Social Work Presentation Child Abuse /Neglect

1. Social Work PresentationChild Abuse /Neglect

2. Goal To provide all Baltimore City Public School-based personnel with the knowledge to recognize and report the suspicion of child abuse and/or neglect

3. Objectives • To inform all Baltimore City Public Schools employees of the code of Maryland requirements for reporting child abuse and/or neglect • To inform all Baltimore City Public Schools employees of the consequences for not reporting suspected child abuse and/or neglect • To increase awareness for the need to take steps to protect children from maltreatment and assist their families with treatment services

4. Need to Know • Definition of child abuse • Those who are responsible for reporting child abuse • Where and how does one report child abuse and neglect • What the timeframe is for reporting • What happens after the report is made • What the sanctions are for failing to report • Available resources

5. Mandatory Reporters That’s you!

6. WHO IS RESPONSIBLE FOR REPORTING?

7. DEFINITIONS Types of Abuse

8. WHAT IS CHILD MALTREATMENT? The physical, sexual or mental injury of a child by any parent or other person who has permanent or temporary care or custody or responsibility for supervision of a child or by any household or family member under circumstances that indicate that the child’s welfare is significantly harmed or at risk of being significantly harmed; Or sexual abuse, whether physical injuries are sustained or not • (COMAR 07.02.07.02)

9. Types of Child Abuse • Physical Abuse • Sexual Abuse • Neglect • Mental Injury

10. Physical Abuse HOW TO RECOGNIZE

11. Physical Signs of Physical Abuse • Bruises or welts • Burns • Lacerations or abrasions • Head injuries • Skeletal injuries • Internal injuries

12. Behavioral Indicators of Physical Abuse • Uncomfortable with adults • Fear of contact • Withdrawn • Arrives early for school or stays late • Complains of soreness • Wears inappropriate clothes to hide body • Physical and verbally aggressive • Excessive daydreaming • Child does not look to parents for comfort

13. SEXUAL ABUSE HOW TO RECOGNIZE

14. PHYSICAL SIGNS of sexual abuse • Difficulty in walking or sitting • Pain or itching in genital area • Recurrent urinary tract infections • Poor anal sphincter tone • Sexually Transmitted Diseases • Pregnancy

15. Behavioral Indicators of Sexual Abuse • Sleep disorders • Poor peer relationships • Social isolation • Bizarre, sophisticated or unusual sexual knowledge or behavior • Suicidal ideation • Promiscuity • Poor self-esteem • Sudden school difficulties • Threatened by physical contact • Hysteria • Unwillingness to change for gym

16. Child Sexual Abuse An individual may notify the local department or the appropriate law enforcement agency if he/she has reason to believe that: A parent, guardian, or caregiver of the child allows a child to reside or regularly associate with a specified individual other than the parent or guardian AND 1. the person is on the registry as a child sex offender AND 2. there is additional information suggesting substantial risk of sexual abuse to the child

17. Neglect HOW TO RECOGNIZE

18. What is Child Neglect? Failure to give proper care and attention to a child by the child’s parent, guardian, or custodian under circumstances that indicate the child’s health or welfare is at risk of significant harm

19. Types of Neglect • Abandonment • Lack of supervision • Nutritional neglect • Medical and dental neglect • Educational neglect • Inappropriate or insufficient clothing • Environmental neglect • Emotional neglect • Social neglect • Exploitation

20. Physical signs of Neglect • Poor hygiene • Inappropriate clothing for the weather • Fatigue • Constant hunger • Lack of supervision • Significant weight loss

21. Behavioral Indicators of Neglect • Stealing food • Begging • Assumes adult responsibility • Constant fatigue • delinquency

22. Mental Injury How to Recognize

23. Possible Behavioral Indicators of Mental Injury • Pseudo-mature behavior • Sexually precocious behavior • Lying, cheating , and stealing • Psychiatric symptoms • Tantrums • Bizarre behavior • Lacks self-esteem • Aggressive, domineering behavior • Controlling but lacks self-control • Seeks love and acceptance outside of home • School learning problems • Lack of exploration and curiosity

24. Assessing Mental Injury 2 assessments must be completed by any of the following licensed professionals • Licensed Physician • Licensed Social Worker • Licensed Psychologist

25. Reporting Abuse/Neglect Steps

26. What to do if child abuse/neglect disclosed to you • Support child’s decision to disclose information • Make it clear child did the right thing by disclosing • Respect the child’s privacy • Report

27. SUPPORT FOR REPORTING • Contact your discipline supervisor • Consult a colleague to discuss the situation

28. Referral Process(Suspected Child Abuse by Caretaker) • Complete written report (Form 180) • Provide oral report to intake worker at the Department of Social Services • Mail written report within 48 hours to DSS • Mail a copy to your immediate supervisor marked confidential to the Office of Related Services-Social Work • Maintain a copy of the written report in your personal files

29. Content of Oral & Written Report • Student identifying information • Current location of the child • Parent/guardian identifying information • Nature and extent of the abuse and /or alleged neglect • Any information that will assist in substantiating the abuse

30. Referral Process [Suspected Child Abuse by B C P S Personnel] • Complete written referral • Provide oral report to intake worker at BCDSS • Mail written report within 48 hours to BCDSS • Copy written report to alleged abuser’s direct supervisor immediately • Copy to your immediate supervisor marked confidential to the Office of Related Services at 200 E. North Avenue • Copy written report to Office of Labor Relations immediately at 410-396-8885

31. Investigation Outcomes What happens after reporting?

32. AFTER REPORTING • Local school system shall permit local DSS or police officer to question a student during a child abuse investigation (COMAR 13A.08.01.13) • School officials are not required to notify parents or guardians

33. Talking with Parents (If Parents Approach School Staff) • Be supportive whenever possible • Do not try to prove abuse or neglect by accusations or demands • Keep the focus upon the welfare of the child • Take a non-judgmental stance when talking with parent • Explain to parent the legal responsibility to make a referral to the appropriate agency

34. Three Outcomes • Indicated • Unsubstantiated • Ruled Out • Findings indicate the abuse occurred • The abuse may have happened, but at the current time there is not enough information to be certain • There is no indication that the alleged abuse happened

35. Resources Additional support for For Reporters

36. To Whom Must You Report Baltimore City Department of Social Services Child Protective Services Unit 1900 North Howard Street Baltimore, Maryland 21218 410-361-2235

37. REPORTER RIGHTS Section 5-708 provides immunity from civil liability or criminal penalty to anyone who in good faith makes a report of suspected child abuse and/or neglect or participates in an investigation, or in any judicial proceeding resulting from the report

38. Confidentiality • The name of the mandated reporter can only be revealed by court order • Disclosure of the identity of any person whose life or safety is likely to be endangered related to allegation cannot be revealed • Disclose only information relevant to the best interest of the child • Use professional discretion in revealing information for treatment purposes

39. Failure to Report

40. Consequences for Failure to report Sanctions • An employee of the local educational authority who knowingly fails to report suspected child abuse will face progressive disciplinary action ranging from written reprimand to suspension to termination from the local educational authority • Additionally, certificated and licensed professionals may have their certificate or license suspended or revoked in 2 circumstances: Termination from the LEA for knowingly failing to report suspected child abuse/neglect Conviction of crime involving child abuse, contributing to the delinquency of a minor; and moral turpitude (COMAR 6-202[Educators]; COMAR 19-311 [Social Work and other Mental Health Providers])

41. REMINDER: • Baltimore City Department of Social Services • Child Protective Services Unit • 1900 North Howard Street • Baltimore, Maryland 21218 • 410-361-2235

42. REVIEW • Definition of child abuse? • Who is responsible for reporting child abuse? • Where and how does one report child abuse and neglect? • What the timeframe is for reporting? • What happens after the report is made? • What the sanctions are for failing to report? • What are the available resources?

43. QUESTIONS/CONCERNS?