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Date Revised: 5-1-2001Supersedes: 4-23-2001
Type of Child Abuse/Neglect:
I. Physical Abuse: A. Physical Indicators: Unexplained Bruises and Welts: • on face, lips, mouth • on torso, back buttocks, thighs in various stages of healing • clustered, forming regular patterns • reflecting shape of article used to inflict (electric cord, belt buckle) • on several different surface areas • regularly appear after absence, weekend, or vacation Unexplained Burns: • cigar, cigarette burns, especially on soles, palms, back, or buttocks • immersion burns (sock-like, glove-like, doughnut-shaped on buttocks or genitalia) • patterned like electric burner, iron, etc. • rope burns on arms, legs, neck, or torso Unexplained Fractures: • to skull, nose, facial structure • in various stages of healingmultiple or spiral fractures Unexplained Lacerations or Abrasions: • to mouth, lip, gums, eyes • to external genitalia B. Behavioral Indicators: • Wary of adult contacts. • Apprehensive when other children cry. • Behavioral extremes: aggressiveness, or withdrawal • Frightened of parents • Afraid to go home • Reports injury by parents II Physical Neglect A. Physical Indicators • Consistent hunger, poor hygiene, inappropriate dress • Consistent lack of supervision, especially in dangerous activities or for long periods • Unattended physical problems or medical needs • Abandonment B. Behavioral Indicators • Begging, stealing food • Extended stays at school (early arrival and late departure. • Constant fatigue, listlessness, or falling asleep in class • Alcohol or drug abuse • Delinquency (e.g., thefts) • States there is no caretaker
A. Physical Indicators: Unexplained Bruises and Welts: • on face, lips, mouth • on torso, back buttocks, thighs in various stages of healing • clustered, forming regular patterns • reflecting shape of article used to inflict (electric cord, belt buckle) • on several different surface areas • regularly appear after absence, weekend, or vacation Unexplained Burns: • cigar, cigarette burns, especially on soles, palms, back, or buttocks • immersion burns (sock-like, glove-like, doughnut-shaped on buttocks or genitalia) • patterned like electric burner, iron, etc. • rope burns on arms, legs, neck, or torso Unexplained Fractures: • to skull, nose, facial structure • in various stages of healingmultiple or spiral fractures Unexplained Lacerations or Abrasions: • to mouth, lip, gums, eyes • to external genitalia B. Behavioral Indicators: • Wary of adult contacts. • Apprehensive when other children cry. • Behavioral extremes: aggressiveness, or withdrawal • Frightened of parents • Afraid to go home • Reports injury by parents
A. Physical Indicators:
Unexplained Bruises and Welts: • on face, lips, mouth • on torso, back buttocks, thighs in various stages of healing • clustered, forming regular patterns • reflecting shape of article used to inflict (electric cord, belt buckle) • on several different surface areas • regularly appear after absence, weekend, or vacation Unexplained Burns: • cigar, cigarette burns, especially on soles, palms, back, or buttocks • immersion burns (sock-like, glove-like, doughnut-shaped on buttocks or genitalia) • patterned like electric burner, iron, etc. • rope burns on arms, legs, neck, or torso Unexplained Fractures: • to skull, nose, facial structure • in various stages of healingmultiple or spiral fractures Unexplained Lacerations or Abrasions: • to mouth, lip, gums, eyes • to external genitalia
Unexplained Bruises and Welts:
• on face, lips, mouth • on torso, back buttocks, thighs in various stages of healing • clustered, forming regular patterns • reflecting shape of article used to inflict (electric cord, belt buckle) • on several different surface areas • regularly appear after absence, weekend, or vacation
Unexplained Burns:
• cigar, cigarette burns, especially on soles, palms, back, or buttocks
• immersion burns (sock-like, glove-like, doughnut-shaped on buttocks or genitalia)
• patterned like electric burner, iron, etc.
• rope burns on arms, legs, neck, or torso
Unexplained Fractures:
• to skull, nose, facial structure
• in various stages of healingmultiple or spiral fractures
Unexplained Lacerations or Abrasions:
• to mouth, lip, gums, eyes
• to external genitalia
B. Behavioral Indicators:
• Wary of adult contacts.
• Apprehensive when other children cry.
• Behavioral extremes:
aggressiveness, or withdrawal
• Frightened of parents
• Afraid to go home
• Reports injury by parents
A. Physical Indicators • Consistent hunger, poor hygiene, inappropriate dress • Consistent lack of supervision, especially in dangerous activities or for long periods • Unattended physical problems or medical needs • Abandonment
A. Physical Indicators
• Consistent hunger, poor hygiene, inappropriate dress • Consistent lack of supervision, especially in dangerous activities or for long periods • Unattended physical problems or medical needs • Abandonment
• Consistent hunger, poor hygiene, inappropriate dress
• Consistent lack of supervision, especially in dangerous activities or for long periods
• Unattended physical problems or medical needs
• Abandonment
B. Behavioral Indicators • Begging, stealing food • Extended stays at school (early arrival and late departure. • Constant fatigue, listlessness, or falling asleep in class • Alcohol or drug abuse • Delinquency (e.g., thefts) • States there is no caretaker
B. Behavioral Indicators
• Begging, stealing food • Extended stays at school (early arrival and late departure. • Constant fatigue, listlessness, or falling asleep in class • Alcohol or drug abuse • Delinquency (e.g., thefts) • States there is no caretaker
• Begging, stealing food
• Extended stays at school (early arrival and late departure.
• Constant fatigue, listlessness, or falling asleep in class
• Alcohol or drug abuse
• Delinquency (e.g., thefts)
• States there is no caretaker
III. Sexual A. Physical Indicators • Difficulty in walking or sitting • Torn, stained, or bloody underclothing • Pain or itching in genital area • Bruises or bleeding in external genitalia, vaginal, or anal areas • Venereal disease, especially in preteens • Pregnancy B. Behavioral Indicators • Unwilling to change for gym or participate in physical education class • Withdrawal, fantasy, infantile behavior • Bizarre, sophisticated, or unusual sexual behavior or knowledge • Poor peer relationships • Delinquent or run away • Reports sexual assault by caretaker IV. Emotional Maltreatment A. Physical Indicators • Speech disorders • Lags in physical development • Failure-to-thrive B. Behavioral Indicators • Habit disorders (sucking, biting, rocking, etc.) • Conduct disorders (antisocial, destructive, etc.) • Neurotic traits (sleep disorders, inhibition of play) • Psychoneurotic reactions (hysteria, obsession, compulsion, phobias, hypochondria) • Behavior extremes: compliant, passive aggressive, demanding • Overly adaptive behavior: inappropriately adult inappropriately infant • Developmental lags (mental, emotional • Attempted suicide
A. Physical Indicators • Difficulty in walking or sitting • Torn, stained, or bloody underclothing • Pain or itching in genital area • Bruises or bleeding in external genitalia, vaginal, or anal areas • Venereal disease, especially in preteens • Pregnancy B. Behavioral Indicators • Unwilling to change for gym or participate in physical education class • Withdrawal, fantasy, infantile behavior • Bizarre, sophisticated, or unusual sexual behavior or knowledge • Poor peer relationships • Delinquent or run away • Reports sexual assault by caretaker
• Difficulty in walking or sitting • Torn, stained, or bloody underclothing • Pain or itching in genital area • Bruises or bleeding in external genitalia, vaginal, or anal areas • Venereal disease, especially in preteens • Pregnancy
• Difficulty in walking or sitting
• Torn, stained, or bloody underclothing
• Pain or itching in genital area
• Bruises or bleeding in external genitalia, vaginal, or anal areas
• Venereal disease, especially in preteens
• Pregnancy
• Unwilling to change for gym or participate in physical education class • Withdrawal, fantasy, infantile behavior • Bizarre, sophisticated, or unusual sexual behavior or knowledge • Poor peer relationships • Delinquent or run away • Reports sexual assault by caretaker
• Unwilling to change for gym or participate in physical education class
• Withdrawal, fantasy, infantile behavior
• Bizarre, sophisticated, or unusual sexual behavior or knowledge
• Poor peer relationships
• Delinquent or run away
• Reports sexual assault by caretaker
A. Physical Indicators • Speech disorders • Lags in physical development • Failure-to-thrive
• Speech disorders • Lags in physical development • Failure-to-thrive
• Speech disorders
• Lags in physical development
• Failure-to-thrive
B. Behavioral Indicators • Habit disorders (sucking, biting, rocking, etc.) • Conduct disorders (antisocial, destructive, etc.) • Neurotic traits (sleep disorders, inhibition of play) • Psychoneurotic reactions (hysteria, obsession, compulsion, phobias, hypochondria) • Behavior extremes: compliant, passive aggressive, demanding • Overly adaptive behavior: inappropriately adult inappropriately infant • Developmental lags (mental, emotional • Attempted suicide
• Habit disorders (sucking, biting, rocking, etc.) • Conduct disorders (antisocial, destructive, etc.) • Neurotic traits (sleep disorders, inhibition of play) • Psychoneurotic reactions (hysteria, obsession, compulsion, phobias, hypochondria) • Behavior extremes: compliant, passive aggressive, demanding • Overly adaptive behavior: inappropriately adult inappropriately infant • Developmental lags (mental, emotional • Attempted suicide
• Habit disorders (sucking, biting, rocking, etc.)
• Conduct disorders (antisocial, destructive, etc.)
• Neurotic traits (sleep disorders, inhibition of play)
• Psychoneurotic reactions (hysteria, obsession, compulsion, phobias, hypochondria)
• Behavior extremes:
compliant, passive aggressive, demanding
• Overly adaptive behavior:
inappropriately adult inappropriately infant
• Developmental lags (mental, emotional
• Attempted suicide