1. The World of Neglect Mark Stenzel EDC 502

2. What does it feel like?

3. Feeling a loss Abandoned Ignored Alone

4. Overview  Statistics  Definition  Signs and Symptoms of Neglect  Long-term Effects  How to help  Effects on the Counseling Process Fact: In 2006, there were 905,000 reported victims of child abuse or neglect

5. What is Child Abuse and Neglect? RCW 26-44-020 (12) defines abuse and neglect as injury, sexual abuse, sexual exploitation, negligent treatment or maltreatment of a child by any person under circumstances which indicate that the child's health, welfare, and safety is harmed. Abuse and neglect does NOT include the physical discipline of a child as defined in RCW 9A.16.100. RCW 26-44-020 (12)RCW 9A.16.100 http://www.youtube.com/watch?v=okeRuvG5inM

6. Statistics on Recognized Neglect

8. Signs and Symptoms of Neglect Signs Child wears soiled clothing Not dressed for the weather Always seems hungry Poor hygiene Minimal facial expressions Failure to thrive Symptoms At 12 months-symptoms begin 2 years old-deficits with coping skills, frustration, anger, non- compliance Depression can begin as early as age 3 Preschool-low esteem, poor problem solving skills, dependent with tasks Kindergarten-less secure in readiness to learn, inattentive, uninvolved, lacks creativity, lacks confidence in own work

9. Long term Effects of Neglect Malnutrition Iron Deficiency Cognitive/Motor Delays Problems with Attention Social Problems Depression Anxiety

10. Long term Effects of Neglect Physical Ailments as a Result of Neglect – Allergies – Arthritis – Asthma – Bronchitis – High Blood Pressure – Ulcers

11. Long term Effects of Neglect Cognitive Effects – Depression – Anxiety – Eating Disorders – Panic Disorder – Dissociative Disorder – ADHD – Anger – PTSD – Reactive Attachment Disorder

12. Long term Effects of Neglect Social Issues Regarding Neglect Victims – Antisocial Traits – Borderline Disorders – Violent Behavior

13. Long term Effects of Neglect Behaviors of Neglected Children – Delinquency – Teen Pregnancy – Low Academic Achievement – Drug Use – Alcohol Abuse – Smoking – Sexual Risk-taking

14. Long term Effects of Neglect Grown child victims of neglect score low in areas of Language, Reading, and Mathematics Even at age 28, those neglected in childhood score lower on IQ tests Victims of neglect often become passive and socially withdrawn (unlike aggressiveness and angry outbursts as seen in abused children)

15. How do we help those who have been neglected? Individual Psychotherapy-learn to love and care for self Group Therapy-feel less alone and develop empathy for others with similar feelings Couples Therapy-many neglected seek a partner that neglects, while others seek another neglected person Parental Education-learn proper parenting so mistakes aren’t repeated

16. How do we help those who have been neglected? Older Friends-this can help form a positive older role model Spirituality-regardless of religion, the belief in a higher being forms a parental love Read-there are many books available written by neglected individuals and how they overcame the feelings they have

17. My Daughters-Adopted From A Neglectful Home SharonDeanna

18. How Does Neglect Effect the Counseling Process?  Victims are able to develop tolerance for and manage emotions  They transform negative beliefs about the self  Learn new patterns of behavior  Neglect sufferers grieve the abuse or trauma experience  Increase ability to accept and let go of the past

19. Summary Signs/symptoms of neglect Long term effects of neglect Adaptation strategies

20. References http://childparenting.about.com/cs/familyissues/a/heroes.htm http://www.childwelfare.gov/pubs/factsheets/long_term_consequences.cfm http://psychcentral.com/lib/2008/recovering-from-childhood-neglect/ http://www.childwelfare.gov/pubs/usermanuals/neglect/neglect.pdf http://www.enotalone.com/article/9892.html http://www.dshs.wa.gov/ca/safety/abuseWhat.asp?2 http://www.madisonmentalhealthcounselor.com/abusehel.html#Q2

21. Questions?