1. Child Abuse and Neglect
Module 1:___________ Child Abuse and Neglect

2. Your Role in Identifying Child Abuse and Neglect
It is important for you to learn about this subject. Child abuse and neglect occurs in all socio-economic ____________ as well as in __________________________ . It is more prevalent than you may think, and you may be the only person in a position to intervene. You have not only a __________ obligation to intervene, but ____________ obligation to report it.
For more information about child abuse and neglect, you can call the Florida Coalition Against Domestic Violence at or the Florida Council Against Sexual Violence at to be connected to a local hotline.

3. Child Abuse and Neglect Quiz
1. Three children die of child abuse in the home in the United States each
a) Year b) Day c) Week d) Month
2. How many people report child abuse when faced with an actual situation?
a) 3/4 b) 1/2 c) 1/3
3. 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
4. On average, child abuse is reported somewhere in the United States every
a) 10 seconds b) 20 minutes c) Hour

4. 5. Strangers pose the greatest risk of sexual abuse to children.
a) True b) False
6. Child molesters get their sexual gratification only from children.
a) True b) False
7. 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
8. 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.

5. Activity: Learning Definitions

6. Types of Child Abuse This is an example of __________________:
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.

7. Examples of Physical Abuse
__________ a child with hot water.
Slapping, _______, shaking or shoving a child
Beating with a belt, shoe or other object
Pulling a child’s _________
_________ a child with a lighter, matches, cigarettes, iron, etc
_________ a child’s bones
Locking a child in a closet or similar type of __________ or imprisonment
Painful ___________ such as kneeling or
standing for long periods of time

8. Types of Child Abuse Another type of child abuse is ________:
Casey has been at your facility 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.

9. Examples of Sexual Abuse
Using a child in ___________
Having intercourse or ________ with a child
________ a child’s genitals
Having sex in front of a child
Having a child ______ another person’s genitals
________ pornographic material to a child

10. Types of Child Abuse A third type of abuse is __________.
Latoya is 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.

11. Examples of Emotional Abuse
Conveying messages that a child is worthless, _________ or unloved
___________ a child
__________ domestic violence
Demeaning, ridiculing or __________ a child
Not allowing the child to have _______
Name calling
Not letting a child eat, drink or use the _________

12. _______ to ______ Can be an outcome of ___________
_______________________________________________________________________________________
This can cause an infant/child’s weight to drop to _____________ ___________.

13. Key Point
There are three types of child abuse: ________, ________, and _________.

14. ______ Baby ________ A specific type of _____________.
Caused by someone _____________ ________________________________________________________
Infants have ________ neck muscles, growing brains, and thin skulls.

15. Shaken Baby Syndrome What can shaking a baby or young child cause?
What can you do to prevent Shaken Baby Syndrome?
How can you cope with a crying baby or child?

16. Examples of _____ ________
Leaving a child __________
Leaving a child in a place that is ____ _____
Lack of ___________
Not providing _______, clothing or shelter for a child
Not providing necessary __________ attention for a child
Not providing appropriate ___________
Not providing protection from __________

17. Child Neglect your families from the first day they enter
Failure to provide ___________________________ ________________________________________ for a child is considered neglect. Withholding these things can cause a child to not function normally in performance and behavior. Sometimes withholding things can also be child abuse. 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 lack of ___________, care, or education, then it is an act of neglect. Both ______ and _______ are crimes and violations of children’s human rights. It is important for your program to offer parents information on resources in your community in an effort to prevent neglect before it occurs. Be proactive – work with
your families from the first day they enter
your program.

18. Key Point
Failure to provide support, acceptance, attention, warmth, supervision and normal living experience (such as water, food, clothing, housing, and protection) for a child is considered _________.

19. Different types of abuse and neglect have observable indicators or signs. These are behavioral and physical indicators.
-__________ signs are observable in the way a child acts.
-________ signs are observable in the appearance of a child.
You should understand that ____________ ________________________________________________________________________________________________________________________________

20. Physical Abuse Indicators physical behavioral
Unexplained _______ or welts
Unexplained _____
Unexplained ______ bones
Unexplained lacerations or _________
Domestic violence
____ of adult contact
Apprehensive when other children ____
Behavioral extremes:_________ or withdrawn
Frightened of parents
______ to go home
Reports injury by parents
Easily ________
Shows anxiety about normal activities

21. Physical Neglect Indicators physical behavioral
Consistent ______, poor hygiene, inappropriate dress
Consistent lack of ___________, especially in dangerous activities over long periods of time
Unattended physical problems or _______ needs
___________
_______, stealing food
Extended stays at school
Constant _______, listlessness or falling asleep in class
_______ or drug abuse
__________ (thefts)
States there is no caregiver

22. Emotional/NeglectIndicators physical behavioral
______ and language disorders
Lags in ________ development
_______ to thrive
Habit disorders
_______ disorders
Neurotic traits
Psychoneurotic reactions
Behavior ________
Overly adaptive behavior
_____________ lags
Self destructive behavior or attempted _______

23. Sexual Abuse Indicators physical behavioral
Withdrawal, fantasy or _________ behavior
_______, sophisticated, or unusual sexual behavior or knowledge
Poor ____ relationships
Delinquency or runaway
Reports ______ assault
__________ in walking/sitting
Torn, shredded, stained or bloody underclothing
____ or itching in genital area
_______ or bleeding in external genitalia, vaginal or anal areas, mouth or throat

24. Key Point
There are observable ________ and __________ indicators associated with abuse and neglect.

25. Interaction with Child & Family
________ and __________ indicators are one way to identify child abuse & neglect. Talking and listening to children and families is another method of helping you recognize abuse & neglect. A great deal of important information can be gathered from _____________ with parents or children.

26. Interaction with Child and Family
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?

27. Caregiver talking to Child about Abuse
DO’s:
_______ what the child tells you
Be someone the child ______ & respects
Conduct the ____________ in a quiet, private & non-threatening place
Gather enough information to make an informed report to the Abuse Hotline
Reassure the child that he/she has done _______ wrong
Allow the child to tell you what happened in a free & open manner
Let the child set the pace & use language that is comfortable to them
Ask child to clarify __________ terms

28. DON’Ts: Ask _______ questions or suggest answers to the child
Ask for details (investigator’s job)
Suggest that the story may not be true
Show ____ language such as shock, anger or surprise while the child is talking
Communicate feelings of _____, anger or surprise
Force child to remove clothing to show signs of physical abuse
Leave the child alone with a ________
Ask “____” questions

29. Key Point
____________ with children and families provides information that may help the caregiver in recognizing possible cases of abuse and/or neglect.

30. #1:You are a caregiver for 4-year olds
#1:You are a caregiver for 4-year olds. You have known one of the boys in your class & his family for about 6 months. The mother is divorced & is raising the boy and his older sister by herself. The father sees the children once in a while. The mother dates & leaves the boy at night with his older sister to supervise him. Lately, the boy has been coming to school with various cuts & 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.

31. #2: You are a caregiver and one day one of your 3-year olds comes to your program limping. You ask the child what happened and if you could see what is hurting her. She says that she has been very bad and starts to cry.

32. #3: A child in your program has had a recent personality change
#3: 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 sleeves & shows you what appears to be finger marks from a very hard slap. You ask him how it happened & he tells you that his father slapped him. You ask the child where else he had been slapped & he shows you his back with many old marks. You bring the child to the Director & the Director says that it may have been an accident & that the father probably did not mean to hurt the child. The Director refuses to call child abuse or to deal with it since the father is a lawyer and the Director is afraid
of a lawsuit against the school.

33. #4:You are a cook in a child care facility
#4: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-bread sandwich for lunch. He has no fruit or other food in his lunch. His is extremely thin & you observe that he never buys milk sold to the school but instead has only water in his cup. The mother, who always comes to the facility with fancy clothes & 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 you have extra. He seems grateful when you do this & gobbles the food down.

34. #5: When you change an infant’s diaper, you notice a yellow discharge & unhealthy odor. You report your observations to the parent that evening. The parent says it is nothing. You notice that same symptoms the rest of the week, write an incident report & suggest to the parents that a doctor look at the infant. The parent replies that money is not available & it will probably clear up soon. The following week you notice the same symptoms and report it to your Director, who speaks to the parents & insists on medical treatment. Nothing happens this week.

35. #6: 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 in her classroom and several of the children crying. You approach her about it & she says that the children were just misbehaving. Today a little boy from her class approaches you in tears & says that she made him stand in the dark closet for a long time.

36. Risk factors of Child Abuse and Neglect
Child Risk Factors:
Parental/Family Risk Factors:
Social/Environmental Risk Factors:

37. Key Point
There are child, ______ and _____________ factors that place children at risk for abuse and/or neglect.

38. Misconception or Reality?

39. Child Abuse and Neglect
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.

40. Child Abuse and Neglect
Experiences throughout childhood can ________________________ that may cause a child to respond with __________ or ___________ to stressful or frustrating situations. The physical and emotional consequences of child abuse and neglect affect the child, family, caregiver, community and society.

41. Physical and Emotional Effects of Child Abuse and Neglect on Children
__________________________________

42. Physical & Emotional Effects of Child Abuse/Neglect on the Family
_____________________________________

43. Physical & Emotional Effects of Child Abuse/Neglect on Caregivers
__________________________________________________________________________
Not trained to deal with ___________________
Heartbreaking to __________________ the children you know
_____________________________________
________________________ about what to do

44. Physical & Emotional Effects of Child Abuse/Neglect on Society
Poor ______________________ skills
Poor _____________ interaction skills
Social withdrawal – ______________________
________________________ of abuse/neglect
Culture continues to _____________________ as a part of life
Higher _________ and _________ service costs
Lost human potential
Increased ___________________

45. Key Point
The effects of child abuse and neglect can be __________ and permanent to a child’s mental, physical and emotional ___________; but they can find healing and recover.

46. Strengthening Factors to Prevent Child Abuse & Neglect
Nurturing & Attachment:
Knowledge of Parenting & of child and youth development:
Parental Resilience:
Social Connections:
Concrete Supports for Parents:

47. Working with Abused and Neglected Children
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.
These children need a close one-to-one relationship to develop and grow normally. They often _________ warmth, hugs and affection at first.
They may be _______ in one or more areas of their development (motor, speech, and behavior.)
Their behavior may be at one of ______ extremes: difficult to manage, destructive and irritable, or unusually shy and anxious to please.
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.
_________ 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.

48. Key Point
It takes understanding, ________, and skill to work with abused and _________ children.

49. Child Abuse and Neglect
Module 2: Reporting Child Abuse and Neglect

50. Mandatory Reporters _____ – Any person, including, but not
limited to, any:
a) _____________, osteopathic physician, medical examiner, chiropractic physician, _______, or hospital personnel engaged in the admission, examination, care, or treatment of persons;
b) _____________ or mental health professional other than (one listed in paragraph a);
c) practitioner who relies solely on spiritual means for healing;
d) _____________or other school official or personnel;
e) _______________, ________________ worker, or other professional child care provider, foster care, residential, or institutional worker;
f) law enforcement officer;
g) ___________ 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

51. Mandatory Reporters
Some occupations are specified in __________ ______ as required to do so.
These occupations are considered “mandatory reporters.”
A mandatory reporter is required by Florida Statute to provide his or her ____ to the Florida Abuse Hotline Counselor when reporting.
A mandatory reporter’s name is entered into the record of the report but is held ____________.

52. Child Maltreatment Statistics

53. Key Point
Child care workers are required by law to _______ suspected child abuse and/or neglect.

54. Reporting Child Abuse and Neglect
As a child care provider it is your duty and your ________________________ according to Chapter 39 F.S. to report any ______________ case of child abuse or neglect. You don’t have to prove anything. That is the Investigator’s job. You should report that you _____________ abuse or neglect to have occurred.

55. Four Ways to Report Abuse and Neglect
Telephone
Fax
TDD (telephone device for the deaf)
Online __________________________
1-800-___________________________

56. Key Point
The four ways abuse and neglect reports can be made to the Florida ______ ________ are: telephone, fax, TDD, and online.

57. Report Form
The law specifies that reports must be submitted when the individual “___________” or “________ _________________________ to believe” that abuse or neglect has taken place.
On the form: the __________ personal information; information on the child & other children in the household; information on ________ person responsible; details of behavioral/physical indicators; details of what was told to you by the child; etc

58. Filling Out the Report Form
One of the children in your program, John, arrives one morning with a black eye. He is normally cheerful and animated, but today he is acting more quiet than usual. When questioned in the morning he tells you that he fell off his bike the previous day. Later in the day you hear him telling a co-worker that he fell down some stairs. John lives with his father, Ben, and an older brother, Steve. Steve is in high school and plays on the football team. John’s father is a mason and works very long hours. He is often in a hurry when he drops John off in the morning and picks him up in the afternoon.

59. ____________
FL Statute : _____________ ________________________________________________________
FL Statute : _____________ ________________________________________________________

60. Key Point
Florida law ensures that ____________ will be maintained for child care workers reporting suspected cases of child abuse and/or neglect.

61. Accusations of Child Abuse and Neglect
Don’t become _______________.
Cooperate fully and _____________ with authorities.
Get statements from colleagues about your _____________.
Know the ___________ related to abuse and neglect.
Talk to a lawyer to ensure your rights and those of family members and helpers.
Remember that ____________________________ you have put in place such as your discipline procedures and incident reports will help you.
Work with your director and _________________ to handle the impact of the accusation on the school, other parents and students.

62. Agencies/Resources Child Protective Services (CPS):
Department of Children & Families:
Law Enforcement & State Attorney’s Offices:

63. Agencies/Resources Medical Programs & Community Agencies:
Legal Agencies:
Communities:
Individuals:

64. Key Point
There are local community __________ that provide _____ for the abused and the abuser.

65. Do’s and Don’ts for Caregivers (See separate chart at end of note packet for do’s & don’ts)

66. Key Point
A good __________ for information is the Department of Children and Families child _________ website:

67. Video: “Child Abuse & Neglect: A Prevention & Reporting Guide for Caregivers Write 3 important points from the video.