CMAS 258N Study Guide+Questions 100% Correct Solutions, Exams of Health, psychology

CMAS 258N Study Guide+Questions 100% Correct Solutions

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CMAS 258N Study Guide+Questions 100%
Correct Solutions
Henry Kempe - ANSWER Chairman of the Department of Pediatrics at the University of
Colorado School of Medicine; Published the article "The Battered-Child Syndrome"
Mary Ellen Wilson - ANSWER First child abuse case that was recognized
-whipped and cut
-no laws to remove/save her
-court had to prove that she was treated worse than an animal to be removed
-no laws came for 100 years
What is CAPTA? - ANSWER -provides minimum standards for maltreatment
-states can add statutes to gain funding
-funding for prosecution, investigating, prevention, assessments, and treatment(
enacted 100 years after Mary Ellen)
How does CAPTA define child maltreatment? - ANSWER any fact or failure to act on part
of parent or caregiver, results in harm, death, and imminent risk
-nonaccidental
What are the adjectives PA used to define child abuse? - ANSWER Intentionally,
knowingly, and Recklessly
How does PA define a perpetrator of commission of abuse? - ANSWER Person who
committed abuse
-parent of child-spouse or former spouse of parent
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CMAS 258N Study Guide+Questions 100%

Correct Solutions

Henry Kempe - ANSWER Chairman of the Department of Pediatrics at the University of Colorado School of Medicine; Published the article "The Battered-Child Syndrome" Mary Ellen Wilson - ANSWER First child abuse case that was recognized

  • whipped and cut
  • no laws to remove/save her
  • court had to prove that she was treated worse than an animal to be removed
  • no laws came for 100 years What is CAPTA? - ANSWER - provides minimum standards for maltreatment
  • states can add statutes to gain funding
  • funding for prosecution, investigating, prevention, assessments, and treatment( enacted 100 years after Mary Ellen) How does CAPTA define child maltreatment? - ANSWER any fact or failure to act on part of parent or caregiver, results in harm, death, and imminent risk
  • nonaccidental What are the adjectives PA used to define child abuse? - ANSWER Intentionally, knowingly, and Recklessly How does PA define a perpetrator of commission of abuse? - ANSWER Person who committed abuse
  • parent of child-spouse or former spouse of parent
  • paramour or former paramour
  • Child 14+ that is responsible for child (babysitter)
  • Child 14+ that resides in house
  • 18+ not living in home or care (aunt/uncle) How does PA define perpetrator of omission? - ANSWER Know abuse is happening
  • parent-spouse or former spouse
  • paramour or former paramour
  • 18+ who resides in house
  • 18+ that is responsible for child How does PA define recent acts of abuse? - ANSWER within 2 years physical abuse definition - ANSWER A non-accidental physical injury Unlawful corporal punishment or injury Willfully causing or permitting unjustifiable physical pain signs of physical abuse - ANSWER - unexplained bruises
  • mobility changes
  • changes in behavior
  • abuses animals
  • cries when going home
  • reports injury
  • parent gives conflicting explanation
  • changes in interaction with caregiver and or adults
  • shrinks when adult approaches

language neglect - ANSWER gives commands only and does not read to child Mental health neglect - ANSWER The failure to seek help for a child's severe psychological problems or to comply with recommended therapeutic procedures signs of neglect - ANSWER - Frequently absent from school

  • Begs / steals for food/money
  • Lacks needed medical attention
  • Always dirty
  • Lacks sufficient clothing (for weather)
  • abuses drugs or alcohol What is a mandated reporter - ANSWER people who are required to report suspected or observed abuse or neglect due to their regular contact with vulnerable populations, such as the elderly in long-term care facilities What do you do if a child discloses to you, using the BASER model? - ANSWER Believe Affirm Support Empower Report What is the goal of a Children's Advocacy Center? - ANSWER - houses and brings together a team of prosecutors, law enforcement, medical providers, etc. to provide a coordinated response to child abuse
  • decrease trauma of child

Role of CPS - ANSWER - accepts reports of abuse

  • conduct interviews
  • risks assessments
  • secure alternative home placements
  • makes a safety plan
  • arrange support-testify in court role of law enforcement - ANSWER - responds to call
  • criminal history check of offender
  • collects and preserves evidence
  • interview adult witnesses
  • use of technology tools- takes suspect into custody
  • present criminal cases in lawsuits Role of DA/prosecutor - ANSWER - guide field investigation
  • assess evidence for court
  • develops case
  • assist in drafting search warrant
  • negotiate bail
  • prepare witness for court
  • present case at trial (state's case) Purpose of forensic interview - ANSWER to obtain a statement from a child, in a developmentally and culturally sensitive, unbiased and fact-finding manner
  • provides incidents of allegation and substantiation
  • neglect was highest reported
  • teachers are most common reporter NIS- 4 - ANSWER - take deeper dive into iceberg
  • substantiated cases from CPS
  • cases that were screened out
  • cases that sentinels believed happened ADD Health - ANSWER - use single question to evaluate sexual, physical and neglect prior to 6th grade
  • sampled 7th-12th graders
  • participants interviewed
  • asked when turned 18 Grooming the child - ANSWER Most recognized form, physical and psychological grooming Self-grooming - ANSWER justifying or denying actions further justification with success denial of actions Grooming the environment and adults around the child - ANSWER - must gain trust of adults and parents
  • need to gain access-planning is a big factor Aggressive offender - ANSWER use of force, violence, and threats

Criminal opportunist - ANSWER one offenses with stranger or less known Intimate perpetrator - ANSWER less physical harm and a significant grooming focus Civil juvenile court - ANSWER - does not impose criminal sanctions-

  • preponderance have evidence needed (51% certainty) Criminal justice court - ANSWER - guilty and innocence is decided
  • criminal sanctions given
  • clear and convincing evidence needed initial hearing - ANSWER - investigation results in necessity court interaction
  • safety plans presented
  • legal representation is assigned CPS: represented by attorney Parent: public defender or defense attorney Child: Guardian Ad Litem Adjudication hearing - ANSWER - trial to determine whether there is evidence to support petition alleging abuse/neglect of caretaker- within 45 days of initial hearing
  • offending parent may admit to abuse OR parent does not so professionals testify
  • outcome based on preponderance of evidence which is decided by judge Dispositional hearing - ANSWER - for those adjudicated
  • focuses on treatment prescribed to the family

Adoption and safe families act - ANSWER - 1997

  • excessive family preservation efforts
  • increased time in foster care
  • expand resources even when family does not benefit from assistance
  • increased funding for family preservation efforts
  • terminate rights in serious cases
  • increased review hearings
  • reunification AND adoption planning Foster care independence act - ANSWER - 1999
  • many unadopted youth about to exit system
  • enhance the youth's ability transition successfully to independent living
  • give funding, train youth on financial skills and help with insurance and education
  • help with rent and furniture if needed Foster Connections to Success and Increasing Adoption Act - ANSWER - 2008
  • too many unadopted about to exit system
  • increase connection to kinship and guardianship
  • connect with family to help with successful transition
  • extend medicaid eligibility, locate relatives, stay in same school district, permanency option expanded to 21 years old (funding continues) Indian Child Welfare Act - ANSWER - negative impact of non tribal government breaking up families
  • indians removed at higher rates from their culture
  • mandate procedures and jurisdiction considerations
  • notify tribe and move child to someone in culture
  • culturally aware
  • rigorous procedures to prevent removal and effective reunification
  • evidence beyond a reasonable doubt Know the 4 permanency outcomes - ANSWER - family reunification
  • adoption
  • guardianship
  • Other planned living arrangements Know what the different types of adverse childhood experiences that were discussed in the Felitti article. - ANSWER psychological, physical, or sexual abuse; violence against mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned, and even divorce How exposure of ACE impact the health of an adult? - ANSWER dose response Telomere - ANSWER protected cap at the end a chromosome which protects the DNA during the replication process How does stress effect telomere length? - ANSWER - more stress leads to faster erosion
  • parts of the telomere are broken off during division positive stress - ANSWER brief increases in heart rate, mild elevations in stress hormone levels
  • essential part of development

Indicated:

  • those that should be applied only in presence of a condition that identifies an increase risk for development The child family traumatic stress intervention - ANSWER CFTSI is a brief (5‐8 session), evidence‐based early intervention for children 7 to 18 years old that reduces traumatic stress reactions and the onset of PTSD. CFTSI is implemented within 30-45 days following a traumatic event or the disclosure of physical or sexual abuse. The child family trauma stress intervention key risk factors - ANSWER - poor familial support
  • bad coping skills can increase chance of ptsd John Caffey - ANSWER Columbia University Radiology Professor Noticed unexplained, multiple fractures in various children Caused by abuse