Child Abuse

1
Child Abuse

• Anne Simmons
• MSN, RN

2
Purpose

• To prepare the school nurse on identification,
  reporting and recording of child abuse of the
  school age child

3
Identification and Reporting

• Four types of child abuse
• The nurses role as mandated reporter
• Social worker and Principals role
• Required forms to be completed

4
Child Abuse and Neglect

• Any recent act or failure to act on the part of a
  parent or caretaker which results in death,
  serious physical or emotional harm, sexual abuse
  or exploitation
• An act or failure to act which presents an
  imminent risk of serious harm

5
Types

• PHYSICAL characterized by infliction of
  physical injury as a result of Punching, Beating,
  Kicking, Biting, Burning, Shaking

• EMOTIONAL includes acts of omissions by parents
  or caregivers that could cause behavioral,
  cognitive, emotional, or mental disorders
• consider cultural values

6
Types

• NEGLECT failure to provide for childs basic
  needs and can be physical, educational and
  emotional such as hunger, poor hygiene,
  abandonment, inadequate supervision, lack of
  affection and spousal abuse in childs presence

• SEXUAL fondling a childs genitals,
  intercourse, incest, rape, sodomy, exhibitionism,
  and commercial exploitation

7
Family History Indicators

• Multiple visits at various hospitals and clinics
• Visits occur at off hours
• Injury story inconsistent
• Blame for injury placed on third party
• Social history/environment
• Sibling injury/traumatic death

8
Reporting
All school nurses and physicians are mandated
reporters. Reporting and recording are a team
effort. You are not discharged from
responsibility until the report has been made.
9
Initiating the Report

• Discuss case with principal and/or designated
  agent
• Call NYS Central Registry _at_ 1-800-635-1522 to
  report suspected abuse
• Obtain Case number

10
Reporting Information

• Child/Family
• Name
• Address
• Age and Birth date
• Gender, Race
• Mothers name
• Family composition

• Reporter
• Name
• Work Address
• Telephone number
• Leave DSNs number, if reporter not reachable
• within next 48 hours

11
Documentation

• 103A
• Confidential information
• Objective description of findings
• SCAN written on form indicates call to Central
  Registry

• DDS2221A
• Written narrative report filed in 48 hours and
  sent to Director of Social Work
• Concise and Objective use quotes be clear
• Include history of suspected abuse
• Measure any marks, bruises for location, size and
  shape
• 3 x 5 index card attached, include reporter name,
  school, and district
• Send form to Central Office

12
Follow - Up

• CPS investigation begins within 24 hours
• DSN should get caseworker name, document
• subsequent telephone contacts and that case is
  adequately
• followed until resolution
• CPS determines if case accepted or denied

13
Key Points

• Children targets due to vulnerability
• Generational repetition of abuse
• Inability to provide good parenting skills (
  learned behaviors)
• Basic trust skills lacking
• Feelings of inferiority and worthlessness
• Decreased self esteem

14
Other Issues

• Economic issues
• Health Maintenance
• poor communication skills
• lack of knowledge regarding normal
  developmental stages, safety and nutrition

15

• Any suspected case should be reported.
• The CPS role is to assist and educate the family
  to promote health and safety of the child.

16
(No Transcript)