- Describe the importance of relationships as protective factors in preventing child abuse and neglect.
- Describe strategies for building relationships with staff members.
- Define child abuse and neglect, including institutional abuse and neglect.
- Describe how child abuse and neglect can be prevented through a protective factors approach.
- Identify and implement approaches that strengthen staff members.
- Identify program practices that prevent child abuse and neglect.
Learn
Know
Think back to your childhood. Can you think of a time when you felt completely safe? Hold an image of the place or the experience in your mind. What do you see? What do you hear? What do you smell? What sensations do you feel? What emotions does it evoke? Who is there with you? What do they do to make you feel safe?
For some of us, this might be an easy exercise. Some childhoods were full of safe and happy memories from which to choose. For others of us, though, this exercise is challenging. There might be few times when we experienced a feeling of complete safety, and those times might be shaded by memories of other, uncomfortable or scary experiences or events. All of us, regardless of our backgrounds, likely feel a sense of gratitude toward those people and places who helped us feel safe.
There is a growing body of evidence that these moments, these relationships, these safe places where we feel loved and protected can make all the difference in our lives. Consider Sara’s story:
Sara’s Story
Sara is an amazing mom. She is incredibly bright, very reflective, and successful in her career. She is caring, loving, nurturing, responsive, and has a phenomenal relationship with her husband and children. She is the model of personal and professional success.
Sara had a traumatic childhood. Her mother was severely mentally ill, sometimes abusive, sometimes neglectful, sometimes not present, and often suicidal. Her father was violent toward her mother. They lived in extreme poverty. When asked how she has been able to do so well given her overwhelming history of trauma, her answer was “No matter what I went through and no matter how awful it was sometimes, I know and felt how much my parents loved me. I knew that no matter how difficult life was for them, they wanted the best for me. They loved me as best they could, and they would do anything for me.”
Sara’s story reminds us of several important ideas. First, all families love their children very much and are doing the best they can. This is important to remember when we begin working with families. Second, the parent-child or caregiver-child bond is strong even in the most difficult situations — children love their parents and families. Third, history is not destiny: children who were mistreated do not all grow up to abuse their own children. Fourth, unconditional love makes a big difference in a child’s life. It is easy to imagine that Sara probably also had many other people rooting for her and helping her succeed. Love from a parent or guardian is critical, but extended family, neighbors, teachers, social workers, and counselors can all contribute safe, stable, and nurturing relationships.
Clearly, relationships are the first and most important foundation in a child’s life and the most important protective factor for children who have experienced trauma. Sara had a relationship with her parents, but it is also likely that she had strong relationships with other adults around her: teachers, coaches, or neighbors. These relationships helped Sara bounce back from the challenges she encountered. As a program leader, you have an important opportunity to ensure each child has meaningful relationships like Sara did. You help staff members develop secure relationships with the children in your programs. It is never too early or too late for a child to build connections with adults around them. These relationships help children see adults as trusted figures. Children are reminded that adults care about them and can help in times of need. Relationships also help staff understand each child deeply and help them act in each child’s best interests. This includes taking important steps to prevent child abuse and neglect in your program.
As you remember from the course on Child Abuse Identification and Reporting, child abuse and neglect can be institutional as well as familial. This means child abuse and neglect can happen in your program. This lesson will review the concept of institutional abuse and neglect. The remaining lessons in this course will help you learn specific strategies for preventing child abuse and neglect in your program.
You have already completed a course on identifying and reporting child abuse and neglect, and you will continue to have regular professional development on this topic throughout your career. Let’s just take a few moments to review the major definitions of child abuse and neglect.
What is Child Abuse and Neglect?
Federal law defines child abuse and neglect as:
Any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse, or exploitation; or an act or failure to act which presents an imminent risk of serious harm.
Source: Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization Act of 2010 (P.L. 111-320), § 3.
The Department of Defense (DoDD 6400.1, 2004) defines child abuse and neglect as follows:
Child abuse and neglect includes physical injury, sexual maltreatment, emotional maltreatment, deprivation of necessities or combinations for a child by an individual responsible for the child's welfare under circumstances indicating that the child's welfare is harmed or threatened. The term encompasses both acts and omissions on the part of a responsible person. A child is a person under 18 years of age for whom a parent, guardian, foster parent, caretaker, employee of a residential facility or any staff person providing out-of-home care is legally responsible. The term child means a natural child, adopted child, stepchild, foster child or ward. The term also includes an individual of any age who is incapable for self-support because of a mental or physical incapacity and for whom treatment in a medical treatment facility is authorized.
According to the U.S. Department of Health and Human Services and the military Family Advocacy Program, child abuse and neglect generally falls into one of these four categories:
Neglect
Neglect includes the failure to provide for a child's basic needs despite being financially able to do so. Neglect may be:
- Physical, when an adult fails to provide necessary food, clothing, shelter, or appropriate supervision
- Medical, when an adult fails to provide necessary medical or mental-health treatment
- Educational, when an adult fails to educate a child or attend to special education needs
- Emotional, when an adult fails to provide attention to a child's emotional needs, fails to provide psychological care, or permits the child to use alcohol or drugs
Physical Abuse
Physical abuse is defined as non-accidental physical harm to a child by actions such as:
- punching
- beating
- kicking
- biting
- shaking
- throwing
- stabbing
- choking
- hitting
- burning
Emotional Abuse
Emotional abuse includes a pattern of behaviors that have a negative effect on the child's psychological well-being, including constant criticism, threats, and rejection. According to the Child Welfare Information Gateway, emotional abuse may occur when a child is:
- Ignored: An adult may not look at or respond to a child.
- Rejected: An adult actively refuses a child by denying their needs or ridiculing them.
- Isolated: A child is prevented from having interactions with peers, family members, or other adults.
- Exploited or corrupted: A child is taught or encouraged to engage in illegal or inappropriate behaviors like stealing.
- Verbally assaulted: An adult constantly belittles, shames, ridicules, or threatens a child.
- Terrorized: An adult threatens or bullies the child and creates a climate of fear; the child or a loved one may be placed in a dangerous situation or threatened with harm.
Sexual Abuse
Sexual abuse includes sexual activity toward or involving a child. It also includes human trafficking, including sex trafficking or trafficking of children for sexual purposes. According to the Child Welfare Information Gateway, it may include:
- Fondling or groping a child's genitals
- Making a child touch an adult's sexual organs
- Penetration of any kind that does not have a valid medical purpose
- Incest, rape, and sodomy
- Exposing one's self to a child
- Exposing children to pornographic material
- Deliberately exposing a child to the act of sexual intercourse
- Masturbating in front of a child
- Involving a child in prostitution
- Involving a child in the production of any sexually explicit images
Who Commits Child Abuse and Neglect?
People who commit child abuse and neglect can come from any walk of life. Some risk factors are associated with an increased likelihood that someone might commit abuse or neglect. These include:
- Drug and alcohol abuse
- Difficulties controlling emotions, words, or behaviors
- Harsh approach to discipline
- Mental health issues
- Little knowledge of child development
- History of maltreatment as a child
When a child is abused or neglected by a parent, guardian, or family member, it is called familial abuse. This type of abuse typically happens in the child’s home.
When a child is abused or neglected by someone else in a supervisory role (like a teacher, coach, or community member), it is called institutional or out-of-home abuse. The Department of Defense is committed to making sure each and every child is safe while in its programs. The remainder of this course will focus on ways to make sure children are never mistreated in your program. You will learn frameworks, strategies, and supports for helping to make this happen.
What is Institutional Abuse and Neglect?
Institutional abuse or neglect occurs outside the home in community or private settings. This type of abuse or neglect is also known as “out-of-home” or “extra-familial” abuse or neglect. Throughout the rest of this course, institutional abuse will refer to abuse or neglect which may occur in Department of Defense-sponsored facilities, programs, or activities. This course will focus on abuse or neglect which may occur in child development centers, family child care homes, sponsored field trips, and school-age care programs. Remember, though, that institutional abuse can also occur in installation homework or computer centers, mentoring or tutoring programs, sports programs, chapel programs, scouts, Morale Welfare and Recreation programs, teen centers and youth programs. This type of abuse typically involves a child and an adult in a supervisory role, like a teacher, caregiver, or volunteer.
Supervise & Support
How Can Child Abuse and Neglect Be Prevented in Center Settings?
The lessons that follow in this course will describe specific strategies for preventing child abuse and neglect in your program. To begin this course, though, take a few moments to think about yourself and how you can get ready for the important work you will do with staff and children. Think about how you will go about (a) ensuring staff know why and how to form relationships and (b) forming your own connections with staff, children, and families. Consider the following relationship-building strategies (Brewster & Railsback, 2003, pp. 12-17):
- Demonstrate honesty and integrity. You are a role model for the people in your program, so always act with sincerity and follow through on your commitments. It is important that staff members, families, and children know they can count on you to keep your word.
- Show that you care. Be curious and interested in all the people who walk into your program.
- Be accessible. Encourage open communication between yourself and staff members. Open your door. Move around the program often. Say hello. When someone needs to talk to you, make the time.
- Facilitate and model effective communication. Listen actively. As Stephen Covey wrote in The 7 Habits of Highly Effective People, “seek first to understand.” You will learn more about these strategies in the Communication course.
- Involve staff in decision-making. Ask staff members’ about their views on the issues that affect them in the program. Work with management to set up systems that let staff members have a voice in program decisions.
- Celebrate experimentation and support risk. Give staff members the space to try out new ideas.
- Express value for dissenting views. Make sure staff members know they are safe to express their opinions without fear of reprisal.
- Reduce staff members’ sense of vulnerability. In your words and actions, support your staff members. Assume that they are working in the best interests of the children and seek to protect them from undeserved criticism.
- Ensure staff members have the resources they need. Staff members will trust you more when they know you are committed to helping them get what they need—and that you do so in a timely manner.
Next, understand that every person has strengths they can draw upon to prevent child abuse and neglect. These are known as protective factors. You learned about the Strengthening Families Protective Factors in the Child Abuse Identification and Reporting course. You can review the Protective Factors Framework by visiting https://cssp.org/resource/protective-factors-approaches-in-child-welfare/. The table below provides an overview of the protective factors that are important in your work with families and, as you will learn, important in your own efforts to prevent child abuse and neglect in center settings.
Strengthening Families Protective Factors (Figure 1)
-
Parental Resilience
Families are able to manage stress and bounce back from challenges.
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Knowledge of Child Development and Parenting
Adults know what to expect as children grow and are able to meet their child's needs at each stage of development.
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Social Connections
Families know there are people who care about them and who they can call on for help.
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Concrete Supports in Times of Need
Families can get the help they need when crises strike: food and shelter, medical and mental health services, social, legal, and educational resources.
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Social and Emotional Competence of Children
Social and emotional development promotes healthy relationships with others. Children with strong relationships, who can regulate their own behavior, express their emotions, and relate to others are at lower risk of maltreatment.
The same protective factors that help families cope with challenges apply to all of us as adults. Let’s explore each of the protective factors and how they might apply to your work with staff members. This material has been adapted from the Preventing Child Maltreatment and Promoting Well-Being: A Network for Action 2013 Resource Guide by the U.S. Department of Health and Human Services.
- Adult resilience: We all need the ability to cope with the stresses of everyday life. In the context of this particular course, let’s think about the stresses associated with suspecting and reporting child abuse or neglect. Staff may feel stress that they are unable to protect a child. They may feel stress over their relationship with the family. They may feel stress about their reputation in the program or the program’s reputation in the community. The emotions staff feel may make them feel less capable of doing their jobs. Stress can reduce their capacity to think creatively, be patient, problem solve, and learn new skills – all strategies that are necessary in child development and school-age programs. The stress may reduce their capacity to cope with the stresses of work and their own family lives. Each one of us has strengths we can draw upon: faith, flexibility, humor, communication skills, problem-solving skills, mutually supportive caring relationships, or the ability to identify and access outside resources (https://www.childwelfare.gov/topics/preventing/). We can take the time to make sure we nurture and expand these strengths in ourselves and others. Build some time for fun into your program. Encourage one another.
- Knowledge of child development: It seems obvious, but understanding typical child development is critical for staff members. Unrealistic expectations for children’s behavior is a major risk factor for child abuse and neglect. Check in regularly with the Training and Curriculum Specialist to make sure staff members have the training and coaching they need. Also ensure that all curricular materials are available, research-based, and current. When you see unrealistic expectations, step in and counsel staff. Share your observations with the trainer, so you can work together to help the staff member increase their knowledge. In a stressful situation, this knowledge helps staff remain calm, recognize child development in action, and create a teachable moment. You will learn more in the lessons that follow.
- Social connections: Research suggests that strong social connections promote health, wellness, and longevity. Help staff members build strong relationships with one another and with families. Plan staff events: celebrations, meals, and outings. Spend time getting to know one another and building trust. Also make sure there is some time during the day when staff members can talk to other adults. Make sure everyone gets the breaks they need and that there is time for relaxation and connection at some point each day. This will help you all do your jobs better.
- Concrete supports: We all need tools to help us do our jobs. It is OK—and important—to ask for help when it is needed. You are a resource for the staff members in your program. You know the expectations for your program, you know the regulations, and you know the budget. Provide the supports staff members need when they need it. Maybe they need scheduling changes or staffing changes. Maybe they need funding for additional professional development or classroom supplies. Know your staff members and help meet their needs. Also remember that they are not immune to stress outside of work, too. They might be experiencing any number of stressors at home. Learning about and provide community resources as needed, whether it’s assistance with filing taxes, finding quality health care, or job assistance for a partner or family member.
- Social and emotional competence of children: This is the foundation of the work we do every day in child development and school-age programs. You will learn much more about this topic in the Social and Guidance courses. Your role is to support staff in building healthy relationships, communication skills, and supportive environments.
This video will help you think more deeply about the practices you use every day in your program to prevent child abuse and neglect. The Self-Assessments for Programs resource mentioned in the video can be found here: https://cssp.org/our-work/projects/self-assessments-for-programs/.
Setting a Vision for Your Program
So how do you become the type of program that builds adult resilience, promotes understanding of child and youth development, provides concrete supports in times of need, and helps children develop social and emotional competence? It starts by thinking critically about where you are now and setting a vision for the future. In the Explore section of this lesson, you will work on setting that vision.
Completing this Course
For more information on what to expect in this course and a list of the accompanying Learn, Explore and Apply resources and activities offered throughout the lessons, visit the Management Child Abuse: Prevention Course Guide.
To support the professional development of the direct care staff members or family child care providers you oversee, you can access their corresponding Course Guides:
- Infant & Toddler Child Abuse: Prevention Course Guide
- Preschool Child Abuse: Prevention Course Guide
- School-Age Child Abuse: Prevention Course Guide
- Family Child Care Child Abuse: Prevention Course Guide
Explore
In the Child Abuse Identification and Reporting course, you completed a tool known as the Strengthening Families Program Self-Assessment. We think this is a useful tool to reflect upon as you transition from thinking about how your program supports families to how your program supports staff and best practices. Take some time to reflect upon what you learned from that assessment. You will use what you learned to set a vision for the impact you want to have on your program, families, and community.
Although the Strengthening Families Self-Assessment is focused on steps your program can take to prevent child abuse and neglect in homes and families, we believe it has tremendous value in helping you think about preventing institutional abuse. By strengthening families, you also strengthen staff and your overall program.
Gather your completed Program Self-Assessment and then complete the Setting a Vision activity. Use your Self-Assessment to answer the questions. If you need another copy of the Self-Assessment, you can find it in the Apply section of this lesson.
Apply
In the Child Abuse Identification and Reporting course, you completed the Strengthening Families Program Self-Assessment adapted from the Center for the Study of Social Policy. If you need a new copy, you print the attached tool. You can work with your program’s leadership team to complete the assessment. To view the full-length assessments and resources please visit: https://cssp.org/our-work/projects/self-assessments-for-programs/.
Demonstrate
Brewster, C., & Railsback, J. (2003). Building Trusting Relationships for School Improvement: Implications for Principals and Teachers. Northwest Regional Educational Laboratory: Office of Planning and Service Coordination. http://educationnorthwest.org/sites/default/files/trust.pdf
Center for the Study of Social Policy. (2018). Self-Assessments for programs. https://cssp.org/our-work/projects/self-assessments-for-programs/
Center for the Study of Social Policy. (2018). Strengthening Families: A Protective Factors Framework. https://cssp.org/our-work/projects/protective-factors-framework/
Centers for Disease Control and Prevention. (2018). Violence Prevention. http://www.cdc.gov/violenceprevention/
Child Welfare Information Gateway: Logic Model Resources. https://www.childwelfare.gov/topics/management/effectiveness/models/
Child Welfare Information Gateway. (2019). Definitions of child abuse and neglect. Washington, DC: U.S. Department of Health and Human Services, Children's Bureau.
https://www.childwelfare.gov/pubPDFs/define.pdf
Felitti, Vince J. et al. (1998). Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults. American Journal of Preventive Medicine. 14, p 245-258. doi:10.1016/S0749-3797(98)00017-8 https://www.cdc.gov/violenceprevention/acestudy/about.html
Friends National Resource Center for Community-Based Child Abuse Prevention. (n.d.). Evaluation Toolkit. http://friendsnrc.org/evaluation-toolkit
Harper Browne, C. (2014). The Strengthening Families Approach and Protective Factors Framework: Branching out and reaching deeper. Washington, D.C.: Center for the Study of Social Policy. https://cssp.org/wp-content/uploads/2018/11/Branching-Out-and-Reaching-Deeper.pdf
Harris, N. B. (2014) How Childhood Trauma Affects Health Across a Lifetime [Video file]. https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime
Military One Source. (2020). The Family Advocacy Program. https://www.militaryonesource.mil/preventing-violence-abuse/unhealthy-relationships/family-advocacy-program-support/
Seibel, N. L., Britt, D., Gillespie, L. G., & Parlakian, R. (2006). Preventing Child Abuse and Neglect. Washington, DC: Zero to Three: Center for Infants, Toddlers and Families.
U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2021). Child Maltreatment 2019. https://www.acf.hhs.gov/cb/research-data-technology/ statistics-research/child-maltreatment