Signs Of Abuse

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Nearly one in five autistic children have been physically abused

About one in six have been sexually abused

 Abuse, must always be reported

“The first step in helping abused or neglected children is learning to recognize the signs of child abuse and neglect.”

“Kids with autism by definition have a problem communicating.  It means you can’t rely on a child’s report.  You need to do a physical exam and look for evidence of abuse.  It means you have to have a difficult and challenging discussion with the caregiver” said David Mandell, associate director for the Children’s Hospital of Philadelphia’s autism center.

Below are signs that may signal abuse or neglect. The list was provided by Child Welfare Information Gateway:

The Child:

  • Shows sudden changes in behavior or school performance
  • Has not received help for physical or medical problems brought to the parents’ attention
  • Has learning problems (or difficulty concentrating) that cannot be attributed to specific physical or psychological causes
  • Is always watchful, as though preparing for something bad to happen
  • Lacks adult supervision
  • Is overly compliant, passive, or withdrawn
  • Comes to school or other activities early, stays late, and does not want to go home (if abuse/neglect at home)

The Parent:

  • Shows little concern for the child
  • Denies the existence of — or blames the child for — the child’s problems in school or at home
  • Asks teachers or other caregivers to use harsh physical discipline if the child misbehaves
  • Sees the child as entirely bad, worthless, or burdensome
  • Demands a level of physical or academic performance the child cannot achieve
  • Looks primarily to the child for care, attention, and satisfaction of emotional needs

The Parent and Child:

  • Rarely touch or look at each other
  • Consider their relationship entirely negative
  • State that they do not like each other

Signs of Physical Abuse

Consider the possibility of physical abuse when the child:

  • Has unexplained burns, bites, bruises, broken bones, or black eyes
  • Has fading bruises or other marks noticeable after an absence from school
  • Seems frightened of the parents and protests or cries when it is time to go home
  • Shrinks at the approach of adults
  • Reports injury by a parent or another adult caregiver

Consider the possibility of physical abuse when the parent or other adult caregiver:

  • Offers conflicting, unconvincing, or no explanation for the child’s injury
  • Describes the child as “evil,” or in some other very negative way
  • Uses harsh physical discipline with the child
  • Has a history of abuse as a child

Signs of Neglect

Consider the possibility of neglect when the child:

  • Is frequently absent from school
  • Begs or steals food or money
  • Lacks needed medical or dental care, immunizations, or glasses
  • Is consistently dirty and has severe body odor
  • Lacks sufficient clothing for the weather
  • Abuses alcohol or other drugs
  • States that there is no one at home to provide care

Consider the possibility of neglect when the parent or other adult caregiver:

  • Appears to be indifferent to the child
  • Seems apathetic or depressed
  • Behaves irrationally or in a bizarre manner
  • Is abusing alcohol or other drugs

Signs of Sexual Abuse

Consider the possibility of sexual abuse when the child:

  • Has difficulty walking or sitting
  • Suddenly refuses to change for gym or to participate in physical activities
  • Reports nightmares or bed-wetting
  • Experiences a sudden change in appetite
  • Demonstrates bizarre, sophisticated, or unusual sexual knowledge or behavior
  • Becomes pregnant or contracts a venereal disease, particularly if under age 14
  • Runs away
  • Reports sexual abuse by a parent or another adult caregiver

Consider the possibility of sexual abuse when the parent or other adult caregiver:

  • Is unduly protective of the child or severely limits the child’s contact with other children, especially of the opposite sex
  • Is secretive and isolated
  • Is jealous or controlling with family members

Signs of Emotional Maltreatment

Consider the possibility of emotional maltreatment when the child:

  • Shows extremes in behavior, such as overly compliant or demanding behavior, extreme passivity, or aggression
  • Is either inappropriately adult (parenting other children, for example) or inappropriately infantile (frequently rocking or head-banging, for example)
  • Is delayed in physical or emotional development
  • Has attempted suicide
  • Reports a lack of attachment to the parent

Consider the possibility of emotional maltreatment when the parent or other adult caregiver :

  • Constantly blames, belittles, or berates the child
  • Is unconcerned about the child and refuses to consider offers of help for the child’s problems
  • Overtly rejects the child