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Children's, Health and Safety, News

April is Child Abuse Prevention Month

More than 11,600 children in Alabama were victims of abuse in 2020, according to the National Child Abuse and Neglect Data System. However, the actual number may be higher because many instances of abuse go unreported. The support systems on which many families rely, such as extended family, childcare, schools, religious groups and other community organizations, were limited because of the COVID-19 pandemic.

As families continue to face health and economic strains connected to the pandemic, stressed guardians may be more likely to respond to their child’s behavior in an aggressive way. “Increased stress levels among parents is often a major predictor of physical abuse and neglect of children,” said Debra Schneider, director of the Children’s Hospital Intervention and Prevention Services (CHIPS) Center at Children’s of Alabama.

April is Child Abuse Prevention Month, but CHIPS staff works year-round to facilitate healing from physical, mental and emotional abuse and to provide prevention education.

Parents and caregivers should look for signs of abusive situations. The child who has endured abuse the longest typically has the longest healing process. The quicker an abusive situation is reported, the faster a child can be provided with medical care, therapy and counseling to heal. “Abuse is not the child’s whole story,” Schneider said. “There is hope when intervention occurs.”

Children who are being abused might:

• Have new onset fears
• Have a vocabulary too advanced regarding sexual activity
• Be withdrawn from friends and family
• Have nightmares
• Experience a drop in their grades
• Change in appearance (wearing clothes that don’t align with the weather)
• Not want to go home
• Start using drugs
• Bully others
• Be sad or depressed
• Have stories to explain injuries that don’t make sense or keep changing
• Not want to be with the abuser
• Act out at school

There are also signs to watch out for in abusers themselves. They usually walk the victim through a grooming process. Schneider said it is important to remember that the child is usually not abused 24/7. The relationship often consists of a more positive bond. The abuser knows what the child likes, is curious about and afraid of, and they use it to their advantage. Some sort of ‘relationship’ is formed, and a trust is established between them. That way, when harm enters the picture, the child is less likely to question their character and actions. Other signs include spending more time with the child than is appropriate, giving extraordinary gifts to the child more than what’s normal, using excuses to be alone with the child and implementing gaslighting techniques.

Most children think abuse comes from a stranger, but abusers are usually someone a child knows. Schneider suggests teaching about “stranger danger;” however, build off that concept to make them aware that abusers can be someone they know. Schneider states most children are taught about stranger danger, but children need to be taught that most sexual abuse happens with someone a child knows.

Children in an abusive situation need a trusted adult to confide in – parents, grandparents, a teacher, friend’s parent/caregiver or guidance counselor. School prevention education programs encourage a child to tell three adults: two inside and one outside their family. That trusted adult can clearly communicate to the child, “I am here for you if anything is going on. I am not here to judge.”

Adults who suspect abuse should approach the child gently. If the adult asks too many questions, the child may feel in trouble. Adults should never make promises to not tell anyone, since that is a key action to be taken when stopping abusive situations. Remind the child that abuse is NEVER their fault.

Since conversations about abuse can be very difficult to bring up, Schneider suggests bringing up an incident from the news as a segue into a conversation about the abusive situation. In addition, having these conversations in the car creates a more relaxed, noninvasive environment.

If you suspect an abusive situation, report it immediately. Anyone can provide a report of suspected abuse to report to the local department of human resources or a child protective services agency. All it takes is a suspicion of abuse; the caller doesn’t have to have specific evidence. You can also contact the Childhelp National Child Abuse Hotline at 1-800-4-A-CHILD (1-800-422-4453). You don’t have to give your name. If the child is in immediate danger, call 911.

CHIPS staff is a team of specially trained counselors, doctors, social workers and pediatric sexual assault nurse examiners (PSANE). The staff works with law enforcement, the Department of Human Resources and child advocacy center representatives to provide the best possible care for children and families affected by child maltreatment. Services provided include forensic medical evaluations, social work assessments, play therapy, counseling, care coordination, prevention education, court support, expert court testimony and specialized support for victims of human trafficking. For more information, call 205-638-2751 or visit childrensal.org/CHIPS.

Children's, Health and Safety

Preventing Dog Bites

Most children don’t think a cuddly dog would ever hurt them, but the fact is about 4.7 million dog bites happen every year in the United States, and more than half occur in children under the age of 14. Sometimes it may be just an innocent nip, but often these dog bites result in a child going to the hospital and even having surgery. Experts at Children’s of Alabama want parents to know that teaching kids about dog safety early on can help prevent the majority of these incidents.

Any Dog Can Bite

Dr. Bert Gaddis of Indian Springs Animal Clinic offers a better understanding of what may cause a dog to bite. Gaddis says first and foremost, it’s important to realize that any dog has the potential to bite. “Any dog no matter the breed or how sweet them seem can be pushed to that point unknowingly”, Gaddis says, “I tell pet owners with children, who probably feel very good around your pet, teach them not to approach strange animals. If it’s a dog with an owner, ask permission to pet that dog.”

Gaddis also says sometimes aggression in animals may be breed related, or even how the dog is raised. If the animal is raised to be defensive, or is often engaged in rough play, the dog may perceive a stranger as a threat even when that stranger is a child. Sometimes dog bites occur when the dog is feeding, and is very territorial around food.  But even the nicest, most well-trained family dog may snap if it’s startled, scared, threatened, agitated, angry or hungry.  And remember, even a small dog can have a dangerous bite.

In the event your child is around an unfamiliar dog, here are some tips to follow:

Interacting with an Unknown Dog:

  • Teach your child to ask the dog’s owner for permission to pet their dog
  • If the owner says yes, move slowly
  • Allow the dog to see and sniff before petting
  • Keep fingers together
  • Avoid sudden, jerky motions

The state of Alabama has had a leash law in place since 1915, but local municipalities have the authority to have their own ordinances to better reflect the needs of the community.

Still, keep in mind, just because there may be a leash law, that doesn’t mean your child won’t encounter a roaming dog without a leash.   It’s important to teach your child to know how to respond when they are approached by a strange dog.

When Approached by a Strange Dog:

Dr. Gaddis offers these important tips if you or your child has an encounter with a strange dog:

  • Don’t Run
  • Don’t Scream
  • Don’t Make Eye Contact
  • Don’t Turn Your Back
  • Back Away Slowlu
  • If a dog does try to bite, put anything you can between you and the dog.
  • If knocked over by a dog, roll into a ball, cover your face and lie still.

Always Supervise

A lot of dog bites can be avoided with parental supervision.  Never leave a child alone with a dog.  And teach children to never tease an animal. Being safe and responsible around dogs is the first step in preventing a dog bite.

Health and Safety

Holiday Toy Safety

There’s nothing quite like the face of a child unwrapping their gifts on Christmas morning. Whether it’s a new bike or a favorite doll, toys are on every child’s wish list. As parents, we have just as much fun shopping for the perfect gift! But before you run to the toy store, you’ll want to be sure the toys you buy are safe for your child. Every year thousands of children are treated in hospital emergency rooms for toy related injuries.

In order to keep kids safe, you should always ask yourself:

1 – Is this toy safe?

Choking is a particular risk for children three and younger, because they tend to put objects in their mouths. Dr. Terri Coco is an emergency room physician at Children’s of Alabama and an injury prevention expert. She says a good rule of thumb when shopping for younger children, is to see if any pieces of the toy can fit into the tube of a roll of toilet paper. If so, then that toy is a choking hazard. She also points out that even small pieces that are attached to the toy can break off and become a choking hazard for a small child.

Avoid toys with:

  • Small parts
  • Sharp edges
  • Gears
  • Exposed wires
  • Hinges
  • Long strings
  • Magnets
  • Small batteries

2 – Is this toy developmentally appropriate for my child?

Dr. Coco also suggests parents only purchase age appropriate toys for their children. For instance, a bottle of bubbles or a paint set may be fun for an older child to play with, but each could be dangerous if consumed by a younger child. Be sure to read the labels on game and toys and adhere to the age recommendations listed.

3 – Is this toy age appropriate for my child?

The U.S. Consumer Product Safety Commission (CPSC) closely monitors and regulates toys. Any toys made in, or imported into the United States after 1995 must comply with CPSC standards. Remember parental supervision is always key around small children. Be careful that younger siblings don’t have access to toys belonging to their big brother or big sister.

Tips for parents with infants, toddlers and preschoolers:

  • Make sure toys are large enough that they can’t be swallowed (use the toilet paper roll test to be sure).
  • Toys should have soft, smooth edges and no sharp points. Toys should be safe enough to withstand chewing.
  • No strings
  • Avoid toys with batteries

By keeping these tips in mind, you can ensure the toys found under your tree will be safe and bring years of enjoyment to your child. For the latest information on toy recalls, check the CPSC website at www.cpsc.gov.