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The_Generalist_Practice_-_Chapter_7 - Chapter 7 Child...

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Chapter 7 Child Maltreatment and Protective Services Family Preservation Philosophy: Empowering Families Philosophy involves the concepts and principles about how the world should, or actually does, function. Philosophy provides values and guidelines for what is considered important, which enables it to be used as a tool of intervention to help guide the intervention process. One trend in protective services involves home based services and an intensive family preservation philosophy and approach. A significant principle concerns the importance of children remaining with their own families if at all possible. Child Maltreatment: includes “physical abuse, inadequate care and nourishment, deprivation of adequate medical care, insufficient encouragement to attend school consistently, exploitation to unwholesome or demoralizing circumstances,” sexual abuse, and emotional abuse and neglect. Physical Abuse: “the non accidental injury inflicted on a child” usually by a caregiver, other adult, or sometimes, an older child. Physical Indicators: Bruises Lacerations Fractures Burns Head Injuries Internal Injuries Behavioral Indicators: Extremely passive, accommodating, submissive behaviors aimed at preserving a low profile and avoiding potential conflict with parents that might lead to abuse. Abused children can be exceptionally calm and docile. They have learned this behavior in order to avoid any possible conflict with the abusive parents. If they are invisible, the parent may not be provoked. Many times abused children will even avoid playing because it draws too much attention to themselves. This behavioral pattern is sometimes called hypervigilance. Notably aggressive behaviors and marked overt hostility toward others caused by rage and frustration at not getting needs met. Other physically abused children assume an opposite approach to the overly passive manner identified earlier. These children are so desperately in need of attention that they will try anything to get it. Even if they can provoke only negative attention from their parents, their aggressive behavior is reinforced.
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Developmental lags. Because abused children are forced to direct their attention and energy toward coping with their abusive situation, they will frequently show developmental delays. These may appear in the form of language delays, poorly developed social skills for their age level, or lags in motor development. Child Neglect:
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The_Generalist_Practice_-_Chapter_7 - Chapter 7 Child...

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