marybeth's portion
Terms
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- learning disorders
- can be in math, reading or measured intelligence
- KySS
- Keep your children/youself Safe and Secure; national program for children and teens launched by NAPNAP in 2001 - educates the public, teaches healthcare providers, educates on prevention
- imminent danger
- distance between child and harm by actions or failure to act; could occur immediately or very soon; how direct the threat is to the child
- tic disorders
- tourette's syndrome: characterized by repeated, involuntary movements, uncontrollable vocal sounds
- who can be reported
- day care provider; parent; guardian; residential child care staff; includes people continually or at regular intervals found in the same household as child when conduct caused abuse/maltreatment
- immunity
- immune from any civil or criminal liability "in good faith"
- role of mandated reporter
- to report suspected incidents of child abuse or maltreatment/neglect while acting in their professional capacity. there must be a reasonable cause to suspect.
- common indicators of child abuse
- child's physical indicators; child's behavioral indicators; parent's behavioral indicators (consider norm for that child and behavior of parent)
- eating disorder
- anorexia nervosa, bulimia nervosa, binge-eating disorder & obesity
- antipsychotic medications
- clozaril, haldol, risperdal, seroquel, thioridazine, zyprexa, orap
- characteristics of perpetrator
- across all ethnic and socioeconomic levels; parent was emotionally or physically abused as a child; solitary, isolated individual; absent spouse, cooperates with abuse
- physical indicators of sexual abuse
- bruises, bleeding, lacerations, or irritation of the genitals, mouth, anus and throat; difficulty walking or sitting; genital pain, swelling, discharge; STD including oral infections; recurrent UTI's; signs of injury; pregnancy
- child characteristics of those most likely to be abused
- premature infants; twins; unwanted pregnancy; difficult to rear children; disabled children;
- behaviorsal indicators of sexual abuse
- self injurious behaviors; bizarre, sophisticated, unusual sexual behavior; prostitution; extreme fear of closeness or physical contact; runaway behavior
- emotional maltreatment - physical indicators
- conduct disorders; habit disorders; neurotic disorders; psychonerotic reactions; lags in physical development; FTT
- behavioral indicators of sexual abuse
- excessive masturbation; withdraws, fantasizes, infantile behavior; poor peer relationships; regression, habit disorders; suicide attempts; profound personality changes; abuses alcohol and drugs
- anxiety disorders
- GAD, OCD, panic disorder, PTSD, phobias
- parents behavioral indicators of neglect
- misuses alcohol/drugs; disorganized, upsetting home life; apathetic, feels nothing will change; isolated; long-term chronic illness; history of neglect; unsafe living conditions; can not be found
- confidentiality
- name is kep confidential, organization may not be unless it gets to court
- normal bruising areas
- elbows; knees; shin
- talking with children don'ts
- dont: overreact; make judgments/promises; interrogate or investigate
- conduct disorders
- oppositional defiance (disobedient, defiant, hostile toward authority figures, lack of guilt/remorse, precursor to conduct disorder) conduct disorder (physical aggression to violate rights of others, lack of guild/remorse, precursor to antisocial personality disorders)
- consider the child
- the child must be less than 18 and no more than 21 who have handicapping conditions and are in residential care.
- psychosocial factors of mental illness in children
- families with conflict or divorce; poverty; minority ethnic status; abuse; substance abusing and/or mentally ill parents; teenage parents; chronic illness/disability
- parent's behavioral indicators of abuse
- seems unconcerned about child; medical care; inadequate explanations for injury; different explainations for injury; misuse of alcohol or other drugs; past history; poor impulse control; tries to conceal injury
- mood stabilizing medications
- cibalith-s, depakote, eskalith, lithobid, tegretol
- PDD or ASDs
- Pervasive developmental disorders or autism spectrum disorders: asperger's disorder, autism and rett's disorder
- more characteristics of perpetrator
- the father, or substitute father, is the perpetrator nearly 2/3 of the time and tend to inflict more severe injury; parent has low self esteem, or poor marital relationships; parents bear a child in an attempt to fulfill their own emotional need
- physical indicators of abuse
- unexplained bruises and welts; unexplained burns; unexplained fractures; unexplained lacerations or abrasions; chemical poisoning; intracranial injuries
- ADD
- Attention deficit disorder: most common mental disorder - symptoms (inattentiveness, distractible, impulsivity, hyperactivity) treatment (psychostimulant medications, cognitive therapy)
- possible services to break the cycle
- casework; psychiatric counseling; group therapy; parent aides; visiting nurse service; parents anonymous; outside placement; homemaker services; day care; babysitting; family planning; job counseling; adequate housing; legal services; alcohol/drug services; parenting skills workshop series
- reasonable cause to suspect
- do not have to prove it; distrust or doubt is enough; based on observation or disclosure; child is harmed or in imminent danger of harm
- suspicious bruising areas
- back, buttocks, back of thighs, back of calves
- penalties
- failure to report could result in Class A misdemeanor, civil or criminal liability or revocation or conditions on your licensure or certification
- sexual abuse
- most denied and least understood form of abuse; difficult to recognize because most cases do not present with physical evidence or indicators (nonviolent); majority involves family members; no typical profile; fears involved with disclosure; delays in disclosure;
- environmental factors of mental illness in children
- school; home; neighborhood; poor socioeconomic conditions in crowded inner cities produce higher rates of psychological disorders than suburban areas
- mental retardation
- mild (80%) 55-70; moderate (12%) 40-55; severe (7%) 25-40; profound (<1%) <25
- talking with children do's
- DO: find a private place; remain calm; be honest, open, up-front; supportive; be an advocate; listen to the child; report the situation immediately; remember it is never the child's fault
- depression
- serious mental disorder that affects: mood, energy, interest, sleep, appetite, overal functioning
- chilren's behavioral indicators of abuse
- wary of physical contact with adults; fearful of parents; afraid to go home; apprehensive when children cry; inapporpriate response to events; reports injury by parent; attention/affection seeking from adults; clothing to hid injuries; behavioral extremes
- classification of clinical disorders
- mental retardation; learning disorders; pervasive developmental disorders; attention deficit/conduct disorders; eating disorders; tic disorders; depression; schizophrenia; anxiety disorders
- stimulant medications
- adderall, concerta, cylert, dexedrine, dextrostat, ritalin
- emotional maltreatment - behavioral indicators
- overly adaptive behavior; developmental delays; extremes in behavior; suicide attempts; self-mutilation
- treatment of mental disorders
- multimodal and multidisciplinary; play; can include behavior management, pharmacotherapy, family therapy, cognitive behavioral therapy, group therapy, art therapy, animal-assisted therapy, residential care, and parent training; parent education and training is a key element in the treatment process but the focus of the treatment should always be the child
- assessment of children
- begins with a clarification of the reason for the referral...statement of the presenting problem and to determine the child's developmental status in the emotional, social, intellectual and spiritual areas
- parental behavioral indicators of sexual abuse
- very protective or jealous of child; encourage engagement of prostitution; misuses alcohol or other drugs; geographically isolated/lacking in social or emotional contacts outside the family; low self-esteem
- types of neglect
- fails to provide (adequate food, clothing, shelter, education, and medical care or proper supervision); or inflicts/allows to be inflicted harm, including the infliction of corporal punishment; misuses alcohol or other drugs; abandonment
- emotional maltreatment - parents behaviors
- treats children in family unequally; not much care about problems; blames child; cold and rejecting; inconsistent behavior
- behavioral indicators of neglect
- dull, inactive, constant fatigue; passive, sleepy; self-stimulates; begs or steals food; prolonged stays at school or absent; abuses drugs/alcohol; delinquent behavior; overly adaptive behavior
- maltreatment/neglect
- a child whose physical, mental, or emotional condition has been impaired or is at imminent danger of becoming impaired; a parent's or custodians failure to provide a minimum degree of care
- physical indicators of neglect
- ftt; consistent hunger, fatigue, listlessness; poor hygiene; malnutrition; inappropriate dress for the weather; poor/absent health or dental care; lack of supervision; abandonment
- what sets off an attack
- parents expect behavior from their children which is more mature than the child's age or abilities warrent; parents may exhibit: immaturity, impulsiveness, dependency, hostility, aggressiveness, and rigidity; free expression of violence; some crisis, real or imagined, that sets off the attack
- abuse
- inflicts of allows to be inflicted injury; creates or allows to be created substantial risk of physical injury; commits or allows to be committed a sex offense
- top 5 worries
- how to cope with the stressful things in their lives; anxiety; depression; self-esteem; parent-child relationships
- purpose of reporting child abuse
- prevent child abuse and promote family health. identify abusive situations early and intervene to support family functions so abuse is stopped and family is maintained.
- emotional abuse
- retard/damage of emotional development; excessive parental attitudes such as screaming, threats, witness acts of domestic violence; deprivation such as emotional reject; very hard to prove
- national incidence study
- found professionals report only half the incidents they knew about because of confusion or misunderstanding about reporting laws and procedures and lack of knowledge or awareness of warning signs or clues.
- schizophrenia
- rare in children, usually emerges in late teens/early adult, positive/negative symptoms
- antidepressant/antianxiety medications
- anafranil, buspar, effexor, luvox, paxil, prozac, serzone, sinequan, tofranil, wellbutrin, zoloft