Why report child abuse
Some States require any person who suspects child abuse or neglect to report. Provide a complete, honest account of what you observed that led you to suspect the occurrence of child abuse or neglect. Any reasonable suspicion is sufficient. What Is Child Abuse and Neglect? Recognizing the Signs and Symptoms Learn how to identify and report child abuse or neglect and refer children who may have been maltreated. This factsheet provides information on the legal definitions, different types, and signs and symptoms of abuse and neglect.
After you make a report, it will be sent to child protective services CPS. The CPS worker may talk with the family, the child, or others to help determine what is making the child unsafe. The CPS worker can help parents or other caregivers get services, education, or other assistance. Preventing Child Abuse and Neglect Presents information about promoting well-being, creating supportive communities, prevention programs, and evidence-based practice with the purpose of reducing the risk of maltreatment.
The patient had also moderate plaque induced gingivitis, mild anemia microcytic and iron deficiency , mild dental fluorosis, potentially impacted 48 and 38 and crowding in the upper right and lower anterior arches. The objective of treating the boy was to eliminate the pain, infection, improve the general and oral health, restore carious teeth, improve esthetic and report the child abuse and neglect to the relevant authorities.
In the initial phase of treatment, the patient was admitted for 4 days and placed on dexamethasone 8 mg stat, cefuroxime mg 3 times a day, metronidazole mg 3 times a day, diclofenac 50 mg tablets alternating 4 hourly with oral paracetamol mg 3 times a day, to run for 5 days. Patient was also placed on chlorhexidine mouthwash 10 ml twice daily for 7 days and ranferon hematinics 10 ml to be used twice a day for 1 month.
The second phase of treatment included incision and drainage of the abscess, followed by the splinting of the mobile teeth in the upper dental arch using semi-rigid splint of 0.
Root canal treatment of 11, 21, 12, and 22 followed thereafter. The third phase of treatment involved interceptive orthodontics with the extraction of 15 to relieve the crowding in the area. Oral hygiene instructions were availed to the patient and the guardian, placement of fissure sealants was done for the premolars and molars to help reduce plaque retention on these teeth, preventive resin restorations were placed on 37, 46, and The root fractures involving the apical one-third of 21 and 22 meant that the two teeth were to be initially dressed using non setting calcium hydroxide, and after healing, root canals are filled in the usual manner [ Figure 3 ].
Postobturation intraoral periapial radiograph showing the restoration on 12, 11, 21, and Nutrition evaluation had initially been done and when the patient was re-evaluated after 1 month, he had gained bodyweight up to 1 kg.
The child support center continued to carry out psychotherapy, and during one of the sessions, the patient confessed to having undergone physical abuse and threatened not to divulge any information by one of the uncles. The center considered placing the boy into a children's home, probably together with his siblings.
Radiographic examinations evaluation after 3 months indicated some external apical root resorption taking place on 21 and Further follows-ups were to continue. Posttreatment photographs taken after 10 months showing improved oral health of the patient and the glimmer of confidence in the patient as shown in a-d respectively. All types of child abuse and neglect leave the affected child with long-lasting scars that may be physical or psychological, but they are the emotional scars that leave the child with life-long effects, damage to the child's sense of self, the ability to build healthy relationships and function at home, work or school.
This situation can in turn result in the child turning to alcohol or drugs to numb the painful feelings. On the other hand, the exposure by the child to violence during childhood can increase vulnerability of that child to mental and physical health problems like anxiety disorder, depression, etc. A neglected and abused child like the one described here, can become helpless and passive, displaying less affect to anything whether positive or negative in his or her encounters. The abuser, therefore, his own uncle, probably did not like their presence gave him the assumption that the children would grow up to take away what he probably thought would be his dues from the family.
In Kenya and even in many other countries, data on the prevalence of child abuse is still scarce. A Kenyan study undertaken in showed that violence against children was very high, with In the same study, In all cases of abuse reported in the literature, the perpetrators were most often well-known to the children.
The motive of child abuse has not always clear, just as it was the case with the patient described here. The patient under study here hailed from a family with low socio-economic background where providing for extra needs in the family could have been a problem. Even during treatment of the patient the family found the cost of treatment to be very high and unaffordable to them, and a waiver of the cost had to be sought and obtained from the University Dental Hospital.
Further, the child having been orphaned with the death of their single parent mother left these children unprotected and vulnerable to such abuse from uncles who may have been competing for same needs in an already crowded family. It is possible that factors as poverty, social isolation, and familial disruption could have contributed to the abuse meted by this boy. The referral to the local child protection authority was done to attain this goal and also to have the children monitored consistently for their safety from further child abuse.
The child protection agency was indeed considering placing them in the custody of a children's home, though sadly, according to a report by the Kenyan Government, the utilization of these support services had not been very high,[ 13 ] for reasons unknown. The treatment of the patient was carried out in a humane manner, and assistance provided whenever possible to have the full treatment completed. The problem of nutrition was still a difficult one for this large family with a poor background.
If you are not certain, but suspect that there has been a case of abuse, you can call a hotline that will help you identify the case and keep your identity completely anonymous at Always try to know the name, age, and address of the child, along with as many details relevant to the abuse being reported as possible.
Some examples of this are: Constant belittling, shaming, and humiliating a child. Calling names and making negative comparisons to others.
Ignoring or rejecting a child as punishment, giving him or her the silent treatment. Limited physical contact with the child—no hugs, kisses, or other signs of affection.
Exposing the child to violence or the abuse of others, whether it be the abuse of a parent, a sibling, or even a pet. Warning signs of emotional abuse in children Excessively withdrawn, fearful, or anxious about doing something wrong.
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