Child and Adult Maltreatment, Partner
Violence, and Elder Abuse | Lecture 4 Exam
Review & Practice Questions
, What is the epidemiology and incidence rate of death for 3.4 million alleged incidents reported to CPS per year and 1,640 children die each
child maltreatment? year as a result of maltreatment
What are the 3 major forms of child maltreatment and their 78% Neglect
% prevalence? 18% physical abuse
9% sexual abuse
What is the leading cause of death relating to child Shaken baby syndrome because parents can get frustrated with their baby and
maltreatment and why? shake them
What is neglect? Failure to provide adequate care and protection to children
What is physical abuse? Infliction of nonaccidental injury by a caretaker
What is sexual abuse? Sexual behavior between a child and adult or between 2 children when one of them
is significantly older or more dominant
What is psychological abuse? Caretaker causes serious psychological injury by repeatedly terrorizing or berating a
child
What is medical abuse? Formerly Munchausen by proxy and is now called factitious disorder imposed on
another, making them ill to get attention?
What to do in a clinical evaluation if you suspect child -DO NOT INVESTIGATE
maltreatment? -Get a detailed medical and development history
-Get family Hx
-Perform a PE looking for injuries, bruises, and malnutrition
-Avoid re-traumatizing the child by asking certain questions
What are some typical findings in an exam of the child for -Withdrawal
child maltreatment? -Anxiety, depression, PTSD
-Sleep problems
-Aggression
-Nightmares
-Phobias
-Low self-esteem
-Dissociative reactions
-Regressive behaviors
What are some typical findings in the exam of the parent -Delayed seeking help for child injuries
for child maltreatment? -Hx does not match injuries or child's Hx
-Evidence of repeated suspicious injuries
What can tests do and cannot do for child maltreatment? They cannot dx child abuse
They can be useful for the evaluation
What are 2 different types of testing that can help and their -Psychological testing (IQ testing, inventories)
examples? -Record review (Medical, mental health, educational records, CPS records)
Violence, and Elder Abuse | Lecture 4 Exam
Review & Practice Questions
, What is the epidemiology and incidence rate of death for 3.4 million alleged incidents reported to CPS per year and 1,640 children die each
child maltreatment? year as a result of maltreatment
What are the 3 major forms of child maltreatment and their 78% Neglect
% prevalence? 18% physical abuse
9% sexual abuse
What is the leading cause of death relating to child Shaken baby syndrome because parents can get frustrated with their baby and
maltreatment and why? shake them
What is neglect? Failure to provide adequate care and protection to children
What is physical abuse? Infliction of nonaccidental injury by a caretaker
What is sexual abuse? Sexual behavior between a child and adult or between 2 children when one of them
is significantly older or more dominant
What is psychological abuse? Caretaker causes serious psychological injury by repeatedly terrorizing or berating a
child
What is medical abuse? Formerly Munchausen by proxy and is now called factitious disorder imposed on
another, making them ill to get attention?
What to do in a clinical evaluation if you suspect child -DO NOT INVESTIGATE
maltreatment? -Get a detailed medical and development history
-Get family Hx
-Perform a PE looking for injuries, bruises, and malnutrition
-Avoid re-traumatizing the child by asking certain questions
What are some typical findings in an exam of the child for -Withdrawal
child maltreatment? -Anxiety, depression, PTSD
-Sleep problems
-Aggression
-Nightmares
-Phobias
-Low self-esteem
-Dissociative reactions
-Regressive behaviors
What are some typical findings in the exam of the parent -Delayed seeking help for child injuries
for child maltreatment? -Hx does not match injuries or child's Hx
-Evidence of repeated suspicious injuries
What can tests do and cannot do for child maltreatment? They cannot dx child abuse
They can be useful for the evaluation
What are 2 different types of testing that can help and their -Psychological testing (IQ testing, inventories)
examples? -Record review (Medical, mental health, educational records, CPS records)
