Child Sexual Assault: Significance of No Physical Findings
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Questions and Answers

What may some professionals, investigators, and lay people wrongly conclude about a child's history if there are no physical findings of sexual assault?

  • The child is lying about the assault.
  • The child is telling the truth about the assault.
  • The child's history is not accurate. (correct)
  • The child needs further medical examination.

    • What is an important consideration for professionals in understanding clinical evidence of sexual abuse?

  • A lack of physical findings is expected. (correct)
  • A lack of physical findings is rare.
  • A lack of physical findings is always indicative of abuse.
  • A lack of physical findings is never indicative of abuse.

    • What is Munchausen syndrome by proxy (MSBP) classified as?

  • A form of child abuse or elder abuse. (correct)
  • A form of child protection.
  • A form of physical health problem.
  • A form of mental health problem.

    • Which of the following is NOT a category of neglect according to RSMo Chapter 210 definition?

    <p>Discipline</p> Signup and view all the answers

    What is a key aspect to focus on when there is a lack of physical findings in a child sexual abuse case?

    <p>The importance of the child's history.</p> Signup and view all the answers

    What may occur in cases of child sexual abuse according to the study?

    <p>There will be few if any clinical findings.</p> Signup and view all the answers

    What is an important aspect of food storage in a childcare setting?

    <p>Storing food in a clean and organized manner</p> Signup and view all the answers

    Why is it important to supervise small children?

    <p>To prevent injuries during potentially dangerous activities</p> Signup and view all the answers

    What is a key aspect of medical care for children?

    <p>Ensuring they receive proper immunizations</p> Signup and view all the answers

    What is an important aspect of nurturance for children?

    <p>Showing them affection and reassurance</p> Signup and view all the answers

    What is a sign that a child may be at risk for sexual exploitation or cybercrimes?

    <p>Receiving gifts from unknown individuals</p> Signup and view all the answers

    What is a tip for keeping kids safer on the Internet?

    <p>Educating them about Internet perils</p> Signup and view all the answers

    What is an important step in the initial investigation of a reported or suspected child abuse or neglect?

    <p>Notifying other services when appropriate or available</p> Signup and view all the answers

    Why is it recommended that the initial investigating officer not interview children in sexual assault situations?

    <p>Because they may be influenced by the interviewer</p> Signup and view all the answers

    What is the goal of preliminary interviews in child abuse and neglect investigations?

    <p>To get an idea of the circumstances and determine immediate safety concerns</p> Signup and view all the answers

    What is an important aspect of the Child Abuse and Neglect Review Committee?

    <p>Using caution when interviewing children to avoid influencing their recall</p> Signup and view all the answers

    When interviewing children, it is recommended to use what type of language?

    <p>Age and mental capability appropriate</p> Signup and view all the answers

    What is the primary reason for interviewing children alone?

    <p>To get a more accurate story</p> Signup and view all the answers

    Why is it essential to be sensitive to a child's level of development during an interview?

    <p>To ensure they understand the questions</p> Signup and view all the answers

    What should be avoided when interviewing children?

    <p>Leading questions and judgmental tone</p> Signup and view all the answers

    What is the purpose of a Child Protective Order?

    <p>To provide relief to the child</p> Signup and view all the answers

    What is the role of law enforcement in relation to a Child Protective Order?

    <p>To arrest the respondent if they violate the order</p> Signup and view all the answers

    What is the difference between accidental and purposeful disclosure?

    <p>Purposeful disclosure is more common in adolescents</p> Signup and view all the answers

    What is the common misconception about child sexual abuse disclosure?

    <p>Children are capable of immediate active disclosure</p> Signup and view all the answers

    What is the first stage of disclosure in child sexual abuse?

    <p>Denial</p> Signup and view all the answers

    Why is it essential to recognize the stages of disclosure in child sexual abuse?

    <p>To encourage more effective case management and intervention</p> Signup and view all the answers

    What percentage of children moved directly to active disclosure after denying abuse?

    <p>7%</p> Signup and view all the answers

    What is the characteristic of tentative disclosure where a child says the abuse happened to someone else?

    <p>Distancing</p> Signup and view all the answers

    What percentage of children recanted their allegations of abuse?

    <p>22%</p> Signup and view all the answers

    What is the purpose of the State Technical Assistance Team (STAT)?

    <p>To facilitate cooperation and coordination among professional organizations</p> Signup and view all the answers

    What is the name of the hotline for reporting child abuse and neglect in Missouri?

    <p>Child Abuse and Neglect Hotline</p> Signup and view all the answers

    What is the name of the organization that provides education for public and law enforcement on child pornography and internet safety?

    <p>National Center for Missing &amp; Exploited Children</p> Signup and view all the answers

    What is the purpose of the Missouri Network of Child Advocacy Centers?

    <p>To provide forensic interviews and recording services</p> Signup and view all the answers

    What percentage of children who recanted their allegations later reaffirmed the original complaint of abuse?

    <p>93%</p> Signup and view all the answers

    What is the name of the law that outlines the definitions related to child protection and reformation?

    <p>Missouri Revised Statutes Chapter 210</p> Signup and view all the answers

    What is the characteristic of active disclosure where a child gives a detailed, coherent, first-person account of the abuse?

    <p>Active Disclosure</p> Signup and view all the answers

    Who can take temporary protective custody of a child without parental consent?

    <p>A police officer, law enforcement official, or physician</p> Signup and view all the answers

    Why may a police officer, law enforcement official, or physician take temporary protective custody of a child?

    <p>To protect the child from imminent danger of serious physical harm or threat to life</p> Signup and view all the answers

    What must a person who takes a child into protective custody do immediately?

    <p>Notify the juvenile officer of the court and make a reasonable attempt to advise the parents or guardians</p> Signup and view all the answers

    How long can a child be held in temporary protective custody without a court order?

    <p>24 hours</p> Signup and view all the answers

    What is the purpose of a written statement filed with the juvenile officer?

    <p>To set forth the identity of the child and the facts and circumstances that gave reasonable cause to believe there was imminent danger</p> Signup and view all the answers

    What is not a suitable placement for a child in temporary protective custody?

    <p>A secure detention facility</p> Signup and view all the answers

    What is considered as abuse under the Missouri Revised State Statute?

    <p>Any physical injury, sexual abuse, or emotional abuse inflicted on a child</p> Signup and view all the answers

    Who is considered a 'child' under the Missouri Revised State Statute?

    <p>Any person under the age of 18</p> Signup and view all the answers

    What is neglect under the Missouri Revised State Statute?

    <p>Failure to provide necessary care and support</p> Signup and view all the answers

    Who is required to report suspected abuse or neglect under the Missouri Revised State Statute?

    <p>Any person with responsibility for the care of children</p> Signup and view all the answers

    What must a person with responsibility for the care of children do if they have reasonable cause to suspect abuse or neglect?

    <p>Report the suspicion to the division</p> Signup and view all the answers

    What must a medical examiner or coroner do if they determine that a child's death was due to natural causes?

    <p>Notify the attending physician to sign the death certificate</p> Signup and view all the answers

    Who may take a child into protective custody under Missouri Revised State Statute?

    <p>A police officer, law enforcement official, or a physician</p> Signup and view all the answers

    What is the purpose of the child fatality review panel?

    <p>To investigate and report on child deaths</p> Signup and view all the answers

    Under what circumstances may a police officer or law enforcement official request that a juvenile officer take a child into protective custody?

    <p>All of the above</p> Signup and view all the answers

    What is the requirement for reporting a child's death under the Missouri Revised State Statute?

    <p>If the child died under the age of 18</p> Signup and view all the answers

    Study Notes

    Medical Examination of Children Alleging Sexual Assault

    • A lack of physical findings is expected in most cases of child sexual abuse
    • Medical, legal, and social professionals should understand that a lack of diagnostic clinical findings is the norm
    • This understanding should help focus attention on the importance of the child's history

    Parental Responsibilities and Child Neglect Cases

    • Munchausen syndrome by proxy (MSBP) is a form of child abuse where a caregiver fabricates or induces illness in a child
    • Areas of neglect include:
      • Food (storage, quality, availability)
      • Clothing (cleanliness, appropriateness)
      • Shelter (code violations, cleanliness, safety hazards)
      • Supervision (leaving children alone, inadequate care)
      • Medical/surgical care (immunizations, treatment of illness/injury)
      • Nurturance (hygiene, emotional support)
      • Teaching/education (providing education, moral guidance)

    Investigating Child Abuse and Neglect

    • Initial officer response:
      • Ensure victim safety
      • Notify other services when appropriate
    • Investigative procedures:
      • Interview options (victim, witnesses, suspects)
      • Evidence collection and protection
      • Documentation of all statements and observations
      • Referrals and arrests (if necessary)

    Interviewing Child Witnesses and Victims of Sexual Abuse

    • Considerations for interviewing children:
      • Be sensitive to the child's level of development
      • Be flexible and objective
      • Use age-appropriate language
      • Avoid leading questions
      • Create a non-judgmental atmosphere
    • Phases of disclosure:
      1. Denial
      2. Tentative disclosure ( uncertain, hesitant, or partial disclosure)
      3. Active disclosure (detailed, coherent account of abuse)
      4. Recanting (denying previous allegations)
      5. Reaffirming (reiterating original allegations)

    Child Protective Orders and Law Enforcement

    • Child Protective Orders can be sought under sections 455.500 to 455.538
    • Law enforcement officers have the authority to arrest respondents who violate protective orders
    • Role of Law Enforcement in Child Protective Orders:
      • Enforcing protective orders
      • Investigating reports of abuse
      • Providing safety for victims and witnesses

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    Description

    This quiz discusses the importance of understanding that the absence of physical evidence does not necessarily contradict a child's allegation of sexual assault. It highlights the misconception that a lack of physical findings indicates an inaccurate report.

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