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Physical and Behavioral Indicators of Child Abuse and Neglect

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Physical and Behavioral Indicators of Child Abuse and Neglect Physical and Behavioral Indicators NEW JERSEY DEPARTMENT of Child Abuse and Neglect OF CHILDREN AND FAMILIES Physical Indicators Behavioral Indicators Unexplained bruises and welts: .On face, lips, mouth .On torso, back, buttocks, thighs .In various stages of healing .Wary of adult contacts .Cluster, forming regular patterns .Reflecting shape of article used to inflict (electric cord, belt buckle) .On several different surface areas .Apprehensive when other children cry .Regularly appear after absence, weekend or vacation Unexplained burns: .Behavioral extremes: PHYSICAL .Cigar, cigarette burns, especially on soles, palms, back or buttocks –Aggressiveness ABUSE .Immersion burns (sock-like, glove-like doughnut shaped on –Withdrawal buttocks or genitalia) .Patterned like electric burner, iron, etc. .Frightened of parents .Rope burns on arms, legs, neck or torso Unexplained fractures: .Afraid to go home .To skull, nose, facial structure .In various stages of healing .Multiple or spiral fractures .Reports injury by parents Unexplained laceration or abrasions: .To mouth, lips, gums, eyes .To external genitalia .Consistent hunger, poor hygiene, inappropriate dress .Begging, stealing food .Extended stays at school (early arrival .Consistent lack of supervision, especially in dangerous activities and late departure) PHYSICAL or long periods .Constantly falling asleep in class .Constant fatigue or listlessness NEGLECT .Alcohol or drug abuse .Unattended physical problems or medical needs .Delinquency (e.g. thefts) . Abandonment .States there is no caregiver .Unwilling to change for gym or participate in PE .Difficulty in walking or sitting .Withdrawn, fantasy or infantile behavior .Torn, stained or bloody underclothing .Bizarre, sophisticated or unusual sexual . SEXUAL Pain or itching in genital area behavior or knowledge . ABUSE Bruises or bleeding in external genitalia, vaginal or anal areas .Poor peer relationships . Venereal disease, especially in pre-teens .Delinquent or run away . Pregnancy .Reports sexual assault by caregiver .Habit disorders (sucking, biting, rocking, etc.) .Behavior extremes: EMOTIONAL .Conduct disorders (antisocial, destructible, etc.) •Compliant, passive •Aggressive, demanding MALTREATMENT .Neurotic traits (sleep disorders, speech disorders, inhibition of play) .Overly adoptive behavior: •Inappropriately adult •Inappropriately infant .Psychoneurotic reactions (hysteria, obsession, compulsion, phobias, hypochondria) .Attempted suicide Indicadores Físicos de Comportamiento DEPARTAMENTO DE NIÑOS de Maltrato y Negligencia Infantil Y FAMILIAS DE NUEVA JERSEY Indicadores Físicos Indicadores de Comportamiento Golpes y lastimaduras injustificadas: . En la cara, labios, boca . En el torso, espalda, nalgas, caderas . En distintas etapas de curación . Agrupadas y formando patrones uniformes . Temor al contacto con los adultos . Que reflejan la forma del artículo usado para lesionar (cable eléctrico, hebilla del cinturón) . En distintas áreas de la superficie . Aprehensivo cuando otros niños lloran . Que aparecen regularmente después de una ausencia, fin de semana o . Vacaciones . Comportamientos extremos: Quemaduras injustificadas: - Agresividad Quemaduras de puro, cigarrillo, especialmente en las plantas del pie, las MALTRATO . - Retraimiento FÍSICO palmas de las manos, la espalda o nalgas . Quemaduras de inmersión (con apariencia de calcetín o guante en forma de dona, en los genitales o nalgas) . Temor a los padres . Con forma de un quemador eléctrico, plancha, etc. Quemaduras de soga en los brazos, piernas, cuello o torso . Temor de ir a casa Fracturas injustificadas: . En el cráneo, estructura facial nasal . En distintas etapas de curación . Informes de lesiones causadas por los padres . Fracturas múltiples o espirales Laceraciones o abrasiones injustificadas: . En la boca, labios, encías, ojos . En la parte externa de los genitales .Pedir o robar comida .Hambre constante, falta de higiene, vestido inapropiado . Estadías prolongadas en la escuela (llegada .Falta de supervisión constante, especialmente en temprano o salida retrasada) NEGLIGENCIA actividades peligrosas o durante largos períodos .Quedarse dormido constantemente en clase .Fatiga o desatención constante FÍSICA .Abuso del alcohol o drogas .Necesidades médicas o problemas físicos no atendidos .Delincuencia (tal como robo) .Abandono .Dice que no tiene quien lo cuide .Dificultad para caminar o sentarse .Negarse a cambiarse para la clase de gimnasia o .Ropa interior rota, manchada o con sangre participar en educación física .Comportamiento retraído, fantasioso o infantil .Dolor o picazón en el área genital .Conocimiento o comportamiento sexual extraño, ABUSO .Golpes o sangrado en la parte externa de los sofisticado o inusual SEXUAL genitales, la vagina o el ano .Malas relaciones con los compañeros .Enfermedad venérea, especialmente en .Delincuencia o escapadas de su casa preadolescentes .Informe de ataque sexual por parte de un adulto .Embarazo encargado .Trastornos de hábito o repetitivos (chuparse el dedo, morder, mecerse, etc.) .Comportamientos extremos: • sumiso, pasivo • agresivo, exigente .Trastornos de conducta (destructivo antisocial, etc.) MALTRATO .Comportamiento adoptivo extremo: .Rasgos neuróticos (trastornos de sueño, trastornos del habla, • inapropiadamente adulto EMOCIONAL inhibición al jugar) • inapropiadamente infantil .Reacciones psiconeuróticas (histeria, obsesión, compulsión, .Retrasos del desarrollo (físico, mental, emocional) fobias, hipocondría) Intento de suicidio.
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