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Domestic Abuse

Domestic Abuse. How may children be affected?. It can pose a threat to an unborn child – domestic abuse often begins or intensifies during pregnancy Children may get hurt in the crossfire Children’s carer is injured Domestic violence is emotionally damaging for children.

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Domestic Abuse

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  1. Domestic Abuse

  2. How may children be affected? • It can pose a threat to an unborn child – domestic abuse often begins or intensifies during pregnancy • Children may get hurt in the crossfire • Children’s carer is injured • Domestic violence is emotionally damaging for children

  3. ParentalMental Illness

  4. Assessing Risk 1 • When did you last see the children: Are levels of child care different during periods of illness? • Child/adult relationships: What does the adult say about their relationship with the child? • Social networks: Are there extended family support networks?

  5. Assessing Risk 2 • Provision of basic needs: Is there adequate food, clothing and warmth for the children? • Safety within the home: Is all medication kept securely? • Other: Does the family remain in one area, or move frequently? If the latter, why?

  6. Vulnerability of Babies < 1 year • 6% total population of children under 18 Serious Case Reviews: • 2003 – 2005: 47% < 1year • 2005 – 2007: 46% < 1 year • 2007 – 2009: 45% < 1year Brandon et al (2010) Building on the Learning from Serious Case Reviews; DfE

  7. Cause of Death in Babies < 6/12 • 66 = Physical assault - many cases involved head injury thought to be linked to shaking. • 19 = Sudden infant death/co-sleeping – parental alcohol or drug use a common feature, and cases also often in context of neglect. • 5 = concealed pregnancies and unattended births.

  8. Vulnerability of Babies • Dependant and pre-verbal • Highly susceptible to physical harm • Unable to recognise abuse • Impact of post-natal depression on physical and emotional care of infant • Meaning of child in relationship • Pre term even more vulnerable

  9. Abuse of disabled children • Abusers think it is safer to victimise a disabled child. • Abusers are attracted to immature behaviour. • Disabled children receive less information about abuse. • May be less able to understand that behaviour is inappropriate. • More dependent – need extra care.

  10. Vulnerability of disabled children • May receive less affection from carers so are more accepting of sexual relationship as form of companionship (Kemp & Kemp). • Less able to disclose: - due to disability - less social contacts - due to isolation - less likely to be believed - limited ability to communicate

  11. Identifying vulnerability – video presentation

  12. 5. Defining and recognising abuse and neglect

  13. Categories of abuse • Physical • Emotional • Sexual • Neglect

  14. Physical Abuse • “Physical abuse may involve hitting, shaking, throwing, poisoning, burning or scalding, drowning, suffocating, or otherwise causing physical harm to a child. Physical harm may also be caused when a parent or carer fabricates the symptoms of, or deliberately induces, illness in a child.” • WTSC 2013

  15. Burn Accidental distribution

  16. Burn Non-accidental distribution

  17. Accidental fracture patterns in children

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