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 Children may manifest abuse via destructive or withdrawn behaviours, developmental delays, injuries or other health problems.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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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.

What are the Most Effective Early Response Strategies and Interventions to Assess and Address the Immediate Needs of Children Outside of Family Care?

Neil Boothby, Mike Wessells, John Williamson, Gillian Huebner, Kelly Canter, Eduardo Garcia Rolland, Vesna Kutlesic, Farah Bader, Lena Diaw, Maya Levine, Anita Malley, Kathleen Michels, Sonali Patel, Tanya Rasa, Fred Ssewamala, Vicki Walker, 22 Oct 2012

The purpose of this review was to identify evidence-based early response strategies and interventions for improving the outcomes of children outside of family care, including children of and on the street, institutionalized children, trafficked children, and children affected by conflict and disaster, and who are exploited for their labor. A conclusion was drawn that there is a strong need for strengthening the evidence base regarding the effectiveness or early assessments and responses to children living outside family care and for using evidence to guide operational policy and practice.

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BCN , 18 Oct 2012

Care related section of the Government of the Republic of Indonesia's third and fourth combined report on the implementation of the Convention on the Rights of the Child (dated 18th October 2012).

Protect my future: The links between child protection and equity

Dr. Andy West and Emily Delap, 01 Oct 2012

The lack of care and protection facing children is a global crisis. This paper is part of an inter-agency series originally developed to feed into the global thematic consultation for the post MDG framework: ‘Addressing Inequalities. The Heart of the Post-2015 Development Agenda and the Future We Want for All.’ It looks at the relationship between this lack of care and protection and inequality. It explores how inadequate care and protection produces and contributes to inequalities and how inequality is itself a cause of inadequate care and protection. The paper also examines the long-lasting impact of inadequate care and protection which greatly affects children’s life chances into adulthood, suggesting that inadequate care and protection is in itself a form of inequity.

Protect My Future: The Links Between Child Protection and Equity

Andy West & Emily Delap , 01 Oct 2012

The lack of care and protection facing children is a global crisis with billions of children experiencing abuse, neglect or exploitation, and many millions growing up outside of families, on the streets or in harmful institutional care. This lack of adequate care and protection is commonly the result of inequalities. Children without adequate care and protection are stigmatized and have inequitable access to basic services which, severely diminishes life chances and creates a spiral of disadvantage. In order to break this spiral, the authors of this report recommend a three-pronged strategy.