DCF Certification Test - Child Abuse and Neglect, Identifying and Reporting Child Abuse and Neglect, CAAN Study Guide, Child Abuse and Neglect (CAAN)**

Three children die of child abuse in the home in the United States each

Day

Child molesters get their sexual gratification only from children.

False

Strangers pose the greatest risk of sexual abuse to children.

False

Is this abuse or neglect? Lack of attention

Neglect

What are the three types of child abuse?

Physical, emotional, and sexual

Risk Factor: Poverty

Social

Lack of dental/medical care

When a medical or dental condition is left untreated, possibly resulting in serious or long-term harm to the child.

Talking with parents keeps the lines of ___________________ open.

communication

Connecting families with community resources can _______ some issues.

ease

Caregivers should listen to and observe the child but not _____________ them.

interview

Talking with families may help you ____________ them before abuse or neglect happens.

support

Shaken Baby Syndrome

- Can cause permanent brain damage, paralysis, blindness, seizures, developmental delays, broken bones, death

Four ways to Report Abuse and Neglect

- Telephone 1-800-96ABUSE - Fax -TDD - Online

Which of the following actions can help stop child abuse and neglect?

1) Helping a stressed-out parent by baby-sitting, making a meal for their family or lending an understanding ear. 2) Learning the signs and symptoms of child abuse so you can recognize them when you see the "red flags." 3) Reporting known or suspected child abuse to the police or local child protective services agency. Answer: All of the above

What is the phone number for the Florida Abuse Hotline?

1-800-96ABUSE (962-2873)

From the section titled, "Agencies/Resources," list three key groups involved in the child protection system and describe their role or responsibility.

1. Child Protective Services (CPS) - receives and investigates abuse reports/ provides rehab services to children and families with problems of child maltreatment. 2. Department of Children and Families (DCF) - Provides a spectrum of services to preserve and protect the well-being of children and families. 3. Law Enforcement and State Attorney's Offices - Investigates cases of child abuse and neglect and has victim advocacy programs to provide information and support through the legal system.

From the section titled, "Interaction with Child and Family," give five examples of things to do when talking to a child about suspected abuse or neglect.

1. Do Believe what the child tells you 2. Be someone the child trusts and respects 3. Conduct the conversation in a quiet, private and non-threatening place 4. Gather enough info. to make an informed report to the Florida Abuse Hotline 5. Reassure the child that he/she has done nothing wrong

From the section titled, "How to Handle Accusations of Child Abuse and Neglect," describe some guidelines child caregivers should follow if wrongly accused of child abuse or neglect.

1. Don't become defensive 2. Cooperate fully and factually with authorities. 3. Know the laws related to abuse and neglect. 4. Talk to a lawyer to ensure your rights and those of family members and helpers. 5. Remember that protective policies you have put in place such as your discipline procedures and incident reports will help you.

From the section titled, "Child Neglect," describe child neglect and list four examples of child neglect.

1.Leaving a child alone 2. Leaving a child in a place that is not safe 3. Lack of attention 4. Not providing clothing, food, or shelter

From the section titled, "How to Make a Report," list the three ways abuse and neglect reports can be made to the Florida Abuse Hotline.

1.Telephone 2. Fax 3. Online

How many people report child abuse when faced with an actual situation?

1/3

How many people report child abuse when faced with an actual situation? a) 3/4 b) 1/2 c) 1/3

1/3

On average, child abuse is reported somewhere in the US every ___

10 seconds

On average, child abuse is reported somewhere in the United States every

10 seconds

On average, child abuse is reported somewhere in the United States every a) 10 seconds b) 20 minutes c) Hour

10 seconds

Of the 57 reports of alleged sexual abuse in child care facilities, how many resulted in findings?

14

How many initial investigations were conducted in the state of Florida in 2004-2005?

155,238

Of 680 reports of alleged physical abuse in Child Care facilities, how many resulted in findings?

194

The Florida Abuse Hotline was established in _______.

1971

Of the 10 reports of alleged emotional abuse/neglect in Family Day Care homes, how many resulted in findings?

3

Examples of indicators of child abuse would be:

A child spanking a doll with an object Doing sexually inappropriate things with a doll Role playing a parent using abusive or demeaning language Other things that a young child would not be likely to have imagined.

Verbal abuse

A form of emotional abuse that involves excessive yelling, shaming, belittling and/or teasing of a child.

Verbal abuse

A form of emotional abuse that involves excessive yelling, shaming, belittling and/or teasing of a child.

Is this abuse or neglect? Having intercourse or oral sex with a child

Abuse

Is this abuse or neglect? Pulling a child's hair

Abuse

Is this abuse or neglect? Slapping, hitting, shaking or shoving a child

Abuse

Is this abuse or neglect? Terrorizing a child

Abuse

Suspect abuse, neglect, or both? A child in your program has had a recent personality change. He has become very quiet and rarely speaks to adults. One day he complains of his arm hurting. He rolls up his sleeve and shows you what appears to be finger marks from a very hard slap. You ask him how it happened and he tells you that his father slapped him. You ask the child where else he had been slapped and he shows you his back with many old marks.

Abuse

_______________________ may also show up in a child's artwork or stories they share with others.

Abusive incidents

Physical and Emotional Effects of Child Abuse and Neglect on Children:

Academic problems (school learning problems, underachievement, truancy) Behavior problems: (passive or withdrawn, active or aggressive, self-destructive, drug use, impulsivity) Sexual problems: (sexually inappropriate behavior, promiscuity or withdrawal) Confusion about identity: (low self-esteem, poor self-image) Anxiety, loss of trust, depression Medical/dental problems: (fertility problems, chronic pain, stress disorders)

Which of the following actions can help stop child abuse and neglect? a) Helping a stressed-out parent by baby-sitting, making a meal for their family or lending an understanding ear. b) Learning the signs and symptoms of child abuse so you can recognize them when you see the "red flags." c) Reporting known or suspected child abuse to the police or local child protective services agency. d) All of the above

All of the above

Child abuse

Any non-accidental injury, sexual battery, or injury to the intellectual or psychological capacity of a child by the parent, adult household member, or other person responsible for the child's welfare.

Child

Any person under the age of 18 years

Child

Any person under the age of 18 years.

Mandated Reporter

Any person, including, but not limited to, any: a) physician, osteopathic physician, medical examiner, chiropractic physician, nurse, or hospital personnel engaged in the admission, examination, care, or treatment of persons; b) Health or mental health professional other than one listed in paragraph a); c) Practitioner who relies solely on spiritual means for healing; d) school teacher or other school official or personnel; e) social worker, child care worker, or other professional child care provider, foster care, residential, or institutional worker; f) law enforcement officer; or g) judge - who knows, or has reasonable cause to suspect, that a child is abused, abandoned, or neglected by a parent, legal custodian, caregiver, or person responsible for the child's welfare shall report such knowledge or suspicion to the department (DCF) in the manner prescribed in subsection (2) of 39.201.

Mandatory Reporter

Any person, including, but not limited to, any: a) physician, osteopathic physician, medical examiner, chiropractic physician, nurse, or hospital personnel engaged in the admission, examination, care, or treatment of persons; b) Health or mental health professional other than one listed in paragraph a); c) Practitioner who relies solely on spiritual means for healing; d) school teacher or other school official or personnel; e) social worker, child care worker, or other professional child care provider, foster care, residential, or institutional worker; f) law enforcement officer; or g) judge — who knows, or has reasonable cause to suspect, that a child is abused, abandoned, or neglected by a parent, legal custodian, caregiver, or person responsible for the child's welfare shall report such knowledge or suspicion to the department (DCF) in the manner prescribed in subsection (2) of 39.201

Harm

Anything to a child's health or welfare that can occur when any person: a) inflicts, or allows to be inflicted, upon the child physical, mental, or emotional injury; b) commits, or allows to be committed, sexual battery, or lewd or lascivious acts against a child; c) allows, encourages, or forces the sexual exploitation of a child; d) exploits a child, or allows a child to be exploited; e) abandons a child; f) neglects a child; g) exposes a child to a controlled substance or alcohol; h) uses mechanical devices, unreasonable restraints, or extended periods of isolation to control a child; i) engages in violent behavior that demonstrates a wanton disregard for the presence of a child and could reasonably result in serious injury to the child; j) negligently fails to protect a child in his or her care from inflicted physical, mental, or sexual injury caused by the acts of another; k) has allowed a child's sibling to die as a result of abuse, abandonment, or neglect.

Harm

Anything to a child's health or welfare that can occur when any person: a) inflicts, or allows to be inflicted, upon the child physical, mental, or emotional injury; b) commits, or allows to be committed, sexual battery, or lewd or lascivious acts against a child; c) allows, encourages, or forces the sexual exploitation of a child; d) exploits a child, or allows a child to be exploited; e) abandons a child; f) neglects a child; g) exposes a child to a controlled substance or alcohol; h) uses mechanical devices, unreasonable restraints, or extended periods of isolation to control a child; i) engages in violent behavior that demonstrates a wanton disregard for the presence of a child and could reasonably result in serious injury to the child; j) negligently fails to protect a child in his or her care from inflicted physical, mental, or sexual injury caused by the acts of another; k) has allowed a child's sibling to die as a result of abuse, abandonment, or neglect.

Protective factors

Are conditions in families and communities that, when present, increase the health and well-being of children and families.

Medical Programs and Community Agencies

Are places where staff members provide attention to victims of child abuse and neglect, and provide counseling for the abused, the abuser or family members

Physical Neglect Indicators (Behavioral)

Begging, stealing food Extended stays at school (early arrival, late departure) Constant fatigue, listlessness or falling asleep in class Alcohol or drug abuse Delinquency (thefts) States there is no caregiver

Afraid to go home Is this a physical or behavioral indicator of physical abuse?

Behavioral

Alcohol or drug abuse Is this a physical or behavioral indicator of physical neglect?

Behavioral

Apprehensive when other children cry Is this a physical or behavioral indicator of physical abuse?

Behavioral

Banging, hitting or threatening play Is this a physical or behavioral indicator of physical abuse?

Behavioral

Begging, stealing food Is this a physical or behavioral indicator of physical neglect?

Behavioral

Behavior extremes (compliant/passive, aggressive/demanding) Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Behavioral extremes: aggressive or withdrawn Is this a physical or behavioral indicator of physical abuse?

Behavioral

Bizarre, sophisticated, or unusual sexual behavior or knowledge Is this a physical or behavioral indicator of sexual abuse?

Behavioral

Conduct disorders (antisocial, destructive) Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Constant fatigue, listlessness or falling asleep in class Is this a physical or behavioral indicator of physical neglect?

Behavioral

Delinquency (thefts) Is this a physical or behavioral indicator of physical neglect?

Behavioral

Delinquency or runaway Is this a physical or behavioral indicator of sexual abuse?

Behavioral

Developmental lags (mental, emotional) Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Easily startled Is this a physical or behavioral indicator of physical abuse?

Behavioral

Extended stays at school (early arrival, late departure) Is this a physical or behavioral indicator of physical neglect?

Behavioral

Frightened of parents Is this a physical or behavioral indicator of physical abuse?

Behavioral

Habit disorders (sucking, biting, rocking, etc.) Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Neurotic traits (sleep disorders, inhibition of play) Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Overly adaptive behavior (inappropriate adult, inappropriate infant) Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Poor peer relationships Is this a physical or behavioral indicator of sexual abuse?

Behavioral

Psychoneurotic reactions (hysteria, obsession, compulsion, phobias) Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Reports injury by parents Is this a physical or behavioral indicator of physical abuse?

Behavioral

Reports sexual assault by caregiver Is this a physical or behavioral indicator of sexual abuse?

Behavioral

Self destructive behavior or attempted suicide Is this a physical or behavioral indicator of emotional abuse/neglect?

Behavioral

Shows anxiety about normal activities (napping, eating, etc.) Is this a physical or behavioral indicator of physical abuse?

Behavioral

States there is no caregiver Is this a physical or behavioral indicator of physical neglect?

Behavioral

Wary of adult contact Is this a physical or behavioral indicator of physical abuse?

Behavioral

Wearing long sleeves/pants in warm weather Is this a physical or behavioral indicator of physical abuse?

Behavioral

Withdrawal, fantasy or infantile behavior Is this a physical or behavioral indicator of sexual abuse?

Behavioral

_________________ signs are observable in the way a child acts.

Behavioral

Indicator: Neurotic traits (sleep disorders, inhibition of play)

Behavioral Indicator of Emotional Abuse or Neglect

Indicator: Wary (cautious) of adult contact

Behavioral Indicator of Physical Abuse

Indicator: Delinquency

Behavioral Indicator of Physical Neglect

Indicator: Withdrawal, fantasy, or infantile behavior

Behavioral Indicator of Sexual Abuse

Examples of things that could be shared with you or talked about that could help you recognize signs of child abuse or neglect are if the parent:

Blames or belittles the child Talks about the child as bad or evil Smells of alcohol/drugs or seems to be under the influence Fails to keep appointments Seems unconcerned with the child Mentions financial problems Talks about divorce, death, or illness Admits to alcohol or substance abuse Talks about domestic violence or shows signs of it

Suspect abuse, neglect, or both? A coworker at your child care program just went through a divorce and is having financial problems. Over the last week, you heard her yelling and several of the children crying. You approach her about it and she says that the children were just misbehaving. Today a little boy from her class approaches you in tears and says that she made him stand in the dark closet for a long time.

Both

Suspect abuse, neglect, or both? The parents of one of the children in your program both work for an airline. In this family both do a lot of traveling but usually travel at different times. Unavoidably, they needed to be out of town at the same time and the children were cared for as usual by a woman who they hired about four months ago. The child came to your class very angry and would not play with her best friend. You notice that during the season when she would normally wear a short sleeved sundress, the child is wearing long pants and a long sleeved blouse on a hot summer day.

Both

Suspect abuse, neglect, or both? You are a caregiver and one day one of your 3-year-old comes to your program limping. You ask the child what happened and if you could see what is hurting her. 'Mommy won't take me to the doctor, she said I was bad,' and the child starts crying.

Both

Suspect abuse, neglect, or both? You are a caregiver for four year old. You have known one of the boys in your class and his family for about six months. The mother is divorced and is raising the boy and his older sister by herself. The father sees the children once in a while. The mother dates and leaves the boy at night with his older sister to supervise him. Lately, the boy has been coming to school with various cuts and bruises. Each time you ask his mother about the marks she explains what has happened. Today the child came to your program with what looks like cigarette burns on his right leg. He also has a fresh bruise on his arm. When you try to ask him about it, he will not talk to you. He seems very withdrawn.

Both

Physical and Emotional Effects of Child Abuse and Neglect on Caregivers:

Challenging to deal with disruptive behavior in children Not trained to deal with psychological issues It is heartbreaking to worry about the children you know Stress reactions Confusion/apprehension about what to do Fear of reporting

The Florida Abuse Hotline operates under _______________ of the Florida Statues.

Chapter 39

Any person under the age of 18 years

Child

Risk Factor: Attention Deficit Disorder

Child

Risk Factor: Chronic or serious illness

Child

Risk Factor: Premature birth and/or birth defect

Child

What is the single leading cause of death for children ages 4 and younger?

Child Abuse & Neglect

_______________________________ provide services that protect children from abuse and neglect, enforces the statues on child abuse and neglect prevention, and initiates the process of protecting the abused from further victimization.

Child Protective Services

Any non-accidental injury, sexual battery, or injury to the intellectual or psychological capicaty of a child by the parent, adult household member, or another person responsiible for the child's welfare

Child abuse

What is the single, leading cause of death for children ages four and younger? a) Drowning b) Motor vehicle accidents c) Child abuse and neglect d) Choking on food e) Residential fires f) Suffocation g) Falls

Child abuse and Neglect

What is the single, leading cause of death for children ages four and younger?

Child abuse and neglect

_____________________ can be accused of abuse and/or neglect

Child caregivers

What are the three categories that place children at risk for maltreatment?

Child risk factors Parental and family risk factors Social and environmental risk factors

From the section titled, "Effects of Child Abuse and Neglect on Child, Family, Caregiver, and Society," list and describe some of the effects of child abuse and neglect in the areas listed below:

Child: Academic problems: school learning problems, underachievement, truancy Behavior problems: passive or withdrawn, active or aggressive, self-destructive, drug use, impulsivity Family: Mistrust: family isolates itself Poor role model Caregivers: Fear of reporting Not trained to deal with psychological issues Society: Poor employability skills Increased crime rate

Physical Neglect Indicators (Physical)

Consistent hunger, poor hygiene, over/under dressed for the climate Consistent lack of supervision, especially in dangerous activities over long periods of time Unattended physical problems or medical needs (anemia, urinary infections, diarrhea, malnutrition) Abandonment

Examples of emotional child abuse:

Conveying that a child is worthless Terrorizing a child Witnessing domestic violence Not allowing child to have friends Name calling Not allowing child to eat, drink, use bathroom

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Allow the child to tell you what happened in a free and open manner

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Ask the child to clarify unfamiliar terms

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Be someone the child trusts and respects

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Believe what the child tells you

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Conduct the conversation in a quiet, private and non-threatening place

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Gather enough information to make an informed report to the Florida Abuse Hotline

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Let the child set the pace and use language that is comfortable to them

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Reassure the child that he/she has done nothing wrong

DO

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Ask "why" questions

DON'T

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Ask for details (This is the job of the investigator)

DON'T

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Ask leading questions or suggest answers to the child

DON'T

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Communicate feeling of shock, anger or surprise

DON'T

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Force child to remove clothing to show signs of physical abuse

DON'T

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Leave the child alone with a stranger

DON'T

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Show body language such as shock, anger or surprise while the child is talking

DON'T

Determine if the following is a DO or DON'T when talking to a child about a suspected act of abuse or neglect. Suggest that the story may not be true

DON'T

Three children die of child abuse in the home in the United States each a) Year b) Day c) Week d) Month

Day

Sexual Abuse Indicators (Physical)

Difficulty in walking/sitting Torn, shredded, stained or bloody underclothing Pain or itching in genital area Bruises or bleeding in external genitalia, vaginal or anal areas, mouth or throat

Read the statements and decide if this is something you should or should not do. Be observant and aware of characteristic signs of child abuse as seen in the child and parent.

Do

Read the statements and decide if this is something you should or should not do. Become involved and report any 'suspected' incident of child abuse to the authorities. The law states that if you do so in 'good faith' you cannot be prosecuted.

Do

Read the statements and decide if this is something you should or should not do. Encourage the abusive parent to contact a community organization or service for help.

Do

Read the statements and decide if this is something you should or should not do. Realize that abusive parents are in need of help and most often can be successfully treated.

Do

Read the statements and decide if this is something you should or should not do. Take action when you suspect or observe abuse and/or neglect, or the signs of possible abuse or neglect.

Do

Read the statements and decide if this is something you should or should not do. Assume that all abusive parents are 'bad' and cannot be changed.

Don't

Read the statements and decide if this is something you should or should not do. Be afraid to become involved — you may be the one to save a child's life.

Don't

Read the statements and decide if this is something you should or should not do. Be influenced by gossip or second hand information. It may serve only to involve innocent parties.

Don't

Read the statements and decide if this is something you should or should not do. Lose your temper with an abusive parent. It only serves to put him/her on the defensive.

Don't

Read the statements and decide if this is something you should or should not do. Make excuses for child abuse or ignore the warning characteristics.

Don't

Read the statements and decide if this is something you should or should not do. Remain ignorant about the situation.

Don't

Read the statements and decide if this is something you should or should not do. Wait to suggest that help is needed.

Don't

Latoya is a quiet and shy child. Lately she has been talking even less. One day she was in the housekeeping area when a cup was accidentally broken by one of the children. Latoya started crying. When you asked what was wrong she told you it reminded her of when she broke her dad's favorite cup one time. She said now her dad tells her every morning, when she is eating breakfast, that he doesn't want her around any more because she is bad and is too much trouble. When you ask if Dad hurts her she says no. What type of abuse is this?

Emotional

What type of abuse is the following? Conveying messages that a child is worthless, unwanted or unloved

Emotional

What type of abuse is the following? Demeaning, ridiculing or belittling a child

Emotional

What type of abuse is the following? Name calling

Emotional

What type of abuse is the following? Not allowing the child to have friends

Emotional

What type of abuse is the following? Not letting a child eat, drink or use the bathroom

Emotional

What type of abuse is the following? Terrorizing a child

Emotional

What type of abuse is the following? Witnessing domestic violence

Emotional

Failure to provide support, acceptance, attention, warmth, supervision, and normal living experiences for a child to the extent that the child is impaired in ability to function normally in performance and behavior.

Emotional neglect

Immunity

Exemption from civil or criminal charges resulting from reporting "in good faith."

Immunity

Exemption from civil or criminal charges resulting from reporting "in good faith."

The Impact of Trauma, Abuse, and Neglect:

Extreme anxiety Depression Inability to form healthy relationships Memory Loss Short attention span Easily distracted Poor self esteem Sleeping or eating disorder

What are some impacts of trauma, abuse, and neglect?

Extreme anxiety Depression Inability to form healthy relationships Memory loss Short attention span Easily distracted Poor self esteem Sleeping or eating disorders

Neglect

Failure to provide adequate food, clothing, shelter, health care or needed supervision.

Emotional neglect

Failure to provide support, acceptance, attention, warmth, supervision and normal living experiences for a child to the extent that the child is impaired in ability to function normally in performance and behavior.

Emotional Neglect

Failure to provide support, acceptance, attention, warmth, supervision and normal living experiences for a child to the extent that the child is impaired in ability to function normally in performance and behavior. Ex: Not allowing child to have friends Name calling Not allowing child to eat, drink, use bathroom

When the parents deny satisfying or fulfilling relationships, thus avoiding most interactions as a method of avoiding rejection and failure. The lack of support or emotional care or love can cause the infant and/or child's weight to fall below the fifth percentile for age.

Failure to thrive

__________________________ can be an outcome of emotional abuse or lack of emotional care (holding, hugging, rocking, singing, touching, and loving) that occurs during infancy and early childhood. This can cause an infant or child's weight to drop to below the fifth percentile.

Failure to thrive

T or F. Child care workers are NOT required by law to report suspected child abuse and/or neglect.

False

T or F. You have to prove an abuse or neglect case before reporting it.

False

Child molesters get their sexual gratification only from children. a) True b) False

False. Many child molesters also have adult sexual relationships.

Strangers pose the greatest risk of sexual abuse to children. a) True b) False

False. Most children are abused by people they know.

T or F. Failure to provide support, acceptance, attention, warmth, supervision and normal living experience for a child is considered abuse.

False. neglect

Risk Factor: Childhood history of abuse

Family

Risk Factor: Financial problems or unemployment

Family

___________ was one of the first states in the nation to have a toll-free hotline capable of receiving reports of child abuse and neglect around the clock and immediately initiating an investigation anywhere in the state.

Florida

From the section titled, "Confidentiality," describe two ways the law protects caregivers who report suspected cases of child abuse and neglect.

Florida Law Section 39.202 states that the name of the person reporting the abuse or neglect shall not be released to any person other than employees of the department responsible for child protective services, the central abuse registry, and tracking system, or the appropriate state attorney without the written consent of the person. This law ensures that confidentiality will be maintained for the person reporting the suspected cases of child abuse and/or neglect.

Although every person has a responsibility to report suspected abuse and/or neglect, some occupations are specified in __________ ____ as required to do so.

Florida law

Emotional Abuse or Neglect Indicators (Behavioral)

Habit disorders (sucking, biting, rocking, etc.) Conduct disorders (antisocial, destructive) Neurotic traits (sleep disorders, inhibition of play) Psychoneurotic reactions (hysteria, obsession, compulsion, phobias) Behavior extremes (compliant/passive, aggressive/demanding) Overly adaptive behavior (inappropriate adult, inappropriate infant) Developmental lags (mental, emotional) Self destructive behavior or attempted suicide

Communities

Have the responsibility to establish and maintain required resources and educate families and individuals on child abuse and neglect prevention.

The difference between abuse and neglect

If an adult intentionally withholds food, shelter, or any other neccesity as a punishment, then it is abuse, but if things are withheld by circumstance of lack of awareness, care, or education, then it is an act of neglect. Both are crimes and violations of children's human rights.

Exemption from civil or criminal charges resulting from reporting "in good faith."

Immunity

Florida Statute Section 39.203

Immunity from liability in cases of child abuse or neglect: Any person, official, or institution participating in good faith in any act authorized or required by Chapter 39, or reporting in good faith any instance of child abuse to any law enforcement agency, shall be immune from any civil or criminal liability which might otherwise result by reason of such action.

The average age that child molesters first attack a child is when they (the attackers) are:

In their teens

The average age that child molesters first attack a child is when they (the attackers) are: a) In their early 20s b) Middle-aged c) In their teens

In their teens

When a child suffers or is likely to suffer, from physical or emotional health conditions resulting from inadequate clothing, improper hygiene and uncleanness.

Inadequate clothing & good hygiene.

When the child is exposed to structurally unsafe housing, exposed wiring, inadequate or unsafe heating, or unsanitary housing conditions.

Inadequate shelter

When a child is left alone in a situation beyond their physical and emotional development level or when a child is left in the care of someone who does not provide adequate supervision.

Inadequate supervision

Situations of known or suspected child abuse or neglect which occurs at the institution where the person allegedly perpetraiting the child abuse or neglect is an employee of a private school, public or private child care center, residential home, institution, program, or agency or any other person at such institution responsible for the child's care.

Institutional abuse and neglect

Law Enforcement and State Attorney's Offices

Investigate cases of child abuse and neglect, and has victim advocacy programs to provide information and support through the legal system.

Shaken Baby Syndrome

Is a specific type of physical abuse.

The Child Protective Services (CPS)

Is the designated social service agency (in most communities) to receive and investigate abuse reports and provide rehabilitation services to children and families with problems of child maltreatment.

Examples of Neglect:

Leaving a child alone Leaving a child in a place that is not safe Lack of attention Not providing clothing, food, or shelter Not providing necessary medical attention Not providing appropriate schooling Not providing protection from hazards

What can you do to prevent Shaken Baby Syndrome?

Make sure those who care for young children know the dangers of shaking a baby. Be careful during play or physical activity.

What can you do to prevent Shaken Baby Syndrome?

Make sure those who care for young children know the dangers of shaking a baby; be careful during play or physical activity.

Who is mandated to report suspected child abuse cases?

Mandatory Reporters — Any person, including, but not limited to, any: a) physician, osteopathic physician, medical examiner, chiropractic physician, nurse , or hospital personnel engaged in the admission, examination, care, or treatment of persons; b) health or mental health professional other than (one listed in paragraph a); c) practitioner who relies solely on spiritual means for healing; d) school teacher or other school official or personnel; e) social worker, child care worker, or other professional child care provider, foster care, residential, or institutional worker; f) law enforcement officer; or g) judge who knows, or has reasonable cause to suspect, that a child is abused, abandoned, or neglected by a parent, legal custodian, caregiver, or person responsible for the child's welfare shall report such knowledge or suspicion to the department (DCF) in the manner prescribed in subsection (2) of 39.201.

What was the very first reported case of child abuse in North America?

Mary-Ellen (1873)

The effects of child abuse and neglect can be serious and permanently affect children's ______, ________ and _________ development. Recent scientific studies of the brain reveal that the first years of a child's life are critical to development. A child must receive adequate ___________ to ensure that nerve cells in the brain develop fully. Negative experiences, like ______ or _____, are extremely detrimental in early years. The effects of abuse on a child can begin before a mother even gives birth.

Mental ... Physical ... Emotional ... Stimulation ... Trauma ... Abuse

Physical and Emotional Effects of Child Abuse and Neglect on Family:

Mistrust: family isolates itself Ineffective: problems get bigger Violent Non-supportive Dysfunctional Poor role model

Failure to provide adequate food, clothing, shelter, health care or needed supervision.

Neglect

Is this abuse or neglect? Leaving a child alone

Neglect

Is this abuse or neglect? Leaving a child in a place that is not safe

Neglect

Is this abuse or neglect? Not providing appropriate schooling

Neglect

Is this abuse or neglect? Not providing food, clothing, or shelter for a child

Neglect

Is this abuse or neglect? Not providing necessary medical attention for a child

Neglect

Is this abuse or neglect? Not providing protection from hazards

Neglect

Suspect abuse, neglect, or both? When you change an infant's diaper, you notice a yellow discharge and unhealthy odor. You report your observations to the parent that evening. The parent says it was nothing. You notice the same symptoms the rest of the week, write an incident report and suggest to the parents that a doctor look at the infant. The parent replies that money is not available and it will probably clear up soon. The following week you notice the same symptoms and report it to your Director who insists on medical treatment. Nothing happens this week.

Neglect

Suspect abuse, neglect, or both? You are a cook in a child care facility. There is a very sweet child who has a slight smile on his face each time you smile at him. You notice that for a number of weeks now he has brought nothing but a small butter and bread sandwich for lunch. He has no fruit or other food in his lunch. He is extremely thin and you observe that he never buys milk that is sold by the school but instead has only water in his cup. The mother, who always comes to the facility with fancy clothes and jewelry, has consistently ignored your inquiries into providing a more balanced meal for the child. The mother claims that he is a picky eater. You have offered him food occasionally when the school has prepared too much. He seems grateful when you do this and gobbles the food down.

Neglect

Florida Abuse Hotline

Operates 24 hours a day, 7 days a week, toll free telephone number 800-962-2873.

Florida Abuse Hotline

Operates 24/7. toll free telephone number 800-962-2873 (1800-96-ABUSE)

What are some examples of things that could be shared with you or talked about that could help you recognize signs of abuse or neglect?

Parent blames or belittles child Parent talks about child as bad or evil Parent smells of alcohol/drugs or seems to be under the influence Parent fails to keep appointments Parent seems unconcerned with child Parent mentions financial problems Parent talks about divorce, death, or illness Parent admits to alcohol or substance abuse Parent talks about domestic violence or shows signs

_______ of abused children may feel that you are a threat. They may be hostile and ungrateful toward you since they feel jealous, in competition, inadequate, or afraid you will learn their secrets and report them.

Parents

______________ of abused children may feel that you are a threat. They may be hostile and ungrateful toward you since they feel jealous, in competition, inadequate, or afraid you will learn their secrets and report them.

Parents

What can shaking a baby or young child cause?

Permanent brain damage Paralysis Blindness Seizures Developmental delays Broken bones Death

What can shaking a baby or young child cause?

Permanent brain damage, paralysis, blindness, seizures, developmental delays, broken bones, death

Parental/Family Risk Factors:

Personality factors (Feelings of insecurity, Lack of trust, Low tolerance for frustration, Poor impulse control, Controlling, Depression) Childhood history of abuse Family structure (single parents) Social Isolation Marital Problems, Divorce Abuse - Alcohol/Drugs Death/illness Lack of parenting skills Financial problems or unemployment Age

What are some parental/family risk factors?

Personality factors such as: • Feeling of insecurity • Lack of trust • Low tolerance for frustration • Poor impulse control • Controlling • Depression, anxiety, or mental illness Childhood history of abuse

Abandonment Is this a physical or behavioral indicator of physical neglect?

Physical

Consistent hunger, poor hygiene, over/under dressed for the climate Is this a physical or behavioral indicator of physical neglect?

Physical

Consistent lack of supervision, especially in dangerous activities over long periods of time Is this a physical or behavioral indicator of physical neglect?

Physical

Domestic violence Is this a physical or behavioral indicator of physical abuse?

Physical

For the 3rd time this week Kevin got mud all over his clothes while he was playing outside. This made Kevin's mother Shelby mad. She thought that putting him in hot bath water would punish him for the dirty clothes. He cried about taking a bath and cried even more when he was put in the bathtub with scalding hot water. Shelby kept her hand on Kevin's shoulder. Every time he tried to get out of the water, Shelby would push him down. Shelby didn't notice the scald marks until after the bath was over. What type of abuse is this?

Physical

Unattended physical problems or medical needs (anemia, urinary infections, diarrhea, malnutrition) Is this a physical or behavioral indicator of physical neglect?

Physical

Unexplained broken bones Is this a physical or behavioral indicator of physical abuse?

Physical

Unexplained bruises or welts Is this a physical or behavioral indicator of physical abuse?

Physical

Unexplained burns Is this a physical or behavioral indicator of physical abuse?

Physical

Unexplained lacerations or abrasions Is this a physical or behavioral indicator of physical abuse?

Physical

What type of abuse is the following? Beating with a bat, shoe or other object

Physical

What type of abuse is the following? Breaking a child's bones

Physical

What type of abuse is the following? Burning a child with a lighter, matches, cigarettes, iron or other hot objects

Physical

What type of abuse is the following? Painful punishments such as kneeling or standing for long periods of time

Physical

What type of abuse is the following? Pulling a child's hair

Physical

What type of abuse is the following? Restraint or imprisonment

Physical

What type of abuse is the following? Scalding a child with hot water

Physical

What type of abuse is the following? Slapping, hitting, shaking or shoving a child

Physical

_________________ signs are observable in the appearance of a child.

Physical

The mistreatment of a child by a person responsible for the child's welfare that results in injury or harm to the child.

Physical Abuse

Indicator: Failure to thrive

Physical Indicator of Emotional Abuse or Neglect

Indicator: Unexplained bruises or welts

Physical Indicator of Physical Abuse

Indicator: Consistent hunger, poor hygiene, or inappropriate dress

Physical Indicator of Physical Neglect

Indicator: Torn, shredded, stained, or bloody underclothing

Physical Indicator of Sexual Abuse

Three types of child abuse

Physical, sexual, and emotional

Physical and Emotional Effects of Child Abuse and Neglect on Society:

Poor employability skills Poor social interaction skills Social withdrawal (leading to isolation) Repeated patterns of abuse/neglect Culture continues to accept violence as a part of life Higher medical and social service costs Lost human potential Increased crime rate

_________ parenting and teaching skills.

Positive

What are some child risk factors?

Premature birth and/or birth defect Chronic or serious illness Physical, cognitive, or emotional disability Temperament-slow or difficult to warm up to others Aggressive behavior problems Attention Deficit Disorder Childhood trauma A personal attribute/characteristic identified by a parent as undesirable

Child Risk Factors:

Premature birth/birth defects Chronic or serious illness Physical, mental, or emotional disability Temperament-slow or difficulty warming up to others Aggression behavior problems ADD Childhood Drama A personal attribute/characteristics identified by a parent or undesirable

Legal Agencies

Provide divorce, domestic violence injunction or guardian ad litem services.

Department of Children and Families

Provides a spectrum of services to preserve and protect the well-being of children and families.

Bruises or bleeding in external genitalia, vaginal or anal areas, mouth or throat Is this a physical or behavioral indicator of sexual abuse?

Pyhsical

Difficulty in walking/sitting Is this a physical or behavioral indicator of sexual abuse?

Pyhsical

Failure to thrive Is this a physical or behavioral indicator of emotional abuse/neglect?

Pyhsical

Lags in physical development Is this a physical or behavioral indicator of emotional abuse/neglect?

Pyhsical

Pain or itching in genital area Is this a physical or behavioral indicator of sexual abuse?

Pyhsical

Speech and language disorders Is this a physical or behavioral indicator of emotional abuse/neglect?

Pyhsical

Torn, shredded, stained or bloody underclothing Is this a physical or behavioral indicator of sexual abuse?

Pyhsical

Misconception: Child molesters prefer very young children.

Reality: 14% select children 5 years or younger. 46% select children between 6-11 age group. 33% select young adults. 7% choose various ages.

Misconception: The child molester is a sexually frustrated person.

Reality: 50% of child molesters are married. Sexuality is not the only issue in pedophilia; identification, expression problems and the need for power and control are also issues.

Misconception: Children are at greater risk of sexual victimization from "gays" homosexuals) than from straight (heterosexuals) adults.

Reality: 51% of men selected female children 21% selected both sexes Females victimized 2-1 83% of child molesters are heterosexual

Misconception: Children are most likely to be sexually assaulted by a stranger.

Reality: 75-95 percent of offenders are known by and may be related to the child.

Misconception: The child molester is insane.

Reality: 95% are not psychotic.

Misconception: Child molesters work in groups.

Reality: 95% of child molesters act alone.

Misconception: Nonviolent sexual behavior between a child and adult is not emotionally damaging to the child.

Reality: Although child sexual abuse may involve subtle rather than extreme force, nearly all victims will experience confusion, shame, guilt, anger and lowered sense of self-esteem, though they may reveal no obvious outward signs.

Misconception: Child molesters commit other crimes.

Reality: Approximately 50% of convicted child molesters have no other criminal record.

Misconception: The sexual abuse of a child is an isolated, onetime incident.

Reality: Child sexual abuse is usually a situation that develops gradually over a period of time, and the sexual abuse occurs repeatedly.

Misconception: If children did not want sex, they could say "stop."

Reality: Children generally do not question the behavior of adults. They are often coerced by bribes, threats and use of authority.

Misconception: The child molester is an alcoholic or drug addict.

Reality: Drug use is essentially nonexistent with child molesters except to break down the child's inhibitions.

Misconception: Child molesters are "dirty old men."

Reality: In a recent study of convicted child molesters, 80 percent were found to have committed their first offense before the age of thirty.

Misconception: Children lie or fantasize about sexual activities with adults.

Reality: In developmental terms, young children cannot make up explicit sexual information: they must be exposed to it. They speak from their own experiences. Sometimes a parent will try to get a child to report sexual abuse falsely. Primary indicators of such a report are the child's inability to describe explicitly or illustrate the act, or a grossly inconsistent account.

Misconception: When a boy is sexually abused, the molesting is perpetrated by male homosexuals.

Reality: Most child sexual abuse is perpetrated by men who are heterosexual and do not find sex with other men at all attractive. Many child molesters abuse both boys and girls.

Misconception: The child molester, over time, will progress to increasingly violent acts.

Reality: Only about 18% of child molesters show any increase in force used. 9% committed violent sexual assaults, 1% of those resulting in death.

Misconception: Males who were sexually abused as boys all grow up to abuse children sexually.

Reality: Only portions of abused boys go on to abuse children.

Misconception: Children provoke sexual abuse by their seductive behavior.

Reality: Seductive behavior may be the result but is never the cause of sexual abuse. The responsibility lies with the adult offender.

Misconception: The molester is retarded.

Reality: There are no differences between the convicted child molester's abilities and that of most of the general public.

These children need a close one-to-one relationship to develop and grow normally. They often ______ warmth, hugs and affection at first.

Reject

Examples of physical child abuse:

Scalding a child with hot water Slapping, hitting, shaking or shoving Beating w/belt, shoe, or other object Pulling a child's hair Burning w/lighter, match, cigarette, iron Breaking a child's bones Locking a child in a closet or imprisonment Painful punishment: kneeling, standing for a long time

Abused and neglected children have very poor ___________. Important adults in their lives have had unrealistic expectations for these children, and they often are led to believe that they caused their own abuse.

Self-images

Casey has been at your program for 3 years. He has been known to lie on several occasions. He comes from a family that has a wonderful reputation in the community. One day Casey is crying. When you ask him what is wrong he tells you that his dad made him take his clothes off and then he took a lot of pictures of him. Casey said Dad told him not to tell anyone about the pictures. He said Dad told him this was their special secret. What type of abuse is this?

Sexual

What type of abuse is the following? Fondling a child's genitals

Sexual

What type of abuse is the following? Having a child touch another person's genitals

Sexual

What type of abuse is the following? Having intercourse or oral sex with a child

Sexual

What type of abuse is the following? Having sex in front of a child

Sexual

What type of abuse is the following? Showing x-rated material to a child

Sexual

What type of abuse is the following? Using a child in pornography

Sexual

Sexual contact or interaction between a child and an adult or older child. Includes indecent exposure, fondling, touching sexual organs, forcible rape, sodomy, exploitation, and showing pornography.

Sexual Abuse

Sexual abuse

Sexual contact or interaction between a child and an adult or older child. Includes indecent exposure, fondling, touching sexual organs, forcible rape, sodomy, exploitation, and showing pornography.

Sexual abuse

Sexual contact or interaction between a child and an adult or older child. Includes indecent exposure, fondling, touching sexual organs, forcible rape, sodomy, exploitation, and showing pornography.

Sexual Abuse

Sexual contact or interaction between a child and an adult or older child. Includes indecent exposure, fondling, touching sexual organs, forcible rape, sodomy, exploitation, and showing pornography. Ex: Using a child in pornography Having intercourse or oral sex w/child

__________________________ is caused by someone shaking an infant and causing injury or death.

Shaken Baby Syndrome

_____________ an infant can cause severe injury because they have weak neck muscles, growing brains, and thin skulls.

Shaking

Institutional abuse or neglect

Situations of known or suspected child abuse or neglect which occurs at the institution where the person allegedly perpetrating the child abuse or neglect is an employee of a private school, public or private child care center, residential home, institution, program, or agency or any other person at such institution responsible for the child's care.

Institutional abuse or neglect

Situations of known or suspected child abuse or neglect which occurs at the institution where the person allegedly perpetrating the child abuse or neglect is an employee of a private school, public or private child care center, residential home, institution, program, or agency or any other person at such institution responsible for the child's care.

They may be ____ in one or more areas of their development (motor, speech, and behavior.)

Slow

Risk Factor: Cultural acceptance of abuse

Social

Risk Factor: Social isolation - lack of support Homelessness

Social

Emotional Abuse or Neglect Indicators (Physical)

Speech and language disorders Lags in physical development Failure to thrive

Florida Law Section 39.202

States that the name of the person reporting the child abuse or neglect shall not be released to any person other than employees of the department responsible for child protective services, the central abuse registry, and tracking system, or the appropriate state attorney without the written consent of the person. This law ensures that confidentiality will be maintained for the person reporting the suspected cases of child abuse and/or neglect.

Social/Environmental Risk Factors:

Stressful life or community (hurricanes) Low socioeconomic status/poverty Homelessness Lack of access to medical care, health care insurance, child care and social services Dangerous/violent neighborhood Community violence Cultural acceptance of abuse

How can you cope with a crying baby or child?

Take deep, slow breaths, take a break, ask for help, count to 10.

How can you cope with a crying baby or child?

Taking deep, slow breaths Taking a break Asking for help Counting to 10

Individuals

Teach children about child abuse and neglect issues. You must be alert for signs of child abuse or neglect in children you know, give emotional support to victims of child abuse and neglect, and give support to programs that work to prevent child maltreatment.

What are the 4 ways to make a report of child abuse or neglect?

Telephone Fax TDD Online

What does Florida Statute Section 39.203 ensure?

The law ensures that civil or criminal immunity (protection from being sued) will be given to the person reporting a suspected case of child abuse and/or neglect. Section 39.203 states this protection will be given to any person, official, or institution participating in good faith.

Physical abuse

The mistreatment of a child by a person responsible for the child's welfare that results in injury or harm to the child.

Physical abuse

The mistreatment of a child by a person responsible for the child's welfare that results in injury or harm to the child.

Physical Abuse

The mistreatment of a child by a person responsible for the child's welfare that results in injury or harm to the child. Ex: Slapping, hitting, shaking or shoving Beating w/belt, shoe, or other object Painful punishment: kneeling, standing for a long time

T or F. A good resource for information is the Department of Children and Families child abuse website: www.dcf.state.fl.us/abuse/

True

T or F. As a child care provider it is your duty and your legal responsibility according to Chapter 39 of the Florida Statutes. to report any suspected case of child abuse or neglect.

True

T or F. Every adult in Florida is required by law to report ANY suspected abuse or neglect. Mandatory reporters must give their name when making a report, everyone else can make an anonymous report if they prefer. Failure to report suspected abuse or neglect is a felony of the third degree in the State of Florida.

True

T or F. Florida law ensures that confidentiality will be maintained for child care workers reporting suspected cases of child abuse and/or neglect.

True

T or F. Interaction with children and families provides information that may help the caregiver in recognizing possible cases of abuse and/or neglect.

True

T or F. It is important for your program to offer parents information on resources in your community in an effort to prevent neglect before it occurs.

True

T or F. It takes understanding, patience, and skill to work with abused and neglected children.

True

T or F. The four ways abuse and neglect reports can be made to the Florida Abuse Hotline are: telephone, fax, TDD (telephone device for the deaf), and online.

True

T or F. The law specifies that reports must be submitted when the individual "suspects" or "has reasonable cause to believe" that abuse or neglect has taken place.

True

T or F. There are child, family and environmental factors that place children at risk for abuse and/or neglect.

True

T or F. There are local community resources that provide help for the abused and the abuser.

True

T or F. When it comes to suspected child abuse and/or neglect, you don't have to prove anything. That is the Investigator's job.

True

T or F. he effects of child abuse and neglect can be serious and permanent to a child's mental, physical and emotional development.

True

Children who have been abused may not _____ other people. Their experiences have shown them that getting close to people and trusting them causes discomfort and pain.

Trust

Their behavior may be at one of ____ extremes: difficult to manage, destructive, and irritable, or unusually shy and anxious to please.

Two

Physical Abuse Indicators (Physical)

Unexplained bruises or welts Unexplained burns Unexplained broken bones Unexplained lacerations or abrasions Domestic violence

Examples of sexual child abuse:

Using a child in pornography Having intercourse or oral sex w/child Fondling a child's genitals Having a child touch another person's genitals Showing x-rated material to a child

A form of emotional abuse that involves excessive yelling, shaming, belittling, and/or teasing child.

Verbal Abuse

Physical Abuse Indicators (Behavioral)

Wary of adult contact Apprehensive when other children cry Behavioral extremes: aggressive or withdrawn Frightened of parents Afraid to go home Reports injury by parents Shows anxiety about normal activities (napping, eating, etc.) Easily startled Wearing long sleeves/pants in warm weather Banging, hitting or threatening play

Inadequate supervision

When a child is left alone in a situation beyond their physical and emotional development level or when a child is left in the care of someone who does not provide adequate supervision.

Inadequate supervision

When a child is left alone in a situation beyond their physical and emotional development level or when a child is left in the care of someone who does not provide adequate supervision.

Lack of adequate clothing/good hygiene

When a child suffers or is likely to suffer, from physical or emotional health conditions resulting from inadequate clothing, improper hygiene and uncleanness.

Lack of adequate clothing/good hygiene

When a child suffers or is likely to suffer, from physical or emotional health conditions resulting from inadequate clothing, improper hygiene and uncleanness.

Lack of medical/dental care

When a medical or dental condition is left untreated, possibly resulting in serious or long-term harm to the child.

Lack of providing access to education

When education is not enforced by the parents, thereby contributing to the child's absence from school - leading to the lack of education and leading to truancy.

Lack of providing access to education

When education is not enforced by the parents, thereby contributing to the child's absence from schol leading to the lack of education and leading to truancy

lack of adequate nutrition

When the caretaker has regularly failed to provide or have available adequate food to the child, which can cause malnutrition over a long period of time.

Lack of adequate nutrition

When the caretaker has regularly failed to provide or have available adequate food to the child, which can cause malnutrition over a long period of time.

Lack of adequate shelter

When the child is exposed to structurally unsafe housing, exposed wiring, inadequate or unsafe heating, or unsanitary housing conditions.

Lack of adequate shelter

When the child is exposed to structuraly unsafe housing, exposed wiring, inadequate or unsafe heating, or unsanitary housing conditions

Lack of love and attention (failure to thrive)

When the parents deny satisfying or fulfilling relationships, thus avoiding most interactions as a method of avoiding rejection and failure. The lack of support or emotional care or love can cause the infant and/or child's weight to fall below the fifth percentile for age.

Lack of love and attention (failure to thrive)

When the parents deny satisfying or fulfilling relationships, thus avoiding most interactions as a method of avoiding rejection and failure. The lack of support or emotional care or love can cause the infant and/or child's weight to fall below the fifth percentile for age.

When is a Fax Report Form used?

When you need to fax a report to the hotline. This form can also be used prior to making a phone call to insure you have gathered the most important information.

__________________ to take the risk of becoming involved with an abused or neglected child.

Willingness

Sexual Abuse Indicators (Behavioral)

Withdrawal, fantasy or infantile behavior Bizarre, sophisticated, or unusual sexual behavior or knowledge Poor peer relationships Delinquency or runaway Reports sexual assault by caregiver

• The name of the group you belong to, or will belong to, that is required by law to report child abuse/neglect. • Three other mandatory reporters.

a) b) 1.Physician 2. Nurse 3. School Teacher

The effects of _______ on a child can begin before a mother even gives birth.

abuse

Children are not always eager to talk about an __________ incident.

abusive

When wrongly accused of child abuse or neglect, he most important thing is to ________________________________ with clearing the report so that they can find out who is abusing the child.

assist the investigators

If the situation is an emergency and the child is in danger, ____________ and then follow- up with a call to the abuse hotline.

call 911

Working with abused or neglected children can be _______________. Before you can effectively help a child or parent, you need to know several things about their behavior.

challenging

Sometimes they will disclose information through a _______________. This could come out in areas such as housekeeping.

class activity

The effects of child abuse and neglect can be serious and permanently affect children's _____________, _______________, and _________________ development.

cognitive physical emotional

A mandatory reporter's name is entered into the record of the report but is held _______________(39.202, F.S.).

confidential

Although you must provide your name when filing a report, the law provides caregivers _____________________________ from being sued.

confidentiality and protection

Both abuse and neglect are _________________________ of children's human rights.

crimes and violations

Recent scientific studies of the brain reveal that the first years of a child's life are ____________to development.

critical

Three children die of child abuse in the home in the US each ___

day

DCF website

dcf.state.fl.us/abuse

Abused children may be ___________ in one or more areas of their development (motor, speech, and behavior.)

delayed

There are ___________ that are trained to question the child.

experts

It is important for you to learn about this subject. Child abuse and neglect occurs in all socio-economic ____________ as well as in __________________________________

families child care programs

Experiences throughout childhood can _______ mental abilities that may cause a child to respond with aggression or violence to stressful or frustrating situations.

impair

The difference between abuse and neglect is that if an adult _____________ withholds food, shelter or any other necessity as a punishment, then it is abuse, but if things are withheld by circumstance or _____________________, care, or education, then it is an act of neglect.

intentionally lack of awareness

Another way to identify child abuse and neglect is to ____________ with parents and children by talking and listening to them.

interact

Child abuse and neglect is more prevalent than you may think, and you may be the only person in a position to ______________.

intervene

There are _____ that protect caregivers who report suspected cases of child abuse and neglect.

laws

A ______________________ is required by Florida Statute to provide his or her name to the Florida Abuse Hotline Counselor when reporting.

mandatory reporter

A report of suspected child abuse and neglect states that a child ______ have been abused or neglected.

may

You have not only a ____________ obligation to intervene, but a _________ obligation to report child abuse and neglect.

moral legal

Failure to provide support, acceptance, attention, warmth, supervision and normal living experience for a child is considered ________________.

neglect

There are _______________ physical and behavioral indicators associated with abuse and neglect.

observable

_______ communication allows you to be aware of risk factors.

open

A feeling of your __________ as a person and as a child care provider-independent of the child's progress or the parents gratitude for your efforts.

own worth

Withholding support, acceptance, attention, warmth, supervision and normal living experience can cause a child to not function normally in ______________________________________.

performance and behavior

The ________________________________ consequences of child abuse and neglect affect the child, family, caregiver, community and society.

physical and emotional

Abused children need a close one-to-one relationship to develop and grow normally. They often ________ warmth, hugs and affection at first.

reject

Abused and neglected children have very poor _________________. Important adults in their lives have had unrealistic expectations for these children, and they often are led to believe that they caused their own abuse.

self-images

A child must receive adequate _____________________ to ensure that nerve cells in the brain develop fully.

stimulation

There are places to go within the community whose many functions provide ______________________________ services to children and parents encountering child abuse and neglect. These resources also provide education to the community about child maltreatment issues.

support and preventative

Negative experiences, like _________ or _________, are extremely detrimental in early years.

trauma abuse

Children who have been abused may not ______ other people. Their experiences have shown them that getting close to people and trusting them causes discomfort and pain.

trust

Abused children behavior may be at one of _______ extremes: difficult to manage, destructive, and irritable, or unusually shy and anxious to please.

two

Ability to _____________________________ with abusive parents who are often emotionally immature, have low self-esteem, and may respond to you with jealousy and hostility.

understand and communicate

Physical and Emotional Effects of Child Abuse and Neglect on Children:

• Academic problems: school learning problems, underachievement, truancy • Behavior problems: passive or withdrawn, active or aggressive, self-destructive, drug use, impulsivity • Sexual problems: sexually inappropriate behavior, promiscuity or withdrawal • Confusion about identity: low self-esteem, poor self-image • Anxiety, loss of trust, depression • Medical/dental problems: fertility problems, chronic pain, stress disorders

Physical and Emotional Effects of Child Abuse and Neglect on Caregivers:

• Challenging to deal with disruptive behavior in children • Not trained to deal with psychological issues • It is heartbreaking to worry about the children you know • Stress reactions • Confusion/apprehension about what to do • Fear of reporting

The key groups involved in the child protection system are:

• Child Protective Services • Department of Children and Families • Law Enforcement and State Attorney's Offices • Medical Programs and Community Agencies • Legal Agencies • Communities • Individuals

The guidelines on what to do if you are wrongly accused of child abuse or neglect.

• Don't become defensive. • Cooperate fully and factually with authorities. • Get statements from colleagues about your character. • Know the laws related to abuse and neglect. • Talk to a lawyer to ensure your rights and those of family members and helpers. • Remember that protective policies you have put in place such as your discipline procedures and incident reports will help you. • Work with your director and colleagues to handle the impact of the accusation on the school, other parents and students.

Physical and Emotional Effects of Child Abuse and Neglect on Family:

• Mistrust: family isolates itself • Ineffective: problems get bigger • Violent • Non-supportive • Dysfunctional • Poor role model

Physical and Emotional Effects of Child Abuse and Neglect on Society:

• Poor employability skills • Poor social interaction skills • Social withdrawal (leading to isolation) • Repeated patterns of abuse/neglect • Culture continues to accept violence as a part of life • Higher medical and social service costs • Lost human potential • Increased crime rate

What are some social/environmental risk factors?

• Stressful life or community events (ie., hurricanes) • Low socioeconomic status/poverty • Homelessness • Lack of access to medical care, health insurance, child care and social service • Dangerous/violent neighborhood • Community violence • Cultural acceptance of abuse

In Florida, the continuum of prevention and intervention services fall into many categories, such as:

• parental support for expectant parents • postnatal education and support • in-home education and support • early and regular educational, medical and psychological screening • medical and psychological services • child care • self-help groups • parent education and training • child safety training • family crisis and intervention support • treatment and intervention services • community organizations • public information