2019 Hcit PDF
2019 Hcit PDF
Tiaki O Mokopuna
A GUIDE TO
KEEPING
CHILDREN
SAFE
4 www.childmatters.org.nz www.childmatters.org.nz 5
HOW CAN I TELL?
7 Indicators of child abuse and neglect abuse often goes undetected. Adults
may deny or attempt to justify their
protect children.
Children require the care and
abusive behaviour.
protection of the community as well
9 Taking action and reporting suspected abuse Indicators, when found either on their
own or in various combinations, point
as their families. Children are our most
precious resource – they are our future.
to possible abuse, family violence As adult members of society we have
34 About Child Matters are clues that alert us that abuse may
have occurred and that a child may
require help or protection.
Sometimes, indicators can result
from life events which do not
involve abuse. For example – divorce,
accidental injury, the arrival of new
sibling, etc.
6 www.childmatters.org.nz www.childmatters.org.nz 7
HOW CAN I TELL?
Trust your instincts. If you are worried that a child is being harmed or that It can take just one person to make a real difference. By lending a hand or
they’re not being well looked after, don’t just hope someone else will speak a listening ear at an early stage you may prevent something more serious
up. You can do something to help. from occurring.
It’s not always easy and it takes courage. But don’t be afraid of getting it Provide a listening ear
wrong. Instead, ask yourself, “What if I’m right?” Give helpful or supportive information
Explain that violence is not okay
Talk it over with an experienced person
Children may need help in The importance of taking action
families and whānau where: when harm is suspected: You can learn more about how to help at www.childmatters.org.nz.
8 www.childmatters.org.nz www.childmatters.org.nz 9
HOW CAN I TELL?
10 www.childmatters.org.nz www.childmatters.org.nz 11
HOW CAN I TELL?
12 www.childmatters.org.nz www.childmatters.org.nz 13
HOW CAN I TELL?
Cannot recall how the injuries occurred, May be vague about details of the cause of injury, and the account
or offers inconsistent explanations. of the injury may change from time to time.
Is wary of adults, or of a particular individual. May appear unconcerned about child’s well-being.
May cringe or flinch if touched unexpectedly. May blame the accident on a sibling, friend, or relative, or on the
May display a vacant stare, or frozen watchfulness. injured child.
May be extremely aggressive, or extremely withdrawn. May provide an explanation which is not believable given the child’s
age, or the nature of the child’s injuries.
Displays indiscriminate affection-seeking behaviour.
For example, goes readily to strangers for nurturing. If more than one parent or caregiver claims to have been present at
the accident or time of injury, there may be disagreement as to how
May be compliant or eager to please. it happened.
Tries to take care of, or protect the parents or caregiver. May state that the child is prone to injuries, or always lies about how
When at play, imitates negative behaviour or language e.g. smacks or injuries occur.
yells at a doll. May have little or no knowledge of child development, or may have
Frequently behaves in a way that provokes punishment. unrealistic expectations about the child.
Is dressed inappropriately to hide bruises or other injuries (e.g. long May delay in seeking medical attention for the child.
sleeved shirt or pants in summer). Shakes a child.
Runs away from home, or is afraid to go home. Threatens or attempts to injure the child.
Describes abusive situations. Is aggressive or violent towards other family members.
May regress e.g. bed wetting. Is aggressive towards the child in front of others.
May indicate a general sadness. May show this in drawing and play.
Is violent to animals or other children.
14 www.childmatters.org.nz 15
www.childmatters.org.nz 15
HOW CAN I TELL?
Sexual abuse is an act or acts that result in the
sexual exploitation of a child or young person,
whether consensual or not. What is
SEXUAL ABUSE?
Sexual abuse is an act or acts that Early warning signs
result in the sexual exploitation of
Children can be alerted to possible
a child or young person, whether
sexual abuse grooming. They should
consensual or not.*
be encouraged to tell an adult if
Sexual abuse can be committed by a someone:
relative, a trusted friend, an associate,
Asks them to do things in private
or someone unknown to the child.
that involve physical contact –
Most sexual abuse is perpetrated by
backrubs, massages, etc.
someone the child knows and trusts,
such as a caregiver, a family friend, or Looks at or touches their body
someone in a position of authority saying it is to “see how they are
like a school teacher, sports coach developing...”
or church member. “Accidentally” touches or brushes
up against their body
Examples of sexual abuse include:
Comes into their bedroom
Any touching for sexual purpose or bathroom when they are
Fondling of breasts, buttocks, undressed
genitals Says sexual things about their
Oral sex body, or how they dress, either
Sexual intercourse – anal or directly, or by phone or internet
vaginal Comes into their bedroom at
The adult exposing themselves to night
the child Asks them to keep any of these
Voyeurism and exhibitionism things a secret
Use of internet, text messages Makes them feel uncomfortable
and social media to initiate sexual
conversations with a child
Sexual abuse also includes situations
Remember:
where the adult seeks to have the Indicators do not necessarily
child touch them for a sexual purpose, prove that a child has been
and where they involve the child in abused. They are clues that
pornographic activities or prostitution. alert us that abuse may have
occurred and that a child may
*
Fanslow, J.L. 2002. Family Violence Intervention
Guidelines: Child and Partner Abuse. Ministry of
require help or protection.
Health, Wellington.
16 www.childmatters.org.nz www.childmatters.org.nz 17
HOW CAN I TELL?
Unusual or excessive itching, or pain in the genital or anal area. Age-inappropriate sexual play with toys, self, others,
Torn, stained, or bloody underclothing. e.g. demonstration of explicit sexual acts.
Bruises, lacerations, redness, swelling or bleeding in genital, vaginal or Age-inappropriate, sexually-explicit drawings or descriptions.
anal area. Bizarre, sophisticated, or unusual sexual knowledge.
Blood in urine or stools. Refuses to go home, or to home of relative or friend for
Pain experienced in urination or elimination. no apparent reason.
Sexually transmitted disease. States that they have been abused, or describes activities which are
sexually abusive, or hints about such activities.
Pregnancy.
Comments such as, “I’ve got a secret”, or, “I don’t like Uncle”.
Fear of certain people, or of a particular person.
Fear of certain places (e.g. bathroom, bedroom).
Regression to an earlier stage of play and development.
Sexual abuse affects children, women and Fire lighting, particularly by boys.
18 www.childmatters.org.nz www.childmatters.org.nz 19
HOW CAN I TELL?
20 www.childmatters.org.nz 21
www.childmatters.org.nz 21
HOW CAN I TELL?
Neglect is the failure to provide for the child’s basic
needs such as housing, nutrition, adequate supervision,
medical and psychological care, and education. What is
NEGLECT?
Neglect is any act or omission Neglect can be characterised by:
that results in impaired physical
Physical neglect – failure to
functioning, injury and/or
provide the necessities to sustain
development of a child or
the life or health of the child or
young person.*
young person
Neglect is one of the most prevalent Neglectful supervision – failure
forms of abuse to children and one of to provide developmentally
the most difficult to define. appropriate or legally required
Neglect can also be a one-off event, supervision of the child or young
as in abandonment. person, leading to an increased
risk of harm
Neglect is usually the result of a
Medical neglect – failure to
parent or caregiver omitting to do
seek, obtain, or follow through
something, rather than a deliberate
with medical care for the child
act to harm a child. Neglect can
or young person, resulting in
cause long term serious harm to a
their impaired function
child’s health or development.
or development
Abandonment – leaving a child
or young person in any situation
without arranging necessary care
for them and with no intention
of returning
Neglect causes Educational neglect – failure of
a parent or caregiver to meet a
both physical and child’s education needs.
emotional harm to Refusal to assume parental
responsibility – unwillingness or
the child. inability to provide appropriate
care or control for a child
*
Fanslow, J.L, & Kelly, P., 2016. Family Violence
Intervention Guidelines: Child and Partner Abuse.
Ministry of Health, Wellington.
22 www.childmatters.org.nz www.childmatters.org.nz 23
HOW CAN I TELL?
Can be dressed inappropriately for the season or the weather. This Suffers from severe developmental lags (speech, motor,
could result in recurrent colds, pneumonia, sunburn, frostbite, etc. sensory) without an obvious physical cause. Children may exhibit
Is often extremely dirty or unbathed. (Not to be confused with the global delays.
'healthy dirtyness' of an active child.) Demonstrates lack of attachment to parents.
May have severe nappy rash or other persistent skin disorders, or Demonstrates indiscriminate attachment to other adults.
rashes resulting from improper hygiene, or lack of it. Poor school performance, or school attendance.
Is inadequately supervised, or left unattended frequently, or for longer Has frequent unsupervised absences from home, or is left at home
periods of time than is normally accepted. alone or unsupervised.
May be left in the care of an inappropriate caregiver – e.g. one that is Is very demanding of affection or attention.
too young, or too old, to care for and protect the child.
Engages in delinquent acts, or abuses alcohol or drugs.
Does not receive adequate medical or dental care and has unattended
health problems. May steal food.
Malnourished – may be undersized, have low weight, sallow Has poor social skills.
complexion, lack of body tone. Has no understanding of basic hygiene.
Lacks adequate shelter – lives in housing that is unsafe, inadequately Discloses that parents are absent, or basic needs are not being met.
heated, or is unsanitary.
Child suffers from a condition called non-organic failure to thrive.
This occurs when the child (infant or very young child) falls behind
in weight, height and development with no medical explanation (this
condition may also be the result of emotional abuse).
For most children, New Zealand Aotearoa
is a wonderful place to grow up.
Some are not so lucky.
24 www.childmatters.org.nz www.childmatters.org.nz 25
HOW CAN I TELL?
Physical Sexual
Neglect
*
Fanslow, J.L. 2002. Family Violence Intervention
Guidelines: Child and Partner Abuse. Ministry of
Health, Wellington.
26 www.childmatters.org.nz www.childmatters.org.nz 27
HOW CAN I TELL?
Bed-wetting, or bed soiling that has no medical cause. Suffers from severe developmental lags (speech, motor, sensory)
Frequent psychosomatic complaints without an obvious physical cause.
(eg. headaches, nausea, abdominal pains). Severe symptoms of depression, anxiety, withdrawal or aggression.
The child suffers from a condition called non-organic failure to thrive. Severe symptoms of self-destructive behaviour. May threaten or
This may indicate neglect and occurs when the child (infant or very attempt suicide. May engage in drug or alcohol abuse.
young child) falls behind in weight, height and development with no Overly compliant, too well-mannered, too neat and clean.
medical explanation.
Displays extreme attention-seeking behaviours, or displays extreme
Appears pale, emaciated, has ‘sunken cheeks’. inhibition in play.
Body fat ratio is extremely low – e.g. wrinkled buttocks. When at play, behaviour may model or copy negative behaviours and
Skin may feel like parchment or paper resulting from dehydration. language used at home (e.g. smacking or yelling at doll).
Prolonged vomiting and/or diarrhoea. Recurring physical complaints without medical cause (e.g. abdominal
Has not attained developmental milestones within the child’s age pain, headaches, sore throat, nausea, etc).
range – e.g. cannot hold head up at six months of age, cannot walk at Runs away from home.
18 months of age. Nightmares, poor sleeping patterns.
Suffers from malnutrition. Antisocial behaviours. May not cope well in social settings.
Dressed differently from other children in the family. Lack of self esteem.
Has deprived physical living conditions compared to other children in Obsessive behaviours.
the family.
Developing psychotic symptoms.
Appears generally as a ‘sad’ child.
Indicates they have witnessed family violence or violence is occurring
in their home.
28 www.childmatters.org.nz www.childmatters.org.nz 29
HOW CAN I TELL?
32 www.childmatters.org.nz www.childmatters.org.nz 33
HOW CAN I TELL?
34 www.childmatters.org.nz www.childmatters.org.nz 35
If you have a concern about a child or family, call:
Ministry for Children, Oranga Tamariki
0508 326 459
Or
Police:
Contact your local Police Station
In an emergency call 111 and ask for Police