SCAN-MRT Pretest. Childcare Provider College Student Community Outreach Educator

Transcription

1 7 0 SCAN-MRT Pretest Before conducting the SCAN-MRT presentation, we would like to measure your current knowledge of child abuse and neglect. Please take a few minutes to answer the following questions. 1. What is your vocation? If you do not see your exact title, please select an answer that best matches your current job title. $ $ $ $ $ $ $ $ $ $ Therapist/Psychologist Childcare Provider College Student Community Outreach Educator Educator (professional) Educator (paraprofessional) Guidance Counselor Home Visiting Worker Social Worker Youth Worker 2. How long have you been working for a childcare or youth service organization? $ 0-1 year $ 1-3 years $ 3-5 years $ 5-7 years $ 7-10 years $ More than 10 years Y N 3. Have you ever had training on the recognition and reporting of child abuse and/or neglect?... $ $ If yes, please describe: 4. Which three behaviors might indicate that a child is being sexually abused? $ Reluctant to change clothes for gym, swimming, etc. $ $ Wears long-sleeved shirts, pants on hot days. $ $ Molests other children. Pretends dolls are having intercourse. Acts very seductive around adults. 5. Which three behaviors might indicate that a child is being physically abused? $ $ $ $ $ Wears long-sleeved shirts, pants on hot days. Gives vague and/or inconsistent explanations for injuries. Asks adult to touch child's breast, genitalia. Has sexualized behavior beyond what is expected for child's age. Complains of pain or shows signs of pain (walking stiffly or with limp, favoring arm). 6. If you saw physical and/or behavioral signs that a child was being abused or neglected, what would you do? $ $ $ Call the child protective service agency or police department in your county. Conduct an investigation to obtain information that proves maltreatment has occurred. Pass your concerns on to a colleague or supervisor and ask them to make the report Page 1 1

2 7 0 SCAN-MRT Pretest 7. Which injury commonly occurs in child play accidents, so is less suspicious for physical abuse? (Select one answer). $ Bruises in the shape of a loop. $ $ Bruises on the buttocks and/or inner thighs. $ Bruises with a distinct pattern. Bruising on the forearms or forehead. 8. When a child initially tells someone he or she has been abused, he/she may only reveal a portion of what actually happened.... $ $ 9. Before a person makes a report to authoities regarding suspected abuse of a child, he/she must be absolutely certain that the abuse has occurred.... $ $ 10. If a person makes a report of suspected abuse and the investigation concludes abuse was unlikely, that person will be held criminally liable.... $ $ 11. When authorities investigate a family for suspected abuse or neglect, the child almost always ends up being removed from the home.... $ $ T F Page 2 2

3 CHILD PROTECTION CENTER Suspected Child Abuse and Neglect Mandated Reporter Training Program (SCAN-MRT) SCAN-MRT is a state outreach program funded by the Argosy Foundation. Additional support provided by U.S. Cellular Wisconsin Department of Justice Children s Justice Act Wisconsin Department of Health and Family Services

4 Please complete the pretest. 1 Child Maltreatment: : What you need to know to recognize and report. Children s Hospital of Wisconsin Child Protection Center Suspected Child Abuse and Neglect Mandated Reporter Training Program (SCAN~MRT) A state outreach program funded by the Argosy Foundation Additional support provided by U.S. Cellular Wisconsin Department of Justice Children s Justice Act Wisconsin Department of Health and Family Services Updated 12/13/ SCAN~MRT: What is it? On-site training for staff of youth organizations Training on how to recognize and respond to suspected child maltreatment Interactive program emphasizing practical issues in response to abuse/neglect 3 2

5 Overview Prevalence of Maltreatment Neglect / Physical Abuse / Sexual Abuse / Emotional Damage Abbreviations Risk Factors Reacting to a disclosure of abuse Making a report What happens when you make a report Preventing maltreatment 4 Scope of Problem 2004 stats for US: ~ 3 million reports of abuse/neglect ~ 900,000 substantiated cases 1,500 children died from maltreatment Likely significant underestimate 5 Child Maltreatment in Wisconsin 2004 Reports: 42,500 Substantiated 45,339 specific allegations: 8,600 allegations Neglect: 37% One report may include Physical abuse: 26% multiple allegations of Sexual abuse: 26% abuse and/or neglect Emotional damage: -1% for a particular child Other types: 10% 6 3

6 CHILD MALTREATMENT is categorized into four basic areas: 1) Neglect 2) Physical abuse 3) Sexual abuse 4) Emotional damage 7 Physical Neglect Failure, refusal or inability of a caretaker, for reasons other than poverty, to provide necessary care, food, clothing, medical or dental care or shelter so as to seriously endanger the physical health of the child. 8 Physical Abuse Physical injury inflicted on a child by other than accidental means. Severe or frequent bruising Lacerations Fractures Burns Internal injuries Shaken baby syndrome 9 4

7 Sexual Abuse Sexual intercourse, sexual contact, sexual exploitation, forced viewing of or listening to sexual activity & engaging a child in prostitution. 10 Emotional Damage Emotional damage for which the child s caretaker has neglected, refused or been unable for reasons other than poverty to obtain necessary treatment or take necessary steps to ameliorate the symptoms. 11 Emotional Damage Harm to the psychological or intellectual functioning of a child which causes severe anxiety, depression, withdrawal, aggressive behavior, or a significant change in behavior. James Garbarino, PhD, The Erikson Institute. 12 5

8 Abbreviations CAN Child Abuse and Neglect CPS Child Protective Services CAC Child Advocacy Center DV Domestic Violence PA Physical Abuse SA Sexual Abuse 13 Often child maltreatment doesn t happen just once. 14 Long-term Consequences of CAN Impaired brain development Mental retardation, learning disabilities. Physical disabilities Shaken baby syndrome, blindness, seizures, paralysis, feeding problems Poor school performance Truancy, discipline problems, lower test scores CAN Substance abuse Two-thirds of people in drug treatment programs reported being abused as children Psychological problems Poor self-esteem, suicidal behavior, depression and/or anxiety Financial cost to society $93 billion annually Criminality Increases likelihood of juvenile arrests by 59% 15 6

9 Wisconsin s s Reporting Law (2) Mandated reporters are required to report suspected abuse and neglect of any child they see while in the course of their professional duties. Persons required report must also report those situations in which they have reason to believe that a child has been threatened with abuse or neglect and that abuse or neglect is likely to occur. For full text of the Wisconsin Statute go to 16 A report requires only reasonable suspicion, NOT absolute certainty 17 Level of certainty required Burden of Proof Criminal Conviction Substantiated Case investigated Screened in for investigation Report made to Child Protective Services/Police 18 7

10 Mandated reporters are protected, as long as they act in good faith. 19 Okay, so how do we know it when we see it? 20 Risk Factors for Child Maltreatment: Environmental Domestic violence Drug and/or alcohol abuse Social &/or Physical Isolation Stressors related to Poverty (absolute or relative) 21 8

11 Risk Factors for Physical Abuse: Caregiver Abuse in childhood Young/immature parents Limited knowledge of child development Low self esteem/depression Mental Illness Poor impulse control/anger management skills 22 Risk Factors for Child Maltreatment: Child Prematurity Chronic medical problems Developmental delay Behavioral problems Other disabilities Unwanted pregnancy Colic 23 Risk Factors for Child Maltreatment: Child Rates of physical abuse and neglect are similar among boys and girls. Girls are reported to be victims of sexual abuse 2.5 times more frequently than boys. Children less than 5 years old and youths between 15 and 17 years old are at greater risk of physical abuse. Girls between 11 and 14 years are at increased risk of sexual abuse. 24 9

12 Who are we most likely to overlook? Very young children Caucasian families Intact families Families perceived to be similar to our own Nice parents Jenny, C. et al. JAMA, 1999;281(7); Child maltreatment occurs in all ethnic, social and economic groups. It can, and does, occur in nice families. 26 Neglect 27 10

13 Types of Neglect Physical Lack of supervision/abandonment Medical (has to be life threatening) Failure to thrive, malnutrition 28 We re not investigators. We may need CPS to sort things out and provide necessary help. 29 Physical Abuse 30 11

14 What types of trauma are you most likely to see? Blunt trauma Bruises Abrasions (scrapes, scratches) Burns 31 Accidental vs. Inflicted Trauma: How do you tell the difference? Does the story make sense? Does the story seem reasonable in this particular child? Have there been many injuries in the past? Is the child acting in a way that makes you wonder if he/she is hiding something? 32 Behavioral Signs Overdress for the weather Reluctant to change clothes for gym Fearful of parents or adults Complains of pain Delay in seeking medical care 33 12

15 Accidental vs. Inflicted Trauma: How do you tell the difference? Multiple injuries 34 Accidental vs. Inflicted Trauma: How do you tell the difference? Multiple injuries Pattern injuries 35 Accidental vs. Inflicted Trauma: How do you tell the difference? Multiple injuries Pattern injuries Location of injuries 36 13

16 Suspicious Locations for Injuries Back side of body Buttocks Inner thighs Upper part of arms Torso Genitalia Neck Ears Soft part of cheek 37 Accidental vs. Inflicted Trauma: How do you tell the difference? Multiple injuries Pattern injuries Location of injuries Severity of injuries 38 Accidental vs. Inflicted Trauma: How do you tell the difference? Multiple injuries Pattern injuries Location of injuries Severity of injuries Injuries for different ages 39 14

17 Not everything that looks like a bruise really is a bruise. 40 A few words on burns 41 So, what do you say when you see a suspicious injury? Stay nonjudgmental Start with open-ended questions Use direct questions if necessary What, how, who, where, when (if possible) Avoid assuming details Assess need for medical care Assess safety of child 42 15

18 Sexual Abuse 43 Scope of Sexual Abuse 1 out of every 4 American females will be a victim of sexual abuse by age out of every 6 American males will be a victim of sexual abuse by age Scope of Sexual Abuse Females are most often abused by someone in their home/family. Males are most often abused by someone close to them outside of the home

19 Components of a Sexual Abuse Assessment Behavioral signs Disclosure Physical signs 46 Behavioral Signs May be suspicious for sexual abuse Molesting or sexualized behaviors Excessive masturbation Concerning but not specific for sexual abuse Depression/suicidal ideation Aggressive behaviors/school problems Toileting problems Sleep disturbance Appetite disturbance 47 Physical Signs Pain, swelling, itching Bruises bleeding discharge in genital area Sexually transmitted disease Difficulty walking, sitting, frequent urination 48 17

20 Disclosure DELAY in disclosure is THE RULE influenced by threats, fear of exposure, physical violence Child may later deny abuse; doesn t necessarily mean abuse didn t occur Young children can still make statements 49 Disclosure May disclose in bits and pieces Younger kids often disclose accidentally Older kids more purposeful 50 What do I do when a child tells me he s s been abused? Stay calm Remain nonjudgmental Be supportive Allow the child to tell you what he/she wants 51 18

21 What do I do when a child tells me he s s been abused? Calmly ask questions if necessary Reassure child that abuse is NOT her fault I m glad you told me. 52 Avoid Promising to keep a secret before you know what it is. Telling the child you ll make sure it never happens again. Predicting to the child what will happen. Assuring the child he will be just fine. Saying things like, We re gonna get this *!#/@*# 53 Showing your Anger Disgust Disbelief Dread Confusion Avoid 54 19

22 Okay, so how do I know when to report? You need to report when: There is a deliberate, clear description of a sexual act or physical or emotional damage There is a clear description, or obvious signs of neglect You see injuries (or such are described) that are clearly suspicious (inconsistent history, etc) 55 Okay, so how do I know when to report? You may need more information before reporting when: There is a vague reference to a possible sexual act There is a vague statement about people or situations Injuries are odd, confusing or don t make sense, but you aren t sure 56 Obtain only enough information to decide whether a report is needed. Don t investigate

23 You need to know: Who What Where (in general terms) When (if possible) Access to perpetrator Safety of child Does child need medical attention now? Does anyone else know about abuse? 58 You don t t need to know: Was he wearing a red shirt or was it blue? Were your clothes off or on? Did it happen in your bedroom or your mom s bedroom? Did he hit you with the buckle-end of the belt or the other end? 59 Potential problems of over interviewing children Suggestibility May obtain faulty information May render future interviews useless Trauma to child 60 21

24 Talking to the child Use age-appropriate language Short sentences with easy words One idea per question Don t correct or interrupt 61 Talking to the child Open-ended questions Use direct questions carefully 62 Open-ended ended questions Pointing at bruising on thighs: How d you get these marks? Can you tell me what happened? Is there anything else you want to tell me? 63 22

25 Direct Questions What happened to your arm? What is that mark on your face? Do your parents know? When will you be seeing her again? 64 Avoid leading/suggestive questions Was it your daddy who touched you? Looking at bruise: Who did this to you? That hurt, didn t it? Did he tell you he d hurt you if you told? 65 What to do when you suspect abuse Your agency has policies/procedures You may want to discuss the case with others (confidentially and in private) Can consult with CPS/police before formally reporting Bottom line: if you suspect, you need to report immediately 66 23

26 A few more tips on reporting You do not need to directly observe injuries to make a report Assuming others have made a report doesn t relieve you of duty to report Previous reports and investigations should not deter you from reporting current suspicions 67 A few more tips on reporting If you learn of prior abuse, you should still report, even if child is currently safe Don t base your decision to refer on what you think CPS will do, or what they did last time. 68 If you are making the report, gather your information before you call. Have people with key information nearby

27 Relax! It s s not nearly as complicated as you may think! 70 Making a report for suspected abuse Call local Child Protective Services/Human Services or law enforcement agency in county where child lives Call 911 if child in imminent danger 71 Making a report Demographic information child Parent/caregiver suspected maltreator Names, addresses, relationships, phone # Dates of birth 72 25

28 Making a report Specifics of injury (time, place, details of injury) Specifics of statements (caretaker and child) Prior concerns Access to perpetrator Concerns of child s immediate safety Child s functioning and abilities Any information you know or suspect about issues concerning the family 73 Making a report Get the name and phone of person taking your report Document that you made the report You can ask questions You should get feedback (but it may not be immediate) If you don t get immediate feedback, it doesn t mean your case isn t valid 74 What happens when you make a report 75 26

29 Child Protective Services Telephone access procedure Screening: open investigation? Immediacy of response? Worker interviews family, +/- child victim, other people, and visits home Other children may be interviewed, examined Safety and risk assessment 76 The Role of Child Protective Services Assess child s safety Assess any service needs for the family Determine if maltreatment has occurred 77 Outcomes of CPS investigation Unsubstantiated No indication of abuse/neglect Substantiated Preponderance of evidence indicates maltreatment 78 27

30 The Role of Child Protective Services Determine family s need for services Ensure safety plan in place for child if applicable Voluntary or required services in home Temporary physical custody: Kinship care Non-relative foster care (last resort) Court detention hearing within 2 working days Investigate for up to 30 days; then second hearing 79 The Role of Law Enforcement Goal: determine if crime has been committed Interview involved family members and others Scene investigation/photographs May or may not present to DA DA may or may not bring charges 80 Remember You re required by law to report, but the law will also protect you

31 Preventing Child Maltreatment Provide Ongoing Support for Caretakers and Children Develop positive/trusting relationships with caretakers Be alert to signs of stress in caretakers Provide opportunities for caretakers to get involved in child s learning Maintain ongoing communication concerning child s progress 82 Preventing Child Maltreatment Provide Ongoing Support for Caretakers and Children Create ongoing opportunities for caretaker education Give information on child development and age appropriate discipline Know the signs of caretaker burnout so you can offer support Help establish positive family relationships interactions 83 Preventing Child Maltreatment Provide Ongoing Support for Caretakers and Children Model good care practices Offer community resources and support services Inform parents that you are required to report SCAN Educate children about their rights Provide ongoing staff development 84 29

32 Helpful Resource Handout PowerPoint Presentation Behavior indicators of abuse Physical indicators of abuse Tips for talking to kids Information for reporting abuse/neglect Wisconsin mandated reporters Important phone numbers 85 Contact Your local law enforcement agency or county CPS agency, or the national hotline at A-Child ( ) 86 Please complete the posttest and presenter feedback form. Thank you for your participation! 90 30

33 References Child Welfare Information Gateway. (2006). Long-term consequences of child abuse and neglect. Retrieved 09/26/2006, from Crosson-Tower, C. and Caliber and Associates. (2003). The role of educators in preventing and responding to child abuse and neglect. [Electronic version]. U.S. Department of Health & Human Services, 3, Crosson-Tower, C. (2002). Understanding child abuse and neglect. (5th ed.). Allyn & Bacon: Boston, MA. Jenny, C. et al. (1999). Analysis of missed cases of abusive head trauma. [Electronic Version] Journal of the American Medical Association, 281 (7), Lowenthal B. (ND). Child maltreatment: Effects on development and learning, Retrieved September 29, 2006 from the Clearinghouse on Early Education and Parenting website. MacMillan H.L., MacMillan J.H., Offord D.R., and Canadian Task Force on the Periodic Health Examination. (1993, January). Primary prevention of child maltreatment. Canadian Task Force on the Periodic Health Examination, 29, National Center for Victims of Crime. (2004). Child sexual abuse. Retrieved September 29, 2006, from U.S. Department of Health & Human Services. (2006). Child maltreatment 2004: Summary of key findings. Retrieved September 29, 2006, from Child Welfare Information Gateway, U.S. Department of Health and Human Services. (1993). Child sexual abuse: Intervention and treatment issues user manual series. Retrieved September 29, 2006, from Child Welfare Information Gateway, Wisconsin Department of Health and Family Services, Bureau of Programs and Policies, Division of Children and Family Services. (2004). Child abuse and neglect report. Retrieved September 29, 2006, from Wisconsin Department of Health and Family Services, Child Abuse and Neglect Program: Child Protective Services. (2005). Child maltreatment. Retrieved September 29, 2006, from 31

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35 Physical Abuse Behavioral Indicators of Possible Abuse Reluctant to change clothes for gym, swimming, etc. Wears long-sleeved shirts, pants on hot days Gives vague and/or inconsistent explanations for injuries Complains of pain or shows signs of pain (walking stiffly or with limp, favoring arm) Flinches when adult moves too close, or when adult moves suddenly while near child Sexual Abuse Has sexualized behavior beyond what is expected for child s age. Some examples are: ü Pretends dolls are having intercourse ü Asks adult to touch child s breasts, genitalia ü Acts very seductive around adults ü Molests other children (coercive sexual play, often involving children younger than the child in question) ü Masturbates excessively (is not easily distracted, cannot stop for sustained period when asked) Indicators of Stress (may or may not be related to abuse) Depression, withdrawal from others Aggression towards others ( acting out ) Significant change in behavior Anxiety Fears of certain places, people, etc. Nightmares Acting like a much younger child (Ex. wetting the bed, becoming very clingy) Suddenly doing poorly in school Marked change in appetite (eats more or less than usual) Irritability and mood swings Cruelty to animals Lots of physical complaints (ex, stomach aches, headaches, fatigue) Drug and/or alcohol abuse 33

36 Tips for Talking to Kids 1. Stay calm!! 2. Remain nonjudgmental 3. Be supportive. 4. Reassure the child that abuse is NOT her/his fault. 5. I m glad you told me. 6. Obtain only enough information to decide if a report is warranted. 7. Use age-appropriate language 8. Use short sentences with easy words 9. Don t interrupt or correct 10. Start with open-ended questions; use direct questions carefully (avoid leading questions) Examples: Open-ended Questions Pointing at bruising on thighs: How d you get these marks? Can you tell me what happened? Is there anything else you want to tell me? Direct Questions: What happened to your arm? What is that mark on your face? Do your parents know? When will you be seeing her again? You Need to Know: 1. Who 2. What 3. Where (in general terms, only) 4. When (if child able to give estimate) 5. Access to perpetrator 6. Safety of child 7. Does child need medical attention (pain, bleeding, discomfort, etc)? 8. Does anyone else know about abuse? 34

37 Avoid 1. Asking too many questions (getting details that aren t needed) 2. Asking leading/suggestive questions ( Was it your daddy who touched you? ) 3. Promising to keep a secret before you know what it is. 4. Telling the child you ll make sure it never happens again. 5. Predicting to the child what will happen. 6. Assuring the child everything will be okay. 7. Saying things like, We re gonna get that!@*&%*! 8. Showing your anger, disgust, disbelief, dread, and confusion. Tips for Making a Report Information You Need to Make a Report for Child Abuse/Neglect: Demographic Information (usually can be found on registration sheet for child) ü Child: name, address, date of birth ü Mother: name, address, date of birth, phone number (home and work) ü Suspected maltreator (if known): name, address, phone number, relationship to child Specifics of injury (time, place, details of injury) Specific statements made by child and caretaker (use exact words child used, if possible) Prior concerns you may have had regarding abuse/neglect Child s access to perpetrator Concerns you may have about child s immediate safety Child s functioning and abilities Any information you know or suspect about issues concerning the family You may not have all of this information. That s okay. Documentation you should maintain: Document the name and phone number of the person you called Document that you made a report to authorities (and list the agencies you called) 35

38 Mandated Reporters Persons in some professions are required by law to report suspected cases of child abuse and neglect as well as those situations in which they have reason to believe that a child has been threatened with abuse or neglect or that abuse or neglect will occur. Penalty: Persons required to report who intentionally fail to report suspected child abuse or neglect may be fined up to $1,000 or imprisoned up to 6 months or both. Physicians Coroners Medical examiners Nurses Dentists Chiropractors Optometrists Acupuncturists A medical or mental health professional Social workers Marriage & family therapists Professional counselors Public assistance workers, including a financial & employment planner, as defined in s (1) (d), Stats. School teachers School administrators School counselors Mediators under s , Stats. Child-care workers in a day care center, group home, as described in s (1m), Stats. (a "second chance home"), or residential care center for children and youth Day care providers Alcohol or other drug abuse counselors Member of the treatment staff employed by or working under contract with a county department under s , 51.42, or , Stats., or a residential care center for children and youth Physical therapists Physical therapist assistants Occupational therapists Dieticians Speech-language pathologists Audiologists Emergency medical technicians First responders Police and law enforcement officers Court-appointed special advocates (CASA) Clergy Again, these people are mandated by law to report... This does not cover any moral mandate that we all have to protect children. ANY person may report if there is reason to believe a child has been abused or neglected or has been threatened with abuse or neglect. If you suspect that child abuse or neglect is occurring, contact your local child protective services agency, human services agency, or police department. This information was obtained from Prevent Child Abuse Wisconsin. For more information go to: 36

39 Who Should I Call When Making a Report? Call the Child Protective Services agency in the county where the child lives. Law enforcement in the city or county where the child lives. Wisconsin Child Abuse and Neglect Reporting Agencies Adams Co After hours: Ashland Co After hours: Barron Co After hours: Bayfield Co After hours: Brown Co After hours: Buffalo Co After hours: Burnett Co After hours: Calumet Co Office hours crisis: After hours crisis: Chippewa Co After hours: Clark Co After hours: Toll Free: Columbia Co Crawford Co After hours: Dane Co. Central Referral Northport South Madison Stoughton Sun Prairie Cross Plains Dodge Co After hours: Door Co After hours: Douglas Co After hours: Dunn Co After hours: Eau Claire Co Florence Co After hours: Fond du Lac Co After hours: Forest Co After hours: Grant Co After hours: Green Co CYF Department: After hours:

40 Green Lake Co After hours: Iowa Co After hours: Iron Co After hours: Jackson Co After hours: Jefferson Co Juneau Co After hours: Kenosha Co After hours: Kewaunee Co After hours: La Crosse Co After hours: Lafayette Co After hours: Langlade Co After hours: Lincoln Co After hours: Manitowoc Co After hours: Marathon Co After hours: Marinette Co After hours: Marquette Co x235 After hours: Menominee Co After hours: Menominee Indian Tribe of Wisconsin Milwaukee Co SAFE (7233) Monroe Co After hours: 911 Oconto Co After hours: Oneida Co After hours: Outagamie Co After hours: Ozaukee Co After hours: Pepin Co After hours: Pierce Co After hours: Polk Co After hours: Portage Co Price Co After hours: Racine Co Richland Co After hours:

41 Rock Co General Switchboard: Rusk Co Sheriff s Department: Sauk Co After hours Crisis: Vilas Co After hours: Walworth Co Toll Free: Washburn Co After hours: Sawyer Co After hours: Washington Co or Shawano Co After hours: Sheboygan Co After hours: St. Croix Co After hours: or 911 Taylor Co After hours: Trempealeau Co x290 After hours: Vernon Co After hours: Waukesha Co After hours: Waupaca Co After hours: Waushara Co Toll Free: After hours: Winnebago Co After hours: Wood Co (South) (North) List updated December 13, 2006 Childhelp Nationwide Child Abuse Reporting Hotline: 800-4A-Child ( ) For a list of child abuse and neglect reporting numbers by state visit the National Clearinghouse on Child Abuse and Neglect online at 39

42 An Overview of the CPS Process CPS Access CPS receives a report of alleged child abuse and/or neglect from a source. Screening Decision Screened-in: CPS determines that at least one allegation meets criteria of possible child abuse and/or neglect. Screened-out: CPS determines that all allegations do not meet statutory requirements for abuse and/or neglect. CPS case closed. Family may still be offered/referred services. Investigation/Initial Assessment CPS assesses: Is the child safe? Are risk conditions present? Did maltreatment occur? Maltreatment Finding: Substantiated or Unsubstantiated, and/or Abuse Likely or Not Likely to Occur, or Critical Information Sources Not Available. Safety Decision Are services needed to ensure child safety? Yes: CPS case opened, and Family offered voluntary CPS Services, or Family assigned court-ordered CPS Services. No: CPS case closed, and/or Family referred to community services, or Family offered voluntary CPS services.

43 SCAN-MRT Posttest 7 4 Now that you have participated in the SCAN-MRT presentation, we would like to reassess your knowledge of child abuse and neglect. Please take a few minutes to answer the following questions. Site: Date: 1. Which three behaviors might indicate that a child is being sexually abused? $ Pretends dolls are having intercourse. $ $ Wears long-sleeved shirts, pants on HOT DAYS. $ $ Molests other children. 2. Which three behaviors might indicate that a child is being physically abused? $ $ $ $ $ Wears long-sleeved shirts, pants on HOT DAYS. Gives vague and/or inconsistent explanations for injuries. Asks adult to touch child's breast, genitalia. Has sexualized behavior beyond what is expected for child's age. Acts very seductive around adults. Complains of pain or shows signs of pain (walking stiffly or with limp, favoring arm, etc.). Reluctant to change clothes for gym, swimming, etc. 3. If you saw physical and/or behavioral signs that a child was being abused or neglected, what would you do? $ $ $ Call the child protective service agency or police department in your county. Conduct an investigation to obtain information that proves maltreatment has occurred. Pass your concerns on to a colleague or supervisor and ask them to make the report. 4. Which injury commonly occurs in child play accidents, so is less suspicious for physical abuse? (Select one answer.) $ Bruises in the shape of a loop. $ $ Bruises on the buttocks and/or inner thighs. $ Bruises with a distinct pattern. Bruises on the forearms or forehead. 5. When a child initially tells someone he or she has been abused, he/she may only reveal a portion of what actually happened.... $ $ 6. Before a person makes a report to authorities regarding suspected abuse of a child, he/she must be absolutely certain that the abuse has occurred.... $ $ 7. If a person makes a report of suspected abuse and the investigation concludes abuse was unlikely, that person will be held criminally liable.... $ $ 8. When authorities investigate a family for suspected abuse or neglect, the child almost always ends up being removed from the home.... $ $ T F 74E E Page 1 1

44 5 6 SCAN-MRT Presenter Feedback Form Today's Date: Site: Presenter's Name: Presentation Title: Child Maltreatment: What you need to know to recognize and report. Following a presentation, we would appreciate it if participants would give us feedback on how the experience was for them. Please rate the following from Strongly Disagree to Strongly Agree. Scale Definition: SD - Strongly Disagree D - Disagree N - Neutral A - Agree SA - Strongly Agree SD D N A SA 1. The presenter's presentation was clear and easy to understand.... $ $ $ $ $ 2. The presenter was prepared.... $ $ $ $ $ 3. The presenter was responsive to questions.... $ $ $ $ $ 4. The presenter held the attention of the audience.... $ $ $ $ $ 5. Presenter/participant interaction was sufficient.... $ $ $ $ $ 6. This presentation was tailored to the audience.... $ $ $ $ $ Please write additional comments in the box below. Comments written outside of the box cannot be scanned. Thank you for your feedback! Page 1 1

45 CERTIFICATE OF COMPLETION Suspected Child Abuse and Neglect Mandated Reporter Training (SCAN-MRT) On Date Participant s Name completed 3.0 hours of Child Maltreatment: What you need to know to recognize and report. Information presented: Prevalence of the problem. Categories and definitions of child maltreatment. Wisconsin s mandated reporter law. Behavioral signs of abuse and neglect. Physical signs of abuse and neglect. Responding to disclosures about child maltreatment. How to appropriately report suspected child abuse and neglect. Prevention Strategies. Trainer s name and title Our children should not have to suffer in silence...you can be their voice. Report child maltreatment...it's the law.