California Mandated Reporter Train the Trainers

1. California Mandated Reporter Train the Trainers Funded by California Department of Social Services, Office of Child Abuse Prevention prepared BY The Chadwick Center at Rady Children’s Hospital San Diego

2. Office of Child Abuse Prevention (OCAP) Manages many projects Strategies-Youth for Change www.strategiesyouthchange.org California Evidence-Based Clearinghouse for Child Welfare (CEBC) www.cebc4cw.org

3. Laine Alexandra, LCSW Lisa Quinn, MHA Chadwick Center for Children and Families Manager Trauma Counseling

4. QUESTIONS

5. Introductions Name/Where you Work/Position What would you like to get out of this training? How much experience do you have as a trainer?

6. Project OverviewMandated Reporting Two options: Online training www.mandatedreporterca.com In-person trainings by a T4T

7. Mandated Reporter Trainingwww.mandatedreporterca.com Online Training 4 hour general training Test-Certificate SUB-SPECIALTYTRAININGS , 1-2 HOURS EACH Clergy Law enforcement Medical Social work Educators Developmentally delayed Mental health Test-Certificate

8. Objectives of T4T“The Basics”

9. Objective of T4T Training Filling your “Training Tool Box” http://trainthetrainer.mandatedreporterca.com

10. How One Girl's Plight, Started the Child-Protection Movement

11. Mary Ellen Wilson

12. Dr. C. Henry Kempe“Battered Child Syndrome”1962

13. Child Abuse and Neglect Reporting Act (CANRA) 1963- CA passed first reporting law- stated that Physicians must report physical abuse of children 1966-all states had child abuse reporting laws providing definitions, procedures, a list of mandated reporters and liability for failure to report. CANRAwas passed in 1980in California Has been amended throughout the years List of Mandated Reporters keeps expanding

14. Child Maltreatment2010 2010

15. Child MaltreatmentNCANDS 2010

16. Child Welfare Dynamic Report2009-2010 87,000 Substantiated Victims of Abuse and Neglect http://cssr.berkeley.edu/ucb_childwelfare

17. Why is it important to report child abuse?

18. Defining Child Abuse Willful harming or injuring of a child or the endangering of the person or health of a child. California Penal code 11165.3

19. Defining Child Abuse and Neglect The Child Abuse and Neglect Reporting Act (CANRA) is part of the CA Penal Code. Under CANRA any suspicion of the following must be reported in California • Physical Abuse • Sexual Abuse • Emotional Abuse • Neglect When the victim is under the age of 18, and the perpetrator is any age

20. CHILD ABUSE CAN CROSS ALL BARRIERS Child abuse or neglect can occur in any family, regardless of socio-economic status, sexual orientation, religion, education, ethnic background, or any other factor. Important to know that our cultural beliefs or stereotypes can affect our perceptions.

21. Physical Abuse

22. Physical Abuse Look for patterns that reflect objects- hand, belt Pattern of multiple bruises in different stages of healing- location of bruises padded areas, back of legs, back, from neck to knees may be abuse as opposed to bony areas- where kids fall Bruises, bites, burns, fractures, abusive head trauma, shaken infant syndrome, injury to face with no reasonable explanation

23. Physical Abuse Can result from excessive discipline or inappropriate physical punishment. The injury may be the result of a single episode or of repeated episodes and can range in severity from minor bruising to death.

24. Physical Abuse Type, location, and pattern of skin injuries may help distinguish accidental injuries from suspected physical abuse anyinjury, even a small bruise in a very young infant is concerning Young infants are not mobile Completely dependent on their caregivers Any injury in this age group should raise concern for the possibility of inflicted injury

25. Physical Abuse Other types of injuries that may signal child abuse Broken bones Lacerations Burns (hot water scald, iron) Abusive head trauma Any injury with a delay in seeking treatment!!!

26. Slap Mark

27. Ear Bruise

28. Marks from Objects

29. Grab Marks

30. Loop Mark from Cord

31. Red Flag Parent Behaviors

32. Red Flag Parent Behaviors

33. Red Flag-Child Behaviors

34. Red Flag-Child Behaviors

35. Intimate Partner Violence California is one of the few states that mandates reports of intimate partner abuse between adolescents / teenagers “Intimate relationship” not dependent on age

36. Child Sexual Abuse Per CANRA, Child Sexual Abuse includes: Sexual Assault Sexual Exploitation

37. Child Sexual Assault

38. Child Sexual Assault Also includes: Sodomy Lewd or lascivious (indecent, or of a sexual nature) acts upon a child

39. Sexual Exploitation

40. Child Sexual Abuse

41. Reporting Consensual Sexual Intercourse M = mandated, must be reported based on age difference CJ = Clinical Judgment, the report is not mandated solely by age, but other factors may warrant reporting From “Understanding Confidentiality and Minor Consent in California” http://www.californiateenhealth.org/download/toolkit-rri-Web.pdf

42. Child Sexual Abuse THE FOLLOWING SITUATIONS DO NOT REQUIRE REPORTING: Unforced sexual activity between minors under 14 years who are "of like age" Unforced sexual activity between minors aged 14-17 and partners aged 14-20 Note: There is no law that requires health providers or other professionals who work with adolescents to ask the age of a patient's sexual partner(s)

43. Consensual Sex Between MinorsCon When in doubt, always call the Child Abuse Hotline for Guidance

44. Sexual Abuse-Risk Factors Sexual abuse often occurs in the absence of any risk factors and without any obvious signs

45. Red Flag-Child Behaviors

46. Red Flag-Child Behaviors

47. Red Flag- Physical Symptoms Bruising around genitals Swelling or discharge from genitals Tearing around genital area Visible lesions around mouth or genitals Complaint of lower abdominal pain Painful urination or defecation

48. Sexual Abuse - Disclosure

49. Emotional Abuse Under CANRA, also called cruelty Defined as willful cruelty or unjustified punishment Includes: Inflicting or permitting physical pain or mental suffering Or permitting the endangerment of the child’s person or health

50. Emotional Abuse