Mandated Reporter Training - Unit 3

Types of Child Abuse and Neglect

Definition of Child Abuse and Neglect- Abuse and neglect means a threat to a child's health or welfare by:

  • Physical, mental or emotional injury or impairment.
  • Sexual abuse or exploitation.
  • Deprivation of essential needs.
  • Lack of protection from these, by a person responsible for the child.
  • Failure to ensure compliance with school attendance requirements.

Let's take a closer look at each type of abuse mentioned in this definition.

Physical Abuse

Definition of Physical Abuse - Abusive treatment to a child by a parent or caregiver that caused or is likely to cause physical injury. This includes the threat of physical abuse.

Indicators

Physical Indicators:

  • Unexplained injuries such as:
    • Bruises, welts, and burns that reflect a pattern or shape from the article that was used to strike the child (such as a hand, belt, stick, or burns from a cigarette). Immersion burns would show a sock-like, glove-like, or doughnut shape.
    • Fractures or dislocations that do not seem likely to have happened on accident.

Behavioral Indicators:

  • Poor self-concept and feels deserving of punishment
  • Wary of adult contact (flinching)
  • Behavioral extremes such as aggressiveness or withdrawal, which the child had not previously displayed.
  • Frightened of parents
  • Afraid to go home
  • Reports injury by parents
  • Vacant or frozen stare

Here is an example of "inflicted trauma." Note particularly the dime-sized bruises and the hand print bruise on the upper abdomen.

Graphic showing inflicted trauma to a child

 

Here is an example of "grab marks." Note the bruises on the arm and how they are bilateral and symmetrical (grab marks), are a particularly classic finding in inflicted trauma.

Photo showing bruises on a child's arm

 

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