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PROBLEM RELATED TO
ABUSE OR NEGLECT
BY
SAYANTANI MONDAL
2ND YEAR M.SC. NURSING
PSYCHIATRY (MENTAL HEALTH) NURSING
COLLEGE OF NURSING
INSTITUTE OF PSYCHIATRY – COE
Introduction:
Childhood should be a care-free time filled with love, and
the joy of discovering new things and experiences.
The effect of child abuse and neglect are not limited to
childhood but cascade throughout life, with significant
consequences for victims, their families, and society. Child
neglect is the most common form of maltreatment. It may
be physical, sexual, and/ or psychological especially by a
parent or a caregiver.
Definition:
According to WHO: “Child abuse or maltreatment
constitutes all forms of physical and /or emotional ill-
treatment, sexual abuse, neglect or negligent treatment or
commercial or other exploitation, resulting in actual or
potential harm to the child’s health, survival, development
or dignity in the context of a relationship of responsibility,
trust or power.”
Prevalence in India:
• India has largest number of children in the world (375
million), nearly 40% of its population.
• 69% of Indian children are victims of physical,
emotional, or sexual abuse.
• New Delhi, has an over 83% abuse rate.
• 89% of the crimes are committed by family
members.
Contd……..
• Boys face more abuse (>72%) than girls (65%).
• More than 70% of cases go unreported and
unshared even with parents/ family.
• 25-50% of children around the world suffer
from physical abuse.
• 5-10% of boys and 20% of girls experience
sexual abuse.
Problems related to abuse and neglect
Vulnerable Groups
Women
Children
Elderly
Psychiatric patients
Under-previleged
Challenged
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Types ofAbuse
Physical abuse
Sexual abuse
Emotional abuse
Child Neglect
PREDISPOSING FACTORS
BIOLOGICALTHEORIES
Neuro-physiological Influences
Biochemical Influences
Genetic Influences
Disorders of the Brain
PSYCHOLOGICALTHEORIES
Psychodynamic Theory
Learning Theory
SOCIO-CULTURALTHEORIES
Societal Influences
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Management and prevention of child abuse and
neglect:
1. Family counseling and education: Reduce the
impact of child abuse and develop strategies of
personal safety and protective healthy ways of
children and young people.
2. Educate parent and focus on enhancing
behaviour, such as developing and practicing
positive discipline techniques and learning age-
appropriate child development skill (Parent
Education Programs)
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Summarization
Introduction
Definition
Prevalence
Historical background
Vulnerable group
Predisposing factors
Theoretical perspective
Types ofabuse




physical abuse
sexual abuse
emotional abuse
child neglect
Conclusion
Child abuse & neglect have a long-lasting impact on
the child, their family & the following generations.
In order to protect children from this situation, it is
necessary to develop preventive programs & to
develop & enforce legal ramifications.
ANY QUARIES
?
Evaluation
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Parental Characteristics
Violence,
Poverty,
Parental history of abuse,
Socially isolated,
Low self esteem,
Less adequate maternal functioning.
1946: Medical discovery of child abuse was
documented by Caffey on observing children with
multiple bone fractures and children with trauma
unsubstantiated by parents.
1962: Term ‘Battered child syndrome’ by Henry
Kempe
1972: Kempe founded ‘KempeCentre’
1974: Child Abuse Prevention and TreatmentAct
1978: Mclain: coined CAN:- Child abuse and
neglect
Environmental Characteristics
•Chronic stress,
•Problem of divorce,
•Poverty,
•Unemployment,
•Poor housing,
•Frequent relocation,
•Alcoholism,
•Drug addiction.
Historical Background
First documented and reported case of CA/CN
occurred in 1874 with a child named, MaryEllen.
Late 19th century: ‘House of Refuge’movement
(safe place for abandoned children)
1870s: New York society for Prevention of
Cruelty to Children established to work in
coherence with “House ofRefuge”.
Child Characteristics
•Unwanted or unplannedchild
•No. of children in the family,
•Child's temperament,
•Position in the family,
•Additional physical needs if ill or disabled,
•Activity level or degree of sensitivity to parental
needs.
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Problems related to abuse and neglect
Role of parents:
 Understanding the CSA and its signs
 Encourage children to talk
 Creating safe environment

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Problems related to abuse and neglect