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I. INTRODUCTION AND GENERAL BACKGROUND FACTS. Children may experience abuse and/or neglect (AN)The highest rate of child abuse is experienced by children between birth and 3 years of age. . Sheehan 2011 Stanford Child Neurology:. . . Neglect?. Is the failure to provide for a child's basic needs
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1. THE IMPACT OF NEGLECT AND ABUSE ON CHILDREN’S LANGUAGE DEVELOPMENT
2. I. INTRODUCTION AND GENERAL BACKGROUND FACTS Children may experience abuse and/or neglect (AN)
The highest rate of child abuse is experienced by children between birth and 3 years of age
3. Sheehan 2011 Stanford Child Neurology:
4. Neglect… Is the failure to provide for a child’s basic needs
It can be emotional, educational, or physical
5. Children who have experienced severe emotional neglect… May have cognitive problems, including difficulty with impulse control and problem-solving skills
May be lethargic and apathetic
May demonstrate learned helplessness
6. Children who experience physical neglect… Often experience this because their parents are unable to provide what they need—they are poor
May be inappropriately left at home alone
7. These physically neglected children…
8. Recent national statistics indicate that in terms of perpetrators by relationship to the victim: 78.5% are parents
6.5% are other relatives (total of 85% are relatives)
0.4% are foster parents
0.7% are child daycare providers
4.1% are unmarried partners of the child’s parent
0.3% are friends or neighbors
9. II. ABUSE OF THE DISABLED (http://www.irvingstudies.com/child_abuse_survivor_monument/Disabled.htm, 2007)
11. Some research suggests that…
12. This is one reason…
13. Children with disabilities… Put a lot more stress on their caregivers
When caregivers are stressed and have no respite, they are more likely to neglect and abuse their children
14. Caregivers may…
15. III. BEHAVIORAL AND LANGUAGE CHARACTERISTICS Difficulties with expressive language
They are often very quiet
They have lesser conversational skills than their peers
They may be less likely than peers to discuss information or volunteer
16. These children often do more poorly in school
They have more behavior problems
They also underperform academically
17. Specific difficulties with pragmatics may include:
18. Nelson 2010 states that:
19. Other specific language issues may include: Fewer decontextualized utterances; more talk about the here and now
Shorter, less complex utterances
Auditory and reading comprehension problems
20. Mothers who neglect or abuse babies:
21. Shaken baby syndrome may occur This causes lifetime cognitive and linguistic damage
We must stress to caregivers that they should NEVER shake a baby
22. Sheehan 2011 Stanford Neurology:
23. IV. IMPLICATIONS FOR ASSESSMENT AND INTERVENTION We need to work as part of a multidisciplinary team
This team often includes a social worker and a psychologist
We are mandated to document and report what we see and hear
In the schools, we would tell the principal
24. In assessment, we especially need to focus on evaluating: Vocabulary
Overall expressive language skills
Pragmatics skills
Narrative skills
25. Intervention should involve…
26. Intervention may especially need to involve…
27. We can work on self esteem by using ideas such as: Star of the Week
Me Collage
Problem Wall
Trip to the Future
28. Remember that… Culturally and linguistically diverse families may especially need direct instruction about American child abuse laws
I think that we should do this before we refer the family to CPS (Child Protective Services)
29. Many refugee parents…
30. V. SUPPORTING CAREGIVERS Remember that in the U.S., most people do not have help and support from extended families like they do in other countries
Frequently caregivers are isolated with their children, and they can become extremely stressed
31. Sheehan 2011 Stanford Neurology:
32. It can be very stressful… When a baby cries nonstop for hours and you are alone with no help—you can’t leave
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33. 1. Ask caregivers about their own needs, and attempt to help them meet these needs or guide to them to professionals who can help them (e.g., parenting classes, food stamp programs)
2. Provide key information about overall child development. Research shows that some caregivers abuse their children because the caregivers’ expectations are too high.
34. Sheehan 2011:
35. 3.
4.
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36. 6. Teach caregivers how to use language/words to discipline instead of using physical means such as slapping. For example, caregivers can be taught how to apply choices and consequences.
7. Model language stimulation strategies such as extensions that caregivers can easily fit into their daily routines.