Presentation on theme: "Recognition, Care, and Reporting of Child Maltreatment Presented by the: Oklahoma EMSC Resource Center."— Presentation transcript:
Recognition, Care, and Reporting of Child Maltreatment Presented by the: Oklahoma EMSC Resource Center
Objectives:Objectives: Describe the size and scope of Child Maltreatment in the US. Describe the size and scope of Child Maltreatment in the US. Describe the size and scope of Child Maltreatment in Oklahoma. Describe the size and scope of Child Maltreatment in Oklahoma. Identify the types of maltreatment and patterns commonly found associated to each type. Identify the types of maltreatment and patterns commonly found associated to each type. Describe the “Roles and Responsibilities” of the EMS Provider regarding prevention, identification, treatment, and reporting of child maltreatment. Describe the “Roles and Responsibilities” of the EMS Provider regarding prevention, identification, treatment, and reporting of child maltreatment.
Scope of the Problem NATIONALLY 1 million actual cases annually (50% physical abuse / 25% neglect) Approximately 1300 deaths/year (Physical Abuse) 90% deaths occur children <5 years age 40% deaths 2° to neglect
Scope of the Problem OKLAHOMA 53,548 cases Reported in 2000 14,273 cases were confirmed (23%) 48 deaths Oklahoma and Tulsa counties have the highest rates. (population) Source: Oklahoma Department of Human Services. 2000 Report
Types of Maltreatment Physical Emotional/Psychological Sexual Neglect
Physical Abuse DEFINITION An inflicted act that results in a significant physical injury or the risk of such injury Most states: Child welfare system concerned with acts by parents or caregivers Physical assaults by others addressed by law enforcement Handbook for child protection practice, Dubowitz,Panfilis, Sage 2000 Handbook for child protection practice, Dubowitz,Panfilis, Sage 2000
Psychological Maltreatment DEFINITION A repeated pattern of caregiver behavior or extreme incident(s) that convey to children that they are worthless, flawed, unloved, unwanted, endangered, or only of value in meeting another’s need. American Professional Society on Abuse of Children 1995
Sexual Abuse General term referring to nonconsensual sexual acts, sexually motivated behaviors involving children, or sexual exploitation of children. Handbook for child protection practice, Dubowitz,Panfilis, Sage 2000 State & Federal criminal statues define sexual behavior that is illegal PEARL: STD’s are just that and should not occur in children
Child Neglect DEFINITION Omissions in care resulting in significant harm or risk of significant harm to children Hygiene Nutrition Protection Shelter Supervision Medical Care Positive impact made when suspicions reported
PreventionPrevention Educational Awareness Educating all ages = Public Awareness Educating Healthcare Providers = Awareness Remain alert to possible abuse conditions & situations Make proper agencies aware for assistance to be provided prior to abuse happening
IdentificationIdentification Awareness & Observation Look at the Environment Child & Injury Parents Situation Listen to everything comprehensively Does everything seen, heard, smelled, felt, etc make sense?
Identification (Continued) Perform Assessment Initial A-B-C’s Correct Problems as Discovered History (HX) Does Hx & mechanism of injury equate to child’s age-related developmental stage
Identification (Continued) Toe to Head Exam D = Deformity C = Contusions A = Abrasions P = Punctures B = Burns T = Tenderness L = Lacerations S = Swelling
Identification (Continued) Avoid Confrontation Document Information Gathered Obtain Hx from Everyone Present Be non-judgmental with entire demeanor LISTEN, LISTEN, LISTEN Be child’s safety advocate!
StaffingStaffing Principal Investigator John H Stuemky, MD Director Paul F Marmen, MEd, NREMT Education Coordinator James H Morehead, BS, NREMT-P
LocationLocation Children’s Hospital at OU Medical Center Room 1B 1303, P O Box 26901 940 NE 13 th Street Oklahoma City, OK 73190 Ph: 405-271-3307 Fax: 405-271-8709 E-mail: email@example.com firstname.lastname@example.org
ResponsibilitiesResponsibilities Child safety & care Forging interagency alliances Education development & implementation Research Resource Center
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