Showing posts with label Child Abuse. Show all posts
Showing posts with label Child Abuse. Show all posts

Tuesday, July 2, 2019

A Practical Temporary Solution to Child Detention Camps


by Brian T. Lynch, MSW

Children are children no matter where they live. They are humanities precious future, and every country is ultimately obligated to secure the safety and welfare of every child under its jurisdiction regardless of citizenship status or how that child got there.

The Trump administration's unconstitutional policy of arresting and incarcerating asylum seekers coming into the United States from South and Central America has created a humanitarian crisis. This crisis is especially traumatic for children who become separated from their families because of their parents' criminal incarceration. Thousands of separated children are languishing in over-crowed holding areas under inhumane conditions. They are not receiving age-appropriate care or supervision while their incarcerated parents are being held in prison-like settings for months without judicial reviews of their asylum claims. These children need immediate relief, which the federal government is incapable of providing.

The obvious over-all solution is to follow the law and keep the families of asylum seekers intact at all times. We must stop arresting these parents for requesting asylum, which is an internationally protected human right. Until that happens, what can we do to end the immediate crisis for tender aged children whose parents are incarcerated, or in some cases already deported without their child? These children need immediate, but temporary home-based care. They need temporary caregivers who can hold them, comfort them and meet all their physical and emotional needs. They need frequent and ample visitation with their parents to maintain healthy emotional bonding. And they need to be permanently reunited with their parents as quickly as possible, even if their parents have already been deported without them. 

Just because an immigrant parent has been deported doesn't mean an unaccompanied child left here can't be returned to them or to another responsible relative in their country of origin.

I use to have to make these sorts of international arrangements in my career in a state child welfare agency. When a foreign-born child came into state custody, for whatever reasons, we would seek out parents or relatives here or in their home country. If the best or only option was a relative in a foreign country, we would work with the social service authorities in that country to arrange a safe return home.

These foreign countries in all had social service agencies who would work with us and conduct a home study of the parents or interested relatives, when located, to make sure we weren't returning the child to a dangerous situation, such as a child prostitute ring or whatever. Then we would arrange for the child to go back to live with the responsible relatives. Each case was reviewed by a judge before the child was returned to make sure we were doing our job.

If there were no safe or viable alternatives in here or in the country of origin, the child would remain here to be raised by foster parents, and hopefully, be adopted. All 50 states have similar policies, procedures and resources in place for this humane handling of unaccompanied minors, but the current federal authorities aren't utilizing (or supplementing) these well-established state resources to assist with the crisis at the border.

For just a fraction of the money, the federal government is currently spending to warehouse these children in horrendous conditions, the administration could distribute these children equitably across all 50 state child welfare agencies and provide sufficient funding per child to compensate the states for the additional staff and resources the states would need to build capacity to do the job they already do now so successfully.

Monday, January 9, 2012

“It is easier to build strong children than to repair broken men.” Frederick Douglass (1817–1895)

A portion of a New York Times Editorial followed by 
the abstract of the American Academy of Pediatrics position paper, 
with links to the full report.
January 7, 2012

A Poverty Solution That Starts With a 

Hug


PERHAPS the most widespread peril children face isn’t guns, swimming pools or speeding cars. Rather, scientists are suggesting that it may be “toxic stress” early in life, or even before birth.
This month, the American Academy of Pediatrics is issuing a landmark warning that this toxic stress can harm children for life. I’m as skeptical as anyone of headlines from new medical studies (Coffee is good for you! Coffee is bad for you!), but that’s not what this is.
Rather, this is a “policy statement” from the premier association of pediatricians, based on two decades of scientific research. This has revolutionary implications for medicine and for how we can more effectively chip away at poverty and crime.
Toxic stress might arise from parental abuse of alcohol or drugs. It could occur in a home where children are threatened and beaten. It might derive from chronic neglect — a child cries without being cuddled. Affection seems to defuse toxic stress — keep those hugs and lullabies coming! — suggesting that the stress emerges when a child senses persistent threats but no protector.
Cues of a hostile or indifferent environment flood an infant, or even a fetus, with stress hormones like cortisol in ways that can disrupt the body’s metabolism or the architecture of the brain.
The upshot is that children are sometimes permanently undermined. Even many years later, as adults, they are more likely to suffer heart disease, obesity, diabetes and other physical ailments. They are also more likely to struggle in school, have short tempers and tangle with the law.
The crucial period seems to be from conception through early childhood. After that, the brain is less pliable and has trouble being remolded.
“You can modify behavior later, but you can’t rewire disrupted brain circuits,” notes Jack P. Shonkoff, a Harvard pediatrician who has been a leader in this field. “We’re beginning to get a pretty compelling biological model of why kids who have experienced adversity have trouble learning.”

A policy statement of the American Academy of Pediatricians, 2012

Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating developmental Science Into Lifelong Health

ABSTRACT: 
Advances in a wide range of biological, behavioral, and social sciences are expanding our understanding of how early environmental influences (the ecology) and genetic predispositions (the biologic program) affect learning capacities, adaptive behaviors, lifelong physical and mental health, and adult productivity. A supporting technical report from the American Academy of Pediatrics (AAP) presents an integrated eco-bio-developmental framework to assist in translating these dramatic advances in developmental science into improved health across the life span.  Pediatricians are now armed with new information about the adverse effects of toxic stress on brain development, as well as a deeper understanding of the early life origins of many adult diseases. As trusted authorities in child health and development, pediatric providers must now
complement the early identification of developmental concerns with a greater focus on those interventions and community investments that reduce external threats to healthy brain growth. To this end, AAP endorses a developing leadership role for the entire pediatric community—one that mobilizes the scientific expertise of both basic and clinical researchers, the family-centered care of the pediatric medical home, and the public influence of AAP and its state chapters—to catalyze fundamental change in early childhood policy and services.

AAP is committed to leveraging science to inform the development of innovative strategies to reduce the precipitants of toxic stress in young children and to mitigate their negative effects on the course of development and health across the life span. Pediatrics 2012;129:e224–e231

Sunday, September 18, 2011

CHILD MALTREATMENT FATALITY RISK FACTORS


This is way off topic for my blog, but it is what I think about everyday at work.  The rate at which children are dying at the hands of family members in this country is shameful and so unbelievable sad. The BBC just did a special about it here: BBC Special Report [http://www.bbc.co.uk/news/world-us-canada-15288865].  

So I thought I would share a guide I developed.   This isn't a pleasant topic, I know, but it is an important one. 

Below are some risk factors associated with higher rates of child deaths from abuse or neglect.  These were drawn from a survey of literature regarding child maltreatment fatalities.    The link above is to the report itself, which you should read.  The points below summarizes some of the information the report contains.  All credit goes to the Academy for Professional Excellence who put out the report. Who knows, blogging this might raise someone's red flag some day and lead to a timely report for a child at risk, or encourage a struggling parent to ask for help. 

 If any parents out there are worried about themselves and their children,  and see these attributes as fitting their own circumstances, please seek the support and assistance you need right away. There are a lot of good folks and organizations who are ready to help. See the list of resources below.

(Note to others: Please don't report a family based only on the fact they have some of these attributes.  That would be wrong and maybe even harmful.  Reports, generally speaking, should be bases on a reasonable suspicion that a caregiver's actions or inactions have, or could have significantly harmed a child.)

RISK FACTORS:

Child Attributes:
-         There is a new born infant in the home
-          A child is under three-years-old (children 3 and under account for over 75% of all fatalities.)
-         A child has medical, behavioral, or developmental problems
-         A child is ill or handicapped
-         A child was born premature
-         An infant has colic
-         A child is hostile, aggressive or excessively fussy
-         A child has disturbed or unusual behaviors
-         A child has a recent history of vomiting, reoccurring medical concerns or multiple hospitalizations

Family Attributes:
-         There are two or more children under 3 years old
-         Family lacks suitable child care availability
-         Family is financially poor
-         Children have different biological fathers
-         Unrelated adults are living in the home
-         Family has a history of severe or repeated instances of maltreatment
-         There are multiple father figures in and out of the home
-         The family has frequent moves

Caregiver Attributes:
-         Lives near or below the poverty line
-         Has a low education level (no high school diploma0
-         Has poor stress coping abilities
-         Has a history of abuse as a child
-         Has had his/her parental rights terminated in the past
-         Is a victim or perpetrator of domestic violence
-         Has a history of violence or criminality
-         Has a problem with substance abuse
-          Has a deficit of skills related to parenting (including ineffective or inconsistent discipline)
-         Has unrealistic expectations about children’s behavior and capabilities
-         Lacks emotional attachment to the child
-         Has mental health problems (e.g. depression)
-         Is socially isolated, without a healthy support system
-         Is a teenage mother, particularly for the second or subsequent child
-         Is a mother who never pursued prenatal care

http://theacademy.sdsu.edu/programs/SACHS/literature/SACHS-Child%20Fatalities%20Literature%20Review-Feb%202010.pdf




NATIONAL RESOURCES: 


Childhelp USA®
National Child Abuse Hotline
1-800-4-A-CHILD
24 Hours a Day

Child Abuse National Hotline
1-800-252-2873, 1-800-25ABUSE

National Youth Crisis Hotline
National Youth Development
1-800-HIT-HOME (1-800-448-4663)

National Runaway Switchboard
This hot-line is a referral service for youths in personal crisis.
1-800-621-4000

State-by-State Listings:

StateOrganizationPhone
AlabamaDept. of Human Resources334 242-9500
Alaska24-hr hotline:800 478-4444
ArizonaPhoenix hotline:800 541-5781
ArkansasDept. of Human Services800 482-5964
CaliforniaDept. of Social Services Office of Child Protective Services916 445-2771
ColoradoDenver County: 24 hr. hotline303 727-3000
ConnecticutReporting 24 hrs:800 842-2599
DelawareReporting 24 hrs in-state:800 292-9582
District of ColumbiaReport child abuse
Report child neglect
202 576-6762
202 727-0995
FloridaAbuse Registry800 962-2873
GeorgiaDept. of Human Resources Child Protective and Placement Services Unit:404 657-3408
HawaiiDept. of Human Services 24hr hotline:808 832-5300
IdahoFor information and referral to regional office:208 334-0808
IllinoisIn-State Parents under stress and Reporting 24 hrs:800 252-2873
IndianaReporting:800 562-2407
IowaIn-state hotline:800 362-2178
KansasReporting 24 hr hotline:800 922-5330
KentuckyLocal Dept. for Social Services or statewide hotline:800 752-6200
Louisiana24 hr hotline:504 925-4571
MaineReporting 24 hrs:800 452-1999
MarylandCounty office of Dept. of Human Resources: Child Protective Services.Click here for Phone Listings
Massachusetts24 hr hotline:800 792-5200
Michigan24 hr. hotline:800 942-4357
MinnesotaCounty office of Dept. of Social Services.Click here for Phone Listings
Mississippi24 hr hotline:800 222-8000
MissouriReporting:800 392-3738
Montana24 hr. hotline:800 332-6100
NebraskaReporting 24 hrs:800 471-5128
Nevada24 hr. hotline:800 992-5757
New YorkReporting 24 hrs:800 342-3720
New Mexico24 hr. hotline:800 432-2075
New Jersey24 hr. hotline:877 652-2873
New HampshireIn-state hotline:800 894-5533
North DakotaReporting: County Social Services or:701 328-4806
North Carolina24 hr. hotline:800 662-7030
OhioDept. of Human Services Child Protective614 466-0995
Oklahoma24 hr. hotline:800 522-3511
OregonDept. of Human Resources Childrens' Services Division503 945-5651
Pennsylvania24 hr. hotline in-state:800 932-0313
Puerto Rico24 hr. hotline:800 981-8333
Rhode Island24 hr. hotline:800 742-4453
South CarolinaDept. of Social Services Division of Child Protective and Preventive Services803 734-5670
South DakotaChild Protective Services605 773-3227
TennesseeDept. of Human Services Child Protective Services615 313-4746
Texas24 hr. hotline:800 252-5400
Utah24 hr. hotline:800 678-9399
VermontDept. of Social and Rehabilitation Services802 241-2131
Virginia24 hr. in state hotline:800 552-7096
Washington24 hr. hotline:800 562-5624
West Virginia24 hr. hotline:800 352-6513
WisconsinDept. of Health and Social Services608 266-3036
WyomingIn-State Reporting:307 777-7922


Child Abuse: Just One Story
Child Abuse Introduction   |   Signs of Child Abuse
Child Abuse Statistics   |   It's Under Reported
Effects of Child Abuse on Children: Abuse General
Effects of Child Abuse on Children: Child Sexual Abuse
Injuries to Children: Physical and Sexual Abuse
Effects of Child Abuse on Adults: Childhood Abuse
Effects of Child Abuse on Adults: Childhood Sexual Abuse
Definition of Physical Abuse   |   Signs of Physical Abuse
Definition of Sexual Abuse   |   Signs of Sexual Abuse
Definition of Child Neglect   |   Signs of Child Neglect
Definition of Emotional Abuse   |   Signs of Emotional Abuse
Abusers   |   Pedophiles
Child Physical Abuse and Corporal Punishment
Treatment for Child Abuse
Costs to Society
Conclusions
References
State Child Abuse Laws
Nationwide Crisis Line and Hotline Directory
National Non-Governmental Organizations and Links
U.S. Government Organizations and Links

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