child abuse ( PHYSICAL, EMOTIONAL, SEXUAL)
Download as PPTX, PDF27 likes26,827 views
Child abuse significantly impacts children's well-being, manifesting as physical, emotional, and sexual harm, often occurring across all age groups, with infants and toddlers being particularly vulnerable. Various forms of abuse stem from factors like economic inequality, parental substance abuse, and harsh discipline, with neglect also being a critical issue. Prevention and treatment require systematic health education, safe environments, and appropriate therapeutic interventions to support affected children.
child abuse ( PHYSICAL, EMOTIONAL, SEXUAL)
- 1. CHILD ABUSE ISHANI BISHT AND PANKAJ SINGH RANA SRHU, HCON
- 2. INTRODUCTION • Few social problem have as profound an impact on the wellbeing of children as child abuse and neglect. Parental surveys indicate that several million adults admit to physical violence against their children each year and many more adults report abusive experience as children. • Child abuse is parental behavior destructive to the normal physical or emotional development of a child. Child abuse is not limited to one age group can be detected at any age. • The age group of children from birth to 3 years expect that highest number of victim of child abuse, with girls being abused more frequently than boys.
- 3. • Abuse in the family can take various forms. Parent and caregiver can abuse child, spouses or other family member. Child abuse can have a significant negative impact on the child growth and development and physical and emotional health. • In some cases, domestic violence or parental substance abuse may lead to child abuse. Abusive parents can be found at all socioeconomic levels, but families with greater finical means may be able to evade detection more easily. • Low income families show greater evidence of violence, neglect, and several abuse according to some studies.
- 4. DEFINATION “A child abuse or maltreatment as forms of physical and emotional ill treatment, sexual abuse, neglect or negligent treatment or commercial exploration that results in actual or potential harm to the child health, survival, development or dignity in the context of a relationship or responsibility trust or power” -(WHO)
- 6. TYPES PHYSICAL ABUSE – • Physical abuse may occur when the care giver is unfamiliar with normal child behavior and caregiver become frustrated when child does not behave as they expect. • These are the acts of commission by a care giver that cause actual physical harm or have the potential for harm. When the child resists the care giver control or seems to do the opposite of what is expected the care giver may take it as a personal often and become angry, possibly responding with physical punishment
- 8. • Physical punishment leave marks, causes injury or threatened the Childs physical and emotional well being. • Various physical punishments are • Burn ( most common) • Cigarette burns • Immersion of hand in hot liquid • Slapping • Beating with stick or belt.
- 10. EMOTIONAL ABUSE • Failure of the care giver to provide an appropriate and supportive environment including the acts that adversely effect the emotional health and development of child. • Verbal abuse are difficult to identify but had a serious and lasting effect than physical abuse
- 11. • Various emotional abuse are • Verbal abuse such as humiliation, scapegoating • Unrealistic expectations with belting • Erratic discipline
- 12. • Emotional unavailability when care giver are absorbed in their own problems • Insufficient or poor nurturing or threatening to leave the child or otherwise end the relationship • Role reversal in which child must take on the role of parenting the parent and is blamed for the parents problem. • Children may show sign of emotional abuse by appearing worried or fearful or having vague complaints or illness or nightmare. • In young children failure to thrive may be a sign of emotional abuse. In the other child, poor school performance and attendance, poor self esteem, and poor peer relationship may be clue.
- 13. NEGLET • The failure of the parent/ guardian to provide for the development of child where he/she is in a position to do so in form of health education, emotional development, nutrition, shelter, and safe living condition • Neglect is distinguished from circumstances of poverty where there is reasonable resources are available to the caregiver. Example- a child had serious burn and the caregiver is do not take child for treatment. The child with failure to thrive is under fed, deprived of love, constantly criticized.
- 15. SEXUAL ABUSE • These acts when caregiver use child for sexual gratification. Sexual abuse has been existed in all age, culture, religion or ethnic boundaries • “ the employment, use, pervasion, inducement, enticement or coercion of any child to engage in, or assist any other person to engage in an sexually explicit conduct” - ( federal child abuse prevention and treatment act )
- 16. Sexual contact include Folding of breast and gentitalia Intercourse Oral genital contact exhibitionism Voyeurism When there is sexual assault of a child the caregiver becomes aware of the incident, should be promptly reported and took child for physical examination
- 17. • The child may exhibit various physical complaint like various ache and pain, gastrointestinal upset, changes in bowel and bladder habits, nightmare and acts of aggression and hostility. • In most of the cases the diagnosis is made by the history of the child.
- 18. CAUSES • Economical inequality • Lack of social safety need • Encouraging harsh physical punishment • Substance abuse • Unemployment and financial difficulties • poverty
- 19. MANIFESTATION PHYSICAL ABUSE • Fracture • Redness of abused area • Burn marks • Scars • Head injury or injury to internal organ
- 20. SEXUAL ABUSE • Infection • Genital injury • Abdominal injury or pain • Constipation • Chronic or recurrent urinary infection • Behavior problem
- 21. EMOTIONAL ABUSE • Depressed • Anxiety • Afraid
- 22. NEGLECT • Failure to thrive • Failure to seek basic health care • Immunization and deprivation of education • Basic nutrition needs • Poor hygiene • Substance abuse • Inadequate supervision
- 23. DIGNOSIS • HISTORY COLLECTION • PHYSICAL EXAMINATION • Inspection of genital and anus or scars and burn over body • Identify the presence of blood or semen on child • Injury to oral mucosa, breast, thighs should be over looked • FORENSIC EVIDENCE COLLECTION • LABORATORY INVESTIGATION • Use of nucleic acid implication testing for screening STD in sexual abused child
- 25. PREVENTION • Prevention child abuse should be a part of national agenda. In India abuse of children is a major social and public health problem especially socially marginalized and economical backward groups such as children in urban slums and children on street and children of construction worker. • Health Education of children • Timely health care and routine examination • Healthy nutrition • Sanitation facilities
- 26. TREATMENT • To provide a safe environment to prevent further harm • Separating the child, as well as, any other children in the household, form the person suspected of abuse • Cognitive behavioral therapy was designed for children who have experienced physical abuse. • Any physical injuries will be treated, either in a hospital or at a doctors office, depending on how serious they are.
- 27. • Counseling may involve play therapy • Talk therapy also called psychotherapy can be used • Cognitive behavioral therapy helps an abused child to better manage distressing feelings.
- 28. Thank you