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April 13, 2010 in Features
Child abuse signs are identifiable
April is National Child Abuse Prevention Month. One focus this month is the emphasis on awareness of child abuse and neglect and their impact on children.
Parents and other caregivers provide children with their first understanding of themselves. Children learn self-acceptance, love, security and curiosity in an environment that nurtures growth and development.
Infants and toddlers depend on having a secure emotional attachment to an adult on whom they know they can depend for physical and emotional needs.
Children who do not have this or are exposed to violence, neglect or parental substance abuse are at risk for mental health problems. Nationally, one-third of 2- to 5-year-olds in child welfare need mental health services.
As a physician and foster parent, I am required by law to file a report with the Washington State Department of Social and Health Services if I suspect a child is being abused or neglected.
Everyone would like to think they would do their best to protect a child, but perhaps you would not be confident enough in your ability to recognize abuse and neglect, or you might be concerned about how your report might affect the child’s caregiver.
Here are some general signs of child abuse and neglect:
•Showing sudden changes in behavior or school performance.
•Not receiving help for physical or medical problems brought to the parents’ attention.
•Having learning problems (or difficulty concentrating) that cannot be attributed to specific physical or psychological causes.
•Being always watchful, as though preparing for something bad to happen.
•Lacking adult supervision.
•Being overly compliant, passive or withdrawn.
•Coming to school or other activities early, staying late and not wanting to go home.
You may also see things that are specific to physical abuse, neglect, sexual abuse or emotional abuse. Some abused or neglected children look and act like normal kids, but you may notice the behavior of the adult who is harming the child or something about how the adult and child interact with each other.
A good place on the Internet to find guidance for recognizing child abuse is dshs.wa.gov. Once there, click on “What is Abuse?” on the right-hand side of the page.
You can also call the Childhelp® National Child Abuse Hotline at 800-4-A-CHILD (800-422-4453) and push “1” to ask questions about child abuse and neglect.
If you do believe you have seen signs of child abuse or neglect, call Washington state’s toll-free, 24/7 hotline at (866) ENDHARM (866-363-4276). They will connect you to the appropriate local Department of Social and Health Services office so that you can report suspected child abuse or neglect.
Once a report has been made, Child Protective Services will determine if the report meets the criteria for investigation. If it does, CPS will determine whether the child is in imminent danger, who is responsible and what actions are appropriate to protect the child from further harm.
Intervention by CPS does not automatically mean that a child will be removed from the home. It may be determined that home support specialist services; day care; financial and employment assistance; parent aides; mental health services (for parents and children); parenting classes and/or family preservation services will be the most beneficial response for the child and the family.
Reports not meeting the Washington state law definition of child abuse or neglect are not investigated further. However, they are kept on file and may be referred to in the future if there are further reports submitted about a given child.
Our Kids: Our Business is a local movement focusing on children in our community by uniting social services, nonprofits, businesses and the media. This movement’s symbol is the pinwheel and you will see them around town this month.
Watch the Spokesman-Review or go to ourkidsourbusiness.wordpress.com for Our Kids: Our Business events throughout April.
Protecting children is everyone’s business, and reporting suspected abuse or neglect can save a child’s life.
Learn the signs of child abuse and neglect. Take a child seriously if he or she tells you about abuse or neglect. Report any known or suspected incidents.
We can all make a difference in the lives of children in our community and we all need to take the responsibility to do so.
Dr. Alisa Hideg is a family medicine physician at Group Health’s Riverfront Medical Center in Spokane.
Nasty remarks from SIL irritating 
cookchris on August 26 at 2:00 p.m.
The seventeenth called place with DFS was regarding the children getting feed once a day when they were with their father and the continuation of medical neglect and verbal abuse. The children remain in weekly counseling and that is the best I can offer them. As of today, Division of Family Services receives calls regarding the boys on an average of every other month.
I have spoke to many counselors regarding parents like myself and there is no help. Everyday there are children in situations like this one or worse conditions with no hope of getting help. The abuse that is endured leads them to suicide, run away, prostitution, kidnapping and/or substance abuse.
In cases like mine and the most gruesome cases could have better outcomes if our system regarding child abuse was better. After three calls placed with an abuse hotline why is it, that we are unable to force both parents to attend counseling for six months? In six months a counselor will be able to determine the mental state of the family and determine if abuse is there or not. If the parents are not willing to participate then parental rights should be removed until the counseling takes place. If parents knew that six months of counseling sessions were mandatory when three calls have been placed, the hotlines would get less false claims.
Image this for one second, in two years 17 calls have been placed in my case. That is two investigators going out to the houses 17 times each, the hours of work calling the doctor, school, counselor and parents. That does not include the month check-in calls. If both parents were forced to attend counseling after the third call either abuse would have discovered and situation would have ended up before a judge or the counseling would have corrected the issues. The other fourteen calls would not have existed.
In Dave Pelzer case, he could have been rescued from the third worst case of child abuse in California early instead of enduring years of abuse. In Genie case, after the death of the first or second child if the parents were forced to attend counseling their insanity could have been discovered sooner.
It shouldn’t take parents kidnapping their own children to save them from abuse. It shouldn’t take years of abuse before we act on it. We need a change in our system and we need it today.