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    Child abuse is an social issue that needs to be addressed by an entire community. It is by being aware of the symptoms and by then knowing what to do about it that we can reduce the amount of abuse a child is subjected to endure. In a perfect community child abuse would never occur, but no community is perfect - however every community should be mobilized to prevent a child from enduring abuse. We cannot afford to turn a blind eye.
    Credit: national clearinghouse on child abuse and neglect information, 2004

    How Do Communities Respond to Child Fatalities?
    • The response to the problem of child abuse and neglect fatalities is often hampered by inconsistencies, including:
    • Inaccurate reporting of the number of children who die each year as a result of abuse and neglect.
    • Lack of national standards for child autopsies or death investigations.
    • The different roles child protective services (CPS) agencies in different jurisdictions play in the investigation process.
    • The use in some States of medical examiners or elected coroners who do not have specific child abuse and neglect training.

    To address some of these inconsistencies, multidisciplinary/multi-agency child fatality review teams have emerged to provide a coordinated approach to the investigation of child deaths. These teams, which now exist at a State, local, or State/local level in every State and the District of Columbia, are comprised of prosecutors, coroners or medical examiners, law enforcement personnel, CPS workers, public health care providers, and others. Child fatality review teams offer many benefits, including improved interagency communication, identification of gaps in community child protection systems, and the development of data information systems that can guide agency policy and practice
    (National Center on Child Fatality Review, 2003).

    The teams review cases of child deaths and facilitate appropriate follow-up. Follow-up may include ensuring that services are provided for surviving family members, providing information to assist in the prosecution of perpetrators, and developing recommendations to improve child protection and community support systems.

    Gateways to Prevention: What Everyone Can Do to Prevent Child Abuse
    Office on Child Abuse and Neglect, 2003

    This fact sheet provides a starting point for community members who want to establish a child abuse and neglect prevention program. The steps described here are common to most prevention initiatives. Because each community is unique, the process will unfold differently in each. The three main phases of launching a prevention program are planning, implementation, and continuation.

    PHASE ONE: PLANNING

    During the planning phase, community members need to take steps to mobilize support, assess needs, secure funding, and plan for evaluation.

    Mobilizing community support. In some communities, a well-publicized and tragic incident catalyzes community efforts to prevent child abuse and neglect. In other communities, an individual or group might build on a general community awareness and concern to create a formal prevention program aimed at keeping children safe and families strong. Potential stakeholders in prevention efforts include educators, law enforcement officers, health and human services staff, community leaders (such as presidents of neighborhood associations), clergy and spiritual leaders, parents, local government personnel, and business leaders.

    Assessing community resources. A community resource assessment gathers information about community assets as well as gaps in services. Identified stakeholders help assess the scope and quality of services by pooling information from their own organizations and agencies as well as gathering demographic data. Many colleges and universities provide technical assistance to communities conducting resource assessments.

    Selecting the prevention program design. Prevention programs take many forms including family resource centers, home visiting programs, parenting education programs, and public awareness campaigns.

    Planners will use the information gathered through the assessment to design a program appropriate for their community. Whatever design they select, planners need to ensure that the prevention program reflects an understanding of, and respect for, cultural norms that influence child rearing. One way that prevention programs can bridge cultural gaps is by delivering services and materials in languages other than English. Draw on a particular cultural community's strengths by involving members in planning the program. Involve parents in developing and delivering services as board members, task force members, and volunteers.

    Securing funding. Some communities might have sufficient resources to launch a prevention program, but many communities will need to secure
    funding, possibly from more than one source. The four main sources of funds for prevention programs are the Federal government, State governments, foundations, and corporations. Along with start-up funds, planners must consider how they will fund the program over the long haul.

    Evaluating the program. Planners should build evaluation into the prevention program and budget. An evaluator should participate in program
    planning and be viewed by the community as an integral part of the program. Emphasizing evaluation right from the start can help persuade funding sources to commit financial resources to the program. Again, many colleges and universities can provide technical assistance in designing and implementing program evaluations.

    PHASE TWO: IMPLEMENTATION

    During phase two, the group recruits and trains staff, starts delivering services, and begins to use feedback to improve service delivery.

    Recruiting and training staff. When recruiting staff, consider an individual's ability to understand and meet the community's expectations and to deliver services with cultural sensitivity and competence. The composition of the staff should mirror the community being served. Recruiting neighborhood residents as staff will bring credibility to program efforts. Consider serving as a training ground for neighborhood residents re-entering the workforce or a field placement for graduate students in social work and early childhood education. Remember that an important part of staff training is to treat community members with respect and dignity.

    Ensuring access. Make sure that the program's target audiences have easy access to services. Locate programs in the community to be served. Ensuring access to public transportation, providing child care, and linking the program to established community programs and institutions increase the likelihood that residents will take part in the program. Get the word out about the program using materials and channels familiar to community members-notices in grocery stores, brochures in medical clinics, and advertisements in church bulletins and free community papers.

    Using feedback to improve services. Build frequent opportunities for information updates and feedback into the program. Ask for feedback from community members who come back for services and from those who don't. Schedule staff retreats to review progress and update strategic plans. Look at both tangible and intangible results. Celebrate even the smallest success with the community as a whole.

    PHASE THREE: CONTINUATION

    For programs to succeed in the long-term in preventing child abuse and neglect, they must become a permanent part of the community's public landscape and secure long-term funding. The keys to securing continuation funding are:

    • Start early
    • Establish a team that includes program personnel and community supporters
    • Develop a plan that targets sources and has a step-by-step timeline
    • Generate data showing the effectiveness of the program
    • Work at continuation every day.

    Program framers must solidify relationships with funding sources and develop a team of supporters that are knowledgeable about, and feel a sense of ownership of, the prevention program. Program staff, board members, volunteers, consumers, referral sources, and community leaders are all part of the team that will help embed the program in the community.

    Utilization data (e.g., number of participants served, amount of services offered) are helpful, but outcome data are critical. What difference does the program make? If this program is not continued, what will the community lose? What costs, economic and human, will be incurred? Programs that last are able to show that they work.

    What is Child Abuse Prevention?

    The goal of child abuse prevention is simple-to stop child abuse and neglect from happening in the first place, sparing children and families emotional and physical trauma and decreasing the need for costly intervention and treatment services.

    The best way to prevent child abuse and neglect is to support families and provide parents with the skills and resources they need.

    Why Does Child Abuse Occur?

    Although all the causes of child abuse and neglect are not known, a significant body of research has identified several risk factors and protective factors associated with child abuse. Studies also have shown that when there are multiple risk factors present, the risk is greater. For example, lack of preparation or knowledge of critical issues surrounding parenting, financial or other environmental stressors, difficulty in relationships, stress of single parenting, and depression or other mental health problems can all lead to abusive or neglectful behavior.

    Parents may lack an understanding of their children's developmental stages and hold unreasonable expectations for their abilities. They also may be unaware of alternatives to corporal punishment or how to discipline their children most effectively at each age. Parents also may lack knowledge of the health, hygiene, and nutritional needs of their children.

    These circumstances, combined with the inherent challenges of raising children, can result in otherwise well-intentioned parents causing their children harm or neglecting their needs.

    How Is Child Abuse Prevented?

    Prevention efforts build on family strengths. Through prevention activities such as parent education, home visitation, and parent support groups, many families are able to find the support they need to stay together and care for their children in their homes and communities. Prevention efforts help parents develop their parenting skills, understand the benefits of nonviolent discipline techniques, and understand and meet their child's emotional, physical, and developmental needs. Prevention programs also can help parents identify other needs they may have and offer assistance in getting that additional support.

    For more information, visit http://nccanch.acf.hhs.gov/topics/prevention/raising/overview/prevention.cfm

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