1. Rebecca Sposato MS, RN

2.  estimated 1,740 child fatalities in 2008. This translates to a rate of 2.33 children per 100,000 children in the general population  The true number is unknown due to child fatalities being mislabeled as accidents and different reporting criteria and methods between states  Fathers/boyfriends account for majority of abuse fatalities, and mothers account for majority of neglect fatalities  http://www.childwelfare.gov/pubs/factsheets/fatality.cfm

5.  Suspicious Bruising Patterns (90%) Multiple stages of healing Located on back, bilateral torso Distinct shapes – hands, shoeprints, straps  Submersion burns  The injury doesn’t match the story  Spiral fractures  Underweight/Failure to thrive

6.  Perpetrator is often Low income Low education Under 35 Poor coping skills Stressed/depressed Victim of abuse during lifespan

7.  Prevalence: 40/1000 children investigated for maltreatment, 12/1000 children are confirmed victims of maltreatment  Mandatory reporting of suspected child abuse by healthcare professionals

9.  Have higher incidence of emotional, conduct, and personality disorders as adolescence and adults  Involved professionals Pediatrician, nurse Clinical psychologist, counselors, therapists Law enforcement and professionals Social workers Educators

10.  US Department for Health and Human Services (2011) www.childwelfare.gov/pubs/factsheets/f atality.cfm