Primary Prevention in Educational Settings
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School Safety Manual
APPENDIX D: Physical and Behavioral Signs of Abuse and Neglect
Physical and Behavioral Indicators of Abuse*
| 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or abrasions ● Swollen areas ● Evidence of delayed or inappropriate treatment for injuries | ● Self destructive ● Withdrawn and/or aggressive – behavioral extremes ● Arrives at school early or stays late as if afraid to be at home ● Chronic runaway (adolescents) ● Complains of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: fonding, 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 |
* 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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