Assessing Risk to Help in Selecting Screening Tools
To determine what screening tools are most appropriate to use for a particular position and to ensure consistency in your screening protocols, we…
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The minimum required safety elements for you to prepare leadership, staff, and volunteers to recognize, respond to, and report allegations, suspicions, or disclosures of child abuse are listed in this table.
There are clear definitions in Massachusetts law of the various types of child maltreatment, and physical and behavioral signs that a child/youth may be suffering from abuse. But it’s important to note that child abuse, especially child sexual abuse, is rarely observed directly. There are usually three ways in which a potential reporter might recognize that a child is being abused:
If there’s no direct disclosure by the child or youth, or communication from another person that a child/youth is at risk, it’s essential that your staff and volunteers are prepared to rely on the signs and symptoms that children and youth exhibit when they are victims of abuse and neglect.
| Type of Abuse | Physical Indicators | Behavioral Indicators |
|---|---|---|
| Physical Abuse | ● Unexplained bruises (in various stages of healing) ● Unexplained burns, especially cigarette burns or immersion burns ● Unexplained fractures, lacerations or abrasions ● Swollen areas ● Evidence of delayed or inappropriate treatment for injuries | ● Self destructive ● Withdrawn and/or aggressive – behavioral extremes ● Arrives at school early or stays late as if afraid to be at home ● Chronic runaway (adolescents) ● Complains of soreness or moves uncomfortably ● Wears clothing inappropriate to weather, to cover body ● Bizarre explanation of injuries ● Wary of adult contact |
| Neglect | ● Abandonment ● Unattended medical needs ● Consistent lack of supervision ● Consistent hunger, inappropriate dress, poor hygiene ● Lice, distended stomach, emaciated ● Inadequate nutrition | ● 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) ● Extreme loneliness and need for affection |
| Sexual Abuse | ● Sexual abuse may be non-touching (obscene language, pornography, exposure) or touching (fondling, molesting, oral sex, intercourse) ● Torn, stained or bloody underclothing ● Pain, swelling or itching in genital area ● Difficulty walking or sitting ● Bruises or bleeding in genital area ● Venereal disease ● Frequent urinary or yeast infections | ● Excessive seductiveness ● Role reversal, overly concerned for siblings ● Massive weight change ● Suicide attempts (especially adolescents) ● Inappropriate sex play or premature understanding of sex ● Threatened by physical contact, closeness |
| Emotional Abusemmmm | ● Emotional abuse may be name-calling, put-downs, etc. or it may be terrorization, isolation, humiliation, rejection, corruption, ignoring ● Speech disorders ● Delayed physical development ● Substance abuse ● Ulcers, asthma, severe allergies | ● Habit disorder (sucking, rocking, biting) ● Antisocial, destructive ● Neurotic traits (sleep disorders, inhibition of play) ● Passive and aggressive – behavioral extremes ● Delinquent behavior (especially adolescents) ● Developmentally delayed |
1 Adapted from the Handbook on Child Safety for Independent School Leaders, by A. Rizzuto and C. Crosson-Tower, Copyright 2012, Reprinted with permission from the National Association of Independent Schools.
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