Signs of Physical, Emotional and Sexual Abuse
Child Abuse Facts
Child abuse is harm to, or neglect of, a child by another person, whether
adult or child. Child abuse happens in all cultural, ethnic, and income
groups. Child abuse can be physical, emotional - verbal, sexual or through
neglect. Abuse may cause serious injury to the child and may even result in
death.
Signs of possible abuse include:
Physical Abuse
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Unexplained or repeated injuries such as welts, bruises, or burns.
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Injuries that are in the shape of an object (belt buckle, electric cord, etc.)
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Injuries not likely to happen given the age or ability of the child. For
example, broken bones in a child too young to walk or climb.
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Disagreement between the child's and the parent's explanation of the injury.
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Unreasonable explanation of the injury.
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Obvious neglect of the child (dirty, undernourished, inappropriate clothes for
the weather, lack of medical or dental care).
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Fearful behavior.
Emotional - Verbal Abuse
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Aggressive or withdrawn behavior.
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Shying away from physical contact with parents or adults.
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Afraid to go home.
Sexual Abuse
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Child tells you he/she was sexually mistreated.
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Child has physical signs such as:
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difficulty in walking or sitting.
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stained or bloody underwear.
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genital or rectal pain, itching, swelling, redness, or discharge
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bruises or other injuries in the genital or rectal area.
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Child has behavioral and emotional signs such as:
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difficulty eating or sleeping.
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soiling or wetting pants or bed after being potty trained.
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acting like a much younger child.
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excessive crying or sadness.
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withdrawing from activities and others.
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talking about or acting out sexual acts beyond normal sex play for age.
Abuse can happen in any family, regardless of any special characteristics. However, in dealing with parents, be aware of characteristics
of families in which abuse may be more likely:
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Families who are isolated and have no friends, relatives, church or other
support systems.
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Parents who tell you they were abused as children.
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Families who are often in crisis (have money problems, move often).
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Parents who abuse drugs or alcohol.
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Parents who are very critical of their child.
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Parents who are very rigid in disciplining their child.
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Parents who show too much or too little concern for their child.
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Parents who feel they have a difficult child.
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Parents who are under a lot of stress.
If you suspect child abuse of any kind, you should:
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Take the child to a quiet, private area.
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Gently encourage the child to give you enough information to evaluate whether
abuse may have occurred.
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Remain calm so as not to upset the child.
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If the child reveals the abuse, reassure him/her that you believe him/her,
that he/she is right to tell you, and that he/she is not bad.
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Tell the child you are going to talk to persons who can help him/her.
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Return the child to the group (if appropriate).
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Record all information.
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Immediately report the suspected abuse to the proper local authorities. In
most states, reporting suspected abuse is required by law.
If you employ other providers or accept volunteers to help you care for the
children in your facility, you should check their background for a past
history of child abuse or other criminal activity. Contact your local police
department. Many states require that child care providers have background and
criminal history checks.
Dealing with child abuse is emotionally difficult for a provider. As a child
care provider, you should get training in recognizing and reporting child
abuse before you are confronted with a suspected case. If you suspect a case
of child abuse, you may need to seek support from your local health
department, child support services department, or other sources within your
area.
*reproduced from a CDC guide to intentional injuries.
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