Distinguishing Abuse from An Accident


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This information is provided by the Ohio Department of Human Services. Many thanks to them for providing wonderful information on the topic of Child Abuse and Neglect.


The very nature of childhood invites accidents. Children are curious and fearless. They run, climb, jump, and explore. A child's motor skills, usually outpace his cognitive skills, allowing him to approach danger without recognizing it. How can you distinguish between the accidental injury caused by the exuberance of childhood from the nonaccidental injury caused by the abuse of an adult?

When observing injury you suspect might be the result of abuse, consider:

-Where is the injury?
Certain locations on the body are more likely to sustain accidental injury: knees, elbows, shins, the forehead; all are parts of the body which can be injured during an accidental fall or bump. Protected or nonprotuberant parts of the body, such as the back, thighs, genital area, buttocks, back of legs, or face, are less likely to accidentally come into contact with objects which could cause injury. For example, bruised knees and shins on a toddler are likely to be the result of normal age-related activity; bruises on the lower back are less likely to have been inflicted nonaccidentally.

-How many injuries does the child have? Are there several injuries occurring at one time or over a period of time?
The greater the number of injuries, the greater the cause for concern. Unless involved in a serious accident, a child is not likely to sustain a number of different injuries accidentally. Injuries in different stages of healing can suggest a chronological pattern of occurrence.

-What are the size and shape of the injury?
Many nonaccidental injuries are inflicted with familiar objects: a stick, a board, a belt, a hair brush. The marks which result bear strong resemblance to the object which was used. For example, welts caused by beating a child with an electrical cord might be loop shaped; a belt might cause bruises in the shape of the buckle. Accidental marks resulting from bumps and falls usually have no defined shape.

-Does the description of how the injury occurred seem likely?
If an injury is accidental, there should be a reasonable explanation of how it happened which is consistent with its severity, type, and location. When the description of how the injury occurred and the appearance of the injury do not seem related, there is cause for concern. Could a fall off a chair onto a rug produce bruises all over the body?

-Is the injury consistent with the child's developmental capabilities?
As a child grows and gains new skills, he increases his ability to engage in activities which can cause injury. A toddler trying to run is likely to suffer bruised knees and a bump on the head before the skill is perfected. He is less likely to suffer a broken arm than is an eight-year-old who has discovered the joy of climbing trees. A two-week-old infant does not have the movement capability to self-inflict a bruise

-Accidents do happen
Parents are not perfect. Injuries occur which may have been avoided. Still, accidents of nature should not happen repeatedly

Preventing Child Abuse and Neglect.


Child Abuse and neglect is a serious and widespread problem that cannot be stopped without all of us working together. Here are some was you can help:

**Learn to recognize the warning signals and indicators of child abuse or neglect, contact the public children services or law enforcement agency. Encourage your friends to do the same. Most people do not want to hurt or neglect their children, but are faced with problems they cannot solve alone. Help them get the Help.

**Talk to your child every day and take time to really listen and observe. Learn as many details as you can about your child's activities and feelings. Encourage him to share concerns and problems with you.

**Work toward eliminating the causes of child abuse and neglect. Encourage your schools to provide classes in parenting education. Support the social service programs in your community.

**Work with members of your city council and your mayor to establish child abuse and neglect as a community priority.

**Help institute an emergency foster home, day care or latchkey, block parent, or home-based service program in your community.

**Volunteer to be a Big Brother, Big Sister, or Mother's Friend. Offer to teach your skills to parents and children who need your help. Abuse or neglect may occur because a family is isolated and without the support of friends or family. Share your friendship by volunteering at your children services agency.

**Your attic or basement may hold dozens of items that would be of value to a needy family. Donate household goods, pots and pans, towels, and linens, and canned goods to your children services agency.

**Encourage members of your community to support children's protective services programs. Write letters to the editor of your newspaper. Call your radio and television stations and ask them to run public service announcements and editorials about child abuse and neglect. Contact the opinion leaders in your community. Ask your clergyman to deliver a sermon about child abuse and neglect.

**Apply to be a foster parent. Your home may be certified to provide foster care for children who are victims of abuse or neglect. If you are interested in being a foster parent, find out about the program from your children services agency.

**Encourage your friends and neighbors to learn about child abuse and neglect. Invite representatives from your children services agency to talk to your clubs and school groups about child abuse and neglect.

Now for information on how, who and what to report on child abuse and neglect. Also what to do if I child tells you about the abuse or neglect. Reporting Child Abuse and Neglect.


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