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Editor: LaShonda Y. Brown - NTI Trainer Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants.

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Presentation on theme: "Editor: LaShonda Y. Brown - NTI Trainer Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants."— Presentation transcript:

1 Editor: LaShonda Y. Brown - NTI Trainer Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

2  An estimated 905,000 children were victims of maltreatment  Younger children have the highest rate of victimization  1,530 children died from abuse or neglect  83% of victims are abused by a parent 2 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

3  Name the four types of child maltreatment  Describe the common indicators of child maltreatment  Discuss the role of child care providers in reporting child maltreatment  Understand the role of the CCHC in preventing and responding to child maltreatment 3 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

4  Click on the “Next Section” button at the bottom of the page to continue with the course.  Follow this procedure for each subsequent section. 4 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

5  Personal  Professional  Legal 5 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

6  Training and Referral  Policy Development  Staff Support  Reporting 6 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

7  Any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation; or  An act or failure to act which represents an imminent risk of serious harm. 7 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

8 A repeated pattern of caregiver behavior or extreme incidents that convey to children that they are worthless, flawed, unloved, unwanted, endangered, or only of value in meeting another’s needs. 8 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

9  Blaming, belittling, or rejecting a child  Threatening violence toward a child  Placing a child in isolation  Exploiting or corrupting  Failing to express affection  Constantly treating siblings unequally  A persistent lack of concern for the child’s welfare 9 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

10  Intentional injury to the child  Causing tangible physical harm  Physical abuse may result from hitting, pushing, burning, biting, shaking, etc.  Physical punishment practices (such as spanking) 10 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

11  Use, persuasion, or coercion of any child to engage in any sexually explicit conduct  Might involve touching (fondling, penetration or any type of inappropriate contact with a child’s genitals, buttocks, or breasts)  It may include non-physical acts such as exposure to sexually explicit materials 11 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

12 Failure to provider for the child’s basic needs. While abuse tends to be episodic, neglect tends to be chronic. There are three main types: ▪ Physical ▪ Educational ▪ Emotional 12 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

13  64.1 % experienced neglect  16% physically abuse  8.8% sexual abuse  6.6% emotional abuse  2% medical neglect  15.1% (abandoned, threats and congenital drug addiction) 13 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

14  Recognition of child maltreatment is based on the detection of a cluster of indicators rather than observation of one or two clues.  Appearance of indicators does not necessarily mean that abuse has occurred. When observed, they should be explored to determine the cause. 14 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

15  Intentional injuries often appear on the face, lips, mouth, torso, back, buttocks, and thighs.  Bruises may be at various stages of healing.  Infants who are not yet mobile may have abnormal bruising or other injuries. 15 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

16  Behavioral extremes – passive or aggressive  Wariness of adult contact  Inappropriate or precocious maturity  Vacant or frozen stares  Apprehension when other children cry  Indiscriminant seeking of affection  Wearing clothing inappropriate for the weather (in order to cover bruises or injuries) 16 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

17  Pain, itching, bruises, swelling, or bleeding around the genital area  Stained or bloody underclothing  Demonstrated difficulty sitting or walking  Bedwetting or nightmares (Sexually transmitted diseases ((STDs)) can be an indicator, but are not common.) 17 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

18  The report of sexual abuse  Frequent touching/fondling of genitals or masturbation  Inappropriate sexual expression with trusted adults  “Clinginess”, fear of separation  Excessive bathing  Reenactment of abuse using dolls, drawings, or friends  Neglected appearance  Avoidance of certain staff, relatives, or friends  Lack of involvement with peers 18 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

19  Delayed physical, emotional, or intellectual development  Habits inappropriate for the child’s developmental stage, such as rocking, or sucking on fingers  Displays signs of suicide attempts or physical harm to self 19 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

20  Withdrawal  Apathy  Low social interaction  Fear of parent/caregiver/guardian  Behavioral extremes – passive or aggressive  Developmentally delayed 20 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

21  Inappropriate dress  Poor hygiene  Consistent hunger  Unattended medical needs  Recurring cases of lice/scabies  Fatigue or listlessness 21 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

22  Fatigue or listlessness  Whispering speech  Expressionless face  Frequently absent or tardy  Begging for or hoarding food  Reports no caretaker at home 22 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

23  Changes in behavior or attitude  Reports of maltreatment from the child  Fearfulness of parents/caretakers/guardians and/or fear of going home 23 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

24  Aggressiveness and/or defensiveness when asked about problems concerning their child  Apathy  Little or no concern about child  Overreaction to child’s behavior  Not forthcoming with events surrounding injury 24 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

25  Blaming or belittling the child  Makes negative comments about the child  Labels the child as “bad” or “evil” 25 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

26  Individual characteristics of the mother and infant  Family and social factors  Culturally-related parenting beliefs, practices and experiences 26 Handout: Overview of Risk and Protective Factors Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

27  Buffer risk factors, providing a cushion against negative effects  Interrupt the processes through which risk factors operate  Prevent the initial occurrence of a risk factor 27 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

28  Anyone can report child maltreatment  Child Protective Services will investigate the report  Depending on the results, the family may receive treatment and services 28 Texas Hotline or Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

29 Three different levels  Primary: educating the general public  Secondary: providing preventive services to high- risk families  Tertiary: preventing recurrence among families in which maltreatment has already occurred 29 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

30  Providers should be able to take breaks and find relief during stressful times  Staff policies that allow for an immediate break anytime they feel they are about to loose control  The physical layout allows all areas to be viewed by at least one other adult 30 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

31  In the next section, you will find a link to an activity related to reporting child maltreatment.  Download and complete the activity.  Submit the activity to your facilitator via e- mail. 31 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants

32  This concludes the informational portion of the course.  Please click on the “Next Section” button to advance to the post-test.  To review previous sections, click on desired title in left menu bar. 32 Healthy Child Care Texas adapted from © The National Training Institute for Child Care Health Consultants


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