Neglect and physical abuse what victim and family

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Neglect and physical abuse What victim and family characteristics are associated with increased risk of maltreatment? Children less than 3 yrs old, infants less than 1 yr old, SA more common in children less than 12 yrs old (80% or reports more common in girls), equal rates for PA and neglect with boys/girls, rates are highest for African American/American Indian/Alaska native/multiple race, Caucasians and Latinos equal, lowest rates for Asians, behavioral problems, disability Family: single parent families and large family size- increased risk for PA and neglect, poverty Who most commonly perpetrates the different types of maltreatment? 80% of victims maltreated by a parent, Neglect: typically mothers (failure to provide adequate care)
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5 What factors influence the impact that maltreatment has on children? Abuse severity and chronicity, child characteristics, family characteristics What are the short and long-term consequences of maltreatment on children? Poor emotion regulation (leads to internalizing and externalizing problems), difficulty in relationships due to: negative representations of self and others, poor role models, lack of social sensitivity; relations with peers: rejected, PA-aggressive, neglected-aggressive and withdrawn, passive, poor school achievement, lack of initiative; SA: ptsd, regression, sexualized behaviors, sexual problems in adulthood, risk of future victimization; PA and neglect adult outcomes: criminal, antisocial, and violent behavior What are the causes of sexual abuse, physical abuse, and neglect? SA: not well understood, some offenders have sexual arousal toward children (pedophilia), others engage in opportunistic abuse, perpetrators more likely to have social deficits and low self-esteem PA and neglect: inappropriate development expectations, negative attributions about child’s behavior, lack of positive parenting models, stress, poverty, poor coping skills, social isolation, substance use, domestic violence, child characteristics: behavior problems, disability What treatments are effective for neglect and physical abuse? PA: parent-child interaction therapy, modification of multi-systemic therapy, incredible years, group-based parent education program: addresses many levels of need, population wide media coverage, group/individual services for family need Neglect: SafeCare-3 modules: home safety, child health, parent child interaction; Method of delivery: home- based, hands-on learning: modeling, practice with corrective feedback, role play, found to reduce future rates of child maltreatment, showing promise for prevention of neglect
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  • Summer '11
  • Damashek
  • Psychology, Borderline personality disorder, Mental retardation

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