2. Icons
Several icons are used throughout this course as a visual
reference.
This icon represents a new topic in the text. This is a visual cue for
you to answer any questions about the previous section before
moving along to the next one.
This icon is used to identify an exercise that involves in-class
practices and feedback.
This icon is used to identify a specially designed activity that
requires active class participation.
This icon is used to identify a section that is accompanied by a
video.
Identifying and Reporting Child Abuse and Neglect 2
3. Icons
This icon is used to identify a key point in the material.
This icon is used to identify an online resource. You will need a
computer with an internet connection to view these resources.
This icon is used to identify an exercise that involves a role-playing
scenario.
This icon is used to identify an activity that requires you to reflect
on the information taught in the course by asking you a question.
The answers to these questions will require you to think about your
role as a child care professional and may influence your actions.
Identifying and Reporting Child Abuse and Neglect 3
4. Identifying and Reporting Child
Abuse and Neglect
Module 1: Identifying Child Abuse
and Neglect
Identifying and Reporting Child Abuse and Neglect 4
5. Module Goal and Learning
Objectives
Goal
Participants will be able to identify the signs, symptoms, and
indicators of child abuse and neglect.
Learning Objectives
After successfully completing this module, you will be able to:
• Identify and define terms associated with child abuse and
neglect
• Identify common physical and behavioral indicators of child
abuse and neglect
• Explain causes and risk factors of child abuse and neglect
• Identify effects of child abuse and neglect
PG – 1 Identifying and Reporting Child Abuse and Neglect 5
6. Your Role in Identifying
Child Abuse and Neglect
Child abuse and neglect can occur in families of any
socioeconomic status. It can also occur out of the home,
including in child care programs. It is more prevalent than
you may think, and you may be the only person in a
position to intervene. You not only have a moral
obligation to intervene, but you have a legal obligation to
report it.
For more information about child abuse and neglect, you
can call the Florida Coalition Against Domestic Violence
at 1-800-500-1119 or the Florida Council Against Sexual
Violence at 1-888-956-7273 to be connected to a local
hotline.
PG – 2 Identifying and Reporting Child Abuse and Neglect 6
7. Activity: Childhelp
USA’s® Pre-Quiz
1. Three children die as a result of child abuse in the
home in the United States each
a) Year b) Day c) Week d) Month
2. How many people report child abuse when faced
with an actual situation?
a) 3/4 b) 1/2 c) 1/3
7
Identifying and Reporting Child Abuse and Neglect
PG – 2-3
8. Activity: Childhelp
USA’s® Pre-Quiz
3. What is the single, leading cause of death for
children ages four and younger?
a) Drowning
b) Motor vehicle accidents
c) Child abuse and neglect
d) Choking on food
e) Residential fires
f) Suffocation
g) Falls
8
Identifying and Reporting Child Abuse and Neglect
PG – 2-3
9. Activity: Childhelp
USA’s® Pre-Quiz
4) On average, child abuse is reported somewhere in
the United States every:
a) 10 seconds b) 20 minutes c) Hour
5) Strangers pose the greatest risk of sexual abuse to
children.
a) True b) False
6) Child molesters get their sexual gratification only
from children.
a) True b) False
9
Identifying and Reporting Child Abuse and Neglect
PG – 2-3
10. Activity: Childhelp
USA’s® Pre-Quiz
7. The average age that child molesters first attack a
child is when the molesters are
a) In their early 20s
b) Middle-aged
c) In their teens
10
Identifying and Reporting Child Abuse and Neglect
PG – 2-3
11. Activity: Childhelp
USA’s® Pre-Quiz
8. Which of the following actions can help stop child
abuse and neglect?
a)Helping a stressed-out parent by baby-sitting, making
a meal for their family, or lending an understanding ear.
b)Learning the signs and symptoms of child abuse so
you can recognize them when you see the “red flags.”
c)Reporting known or suspected child abuse to the
police or local child protective services agency.
d)All of the above.
11
Identifying and Reporting Child Abuse and Neglect
PG – 2-3
12. Learning Definitions
1. Child
2. Child Abuse
3. Physical Abuse
4. Sexual Abuse
5. Verbal Abuse
6. Institutional Abuse or
Neglect
7. Neglect
8. Emotional Neglect
9. Harm
10. Inadequate Supervision
11. Lack of Adequate
Shelter
12
Identifying and Reporting Child Abuse and Neglect
PG – 4-5
12. Lack of Adequate
Clothing/Good Hygiene
13. Lack of Adequate
Nutrition
14. Lack of Dental/Medical
Care
15. Lack of Love and
Attention (Failure to
Thrive)
16. Lack of Providing
Access to Education
17. Florida Abuse Hotline
18. Immunity
13. Types of Child Abuse
Example of physical abuse
For the 3rd time this week, Kevin got mud all over his
clothes while he was playing outside. This made Kevin’s
mother, Shelby, mad. She thought that putting him in hot
bath water would punish him for the dirty clothes. He
cried about taking a bath and cried even more when he
was put in the bathtub with scalding hot water. Shelby
kept her hand on Kevin’s shoulder. Every time he tried
to get out of the water, Shelby would push him down.
Shelby didn’t notice the scald marks until after the bath
was over.
PG – 6 Identifying and Reporting Child Abuse and Neglect 13
14. Types of Child Abuse
Another type of child abuse is sexual
Casey has been at your facility for 3 years. He has
been known to lie on several occasions. He comes
from a family that has a wonderful reputation in the
community. One day, Casey is crying. When you
ask him what is wrong, he tells you that his dad
made him take his clothes off and then he took a
lot of pictures of him. Casey said Dad told him not
to tell anyone about the pictures. He said Dad told
him this was their special secret.
PG – 6 Identifying and Reporting Child Abuse and Neglect 14
15. Types of Child Abuse
A third type of abuse is emotional
Latoya is quiet and shy child. Lately, she has been talking
even less. One day, she was in the housekeeping area when
a cup was accidentally broken by one of the children. Latoya
started crying. When you asked what was wrong, she told
you it reminded her of when she broke her dad’s favorite cup
one time. She said now her dad tells her every morning,
when she is eating breakfast, that he doesn’t want her
around anymore because she is bad and is too much
trouble. When you ask if Dad hurts her, she says no.
PG – 7 Identifying and Reporting Child Abuse and Neglect 15
16. Key Point
There are three types of
child abuse: physical,
sexual, and emotional.
PG – 7 Identifying and Reporting Child Abuse and Neglect 16
17. Shaken Baby Syndrome
What can shaking a baby or young child cause?
• permanent brain damage, paralysis, blindness, seizures,
developmental delays, broken bones, death
What can you do to prevent Shaken Baby Syndrome?
• make sure those who care for young children know the
dangers of shaking a baby; be careful during play or physical
activity
How can you cope with a crying baby or child?
• take deep, slow breaths; take a break; ask for help; count to
10
PG – 8 Identifying and Reporting Child Abuse and Neglect 17
18. Child Neglect
Example of neglect
Dad works a 9:00 a.m. to 5:00 p.m. job. Mom works from 11:00
p.m. until 7:00 a.m. as a nursing assistant. This schedule allows
one parent to always be home to care for the children so they
do not have to pay for child care. One day, Dad has to work a
double shift. He will not be home until midnight. It is 10:00 p.m.
and close to time for Mom to leave. She feels they can’t afford
to pay someone to watch her 2- and 6-year-old children, even
for a short time. She decides that the children can stay alone
since they are asleep and Dad will be home in a couple of
hours.
PG – 9 Identifying and Reporting Child Abuse and Neglect 18
19. Child Neglect
Failure to provide support, acceptance, attention, warmth,
supervision and normal living experience for a child is
considered neglect.
Withholding these things can cause a child to not function
normally in performance and behavior. Sometimes withholding
things can also be child abuse.
Failure to Thrive can be an outcome of emotional abuse or
emotional neglect. A lack of holding, hugging, rocking, singing,
touching, and loving that occurs during infancy and early
childhood can cause an infant’s or child’s weight to drop to
below the fifth percentile.
PG – 9 Identifying and Reporting Child Abuse and Neglect 19
20. Key Point
Failure to provide support,
acceptance, attention,
warmth, supervision, and
normal living experiences
for a child is considered
neglect.
PG – 9 Identifying and Reporting Child Abuse and Neglect 20
21. Indicators of Abuse and
Neglect
Identifying and Reporting Child Abuse and Neglect 21
PG – 10-11
22. Key Point
There are observable
physical and behavioral
indicators associated with
abuse and neglect.
PG – 11 Identifying and Reporting Child Abuse and Neglect 22
23. Interaction with Child and
Family
What are some examples of things that might be observed or
shared with you that could help you recognize the signs of
abuse or neglect?
• Parent blames or belittles the child
• Parent talks about the child as bad or evil
• Parent smells of alcohol/drugs or seems to be under the influence
• Parent fails to keep appointments
• Parent seems unconcerned with the child
• Parent mentions financial problems
• Parent talks about divorce, death, or illness
• Parent admits to alcohol or substance abuse
• Parent talks about domestic violence or shows signs of it
PG – 12 Identifying and Reporting Child Abuse and Neglect 23
24. Key Point
Interaction with children and
families provides
information that may further
help the caregiver in
recognizing possible cases
of abuse and/or neglect.
PG – 13 Identifying and Reporting Child Abuse and Neglect 24
25. Applying Your
Knowledge
Scenario 1:
The correct answer is “Suspect Abuse and Neglect”
The key indicators are:
• There may be inadequate supervision. (Neglect)
• There are unexplained bruises, welts, and burns.
(Abuse)
• The child displays withdrawn behavior. (Abuse)
25
Identifying and Reporting Child Abuse and Neglect
PG – 13
26. Applying Your
Knowledge
Scenario 2:
The correct answer is “Suspect Abuse and Neglect”
The key indicators are:
• The child has an unexplained injury. (Abuse)
• The child may have an unattended physical problem
or need. (Neglect)
• The child gives an unusual reaction and response to
your question. (Abuse or Neglect)
26
Identifying and Reporting Child Abuse and Neglect
PG – 14
27. Applying Your
Knowledge
Scenario 3:
The correct answer is “Suspect Abuse”
The key indicators are:
• The child displays withdrawn behavior. (Abuse)
• The child is weary of adult contact. (Abuse)
• The child has obvious bruises and welts. (Abuse)
• The child reports injuries by parents. (Abuse)
27
Identifying and Reporting Child Abuse and Neglect
PG – 14
28. Applying Your
Knowledge
Scenario 4:
The correct answer is “Suspect Neglect”
The key indicators are:
• The child is consistently hungry. (Neglect)
• The child lags in physical development; he is
extremely thin. (Neglect)
28
Identifying and Reporting Child Abuse and Neglect
PG – 15
29. Applying Your
Knowledge
Scenario 5:
The correct answer is “Suspect Abuse and Neglect”
The key indicators are:
• The child displays behavioral indicators; she is
angry and will not play with her friend. (Abuse or
Neglect)
• The child wears long sleeves and pants in warm
weather. (Abuse or Neglect)
29
Identifying and Reporting Child Abuse and Neglect
PG – 15
30. Applying Your
Knowledge
Scenario 6:
The correct answer is “Suspect Neglect”
The key indicators are:
• The child has unattended physical problems or
medical needs. (Neglect – Lack of Medical Attention)
30
Identifying and Reporting Child Abuse and Neglect
PG – 16
31. Applying Your
Knowledge
Scenario 7:
The correct answer is “Suspect Abuse and Neglect”
The key indicators are:
• A child has reported being forced to stand in a dark
closet. (Abuse or Neglect)
• The children are crying after being yelled at by a
caregiver. (Abuse - Institutional)
31
Identifying and Reporting Child Abuse and Neglect
PG – 16
32. What is Human Trafficking?
Human trafficking is the use of any person
under the age of 18 for sexual purposes in
exchange for—or for the promise of—money,
goods, or services by a non-caregiver.
• Examples of Human Trafficking
• Indicators of Human Trafficking
Identifying and Reporting Child Abuse and Neglect 32
PG – 17
33. Key Point
Child care professionals
need to be aware of the
indicators of human
trafficking in order to protect
the safety of children.
33
Identifying and Reporting Child Abuse and Neglect
PG – 17
34. Risk Factors of Child Abuse
and Neglect
• Child Risk Factors
• Parental/Family Risk Factors
• Social/Environmental Risk Factors
PG – 18 Identifying and Reporting Child Abuse and Neglect 34
35. Key Point
There are child, family, and
environmental factors that
place children at risk for
abuse and/or neglect.
PG – 18 Identifying and Reporting Child Abuse and Neglect 35
37. Effects of Child Abuse
and Neglect
The effects of child abuse and neglect can be
serious and permanently affect children’s
cognitive, physical, and emotional development.
Recent scientific studies of the brain reveal that the
first years of a child’s life are critical to
development. A child must receive adequate
stimulation to ensure that nerve cells in the brain
develop fully. Negative experiences, like trauma or
abuse, are extremely detrimental in early
years. The effects of abuse on a child can begin
before a mother even gives birth.
PG – 20 Identifying and Reporting Child Abuse and Neglect 37
38. The Impact of Trauma, Abuse, and Neglect:
• Extreme anxiety
• Depression
• Inability to form healthy relationships
• Memory loss
• Short attention span
• Easily distracted
• Poor self esteem
• Sleeping or eating disorders
PG – 20 Identifying and Reporting Child Abuse and Neglect 38
Effects of Child Abuse
and Neglect
39. Effects of Child Abuse and
Neglect on Child, Family,
Caregiver, and Society
Experiences throughout childhood can impair
mental abilities that may cause a child to respond
with aggression or violence to stressful or
frustrating situations. The physical and emotional
consequences of child abuse and neglect affect the
child, family, caregiver, community, and society.
PG – 21 Identifying and Reporting Child Abuse and Neglect 39
40. Key Point
The effects of child abuse
and neglect can be serious
and permanent to a child’s
cognitive, physical, and
emotional development.
PG – 21 Identifying and Reporting Child Abuse and Neglect 40
41. Strengthening Factors to
Prevent Child Abuse and
Neglect
• Nurturing and attachment
• Knowledge of parenting and of child
and youth development
• Parental resilience
• Social connections
• Concrete supports for parents
PG – 22 Identifying and Reporting Child Abuse and Neglect 41
42. Working with Abused and
Neglected Children
• Children who have been abused may not trust other people. Their
experiences have shown them that getting close to people and trusting
them causes discomfort and pain.
• These children need a close one-to-one relationship to develop and grow
normally. They often reject warmth, hugs, and affection at first.
• They may be delayed in one or more areas of their development (motor,
speech, and behavior).
• Their behavior may be at one of two extremes: difficult to manage,
destructive, and irritable; or unusually shy and anxious to please.
• Abused and neglected children have very poor self-images. Important
adults in their lives have had unrealistic expectations for these children,
and they often are led to believe that they caused their own abuse.
• Parents of abused children may feel that you are a threat. They may be
hostile and ungrateful toward you since they feel jealous, in competition,
inadequate, or afraid you will learn their secrets and report them.
PG – 23 Identifying and Reporting Child Abuse and Neglect 42
43. Key Point
It takes understanding,
patience, and skills to work
with abused and neglected
children.
PG – 23 Identifying and Reporting Child Abuse and Neglect 43
44. Trauma-Informed Care
• If a child in care is displaying behavioral or emotional
issues and/or is developmentally delayed, emotional or
physical trauma could be playing a role in the behavior.
• Indicators of trauma in children ages birth to 5
• Triggers can cause a recurrence of symptoms, feelings,
and behaviors.
• Tips for helping children ages birth to 5 after a traumatic
event
PG – 24 Identifying and Reporting Child Abuse and Neglect 44
45. Module 1 Summary
You have achieved this module’s learning
objectives if you can:
•Identify and define terms associated with child
abuse and neglect
•Identify common physical and behavioral
indicators of child abuse and neglect
•Explain causes and risk factors of child abuse
and neglect
•Identify effects of child abuse and neglect
PG – 25 Identifying and Reporting Child Abuse and Neglect 45
47. Module Goal and Learning
Objectives
Goal
Participants will understand their role in reporting child abuse
and neglect.
Learning Objectives
After successfully completing this module, you will be able to:
• Explain the role of the caregiver in reporting suspected child
abuse and neglect
• Follow the requirements of reporting suspected child abuse
and neglect according to Florida law
• Identify community resources that provide support for abused
and the abuser
PG – 26 Identifying and Reporting Child Abuse and Neglect 47
48. The History of Child Abuse
Reporting
• The first child abuse case was reported in 1873
• Mary-Ellen was 9 years old
• Mrs. Wheeler appealed to the ASPCA that children
were members of the animal kingdom and must
therefore be protected
• Mary-Ellen is considered the very first child abuse
case in North America
Identifying and Reporting Child Abuse and Neglect 48
PG – 27
49. Who is Mandated to Report
Abuse?
Section 39.201, Florida Statutes (F.S.) states
all Floridians must report any child abuse,
abandonment, and/or neglect they suspect.
Failure to report is a third degree felony in the
State of Florida.
PG – 28 Identifying and Reporting Child Abuse and Neglect 49
50. Who is Mandated to Report
Abuse?
Persons in the following professions must provide their names
when filing a report:
• Physician, osteopathic physician, medical examiner, chiropractic
physician, nurse, or hospital personnel engaged in the admission,
examination, care, or treatment of persons;
• Health or mental health professional other than one listed in
subparagraph a;
• Practitioner who relies solely on spiritual means for healing;
• School teacher or other school official or personnel;
• Social worker, day care center worker, or other professional child
care, foster care, residential, or institutional worker;
• Law enforcement officer; or
• Judge.
PG – 28 Identifying and Reporting Child Abuse and Neglect 50
51. Who is Mandated to Report
Abuse?
• All child care professionals must provide their names when
reporting suspicions of child abuse, abandonment, and/or
neglect.
• Pursuant to section 39.202, F.S., the names of reporters are
held confidential except to specific individuals involved in
carrying out the investigation.
• Annually, a statement must be signed by child care
professionals acknowledging their understanding of the laws
for reporting suspicions of child abuse and neglect.
PG – 28 Identifying and Reporting Child Abuse and Neglect 51
53. Key Point
Every adult in Florida is
required by law to report
ANY suspected abuse or
neglect.
PG – 29 Identifying and Reporting Child Abuse and Neglect 53
54. Key Point
All child care professionals
must provide their names
when reporting suspicions
of child abuse,
abandonment, and/or
neglect; everyone else can
make an anonymous report,
if they prefer.
PG – 29 Identifying and Reporting Child Abuse and Neglect 54
55. Key Point
Failure to report suspected
abuse or neglect is a third
degree felony in the State of
Florida.
PG – 29 Identifying and Reporting Child Abuse and Neglect 55
56. How to Make a Report
As a Floridian and a child care provider, it is your duty and
your legal responsibility according to Chapter 39 of the
Florida Statutes to report any suspected case of child abuse
or neglect. You don’t have to prove anything. That is the
investigator’s job.
There are 4 ways to make a report:
•Online
•Telephone (1-800-96ABUSE)
•Florida Relay 7-1-1 or TTY
•Fax
PG – 30 Identifying and Reporting Child Abuse and Neglect 56
57. How to Make a Report
The Florida Abuse Hotline Fax Transmittal Form is used
when you need to fax a report to the hotline. This form
can also be used prior to making a phone call to review
the information needed in a report. However, do not
delay contacting the abuse hotline, even if you don’t
have all of the information on this form.
Be sure to note the section for Who, What, When and
Why information. This is information you will need to
have ready prior to making a report.
Identifying and Reporting Child Abuse and Neglect 57
PG – 33
58. Key Point
The four ways abuse and
neglect reports can be
made to the Florida Abuse
Hotline are: online,
telephone, Florida
Relay/TTY, and fax.
PG – 33 Identifying and Reporting Child Abuse and Neglect 58
59. Practice Filling
Out the Form
59
Identifying and Reporting Child Abuse and Neglect
One of the children in your program, John, arrives one
morning with a black eye. He is normally cheerful and
animated, but today he is acting more quiet than usual.
When questioned in the morning, he tells you that he fell
off his bike the previous day. Later in the day, you hear him
telling a co-worker that he fell down some stairs. John lives
with his father, Ben, and an older brother, Steve, who is in
high school and plays on the football team. John’s father is
a mason and works very long hours; he is often in a hurry
when he drops John off in the morning and picks him up in
the afternoon.
PG – 33
60. Key Point
Florida law ensures that
confidentiality will be
maintained for child care
workers reporting
suspected cases of child
abuse and/or neglect.
PG – 34 Identifying and Reporting Child Abuse and Neglect 60
61. Sharing with a Partner
1. Find a partner to work with.
2. With your partner, create a list of things to do if you
are accused of child abuse or neglect.
3. Share the items on the list that are in place at your
work site.
4. Next, discuss the items that you feel can be
improved upon at your work site.
61
Identifying and Reporting Child Abuse and Neglect
PG – 35
62. How to Handle Accusations
of Child Abuse and Neglect
• Don’t become defensive
• Cooperate fully and factually with authorities
• Get statements from colleagues about your character
• Know the laws related to abuse and neglect
• Talk to a lawyer to ensure your rights and those of family
members and helpers
• Remember that protective policies you have put in place
such as your discipline procedures and incident reports will
help you
• Work with your director and colleagues to handle the
impact of the accusation on the school, other parents and
students
PG – 35 Identifying and Reporting Child Abuse and Neglect 62
63. Agencies/Resources
Child Protective Services (CPS) is the designated social service
agency (in most communities) to receive and investigate abuse reports
and provide rehabilitation services to children and families with problems
of child maltreatment. The agency is frequently located within larger
public or private social service agencies, or within law enforcement
agencies.
The Department of Children and Families provides a spectrum of
services to preserve and protect the well-being of children and families.
Law Enforcement and State Attorney’s Offices investigate cases of
child abuse and neglect and have victim advocacy programs to provide
information and support through the legal system.
PG – 36 Identifying and Reporting Child Abuse and Neglect 63
64. Agencies/Resources
Medical Programs and Community Agencies are places where staff
members provide attention to victims of child abuse and neglect and
provide counseling for the abused, the abuser, or family members.
Legal Agencies provide divorce, domestic violence injunction, or Guardian
ad Litem services.
Communities have the responsibility to establish and maintain required
resources and educate families and individuals on child abuse and neglect
prevention.
Individuals teach children about child abuse and neglect issues. You must
be alert for signs of child abuse or neglect in children you know, give
emotional support to victims of child abuse and neglect, and support
programs that work to prevent child maltreatment.
PG – 36-37 Identifying and Reporting Child Abuse and Neglect 64
65. Key Point
There are local community
resources that provide help
for abused children, their
families, and abusers.
PG – 37 Identifying and Reporting Child Abuse and Neglect 65
66. Do’s and Don’ts
for Child Caregivers
• Don’t
• Don’t
• Do
• Don’t
• Do
• Don’t
• Do
• Don’t
• Do
• Don’t
• Do
• Do
• Don’t
• Do
66
Identifying and Reporting Child Abuse and Neglect
PG – 38
67. Key Point
The Department of Children
and Families’ child abuse
website is a good source of
information.
PG – 39 Identifying and Reporting Child Abuse and Neglect 67
68. Child Abuse and Neglect for
Caregivers
Listen to the video for who is mandated to report
suspected cases, how to report, where to report,
when to report, and what happens when a
suspected case is not reported.
Identifying and Reporting Child Abuse and Neglect 68
PG – 40
69. Reflection
Think about and reflect on things you have heard or
discussed in this module. Write down one thing you
were unaware of before starting this module and one
thing you are thinking about differently or planning to
do differently.
69
Identifying and Reporting Child Abuse and Neglect
PG – 40
70. Module 2 Summary
You have achieved this module’s learning
objectives if you can:
•Explain the role of the caregiver in reporting
suspected child abuse and neglect
•Follow the requirements of reporting
suspected child abuse and neglect according
to Florida law
•Identify community resources that provide
support for abused and the abuser
PG – 41 Identifying and Reporting Child Abuse and Neglect 70