Coronavirus shelter-at-home rules upend U.S. child abuse prevention
system
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[April 21, 2020]
By Sharon Bernstein
SACRAMENTO, Calif. (Reuters) - A California
case worker hears screaming as she tries to conduct a telephone session
for a child abuse prevention agency; an Oregon doctor sees signs of
abuse a teacher might have spotted days earlier.
Social distancing restrictions aimed at curbing the spread of the
coronavirus have taken a steep toll on the already fragile systems U.S.
cities and states use to track and prevent child abuse and neglect.
Chronically understaffed and underfunded agencies across the country say
calls to the hotlines they rely on to flag abuse and neglect are down by
as much as 70%.
Teachers report U.S. child abuse cases far more than any other group of
people, but stay-at-home restrictions have curtailed their collective
ability to look out for children's well-being. Doctors, who also report
many cases, are typically not seeing children for routine checkups at
this time.
“As many as two-thirds of all cases of child abuse and neglect are never
reported and unfortunately during a time like this my concern is those
children plus some are out there and have no way of being seen," said
Bobby Cagle, chief of Children and Family Services for Los Angeles
County, the most populous in the United States with 10 million
residents.
The county's child abuse hotline is the only way Cagle's agency learns
of suspected abuse, he said. Calls dropped from about 1,000 per day to
as few as 400 as soon as the region's schools were closed to slow the
spread of coronavirus, he said.
Such drops are typical during summer break or over Christmas, when
reports of abuse drop by half or more and teachers are unable to look
out for kids, Cagle said. But in those cases, the kids come back in a
few weeks and teachers can have their eyes on them again.
Now it could be months before a return to school.
Along with child abuse agencies throughout the country, Cagle's team is
trying to alert residents through outreach campaigns that they can
report child abuse too.
In a separate effort, California Governor Gavin Newsom has made about
$40 million available to help foster children and $7 million to help
social workers better reach at-risk families during the pandemic.
Sheila Boxley, president of the Child Abuse Prevention Center in
Sacramento, said some children were in homes where parents may be under
unusual stress or living with domestic violence, substance abuse or
mental disorders -- known triggers for child abuse.
In Georgia, Oregon and other states, child welfare administrators are
offering tips to teachers for spotting abuse even if their contact with
students is only virtual or through online classroooms.
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Children have a meal at the balcony during the outbreak of the
coronavirus disease (COVID-19) in New York City, U.S., April 5,
2020. REUTERS/Jeenah Moon/File Photo
In Los Angeles, the Children's Bureau, a nonprofit child abuse
prevention organization, last week held a drive-through event in the
West Adams neighborhood, handing out 1,000 packages of diapers and
hundreds of meals to families in a line of cars stretching nearly a
mile.
Ron Brown, the group's president, said the hope was that by easing
stress on families, anger and frustration would be less likely to
erupt into abuse.
Case workers at the group's Orange County locations are slipping
notes with a child abuse hotline number into lunches sent home to
children in needy families who are not in school, and sending art
supplies to families where parents and children seem to be at wits
end, said director Michele Essex.
TELL-TALE SIGNS
In Oregon, new child abuse cases have dropped by 72% since the
enactment of social distancing measures. Doctors there are already
reporting more severe child abuse than usual, said Becky Jones,
executive director of the Oregon Network of Child Abuse Intervention
Centers.
Like others, she said a teacher or pediatrician might have noticed
tell-tale signs invisible to a neighbor or family friend, before the
abuse took a turn for the worse.
Carol Chervenak, an Oregon physician who specializes in child abuse,
said cases at her clinic initially dropped after Oregon's
stay-at-home order was enacted. But they shot up again over the past
two weeks.
She said she recently treated a child with markings on the neck
indicating strangulation - bruises that would likely have been
recognized by a teacher trained in spotting child abuse. Other
children, confined at home all day with parents who use drugs, are
testing positive for exposure to methamphetamine, cannabis and
heroin, she said.
In California's Orange County, a case manager heard a mother
screaming at her five children during a remote telephone session,
prompting abuse concerns, said Essex.
She said the case manager was trying to help the woman create a
structure for her family that would make things less stressful, but
that it was hard to do in the best of cases, much less remotely.
"It's a band-aid for this moment that we're in," she said.
(Reporting by Sharon Bernstein; editing by Bill Tarrant and Tom
Brown)
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