Missouri Child Abuse and Neglect Mandated Reporter Training

teacher, counselor and principal report to the hotline together

A teacher tells her school's counselor and principal that she suspects one of her students is experiencing abuse. What should happen next?

assure

A- I CARE

calm

C- I CARE

1) initial denial that the abuse occurred 2) tentative disclosure or reluctance to discuss the abuse 3) active disclosure or a complete statement about the abuse 4) recantation of the allegations 5) reaffirmation of the allegations

Disclosure of Sexual Abuse is a Process, Not an Event. What are the 5 stages? (5)

encourage

E- I CARE

1) It is in the best interest of the child for mandated reporters to have a proactive plan because responding to child abuse/neglect can be distressing 2) Mandated reporters will not be able to predict all of the outcomes, so having a plan gives a platform for action 3) Having knowledge about when to report leads to better outcomes for children

Having a plan for responding to suspicions of child abuse/neglect is valuable to mandated reporters and children because... (3)

information

I- I CARE

1) It interferes with the investigation and/or prosecution of the abuse incident 2) It re-traumatizes the child 3) It is not a mandated reporters' role to investigate

Internal investigations by a mandated reporter should not occur because... (3)

false

Mandated reporters must know the answers to all questions asked by the hotline unit

mandated

Online reporting is now available for ________ reporters only and should be used to report non-emergencies

has unexplained burns, bites, bruises, broken bones, or black eyes

Please select an indicator that a child may be experiencing physical abuse? -demonstrates bizarre, sophisticated, or unusual sexual knowledge or behavior -has unexplained gifts and/or money -has unexplained burns, bites, bruises, broken bones, or black eyes -lacks needed medical or dental care, immunizations, or glasses

report

R- I CARE

1) The child is under the age of 18 years 2) The alleged abuse or neglect is having an adverse effect on the child 3) The report meets the definition of abuse/neglect as defined by law 4) Identifying information is available to locate the child/family

Reporting Procedure -Children's Division screening will determine that: (4)

true

T or F: A mandated reporter does not need an answer for all questions asked

false- a mandated reporter may NOT make an anonymous report to the hotline, however, their name and personally identifiable information will be held as confidential

T or F: A mandated reporter may make an anonymous report to the hotline

false

T or F: A mandated reporter should only report when they know for sure that child abuse/neglect has occurred

false

T or F: A mandated reporter's personal identification is shared with the family when making child abuse/neglect reports

true

T or F: All mandated reporters must report to a medical examiner or coroner when a child dies

true

T or F: All reports do not lead to an investigation

true

T or F: All reports do not lead to an investigation, family assessment or referral; however, all reports are documented and stored in a central database

true

T or F: An unsubstantiated report does NOT mean abuse has not occurred, it means Children's Division cannot prove a "preponderance of the evidence" of child abuse/neglect.

true

T or F: Any person violating any provision of Missouri's mandated reporter requirements is guilty of a class A misdemeanor

true

T or F: Any person who intentionally files a false report of child abuse/neglect shall be guilty of a class A misdemeanor

true

T or F: Anyone can report child abuse or neglect

true

T or F: Children that require assistance due to physical, mental, behavioral, or medical disabilities or delays are at increased risk of experiencing abuse

false

T or F: Children with disabilities have less risk of experiencing abuse

true

T or F: Children's Division mission is to protect Missouri children from abuse and neglect; assuring their safety and well being by partnering with families, communities and government in an ethically, culturally and socially responsible manner

true

T or F: Children's Division only accepts reports of abuse/neglect when the child is under the age of 18

false

T or F: Disclosure of abuse is generally a one-time event

true

T or F: Educational neglect must be differentiated from truancy (a status offense)

true

T or F: If a mandated reporter has reasonable cause to suspect that a child has been or may be subjected to abuse or neglect or observes a child being subjected to conditions or circumstances which would reasonably result in abuse or neglect, that person shall immediately report to the Division

true

T or F: If you are aware that a child is a refugee, has tribal affiliation, Native American, or Native Alaskan heritage, inform the hotline when making a report

false

T or F: In Missouri, Children's Division employees can take protective custody of any child

true

T or F: In Missouri, child abuse includes any physical injury (other than by accidental means), sexual abuse, or emotional abuse inflicted on a child

true

T or F: Indicators always suggest that adults take an extra interest in the child

true

T or F: It is the mandated reporter's role to make the report, not investigate

false

T or F: Mandated Reporters have fulfilled their legal requirement when they call law enforcement to report suspected child abuse/neglect

true

T or F: Mandated Reporters have fulfilled their legal requirement when they call law enforcement to report suspected child abuse/neglect

true

T or F: Mandated Reporters shall immediately report when they have reasonable cause to suspect that a child has been or may be subjected to abuse or neglect or observes a child being subjected to conditions or circumstances which would reasonably result in abuse or neglect

true

T or F: Mandated or not, it is an adult's responsibility to protect children

true

T or F: Mandated reporters are entitled to the finding of the report

true

T or F: Mandated reporters are immune from civil or criminal liability when making a report in good faith, regardless of the outcome

true

T or F: Mandated reporters are individually required to report

true

T or F: Mandated reporters are legally required to continue reporting all new suspicions of child abuse/neglect, regardless of the outcome on past reports

true

T or F: Mandated reporters are required to report suspected abuse/neglect to Children's Division but they may also wish to separately contact a law enforcement agency to ensure that a criminal investigation takes place

false

T or F: Mandated reporters should not report when they receive information about suspected child abuse/neglect from a 3rd party

true

T or F: Mandated reports must make a report if they have received information about child abuse/neglect from a 3rd party

true

T or F: Physical indicators are present in only a very small percentage of sexual abuse cases

true

T or F: Poverty does not cause neglect

true

T or F: The location of the injury is significant

true

T or F: There are most often no medical findings of sexual abuse

false

T or F: When a mandated reporter has reasonable cause to suspect child abuse/neglect they must request approval from a supervisor to report

true

T or F: When a report is classified as a Family Assessment, Children's Division conducts a thorough family assessment to determine whether or not the family is in need of services

1) Unsubstantiated 2) Unsubstantiated, Preventative Services Indicated 3) Already Investigated 4) Preponderance of the Evidence or Substantiated 5) Child Abuse/Neglect Present, Perpetrator Unidentified

What are the 5 possible outcomes of an investigation?

1) Is there a pattern? 2) Is there one sign? 3) Are there several signs? 4) Is there a combination of signs?

What are the guiding questions to recognizing the signs? (4)

information, calm, assure, report, encourage

What does the acronym "I CARE" stand for when responding to a disclosure from a child?

The child is seen within 3 hours

What is the Children's Division response time when receiving an emergency report? -The child is seen within 3 hours -The child is seen within 24 hours -The child is seen within 48 hours -The child is seen within 72 hours

failure to provide the proper or necessary support, education as required by law, nutrition or medical, surgical, or any other care necessary for the child's well being

What is the correct definition of "neglect" in Missouri?

4%

What percentage of children referred for medical evaluation of sexual abuse have abnormal examinations at the time of evaluation?

1) Don't investigate further 2) Report new or different concerns to hotline 3) Be a caring adult for the child(ren) and adults involved 4) Allow time for the child protective process to work

What should a mandated reporter do next...? (4)

Thank you for telling me. I will need to let someone know and we will take it step by step.

What should a mandated reporter say to a child who has disclosed abuse?

immediately and directly report

When a mandated reporter has a reasonable cause to suspect that a child has been abused/neglected they must...

ICARE

When responding to a disclosure from a child, remember, "___ ____"

All of the answers are correct

Which of the following indicators would require mandated reporters to make a hotline report? -They have observed a pattern of boundary violations that the person continues to violate -They suspect the child is in danger -They have witnessed an abusive or neglectful act -They have received a disclosure of abuse from a child

the child's home-life is chaotic

Which statement does NOT clearly describe how suspected child abuse/neglect has impacted the child? -The child has a difficult time paying attention and appears upset and tired when returning from a weekend stay with the alleged offender -The child's home-life is chaotic -The child has become increasingly aggressive when interacting with other children and hits another classmate at least two times a week -The child has been tardy 20 times and absent 10 times in the last 6 months and grades have declined

1) They may be used to having their bodies touched by adults without their permission because of their need for physical assistance 2) Because of misunderstanding or lack of knowledge about privacy and/or boundaries, they may be less likely, or able, to take precautions 3) Children with disabilities are less likely to have received education on body safety and healthy sexuality 4) Children with communication impairments may find it difficult to disclose abuse

Why are children with disabilities at greater risk of being abused? (4)

1) Report new or different concerns to hotline 2) Be a caring adult for the child(ren) and adults involved 3) Allow time for the child protective process to work

You have made a report of suspected child abuse/neglect to the hotline unit. What should you do next? -Further investigate your suspicions -Report new or different concerns to hotline -Be a caring adult for the child(ren) and adults involved -Allow time for the child protective process to work

physical injury

______ _______ includes any bruising, lacerations, hematomas, welts, permanent or temporary disfigurement; loss or impairment of any bodily function or organ, which may be accompanied by physical pain, illness, or impairment of the child's physical condition

medical neglect

______ _______ is the denial or deprivation, by those responsible for the care, custody, and control of the child, of medical surgical treatment or intervention which is necessary to remedy or ameliorate a medical condition which is life threatening or causes injury

neglect

______ is when the caregiver has the resources, but chooses not to provide for the need

neglect

______ the failure to provide by those responsible for the care, custody, and control of the child, the proper or necessary support, education as required by law, nutrition or medical, surgical, or any other care necessary for the child's well being

poverty

______ when the caregiver does not have the resources to provide for the need

Educational Neglect

________ ________ is the failure by the person responsible for the care, custody, and control of the child to provide an appropriate education and to promote school attendance as required by Missouri law

unsubstantiated

a finding that insufficient evidence exists

Child Abuse Prevention and Treatment Act (CAPTA)

any recent act or failure to act on the part of a 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 of serious harm

commercial sex act

defined as any sex act on account of which anything of value is given to, promised, or received by any person

labor trafficking

defined as the recruitment, harboring, transportation, providing, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery

sex trafficking

defined as the recruitment, harboring, transportation, provision, obtaining, patronizing, or soliciting of a person for the purpose of a commercial sex act

discovery

means you have been made aware of a child in danger and/or have witnessed an abusive or neglectful act

suspicion

means you have been made aware of signs of abuse/neglect in a child or youth

Preponderance of the Evidence or Substantiated

more than 51% of the evidence shows that abuse or neglect has occurred. The individual is placed on the Central Registry once the administrative process is completed. Children's Division retains these reports forever

individual

the reporting requirements are _________, and no supervisor or administrator may impede or inhibit any reporting

Already investigated

there is an allegation within a report that Children's Division has already investigated so they do not make a new finding on that particular allegation

vicarious trauma

this type of trauma (also called secondary trauma) contributes to burnout and compassion fatigue in the workplace, and may also spill over into personal life

Child Abuse/Neglect Present, Perpetrator Unidentified

when it is known the child has been abused or neglected but there was not enough evidence to determine exactly who was responsible. Children's Division retains these reports forever

protective custody

when the child is removed from his/her home -when children are in imminent danger, police officers, law enforcement, physicians, and juvenile officers may take temporary emergency __________ _________

Unsubstantiated, Preventative Services Indicated

while the report is unsubstantiated, Children's Division feels the family needs services to reduce the risk of abuse/neglect

emotional abuse

"_____ ______" is any injury to a child's psychological capacity or emotional stability demonstrated by an observable or substantial change or impairment in the child's behavior, emotional response, or cognition, which may include but is not limited to: anxiety, depression, withdrawal, or aggressive behavior; and which may be established by either lay or expert witnesses

child

"_____" any person, regardless of physical or mental condition, under eighteen years of age

abuse

"______" as any physical injury, sexual abuse, or emotional abuse inflicted on a child other than by accidental means by those responsible for the child's care, custody, and control except that discipline including spanking, administered in a reasonable manner shall not be construed to be abuse

sexual abuse

-any sexual act between an adult and a minor, or between two minors, when one exert power over the other -forcing, coercing or persuading a child to engage in any type of sexual act; it also inclused non-contact acts such as exhibitionism, exposure to pornography, voyeurism, and communicating in a sexual manner by phone or internet

human trafficking

2 general forms of this -labor trafficking -sex trafficking