RECOGNIZING CHILD ABUSE
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ABUSE TYPE PHYSICAL INDICATORS BEHAVIORAL INDICATORS
PHYSICAL
ABUSE
  • unexplained bruises (in various stages of healing), welts, human bite marks, bald spots
  • unexplained burns, especially cigarette
  • unexplained fractures, lacerations or abrasions
  • self-destructive
  • withdrawn and aggressive - behavioral extremes
  • uncomfortable with physical contact
  • arrives at school early or stays late as if afraid to be at home
  • chronic runaway (adolescents)
  • complains of soreness or moves uncomfortable
  • wears clothing inappropriate to weather, to cover body
PHYSICAL
NEGLECT
  • abandonment
  • unattended medical needs
  • consistent lack of supervision
  • consistent hunger, inappropriate dress, poor hygiene
  • lice, distended stomach, emaciated
  • regularly displays fatigue or listlessness, falls asleep in class
  • steals food, begs from classmates
  • reports that no caretaker is at home
  • frequently absent or tardy
  • self-destructive
  • school dropout (adolescents)
SEXUAL
ABUSE
  • torn, stained or bloody underclothing
  • pain or itching in genital area
  • difficulty walking or sitting
  • bruises or bleeding in external genitalia
  • venereal disease
  • frequent urinary or yeast infections
  • withdrawal, chronic depression
  • excessive seductiveness
  • role reversal, overly concerned for siblings
  • poor self-esteem, self-devaluation, lack of confidence
  • peer problems, lack of involvement
  • massive weight change
  • suicide attempts (especially adolescents)
  • hysteria, lack of emotional control
  • sudden school difficulties
  • inappropriate sex play or premature understanding of sex
  • threatened by physical contact
  • promiscuity
EMOTIONAL
MALTREATMENT
  • speech disorders
  • delayed physical development
  • substance abuse
  • ulcers, asthma, severe allergies
  • habit disorders (sucking, rocking)
  • antisocial, destructive
  • neurotic traits (sleep disorders, inhibition of play)
  • passive and aggressive - behavioral extremes
  • delinquent behavior (especially adolescents)
  • developmentally delayed