how common is maltreatment

14/1000 - but underestimated
only 40% substantiated

3

3 most common forms

1. neglect
2. exposure to violence
3. physcial abuse

4

how common is physcial and sexual abuse in ontario

20% of adult report physcial under 16
22% of women and 8% of men report sexual under 16

5

3 bruising red flags

1. Age/dev. level - bruises in ambulating children abnormal
2. loaction - on well-cushioned areas
3. pattern - objects/lines

6

what defines child

under 16

7

purpose of child and family services act

promote the best interests, protection and well being of the child

8

what is duty to report

anyone who has reasonable grounds to suspect that a child in need of protection must PROMPTY report to childrens aid society

9

what is ongoing duty to report

anyone with ADDITIONAL REASONABLE GROUNDS shall make a further report even if has already made one

10

what is delegation

must make report yourself, not delegate

11

2 parts of medical workup

1. evalaution of underlying problems
- lab tests for bruising
2. evaluate for additional injury

12

4 labs for additional injury

1. labs for occult abdo injury
2. skeletal survey
3. brain imaging
4. optho exam

13

def. neglect

- helpful to focus on impact on child
- neglect occurs when child's basic needs are not being adequately met

14

6 general steps to approach neglect

1. are child's needs being met
2. is there a pattern of neglect
3. what is contributing to neglect
4. what strengths/protections are avail
5. what interventions have been tried
6. what is prognosis

15

5 possible contributions to neglect

1. child - high needs
2. parent - mental illness, cog., medical
3. family- chaos, social isolation, lack of support
4. context - poverty, culture, religion
5. community - poor access to health care, few supports

16

5 possible strengths

1. child
2. parents- child focused, motivated
3. family - extended fam. will help
4. context - religous, cultural supports
5. community - programs avail

17

what is prev. of intimate partner violence

23% report being abuse in preceeding year
- only 22% report

18

most common age for IPV

25-34yo

19

2 most commonly associated abuses of child with IPV

1. neglect
2. emotional maltreatment

20

relat. between IPV and child abuse

53-70% of wife batterers also abused children
- with IPV are 15x more likely to be abused

21

6 barrier to recognition of IPV

1. not seen as peds problems
2. no routine inquiry
3. lack of private area/ time contraints
4. fear of offending parents
5. misconception about batterer/victim
6. lack of training/knowledge

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