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MAKING ADIFFERENCEMandate to Report, Responsibility to PreventChild Abuse & Neglect                                       ...
OverviewThis webinar will explore how to identifyand report suspected abuse and neglect,and examine ways to build protecti...
Learning ObjectivesDemonstrate knowledge of signs of child abuse and neglect.Demonstrate understanding how to report sus...
About Child Abuse and Neglect           Section 1.     About Abuse & Neglect                                4
Facts about Child Maltreatment130 years since first recognition of child abuse in U.S.Child maltreatment remains a serio...
Adverse Childhood Experiences(ACEs) have long-term effects.                                 6
Facts about Child MaltreatmentThe estimated costs of treating the effectsof child maltreatment are over $80 billionper yea...
Facts about Child MaltreatmentIn the nation (2010) 3.3 million CPS referrals of child maltreatment. 695,000 child victim...
Facts about Child MaltreatmentIn West Virginia (2010) 32,244 CPS referrals. 4,133 substantiated cases. 3,961 child vict...
Child Abuse is Declining in WV                                 10
What are some potentialwarning signs and indicators?                                11
What are some physical indicators of     possible physical abuse?Physical IndicatorsQuestionable bruisesQuestionable bur...
What are some behavioral indicators    of possible physical abuse?Behavioral Indicators Uncomfortable with physical conta...
What are some physical indicators of      possible child neglect?Physical IndicatorsConsistent hunger, poor hygiene, inap...
What are some behavioral indicators      of possible child neglect?Behavioral IndicatorsBegging, stealing foodConstant f...
What are some physical indicators of      possible sexual abuse?Physical IndicatorsDifficulty walking or sittingTorn, st...
What are some behavioral indicators      of possible sexual abuse?Behavioral Indicators Withdrawal, chronic depression O...
What are some physical indicators of    possible emotional abuse?Physical IndicatorsSpeech disordersLags in physical dev...
What are some behavioral indicators   of possible emotional abuse?Behavioral Indicators Behavior extremes: compliant, pas...
Mandate to Report      Section 2. All About Reporting                       20
Who Must Report  WV Code §49-6A-6                     21
New Mandated Reporters         Who Must Report          Per SB 161 (effective June 8, 2012) youth camp administrator or c...
Additional Requirements Regarding    Child Sexual Abuse Reporting            Per SB 161 (effective June 8, 2012) Any pers...
Additional Requirements Regarding     Child Sexual Abuse Reporting              Per SB 161 (effective June 8, 2012) If th...
Types of Disclosure Indirect Hints    •   "My babysitter keeps bothering me." Disguised Disclosures    •   "I know someo...
What should you do when aparent or child discloses?                             26
Disclosure        What to do when a parent or child discloses?1.   Find a private place to talk with the person.2.   Reass...
Disclosure     What NOT to Say When Someone Discloses To You1. Don’t ask “why” questions such as:       •   “Why didnt you...
How do you make a report? You should contact CPS whenever you  reasonably suspect a child has been abused or  neglected o...
To Whom Do You Report?WV Child Abuse and Neglect Hotline                1-800-352-6513         24 hours a day - 7 days a w...
Responsibility to Prevent        Section 3.What Child Abuse Prevention        Looks Like                              31
Responsibility to Prevent“No epidemic has ever been resolved bypaying attention to the treatment of theaffected individual...
Protective Factors:       A New Prevention Framework Suitable for universal, positive approach to  families (no “risk” fa...
Protective Factors           “Circles of Caring” Knowledge of Parenting & Child  Development Parental Resilience Social...
Knowledge of Parenting & Child          DevelopmentInformation about how children developHow to deal with challenging be...
Parental ResilienceAble to solve problemsFeel supportedAbility to bounce back
Social ConnectionsRelationshipsCommunity normsMutual assistance networks
Social and Emotional         Development of Children Positive parent-child interaction. Appropriate adult response to ch...
Concrete Support in Times of NeedResponse to crisis.Assistance with daily needs.Services for children and parents.
Remember…WV Child Abuse and Neglect Hotline                1-800-352-6513         24 hours a day - 7 days a weekFor seriou...
For More Information Contact: The TEAM for West Virginia Children             1-866-4KIDSWV               304-697-0340    ...
Making a Difference: Mandate to Report, Responsibility to Prevent Child Abuse Webinar for WV School-based Health Centers
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Making a Difference: Mandate to Report, Responsibility to Prevent Child Abuse Webinar for WV School-based Health Centers

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Making a Difference: Mandate to Report, Responsibility to Prevent Child Abuse Webinar for WV School-based Health Centers, Oct. 4, 2012

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  • Have a flipchart of the Objectives displayed
  • More information about the Adverse Childhood Experiences Study (ACES) is available online at http://www.acestudy.org/.
  • Data is from 2010 Child Maltreatment Annual Report published by the U.S. Department of Health & Human Services, Dec. 2011, http://www.acf.hhs.gov/programs/cb/stats_research/.
  • Data is from 2010 Child Maltreatment Annual Report published by the U.S. Department of Health & Human Services, Dec.2011, http://www.acf.hhs.gov/programs/cb/stats_research/.
  • Data is from 2010 Child Maltreatment Annual Report published by the U.S. Department of Health & Human Services, Dec.2011, http://www.acf.hhs.gov/programs/cb/stats_research/.
  • Form small groups of 4-6 and ask participants to take five minutes to share answers to the question. After 5 minutes ask each small group to report out. Contribute additional information on warning signs and indicators as needed. Refer participants to Supplementary Participant Handouts in Tab 4 for more information.
  • Additional information in the handouts. Physical Indicators Questionable bruises Questionable burns Questionable fractures (in various stages of healing) Questionable cuts and scrapes (to mouth, eyes, external genitalia)
  • Additional information in the handouts. Behavioral Indicators Uncomfortable with physical contact Wary of adult contacts Behavioral extremes Afraid to go home Wears inappropriate clothing for season to hide injuries Self destructive
  • Additional information in the handouts. Physical Indicators Consistent hunger, poor hygiene, inappropriate clothing Consistent lack of supervision Unattended physical or health problems Abandonment
  • Additional information in the handouts. Behavioral Indicators Begging, stealing food Constant fatigue, falling asleep States there is no caregiver Frequently absent Shunned by peers Self destructive
  • Additional information in the handouts. Physical Indicators Difficulty walking or sitting Torn, stained or bloody underwear / diaper Bruises or bleeding in external genitalia Massive weight change
  • Additional information in the handouts. Behavioral Indicators Withdrawal, chronic depression Overly compliant, passive behavior aimed at maintaining a low profile. Hostility or aggression. Unusual sexual behavior or knowledge. Unusually seductive behaviors with peers and adults.
  • Additional information in the handouts. Physical Indicators Speech disorders Lags in physical development Failure to thrive
  • Additional information in the handouts. Behavioral Indicators Behavior extremes: compliant, passive, aggressive, demanding, rageful. Overly adaptive behavior: “Parents” other children inappropriately. Inappropriately infantile or emotionally needy. Self-destructive, attempted suicide.
  • If embedded video doesn’t work, play play Section 2 of DVD, All About Reporting
  • Refer to Tab 5 Participant Handout, which answers common questions about who should report.
  • Refer to Tab 5 Participant Handout, which answers common questions about who should report. SB 161 is included on Trainers USB Drive
  • SB 161 is included on Trainers USB Drive
  • SB 161 is included on Trainers USB Drive
  • Distribute Disclosure Job Aid Cards to participants (Tab 6). Process with them.
  • Refer to What Happens When You Make a Report Handout Tab 7. Prompt the participants to read the handout pages and mark their questions. Open the floor and respond to questions. Strive to maintain focus on reporting which is the purpose of this training vs. the complexities of CPS response. Note that the initial report will take longer than in the past, due to implementation of the SAMS (Safety Assessment & Management System) Model.
  • If the following embedded video doesn’t work, play Section 3 of DVD, Responsibility to Prevent, (Circles of Caring).
  • These protective factors were identified by The Center for the Study of Social Policy (CSSP) http://www.cssp.org, after a comprehensive analysis of child abuse prevention research in conjunction with a consortium of leading child abuse prevention experts and researchers. These Protective Factors or “Circles of Caring” are conditions in families and communities that, when present, increase the health and well-being of children and families. These attributes also serve as buffers against risk factors for child maltreatment.
  • Responsibility to Prevent, (Circles of Caring)
  • Refer to Protective Factors Handout.
  • Can skip this if needed for time since it’s included in Circles of Caring footage.
  • Can skip this if needed for time since it’s included in Circles of Caring footage. Psychological health; parents feel supported and able to solve problems; can develop trusting relationships with others and reach out for help. Parents who did not have positive childhood experiences or who are in troubling circumstances need extra support and trustworthy relationships.
  • Can skip this if needed for time since it’s included in Circles of Caring footage.
  • Can skip this if needed for time since it’s included in Circles of Caring footage. Connection between normal development and positive parent child interaction. Appropriate adult response to challenging behaviors, traumatic experiences or when development is not on track. What quality childcare programs send home to families. ( “Use your words Daddy.” )
  • Can skip this if needed for time since it’s included in Circles of Caring footage. Response to a crisis: food, shelter, clothing. Assistance with daily needs: health care, education, job opportunities. Services for parents: depression and other mental health issues, domestic violence, substance abuse. Specialized services for children.
  • Transcript of "Making a Difference: Mandate to Report, Responsibility to Prevent Child Abuse Webinar for WV School-based Health Centers"

    1. 1. MAKING ADIFFERENCEMandate to Report, Responsibility to PreventChild Abuse & Neglect 1
    2. 2. OverviewThis webinar will explore how to identifyand report suspected abuse and neglect,and examine ways to build protectivefactors that prevent child abuse andneglect. 2
    3. 3. Learning ObjectivesDemonstrate knowledge of signs of child abuse and neglect.Demonstrate understanding how to report suspected child abuse and neglect.Identify research-based protective factors that prevent child maltreatment. 3
    4. 4. About Child Abuse and Neglect Section 1. About Abuse & Neglect 4
    5. 5. Facts about Child Maltreatment130 years since first recognition of child abuse in U.S.Child maltreatment remains a serious problem in U.S. 5
    6. 6. Adverse Childhood Experiences(ACEs) have long-term effects. 6
    7. 7. Facts about Child MaltreatmentThe estimated costs of treating the effectsof child maltreatment are over $80 billionper year. (Source: Prevent Child Abuse America) 7
    8. 8. Facts about Child MaltreatmentIn the nation (2010) 3.3 million CPS referrals of child maltreatment. 695,000 child victims. Over 75% of all substantiated maltreatment is neglect Over 80% of perpetrators are parents Nearly 80% of deaths are < 4 years old. 8
    9. 9. Facts about Child MaltreatmentIn West Virginia (2010) 32,244 CPS referrals. 4,133 substantiated cases. 3,961 child victims. 8 children died. 9
    10. 10. Child Abuse is Declining in WV 10
    11. 11. What are some potentialwarning signs and indicators? 11
    12. 12. What are some physical indicators of possible physical abuse?Physical IndicatorsQuestionable bruisesQuestionable burnsQuestionable fractures (in various stages of healing)Questionable cuts and scrapes (to mouth, eyes, external genitalia)
    13. 13. What are some behavioral indicators of possible physical abuse?Behavioral Indicators Uncomfortable with physical contact Wary of adult contacts Behavioral extremes Afraid to go home Wears inappropriate clothing for season to hide injuries Self destructive
    14. 14. What are some physical indicators of possible child neglect?Physical IndicatorsConsistent hunger, poor hygiene, inappropriate clothingConsistent lack of supervisionUnattended physical or health problemsAbandonment
    15. 15. What are some behavioral indicators of possible child neglect?Behavioral IndicatorsBegging, stealing foodConstant fatigue, falling asleepStates there is no caregiverFrequently absentShunned by peersSelf destructive
    16. 16. What are some physical indicators of possible sexual abuse?Physical IndicatorsDifficulty walking or sittingTorn, stained or bloody underwear / diaperBruises or bleeding in external genitaliaMassive weight change
    17. 17. What are some behavioral indicators of possible sexual abuse?Behavioral Indicators Withdrawal, chronic depression Overly compliant, passive behavior aimed at maintaining a low profile. Hostility or aggression. Unusual sexual behavior or knowledge. Unusually seductive behaviors with peers and adults.
    18. 18. What are some physical indicators of possible emotional abuse?Physical IndicatorsSpeech disordersLags in physical developmentFailure to thrive
    19. 19. What are some behavioral indicators of possible emotional abuse?Behavioral Indicators Behavior extremes: compliant, passive, aggressive, demanding, rageful. Overly adaptive behavior: “Parents” other children inappropriately. Inappropriately infantile or emotionally needy. Self-destructive, attempted suicide.
    20. 20. Mandate to Report Section 2. All About Reporting 20
    21. 21. Who Must Report WV Code §49-6A-6 21
    22. 22. New Mandated Reporters Who Must Report Per SB 161 (effective June 8, 2012) youth camp administrator or counselor employee, coach or volunteer of an entity that provides organized activities for children commercial film or photographic print processor 22
    23. 23. Additional Requirements Regarding Child Sexual Abuse Reporting Per SB 161 (effective June 8, 2012) Any person over 18 who receives a disclosure from a credible witness or observes any sexual abuse or sexual assault of a child shall report the circumstances or cause a report to be made to the Department or the State Police or other law-enforcement agency having jurisdiction. Reports shall be made immediately and not more than 48 hours after receiving such a disclosure or observing the sexual abuse. 23
    24. 24. Additional Requirements Regarding Child Sexual Abuse Reporting Per SB 161 (effective June 8, 2012) If the reporter feels that reporting the alleged sexual abuse will expose themselves, the child, the reporters children or other children in the subjects household to an increased threat of serious bodily injury, the individual may delay making the report while he or she undertakes measures to remove themselves or the affected children from the perceived threat of additional harm. The individual must make the report as soon as practical after the threat of harm has been reduced. 24
    25. 25. Types of Disclosure Indirect Hints • "My babysitter keeps bothering me." Disguised Disclosures • "I know someone who is being touched in a bad way." Disclosures with Strings Attached • "I have a problem, but if I tell you about it, you have to promise not to tell."
    26. 26. What should you do when aparent or child discloses? 26
    27. 27. Disclosure What to do when a parent or child discloses?1. Find a private place to talk with the person.2. Reassure the person making the disclosure ("I believe you.”)3. Listen openly and calmly, with minimal interruptions.4. Write down the facts and words as the person has stated them. (Exact words are important to investigators.)5. Do not promise not to tell, but respect the person’s confidentiality by not telling others who don’t need to know.6. Tell the truth.7. Be specific. Let the child know what is going to happen.8. Assess the child’s immediate safety.9. Be supportive. Report the disclosure within 48 hrs to CPS.
    28. 28. Disclosure What NOT to Say When Someone Discloses To You1. Don’t ask “why” questions such as: • “Why didnt you stop him or her?” • “Why are you telling me this?”2. Dont say "Are you sure?"3. Dont ask "Are you telling the truth?"4. Dont say "Let me know if it happens again."5. Avoid leading questions ("Did your uncle touch you too? Was he wearing a blue jacket?”)
    29. 29. How do you make a report? You should contact CPS whenever you reasonably suspect a child has been abused or neglected or is subject to conditions where abuse or neglect is likely to occur. CPS will accept your report and determine “Is the child safe or does the child need protected?” 29
    30. 30. To Whom Do You Report?WV Child Abuse and Neglect Hotline 1-800-352-6513 24 hours a day - 7 days a weekFor serious physical abuse and sexual abuse, also contact the state police and local law enforcement. 30
    31. 31. Responsibility to Prevent Section 3.What Child Abuse Prevention Looks Like 31
    32. 32. Responsibility to Prevent“No epidemic has ever been resolved bypaying attention to the treatment of theaffected individual.” -- George W. Albee, Ph.D. 32
    33. 33. Protective Factors: A New Prevention Framework Suitable for universal, positive approach to families (no “risk” factors or deficit approach) Easily communicated to all audiences Based on hard evidence 33
    34. 34. Protective Factors “Circles of Caring” Knowledge of Parenting & Child Development Parental Resilience Social Connections Social & Emotional Development of Children Concrete Support in Times of Need
    35. 35. Knowledge of Parenting & Child DevelopmentInformation about how children developHow to deal with challenging behaviorsAlternatives to how we were raised
    36. 36. Parental ResilienceAble to solve problemsFeel supportedAbility to bounce back
    37. 37. Social ConnectionsRelationshipsCommunity normsMutual assistance networks
    38. 38. Social and Emotional Development of Children Positive parent-child interaction. Appropriate adult response to challenging behaviors or when development is not on track. Children learn to express themselves and their emotions.
    39. 39. Concrete Support in Times of NeedResponse to crisis.Assistance with daily needs.Services for children and parents.
    40. 40. Remember…WV Child Abuse and Neglect Hotline 1-800-352-6513 24 hours a day - 7 days a weekFor serious physical abuse and sexual abuse, also contact the state police and local law enforcement.
    41. 41. For More Information Contact: The TEAM for West Virginia Children 1-866-4KIDSWV 304-697-0340 Email: pcawv@teamwv.org Twitter: @TEAM4WVChildren http://slideshare.net/PCAWV http://www.preventchildabusewv.org 42
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