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Physical Abuse and Neglect

This comprehensive overview explores risk factors associated with child abuse and neglect (CA/N), detailing characteristics of parents, households, and children that heighten the likelihood of abuse, not as direct predictors. It highlights the mental and physical impacts of CA/N, such as mental health issues, social skills impairments, growth delays, and undernutrition. It also covers evidence-based interventions aimed at supporting families in need, stressing the importance of community resources and ongoing reassessment for child safety and progress.

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Physical Abuse and Neglect

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  1. Physical Abuse and Neglect

  2. Risk Factors • Associated with increased likelihood of ca/n • Are NOT predictive of ca/n

  3. Risk Factor Brainstorm • Parent/caregiver characteristics • Family/Household characteristics • Child characteristics

  4. Impacts of CA/N • Mental health problems • internalizing (depression, anxiety, etc) • externalizing (aggression, behavior problems, criminal involvement) • Increased impulsivity • Low self esteem • Social Skills impairments/ poor relationships • Delayed or stunted growth • Cognitive delays • Language impairment • Academic problems • Social Isolation • Alcohol/drug abuse • Chronic illness/ medical problems

  5. Undernutrition • Caloric or protein deficiency • Imbalance between what the body needs and what it gets (malnutrition) • Serious weight loss or lack of expected gain • General rule • birth weight doubles at 4 months • triples by 1 year

  6. Failure to Thrive • Must be diagnosed by a medical professional • Based on failure to attain growth and developmental milestones over time • May have organic or social causes, or both • Possibility of irreversible damage • Medical monitoring is required

  7. Resilience • Age of Child • Severity and Duration of Abuse • Presence of Another Caring Person • Child’s Perception of Caregiver Intention • Predictability of the environment

  8. Evidence Based Interventions • FFT • PCIT • Childhaven • PCAP • Homebuilders • Incredible years • Triple P • Nurse Family Partnerships • Project SafeCare • Trauma Focused CBT • Multi-Dimensional Treatment Foster Care (MTFC)

  9. Strategies for working with Chronically Neglecting families • Develop a team around the family (wraparound model) • Include concrete supports and linkages to community services • Support children’s growth and nurturance • Regularly reassess child safety and family progress • Offer longer term services and supports

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