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Child abuse prevention is your business

by Gale Horinbein, LISW-CP
Medical Social Worker
Child abuse is a national tragedy, taking the lives of four children every day and affecting millions of children and families every year.
 
Each April, Child Abuse Prevention Month activities raise awareness about this problem—and most importantly, about what each of us can do to help prevent the abuse and neglect of our nation’s children.
 
In 2004, Child Protective Services (CPS) agencies throughout the United States received 3 million reports concerning the welfare of approximately 5.5 million children. As a result of these reports, 872,000 children (an average of 2,389 children each day) were found to have been victims of abuse or neglect.  Of these, more than 60 percent were neglected, about 18 percent were physically abused, 10 percent were sexually abused, and 7 percent were emotionally maltreated. Child deaths are the most tragic results of maltreatment. In 2004, 1,490 children died due to abuse or neglect and although physical abuse was a major contributor, more than one-third of these deaths were caused by neglect.
    
Sadly, the highest rate of child maltreatment occurs to our youngest and most vulnerable children under the age of 4. In addition, children younger than 4 account for 78 percent of child fatalities. No group of children is immune. Boys and girls are almost equally likely to experience neglect and physical abuse. However, girls are four times more likely to experience sexual abuse.
  At least four out of five victims are abused by at least one parent and no matter how the fatal abuse occurs, one fact of great concern is that the perpetrators are, by definition, the very individuals responsible for the care and supervision of their victims. In 2002, one or both parents were involved in 79 percent of child abuse or neglect fatalities. Of the other 21 percent of fatalities, 16 percent were the result of maltreatment by non-parent caregivers, and 5 percent were unknown or missing. These statistics are consistent with findings from previous years.
    
The impact of abuse is far greater than its immediate, visible effects. Abuse and neglect are associated with short and long-term consequences that may include brain damage, developmental delays, learning disorders, problems forming relationships, aggressive behavior and depression.
 
Survivors of child abuse and neglect may be at greater risk for problems later in life—such as low academic achievement, drug use, teen pregnancy, mental disease and criminal behavior—that affect not just the child and family, but society as a whole.
 
During April’s observance of Child Abuse Prevention Month, the Blue Ribbon Campaign serves as a memorial to the children who were affected by abuse and neglect and also a reminder that we can all play a part in making child abuse prevention our business.       
    
The campaign was initiated in 1989 by a Virginia grandmother, Bonnie Finney, as a tribute to her grandson. Michael Wayne Dickinson, 3, was killed by his mother’s abusive boyfriend and his battered body was found at the bottom of a canal.
    
Following her grandson’s death, Finney started a personal crusade to help protect children by tying a blue ribbon to her van antennae to remind herself and others of the terrible beatings her grandson sustained. This action touched so many people in her community that it spread from neighbors to the media and eventually grabbed the nation’s attention.
   
Today the blue ribbon has become the national symbol of child abuse and a constant reminder of our need to protect children.
    
Although all the causes of child abuse and neglect are not known, research has identified several risk factors and protective factors associated with child abuse. Studies have also shown that when multiple risk factors are present, the risk is greater. For example, lack of preparation or knowledge of critical issues surrounding parenting, financial or other environmental stressors, difficulty in relationships, stress of single parenting and depression or other mental health problems can all lead to abusive or neglectful behavior.
 
Parents may lack an understanding of their children’s developmental stages and hold unreasonable expectations for their abilities. They may be unaware of alternatives to corporal punishment or how to discipline their children most effectively at each age. Parents also may lack knowledge of the health, hygiene and nutritional needs of their children.
    
These circumstances   combined with the inherent challenges of raising children can result in otherwise well-intentioned parents causing their children harm or neglecting their needs.
 
By helping parents who may be struggling with any of these challenges, one can  reduce the likelihood that their children will be abused or neglected. Prevention efforts build on family strengths. Through prevention activities, such as parent education, home visitation, and parent support groups, many families are able to find the support they need to stay together and care for their children in their homes and communities.
 
Child Abuse Prevention Month is an opportunity to highlight the role we can all play to support parents and families. Get involved. Wear a blue ribbon and support the prevention of child abuse.  
 
For information about programs to prevent child abuse and neglect, contact the Exchange Club Center at 747-1339. To order blue ribbons, call 792-2975.
Source: Prevent Child Abuse; S.C. Department of Social Services; and U.S. Department of Health and Human Services

What is child abuse prevention?

Prevention is…
  • Education
  • An effective method to stop child abuse and neglect before it starts, reducing the need for intervention and treatment
  • An effort to help parents and caregivers develop skills for managing children by understanding their children’s emotional, physical and developmental needs and using alternatives to corporal punishment for discipline
  • A strong investment from the public and private sectors in programs and public awareness campaigns that makes adults responsible for our children’s protection
  • Education and support networks for families during pregnancy or at birth to help establish a nurturing environment for their children
  • Parent education (from babies to teens), home visitation, and parent support groups that build on family strengths and support families in staying together
  • Anger and stress management, impulse control and problem solving skills that are taught to all children at each grade level
  • Community resources that can help families connect to resources and get long-term guidance and support
Prevention is not...
  • Reporting abuse
  • Hiring more child protective service workers to investigate abuse after it occurs
  • Building more advocacy centers and shelters
  • Developing more out-of-home placements
  • Enacting stricter laws for punishing abusers
  • Recommending more mental health care for traumatized children
Child Abuse and Neglect: The South Carolina Perspective
In 2005-2006, South Carolina’s Department of Social Services (SCDSS) received 16,898 reports of child abuse or neglect. This alarming statistic reflects only those children reported to and indicated by the SCDSS. The U.S. Department of Health and Human Services estimates this number to be three times greater than the actual abuse and neglect reports recorded by state authorities. This places the number of our state’s child abuse and neglect victims closer to 50,694 annually.

By the numbers
Although the national trend is showing an overall decrease in abuse and neglect, South Carolina continues to worsen. According to the 2006 Kids Count report of national ratings, South Carolina dropped from a 45th ranking to an overall 47th ranking for the well-being of children. In addition to the drop in child well-being, South Carolina has also declined in indicators such as percent of low birth-weight babies, percent of children in poverty and percent of children in single-parent families.
 
In 2004, the S.C. Law Enforcement Division’s Department of Child Fatality reported 33 child fatalities related to abuse or neglect. This was an increase from 2003 by five child abuse deaths.
Sources: South Carolina Department of Social Services 2005-06 Accountability Report; Annie Casey Foundation’s 2005 Kids Count Annual Report; Southern Institute of Children and Families, 2004


   

Friday, April 13, 2007
Catalyst Online is published weekly, updated as needed and improved from time to time by the MUSC Office of Public Relations for the faculty, employees and students of the Medical University of South Carolina. Catalyst Online editor, Kim Draughn, can be reached at 792-4107 or by email, catalyst@musc.edu. Editorial copy can be submitted to Catalyst Online and to The Catalyst in print by fax, 792-6723, or by email to catalyst@musc.edu. To place an ad in The Catalyst hardcopy, call Island Publications at 849-1778, ext. 201.