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  • 1. Child Neglect: Assessment and Intervention Ibis Kinnart, MSW, APSW Childrens Hospital of WI Child Advocacy Program [email_address]
  • 2. Learning Objectives:
    • Define neglect and describe primary manifestations
    • Describe stages of change and motivation enhancement techniques
    • Describe psychosocial assessment of cases and resources to ameliorate barriers to care
    • Describe best practices when working with families where medical neglect or noncompliance issues exist
    • Identify criteria warranting referral to Child Protective Services and how to collaborate
  • 3.
  • 4. Manifestations
    • Safety/Supervision: ingestions, falls, pedestrian vs. motor vehicle collision, exposure to other hazards, parent frequently unavailable, fatigue
    • Medical: Delay/failure to seeking medical care, nonadherence to medical recommendations, poorly controlled asthma, diabetics, seizures etc.
    • Physical: frost bite, respiratory infection, hunger, non-organic failure-to-thrive, inadequately clothed
    • Hygiene: Rashes, lice/scabies, odor, matted hair, rejection from peers
    • Educational: untreated developmental delays, truancy--reading problems, repeating grade, taunting by peers. Homeschoolers not being educated.
  • 5. Psychosocial Contributors
    • Lack of transportation
    • Lack of appropriate child care &/or support system;many siblings
    • Language barrier
    • No phone
    • co-pay/insurance issues
    • Transient/housing issues
    • Poor understanding of medical condition, treatment or child development
    • Parent cognitively delayed, unperceptive
    • Parent apathy, disbelief, mood disturbance or defensiveness
    • Child factors: temperament, special needs, uncooperative
  • 6. Provider barriers
    • Inconvenient appointment times
    • Long wait times--on the phone & in the office
    • Short visits, not enough time for questions/discussion
    • Providers with foreign accents--difficult to understand
    • Poor communication amongst providers
    • Incomplete information provided re: diagnosis, prognosis, treatment
    • Provider makes decisions versus shared decision-making with parents
    • Dont believe what families tell them; tunnel vision
    • Too busy, cant track patients
  • 7. Maslows Hierarchy of Needs-- Deficiency Needs
    • 1. Physiological/Body Needs: Hunger, thirst, bodily comforts (health, sleep)
    • 2. Safety/Security Needs: Out of danger, safety planning and emergency preparedness
    • 3. Belongingness and Love/Social Needs: acceptance, affiliated with other
    • 4. Esteem/Ego Needs: competency, mastery, receiving recognition and admiration
  • 8. Resources: Transportation
      • T19 HMO cab
      • Straight T-19 wheelchair van script
      • bus tickets/cab vouchers
      • Red Cross
      • reimbursement for Badger Bus/Coach Line
      • Medical mileage reimbursement (414-289-6223)
      • Disabled Loading Zone (414-286-8677)
  • 9. Resources: Casemanagement & Parenting programs
      • Public Health Department
      • Prenatal or Child Care Coordination, T-19 benefit; offered in-home or clinic based
      • Birth to Three (center or home based)
      • Health Care Connections (414-266-6966), T-19 benefit for children with complex medical needs; clinic based, some home visiting
      • Special Needs Family Center, service coordination
      • Family resource centers, Childrens Trust Fund (608-266-6871) has a statewide directory
      • Parenting classes
  • 10. Resources: Child Care
      • Crisis nurseries like La Causa (414-647-5990) and Family Support Project (262-544-0633)
      • WI SHARES, day care funding (888-713-5437)
      • Child care referral services ex. 4Cs (562-2676)
      • Respite programs offered by La Causa (414-647-5960), Childrens Service Society (414-453-1400), United Cerebral Palsy (329-4500)
      • Affordable recreational programs/camps--MPS, YMCA, Boys/Girls Clubs, Salvation Army.
      • Headstart programs
      • Sick child care--Memorial Hospital of Oconomowoc (262-569-0256) TLC (St.Lukes) (414-647-3080)
  • 11. Resources: Interpreters
      • Contact HMO customer service re: bilingual providers or translator service
      • AT&T translation line
      • Multilingual staff, Spanish classes
      • Language Source (414-607-8766)
      • Referral to ESL classes, Literacy Services (414-344-5878), La Causa (414-647-5960), council for the Spanish Speaking (414-384-3700), La Casa de Esperanza (262-547-0887)
  • 12. Resources: Utilities
      • Pay as you go cell phone or alternate phone service provider
      • Ameritech Telephone Assistance Program (800-924-1000)
      • Call customer service & set up payment plan
      • Energy assistance program (800-842-4565)
      • Wisconsin Gas Medical Emergency, restores service for up to 21days
      • If lack of air conditioning, visit shopping center, grocery store, library other public places
  • 13. Resources: Housing
      • A-Call (414-302-633); Access to Shelter System (262-547-3388)emergency housing assistance
      • Building Inspector, Lead Abatement Programs
      • Housing Authority, low-income housing, rent assistance programs
      • Landlord/Tenant hotlines (800-772-2295), 272-MYLA, (414-674-6767)
      • Community Advocates (414-449-4777)
      • Runaway shelters (414-271-1560) or Waukesha(262-544-5333)
  • 14. Resources : Mental Health
      • Mental Health Association (414-276-3122) Waukesha (262-546-0769)
      • Milw Co. Crisis Line and Mobile Team (414-257-7222), Crisis Walk-in Center (414-257-7665); MUTT (414-257-7621)
      • Natl Alliance for the Mentally Ill (769-0447)
      • Protective Payee for SSI payments
      • Counseling programs with sliding-scale fees: Catholic Charities (414-771-2881), Family Service (414-342-4560), Counseling Center of Milw. (414-271-4610), WI School of Professional Psychology (414-466-9777)
      • Task force on Family Violence
  • 15. Resources: Special Needs
      • Children with Special Needs Center (414-266-6333). Parent mentors, information and referral.
      • Wisconsin First Step (800-642-7837).
      • March of Dimes Southeast WI
      • ARC Milw (774-6255) Racine (262-634-6303)
      • United Cerebral Palsy (414-329-4500), Racine (262-639-9595). Info. & referral
      • Katie Beckett: Milwaukee/Waukesha (414-266-2193), Racine/Kenos

Child Neglect: Assessment and Intervention

Jan 11, 2015

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Documents

 

  • 1. Child Neglect: Assessment and Intervention Ibis Kinnart, MSW, APSW Childrens Hospital of WI Child Advocacy Program [email_address]
  • 2. Learning Objectives:
    • Define neglect and describe primary manifestations
    • Describe stages of change and motivation enhancement techniques
    • Describe psychosocial assessment of cases and resources to ameliorate barriers to care
    • Describe best practices when working with families where medical neglect or noncompliance issues exist
    • Identify criteria warranting referral to Child Protective Services and how to collaborate
  • 3.
  • 4. Manifestations
    • Safety/Supervision: ingestions, falls, pedestrian vs. motor vehicle collision, exposure to other hazards, parent frequently unavailable, fatigue
    • Medical: Delay/failure to seeking medical care, nonadherence to medical recommendations, poorly controlled asthma, diabetics, seizures etc.
    • Physical: frost bite, respiratory infection, hunger, non-organic failure-to-thrive, inadequately clothed
    • Hygiene: Rashes, lice/scabies, odor, matted hair, rejection from peers
    • Educational: untreated developmental delays, truancy--reading problems, repeating grade, taunting by peers. Homeschoolers not being educated.
  • 5. Psychosocial Contributors
    • Lack of transportation
    • Lack of appropriate child care &/or support system;many siblings
    • Language barrier
    • No phone
    • co-pay/insurance issues
    • Transient/housing issues
    • Poor understanding of medical condition, treatment or child development
    • Parent cognitively delayed, unperceptive
    • Parent apathy, disbelief, mood disturbance or defensiveness
    • Child factors: temperament, special needs, uncooperative
  • 6. Provider barriers
    • Inconvenient appointment times
    • Long wait times--on the phone & in the office
    • Short visits, not enough time for questions/discussion
    • Providers with foreign accents--difficult to understand
    • Poor communication amongst providers
    • Incomplete information provided re: diagnosis, prognosis, treatment
    • Provider makes decisions versus shared decision-making with parents
    • Dont believe what families tell them; tunnel vision
    • Too busy, cant track patients
  • 7. Maslows Hierarchy of Needs-- Deficiency Needs
    • 1. Physiological/Body Needs: Hunger, thirst, bodily comforts (health, sleep)
    • 2. Safety/Security Needs: Out of danger, safety planning and emergency preparedness
    • 3. Belongingness and Love/Social Needs: acceptance, affiliated with other
    • 4. Esteem/Ego Needs: competency, mastery, receiving recognition and admiration
  • 8. Resources: Transportation
      • T19 HMO cab
      • Straight T-19 wheelchair van script
      • bus tickets/cab vouchers
      • Red Cross
      • reimbursement for Badger Bus/Coach Line
      • Medical mileage reimbursement (414-289-6223)
      • Disabled Loading Zone (414-286-8677)
  • 9. Resources: Casemanagement & Parenting programs
      • Public Health Department
      • Prenatal or Child Care Coordination, T-19 benefit; offered in-home or clinic based
      • Birth to Three (center or home based)
      • Health Care Connections (414-266-6966), T-19 benefit for children with complex medical needs; clinic based, some home visiting
      • Special Needs Family Center, service coordination
      • Family resource centers, Childrens Trust Fund (608-266-6871) has a statewide directory
      • Parenting classes
  • 10. Resources: Child Care
      • Crisis nurseries like La Causa (414-647-5990) and Family Support Project (262-544-0633)
      • WI SHARES, day care funding (888-713-5437)
      • Child care referral services ex. 4Cs (562-2676)
      • Respite programs offered by La Causa (414-647-5960), Childrens Service Society (414-453-1400), United Cerebral Palsy (329-4500)
      • Affordable recreational programs/camps--MPS, YMCA, Boys/Girls Clubs, Salvation Army.
      • Headstart programs
      • Sick child care--Memorial Hospital of Oconomowoc (262-569-0256) TLC (St.Lukes) (414-647-3080)
  • 11. Resources: Interpreters
      • Contact HMO customer service re: bilingual providers or translator service
      • AT&T translation line
      • Multilingual staff, Spanish classes
      • Language Source (414-607-8766)
      • Referral to ESL classes, Literacy Services (414-344-5878), La Causa (414-647-5960), council for the Spanish Speaking (414-384-3700), La Casa de Esperanza (262-547-0887)
  • 12. Resources: Utilities
      • Pay as you go cell phone or alternate phone service provider
      • Ameritech Telephone Assistance Program (800-924-1000)
      • Call customer service & set up payment plan
      • Energy assistance program (800-842-4565)
      • Wisconsin Gas Medical Emergency, restores service for up to 21days
      • If lack of air conditioning, visit shopping center, grocery store, library other public places
  • 13. Resources: Housing
      • A-Call (414-302-633); Access to Shelter System (262-547-3388)emergency housing assistance
      • Building Inspector, Lead Abatement Programs
      • Housing Authority, low-income housing, rent assistance programs
      • Landlord/Tenant hotlines (800-772-2295), 272-MYLA, (414-674-6767)
      • Community Advocates (414-449-4777)
      • Runaway shelters (414-271-1560) or Waukesha(262-544-5333)
  • 14. Resources : Mental Health
      • Mental Health Association (414-276-3122) Waukesha (262-546-0769)
      • Milw Co. Crisis Line and Mobile Team (414-257-7222), Crisis Walk-in Center (414-257-7665); MUTT (414-257-7621)
      • Natl Alliance for the Mentally Ill (769-0447)
      • Protective Payee for SSI payments
      • Counseling programs with sliding-scale fees: Catholic Charities (414-771-2881), Family Service (414-342-4560), Counseling Center of Milw. (414-271-4610), WI School of Professional Psychology (414-466-9777)
      • Task force on Family Violence
  • 15. Resources: Special Needs
      • Children with Special Needs Center (414-266-6333). Parent mentors, information and referral.
      • Wisconsin First Step (800-642-7837).
      • March of Dimes Southeast WI
      • ARC Milw (774-6255) Racine (262-634-6303)
      • United Cerebral Palsy (414-329-4500), Racine (262-639-9595). Info. & referral
      • Katie Beckett: Milwaukee/Waukesha (414-266-2193), Racine/Kenos