1. CHILD ABUSE & NEGLECT Mandated Reporting

2. Caution The following presentation contains graphic photos of general neglect, severe neglect, physical abuse, substance abuse, and failure to thrive incidents.

3. Mandated Reporting The California Penal Code mandates that certain professionals are required to report suspected child abuse or neglect These professionals are called Mandated Reporters Mandated reporters include a variety of persons that work with children (any child care custodian)

4. Reporting Child Abuse Remember that reporting child abuse does not mean physical intervention or snooping. It simply means not ignoring the obvious.

5. What is Child Abuse and Neglect? Welfare & Institutions Code 300 (a) – (j) (a) Physical abuse (b) Neglect (c) Emotional abuse (d) Sexual abuse (e) Severe physical abuse of children under five (f) Parent caused death of a sibling (g) Parent’s failure to support (h) Legal orphan (i) Cruelty (j) Other siblings neglected, child at risk

6. Physical Abuse

7. (a) Physical Abuse Serious physical abuse inflicted non-accidentally. Must be by the child's parent or guardian. Substantial risk of serious future injury. History of repeated injuries on the child or siblings. Does NOT include reasonable and age-appropriate spanking to the buttocks. Does NOT include fights between like-age minors.

8. Physical Abuse Physical abuse may be suspected when the child: – Has unexplained burns, bites, bruises, broken bones, or black eyes – Has fading bruises or other marks noticeable after an absence from school or daycare – Seems frightened of the parents and protests or cries when it is time to go home – Shrinks at the approach of adults – Reports injury by a parent or another adult caregiver

9. Physical Abuse Physical abuse may be suspected when the parent or adult caregiver: – Offers conflicting, unconvincing, or no explanation for the child’s injury – Describes the child as “evil” or in some other very negative way – Uses harsh punishment or physical discipline with the child – Has a history of abuse as a child

10. Physical Abuse/Bruises

12. Continued…

13. Physical Abuse

15. Physical Abuse/Burns Continued…

16. Physical Abuse

21. Neglect

22. (b) Neglect Failure to adequately supervise or protect the child. Failure to protect from the conduct of others. Failure to provide adequate food, clothing, shelter, or medical treatment. Inability to provide care due to mental illness, developmental disability, or substance abuse. Medical decision made after consultation with a physician does NOT constitute neglect.

23. Neglect Two types General neglect Basic necessities Severe neglect Medical necessities Injury

24. Neglect Caution– The assessment of child neglect requires consideration of cultural values and standards as well as the recognition that the failure to provide the necessities of life may be related to poverty

25. Neglect Neglect may be suspected when the child: – Is frequently absent from school – Begs or steals food or money – Lacks needed medical or dental care, immunizations or glasses – Is consistently dirty and/or severe body odor – Lacks sufficient clothing for weather – Abuses alcohol or other drugs – Lacks supervision, especially in dangerous activities or for long periods of time

26. Neglect Neglect be suspected when the parent or other caregiver: – Appears to be indifferent to the child – Seems apathetic or depressed – Behaves irrationally or in a bizarre manner – Abuses alcohol or other drugs

27. Neglect

29. (b) Neglect

30. Neglect

31. What Is This?

32. Severe Neglect – The refusal of or delay in seeking medical care – Driving with the child while intoxicated – Abandonment – Refusal to allow a runaway to return home – Inadequate supervision that causes injury

33. Emotional Abuse

34. (c) Emotional Abuse Serious emotional damage. Child must exhibit severe anxiety, depression, withdrawal, aggressive behavior toward self or others. Must be a result of the conduct of the parent or guardian. OR Parent or guardian is not capable of providing appropriate care.

35. Emotional Abuse – Psychological abuse, verbal abuse and mental injury – Includes acts or omissions by the parent or other caregiver that causes, or could cause, serious behavioral, cognitive, emotional, or mental disorders – Difficult to prove

36. Emotional Abuse Emotional abuse may be suspected when the child: – Shows extremes in behavior, such as overly compliant or demanding behavior, extreme passivity, or aggression – Displays inappropriately adult behavior (for example, parenting other children) – Displays inappropriately infantile behavior (for example, frequently rocking or head-banging) – Is delayed in physical or emotional development – Reports lack of attachment to parent

37. Emotional Abuse Emotional abuse may be suspected when the parent or adult caregiver: – Constantly blames, belittles, or berates the child – Is unconcerned about the child and refuses to consider offers of help for the child’s problems – Overtly rejects the child

38. Sexual Abuse

39. (d) Sexual Abuse Parent sexually abuses child or substantial risk of sexual abuse. Parent fails to protect from sexual abuse they should have reasonably known about. Promotes, aids, assists, employs, uses, persuades, induces, or coerces a child, in prostitution, live performance, pose or model involving obscene sexual conduct. Includes penetration, oral sex, objects into genitals, touching. Any act which is for sexual arousal or gratification. Sexual exploitation — child pornography, prostitution. NOT normal caretaker responsibilities or demonstrations of affection.

40. Sexual Abuse Sexually abused children may develop the following: – Unusual interest in or avoidance of all things of a sexual nature – Seductiveness – Eating disorders – Self-injury – Secretiveness – Unusual aggressiveness – Suicidal behavior

41. Sexual Abuse Sexual abuse may be suspected when the child: – Has difficulty walking or sitting – Suddenly refuses to change for gym or to participate in physical activities – Has nightmares or bedwetting – Experiences a sudden change in appetite – Demonstrates bizarre, sophisticated, or unusual sexual knowledge or behavior – Runs away – Reports sexual abuse by a parent or other adult caregiver

42. Sexual Abuse Sexual abuse may be suspected when the parent or other caregiver: – Is unduly protective of the child or severely limits the child’s contact with other children – Is secretive and isolated – Is jealous or controlling

43. Sexual Abuse Who responds initially to: – Out of home sexual abuse (i.e. sports coach) Law Enforcement Referral to Child Welfare Services for assessment and/or community services, HOPES – In-home sexual abuse (i.e. mother’s boyfriend) Joint response – Child Welfare Services – Law Enforcement

44. Severe Physical Abuse Child Under Age 5

45. (e) Physical Abuse, Child Under Five Child is under the age of five. Severe physical abuse by a parent or parent reasonably should have known. Single act could cause permanent disfigurement, disability, or death. Physical abuse causes significant bleeding, deep bruising, or significant external or internal swelling. More than one act of physical abuse, each causes bleeding, deep bruising, significant swelling, fracture, unconsciousness. Willful, prolonged failure to provide adequate food.

46. Severe Physical Abuse/Neglect

48. Severe Physical Abuse

50. Parent Caused Death of a Sibling

51. (f) Death of Another Child The child's parent or guardian caused the death of another child through abuse or neglect.

52. Parent’s Failure to Support

53. (g) Caretaker Absent No provision for support. Physical custody voluntarily surrendered (guardianships). Parent arrested or 5150 and cannot arrange for the care of the child. Child left with someone unwilling or unable to provide care or support. Whereabouts of the parent are unknown and reasonable efforts to locate the parent have been unsuccessful.

54. Legal Orphan

55. (h) Adoption The child is an orphan because parental rights were terminated Adoption may be pending, but has not happened

56. Cruelty

57. (i) Cruelty Act or acts of cruelty. Parent or a member of his or her household. Parent failed to protect and reasonably should have known that the child was in danger of being subjected to an act or acts of cruelty. Example: repeatedly placing gun to the head of a child telling him you are going to kill him or her.

58. Other Siblings

59. (j) Sibling Abuse/Neglect Child's sibling has been abused or neglected. and There is a substantial risk that the child will be abused or neglected. Not used often because most cases will already fall under one of the other sections (a) – (i).

60. To Intervene or Not? Custody disputes Substance abuse alone Out-of-control children Sexual activity between minors Runaways Children fighting Homelessness Poverty Pregnancy – Pregnancy of a minor, regardless of her age, does not in and of itself constitute the basis of a reasonable suspicion of sexual abuse. Penal Code, § 11166(a). In the following situations Child Welfare Services does not have the legal authority to intervene unless allegations of abuse or neglect are present.

61. To Intervene or Not? However, a Home Visitor may respond to offer resources to a family: – To improve family self-sufficiency – To provide individualized assistance in-home – To provide a safe environment to practice new skills – To teach the use of available resources in the community

62. When To Report Child abuse must be reported when a person who is a legally mandated reporter “... has knowledge of or observes a child in his or professional capacity, or within the scope of his or her employment whom he or she knows or reasonably suspects has been the victim of child abuse...” Penal Code § 11166(a)

63. Reasonable Suspicion Reasonable suspicion occurs when “... it is objectively reasonable for a person to entertain such a suspicion, based upon facts that could cause a reasonable person in a like position, drawing when appropriate on his or her training and experience, to suspect child abuse...” Penal Code § 11166(a)(1)

64. The Suspected Child Abuse Report How to report – Imminent danger or immediate risk, call 911 – Suspected child abuse or neglect, call 385-3000, Extension 5858 – After Hours 722-9915 – After reporting, the mandated reporter must complete the Suspected Child Abuse Report form. – Within 36 hours: Fax Suspected Child Abuse Report (SCAR) to 354-2518 Penal Code § 11166(g)(3)

65. Other Reporting Requirements The following information is also required when making the telephone report of suspected child abuse to the child welfare agency: – Name of the child. – Present locations of the child. – Nature and extent of the injury. – Any other information, including that which led the person to suspect child abuse, requested by the child welfare agency. Penal Code § 11167(a)

66. Missing the Mark “Reporting the information regarding a case of possible child abuse or neglect to an employer, supervisor, school principal, school counselor, coworker, or other person shall not be a substitute for making a mandated report to an agency specified in Section 11165.9.” Penal Code § 11166(g)(3)

67. Liability for Failing to Report Any person who fails to report an instance of child abuse, as required by the Child Abuse and Reporting Act, is guilty of a misdemeanor with a punishment not to exceed six months in jail, or a $1000 fine, or both. Penal Code § 11166(b)

68. Immunity for Reporting Mandated reporters who report suspected cases of child abuse have absolute immunity, both civil and criminal, for making such reports. Penal Code § 11172

69. Controlling Confidentiality Confidentiality regarding the identity of the reporters, the reports, and the records maintained by child welfare agencies and the Department of Justice, Child Abuse Central Index is strictly controlled. Penal Code § 11167(d)

70. Reporters’ Confidentiality The identity of all persons who report known or suspected child abuse is confidential and may only disclosed as follows:

71. Disclosure Exceptions Between child protective agencies To counsel representing the child welfare agency To the child’s counsel To the District Attorney (DA) in a criminal prosecution To a licensed agency when abuse in out-of- home care By court order When the reporter waives confidentiality

72. Feedback to Mandated Reporters According to Penal Code § 11170(b)(2), after the investigation is completed, the investigating agency must inform the mandated reporter of the results of the investigation and any action the agency is taking (usually within 30 days).

73. Feedback to Mandated Reporters Three types of feedback – Form letter – Telephone call – In-person contact Feedback – Information Substantiated – case open Inconclusive – possible abuse/neglect, not enough evidence to open a case Unfounded – no abuse/neglect found Continued…

74. Questions?