Child Maltreatment Identification Skills Lab

Version 1.0 | 2015

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Overview of the Day• Welcome and Review of

the Agenda• Learning Objectives• Using maltreatment

indicators to identify child maltreatment

• Cultural factors that affect child maltreatment identification

• Sexual Abuse: motivation, credibility and information

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Today’s Goals

• Through the use of experiential activities, be able to identify child maltreatment in the context of the family’s culture and within child’s developmental stage of life.

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Who are you?

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Defining Maltreatment

Briefly define each:

• General Neglect• Physical Abuse• Emotional Abuse and Exploitation• Sexual Abuse

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Tina and Roy Vignette Stem

• Tina and Roy have two children, Rory (male) age 2 and Cindy (female) age 9. The family lives in a mobile home in a rural part of town. Tina is from Mexico and married Roy who is Caucasian 10 years ago. Tina is bilingual and Cindy knows some Spanish. Roy works at the local grocery store and Tina stays home.

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Create an example of an abuse allegation

• At each station, write an example of the type of abuse that could occur in this scenario in 1-3 sentences.

• Each example should include symptoms, signs, or indicators of the type of abuse.

• Turn paper face down• Rotate to next station

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REMINDER• 300(a) Physical harm/abuse • 300(b) (1) General neglect • 300(b) (2) Commercial sexual

exploitation• 300(c) Emotional abuse • 300(d) Sexual abuse

Identifying Maltreatment

• Stories and photos can be upsetting• Take time to process emotional responses

now and in the field

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Possible Physical Abuse• Female, 4 years old. Child was reported by

daycare provider as having a large round bruise on her left buttock and bruising behind her right knee. Show photo.

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Possible Medical Neglect• Female, 18 months. Infant diagnosed with

meningitis. Infant died.

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Physical Abuse or Possible Supervisory Neglect• Male, 2 years old. Brought to the emergency

room with burn on lower leg.

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Child Maltreatment Indicators 14

Physical Injury• Male, 3 months old. Presenting in Emergency

Room, with seizures. Grandmother states her son, Terry, 43 years old, brought the baby to her saying the baby had spit up after taking a bottle and was shaking like he was cold. Baby has linear bruise over left temple.

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Physical Injury• Female, age 9 years. Fractured elbow,

presenting at the Emergency Room at 10:30 pm.

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Possible Physical Abuse• Female, 18 months. Neighbor noticed multiple

cigarette burns on the child.

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Slate Gray Patches • Can be mistaken

for bruises• More commonly

seen on infants with darker skin

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Interviewing for Culture

• What are the cultural issues?• What other information do you need to determine

maltreatment occurred?

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Investigating Sexual AbuseStart your investigation…• What additional information or follow-up do you need?

– Medical– Educational– Mental Health– Family and Friends– Other (specify)

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Indicators of Maltreatment: Neglect

• Review the Judy, Ron, and Sarah vignette

• Complete the Indicators of Maltreatment (Neglect) Worksheet

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Indicators of Maltreatment: Emotional Abuse

• Review the Monique, Susan, and Paislee vignette

• Complete the Indicators of Maltreatment (Emotional Abuse) Worksheet

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Indicators of Maltreatment: Physical Abuse

• Review the Mariah, Dartanyan, and Elon vignette

• Complete the Indicators of Maltreatment (Physical Abuse) Worksheet

Reflection• Learning Goals

– Using maltreatment indicators to identify child maltreatment

– Cultural factors that affect child maltreatment identification

– Developmental factors that affect child maltreatment identification

• What surprised you? • What feelings or thoughts seem most strong

following the presentation?• What information will you carry forward from the

presentation to the field? 26

Evaluation Activity

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