Child Abuse and Neglect

Child abuse includes all forms of physical and emotional mistreatment, sexual abuse, and neglect of a child’s basic needs, which results in actual or potential harm to a child’s physical, mental, and emotional health. Exploitation of children is also a form of abuse and includes trafficking for sexual or economic purposes, and recruitment of children into armed forces.

An abused child may experience many forms of mistreatment in any one incident or over time; for example, emotional harm is a pervading factor in all types of abuse. The abuser may be a family member, a stranger, another child, or someone responsible for a child's well-being, such as a teacher or caretaker.

Children in every society are vulnerable to abuse, gender based violence, and exploitation, however children without parental care and those in high risk environments such as conflict areas, refugee camps, on the street, or in institutions, are particularly exposed to violence, denial of their basic human rights, and deprivation. All abuse has its origins in power imbalance and therefore is typically associated with fear, secrecy, and control. This makes identifying and speaking out about abuse very difficult for children, family members, the community and social services, particularly when it is committed within the privacy of the home.

Child abuse can cause physical and psychosocial problems, including HIV/AIDS infection, and is particularly damaging when repeated over a period of time. Children may manifest abuse via destructive or withdrawn behaviours, developmental delays, injuries or other health problems. The effects of abuse will vary from child to child and depend on the source, type and extent of the abuse, the child’s developmental stage and their disposition or resilience.

The process of identifying and responding to abuse requires skilled interventions in order to prevent further harm to the child, and will typically include police, medical, psychological, and social services in order to address the safety, physical, and emotional needs of the affected children. Any care plan must be in the best interests of the child and protect them and their siblings from harm. This will include consideration of the additional risks of abuse that are present for children in institutions and care placements. Such closed environments are extremely susceptible to abuse since they are frequently isolated, insufficiently regulated, and lacking in adequate supervision and safe reporting procedures. It is the role of social services to screen and monitor all child placements, including institutional, kinship, and foster care, to ensure the child’s safety and well-being.

It is the responsibility of the whole community to protect its children. Education and community awareness for children and adults on the risks, signs of abuse, and responses is vital for children without parental care and those in high risk situations, such as during a conflict or displacement when sexual violence, exploitation, and recruitment into armed forces are prevalent.

The literature in this section describes the types of abuse in more detail, including gender based violence, and provides example child protection procedures, policy papers, and other intervention tools.

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What Works in Tackling Child Abuse and Neglect? A Manual for Policy Makers, Managers, and Professionals

Tinje Berge-Le Clercg, Mariska de Batt from the Netherlands Youth Institute, 2013

This manual is the main outcome of the European Commission Daphne III programme, Prevent and Combat Child Abuse: What works? Involving regional exchanges and research from five countries (Germany, Hungary, Portugal, Sweden and the Netherlands), this manual brings together knowledge on what works in tackling child abuse. The manual suggests evidence and practice-based prevention and response strategies against child abuse and neglect, including programs and services that have been shown to be successful in strengthening family care.

2013 Resource Guide - Preventing Child Maltreatment and Promoting Well-Being: A Network for Action

U.S. Department of Health and Human Services, 2013

This Resource Guide was developed to support service providers in the US in their work with parents, caregivers, and their children to prevent child abuse and neglect and promote child and family well-being. The Resource Guide was created primarily to support community-based child abuse prevention professionals who work to prevent child maltreatment and promote well-being. However, others such as policymakers, parent educators, family support workers, health-care providers, program administrators, teachers, child care providers, mentors, and clergy also will find the resources useful.

ChildSafe Traveler Tips: Children Are Not Tourist Attractions

The ChildSafe network, 2013

The ChildSafe network has produced important information for people who might be traveling abroad and can be confronted by situations where children are in distress or at risk of being abused or harmed, including through the practice of "orphan tourism".

Abandoned babies: the Malaysian ‘baby hatch’

Joan Cochrane & Goh Lee Ming - Infant Vol 9 Issue 4, 2013

This article explores the implementation of a system in Malaysia, where mothers or guardians who choose to abandon their baby are enabled to do so anonymously within a safe environment.

United States Government Action Plan on Children in Adversity

United States Government, 19 Dec 2012

The Action Plan on Children in Adversity is the first government wide strategic guidance for U.S. Government international assistance for children. The goal of the Action Plan is to achieve a world in which all children grow up within protective family care and free from deprivation, exploitation, and danger. It has three principal objectives, with Objective 2 specifically focusing on the importance of promoting family care and prevention of family-child separation.

India: Annual Report of the Ministry of Women and Child Development

The Indian Ministry of Women and Child Development, 01 Dec 2012

In its Annual report (2011-2012), the Indian Ministry of Women and Child Development reports on progress in the implementation of the Integrated Child Protection Scheme (ICPS), a new policy and programmatic strategy that specifically articulates the need to move away in approach and services from over-reliance on institutional care and towards responses that support family based care.

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CEE/CIS: Child Care Systems Reforms in Eastern Europe and Central Asia: Why We Need to Focus on Children Below Three years

Jean-Claude Legrand, Senior Regional Advisor Child Protection, UNICEF CEE/CIS, 21 Nov 2012

This presentation to the 2012 Sofia Conference by Jean-Claude Legrand, Senior Regional Advisor Child Protection, UNICEF CEE/CIS, highlights the situation of children in formal care, with particular concern for children with disabilities, and recommends reform and policy initiatives to improve the childcare systems in Eastern Europe and Central Asia.

Protect my future: the link between child protection and health and survival

Emily Delap , 01 Nov 2012

This inter-agency paper was written by Family for Every Child, Better Care Network, Consortium for Street Children, Save the Children, SOS Children’s Villages, and World Vision, for submission to the United Nations consultation: ‘Health in the Post-2015 Development Agenda.’ It examines the links between child protection and health and argues for a continuing focus on health and child survival that encompasses particular goals and indicators on children’s protection.

The Long-Term Health Consequences of Child Physical Abuse, Emotional Abuse, and Neglect: A Systematic Review and Meta-Analysis

Rosana E. Norman, Munkhtsetseg Byambaa, Rumna De, Alexander Butchart, James Scott, Theo Vos , 01 Nov 2012

Although the relationship between child sexual abuse and mental disorders life has been well established, the health consequences of other forms of child maltreatment, including physical abuse, emotional abuse, and neglect have not been systematically examined. This study summarizes the evidence relating to the possible relationship between child physical abuse, emotional abuse, and neglect, and subsequent mental and physical health outcomes.

Protecting children from violence in the family and alternative care settings

Working Group on children without parental care – subgroup of NGO group for the CRC, 31 Oct 2012

This briefing note, produced by an Interagency Working Group on children without parental care, is designed to highlight the vulnerability of children to violence in the family and alternative care settings, and to encourage members of the CAT Committee to consider the potential added value of reference to the Guidelines for the Alternative Care of Children.