Job Aid 1: Signs of Abuse and Neglect - …

1 job aid 1: Signs of Abuse and Neglect These tables identify Signs of Abuse and Neglect . Not every abused or neglected child or abusive parent displays all of these Signs . However, some of these Signs are likely to be present. Physical Abuse Inflicting physical injury or allowing someone else to do so. Physical Signs in child: 9 Unexplained bruises, welts, burns, bumps, fractures, cuts, or abrasions 9 Hemorrhages 9 Burns by cigarettes 9 Burns by immersion (Example: a burn from being placed in a tub of hot water) 9 Dental or oral injuries Behavior Signs in child: 9 Telling someone of Abuse 9 Too eager to please 9 Depression 9 Low self-esteem 9 Behavioral extremes 9 Role reversal (child acting as the adult) 9 Developmental lags Fear of the caretaker.

2 9 9 d startle 9 absenteeism 9 Probable victim of Abuse or Neglect apprehensive crying Exaggerateresponse School or daycare Characteristics of caregiver: 9 Disciplines child harshly 9 Describes child in a consistently negative manner 9 Acts defensive 9 Conceals or misleads about child s injuries 9 Has unrealistic expectations of the child s abilities (Example: expects bowel or bladder control in an infant or toddler) 9 Often assumes child is willfully trying to upset the caregiver or reject the caregiver 9 May Abuse substances9 Has low self-esteem 9 Suffers from depression or anxiety Sexual Abuse Using a child for sexual gratification or allowing someone else to do so.

3 Physical Signs in child: 9 Any venereal disease Bruised 9 or dilated genitals or 9 awling, 9r, 9 Recurrent urinary tract infections 9 9 es of people 9 9 9 ly protective of family 9 nvolved in 9 te in entally-appropriate May Abuse substances rectum Difficulty or pain crsitting, or walking Foreign matter in bladderectum, or urethra 9 Torn, stained, or bloodyunderclothing Behavior Signs in child: Displaying aggressive,overt sexual behavior Drawing picturwith genitals 9 Being cruel to animals Having premature knowledge of explicit or sexual acts 9 Having sleep disorders9 Taking frequent baths 9 Starting fires Self-inflicting injuries 9 Expressing fear of a particular place or person 9 Reporting sexual Abuse Characteristics of caregiver: Extremeprivacy Doesn t allow child to be iextra-curricular activities Doesn t want child to participadevelopmactivities 9 June 2006 1 job aid 1.

4 Signs of Abuse and Neglect Physical Neglect Chronic or acild s basi, shelter, ute failure to meet a chc needs for food, clothingmedical care, education, or supervision. Phynt s head , or 9 ss) h9 ss 9 9 Uses alcohol or drugs (older children) 9 Reports being left alone ) a9 9 victim of Abuse or Neglect rs from depression, anxiety, or other mental health disorder 9 Low intellect Be avior Signs in child: Acts dull or listle9 Begs for or steals food Feels tired constantly Ch racteristics of caregiver: Has low self-esteem Probable 9 May Abuse substances 9 Commonly suffesical Signs in child.

5 9 Flat, bald spots on infa9 Poor hygiene 9 Clothing that is torn, dirtyinappropriate for the weather evelopmental lags D9 Underweight 9 Untended health issues (Example: child is ill, but parent (when child is too young to be left alone9 Lives in poverty; lacks resources doesn t respond to illne Emotional Neglect or Abuse Chronic failure bysupport and affection a the caregiver to provide the child needs to form a sound, healthy personality. Behavior Signs in child: 9itive relationships roblems (constipation or preoccupation 9 Apathetic 9 9 9 9 giver.)))

6 Child hild 9 Corrupts the child 9 Has low self-esteem 9 Likely to suffer from depression, anxiety, or other mental disorders Low self-esteem 9 Difficulty forming pos9 Eating disorders 9 Elimination pwith feces) 9 Speech disorders 9 Inability to trust 9 Sleep problems Characteristics of care9 Belittles child 9 Constantly criticizes 9 Rejects or ignores the c9 Terrorizes the child 9 Isolates the child Suicidal thoughts or tendencies Anxiety or unfounded fears 9 Probable victim of Abuse or Neglect Developmental lags Reports emotional maltreatment Note: Indiana law does not define emotional maltreatment or Neglect .

7 This form of mistreatment is just as damaging, if not more so, than other forms of maltreatment. Emotional maltreatment can ocalone but often accompanies Abuse and Neglect . cur oes not attach and bond with the child at all. It is a chronic condition of emotional attachment or bonding not being offered to the child. The child does not receive the support and affection he or she needs. Children who are emotionally neglected are not held, talked to, touched, or played with as infants. This form of maltreatment has long-term, serious negative consequences for a child because he or she never develops the ability to form attachments.

8 If physical Abuse or Neglect occurs, you can assume there is emotional Abuse or Neglect as well. Emotional Neglect is the chronic failure of the caregiver to provide the support and affection a childneeds to form a sound, healthy personality. When a child is emotionally neglected, the caregiver dJune 2006 2 job aid 2: An MSLC Assessment Tool Assessment Codes: 1 - No risk 2 - Low risk 3 - Moderate risk 4 - High risk 5 - Insufficient information Type of Visit (circle one): Initial Interim Final Date:_____ Assessment Code Child 1 Age Child 2 Age Child 3 Age I.

9 Food supply Water supply II. Sanitation Food storage Waste/garbage/sewage General hygiene Animals Bath facilities Health hazards III. Shelter Roof Floor Ceiling Windows/screen Walls Electrical Plumbing Heating Cooling Ventilation Wood stove Adequate space IV. Clothing Basic needs Seasonally appropriate February 2006 3 job aid 2: An MSLC Assessment Tool Assessment Code Child 1 Age Child 2 Age Child 3 Age V.

10 Health/Medical Immunizations Dental Other VI. Protection/Safety Yard Hazards Clutter Supervision/protection Dangerous substances Firearms February 2006 4 job aid 3: Assessing Risks for Abuse or Neglect Caregiver Risks: Characteristics or background of the caregiver(s) that increase the risks of Abuse or Neglect of children. Poverty What to observe 9 Is housing sufficient for family s needs? Is it big enough? Is it safe? 9 Does family seem to have sufficient food or clothing? 9 Does caregiver have a job?