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Physicians and Other
Professionals Can
Sock it to Child Abuse


Child abuse is not only a horrid breach of faith between children and their caregivers, leaving physical and emotional scars that are sometimes permanent, but it also touches every taxpayer, abused or not, where it hurts.

A recent report by Prevent Child Abuse America (PCAA) estimated that the annual cost of child abuse and neglect in the United States is approximately $104 billion. From this amount, direct costs of child maltreatment, including foster care, judicial expenses, law enforcement, and health system responses account for $33 billion. Indirect costs, such as long-term economic effects from the damage that abuse inflicts, are approximately $70 billion. In 2004, the local, state, and federal cost of providing foster care was $23 billion.

“Most people don’t think of the costs associated with child abuse,” says Senator Carlos Uresti, District 19. “We focus on the horror of child abuse, and not on financial implications. But the reality is that child abuse is a drain on our society, both emotionally and financially. A child who is the victim of abuse today will carry that experience with him or her for life, and that impacts a great many things during the course of one’s life.”

The good news in this bleak scenario is that there are organizations and movements available to help prevent and educate about child abuse.

Senator Uresti founded the Blue Ribbon Task Force (BRTF) Awareness Campaign which seeks to raise the Bexar County public’s awareness of child abuse and also to educate and encourage San Antonio-area parents about resources that are available. BTRF wants every parent and caregiver to know that they can call 2-1-1 if they feel overwhelmed or need support whilst caring for children. Parents and caregivers who dial 2-1-1 are connected to critical health and human services to help them deal with the root causes that can lead to child abuse and neglect.

Promotional materials, including posters, are available to physicians and others to post. For BTRF posters and promotional materials, call the Bexar County Medical Society and ask for Mary Nava at 210-301-4395. For more information on the BRTF, visit www.blueribbontaskforce.com.

For professionals, including physicians, school nurses, teachers, counselors, psychologists, psychiatrists, pediatric dentists, fire investigators, and members of the faith community, the Childhelp National Child Abuse Hotline, while not a reporting agency, is dedicated to preventing child abuse and is staffed 24 hours each day with professional crisis counselors with a database of thousands of resources in order to inform each caller.

The hotline counselors can discuss such issues as: signs and symptoms of abuse; appropriate courses of action; what happens when child abuse is reported; and give callers the number of the local reporting agency that should be contacted to report child abuse.

For more information on the Childhelp National Child Abuse Hotline, call 1-800-4-A-CHILD (1-800-422-4453) and push “1” to talk to a hotline counselor or “2” for literature to be mailed.


Signs of Child Abuse
The following are a few of the behavioral and physical signs of child abuse and neglect, in order to remind physicians, school professionals, and others who work with children what to look for, even if abuse is not initially suspected. Vigilance is the key. Even those who work with children on a regular basis can sometimes miss these signs.

Please remember that the listed signs of child abuse in each category
may involve more than one type of abuse or neglect. For example, “lack of
concentration” could be a sign of sexual abuse as well as emotional abuse.

Physical Signs of Child Abuse
• Unexplained burns, cuts, bruises, or welts in the shape of an object
• Bite marks
• Anti-social behavior
• Problems in school
• Fear of adults

Emotional Signs of Child Abuse

• Apathy
• Depression
• Hostility or stress
• Lack of concentration
• Eating disorders

Sexual Signs of Child Abuse
• Inappropriate interest in or knowledge of sexual acts
• Nightmares and bed-wetting
• Drastic changes in appetite
• Over-compliance or excessive aggression
• Fear of a particular person or family member

Signs of Neglect
• Unsuitable clothing for weather
• Appearing dirty or unbathed
• Extreme hunger
• Apparent lack of supervision