Warning Signs of Safety Concerns
Please note that not all patients will exhibit the warning signs listed. If a patient discloses that they are experiencing abuse, please follow the requirements accordingly.
Child Specific:
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Physical Signs: Unexplained injuries like bruises, burns, fractures or welts. Marks that resemble the shape of objects like hands, belts or cords. Frequent injuries or trips to the emergency room. May have poor hygiene or inappropriate clothing.
Behavioral Signs: Child may fear adults or their parents. May wear long sleeves or pants even in hot weather to hide injuries. May be reluctant or hesitant to go home. Extremes in behavior like aggression, fear, or overly compliant behavior. Engaging self-destructive behaviors or harm. May be frequently absent, stealing food, or tired.
Emotional Signs: Developmental delays in physical, emotional, or intellectual development. Significant weight loss, poor growth, or malnutrition.
Hotlines/Resources: National Domestic Violence Hotline: 24/7. Languages: English, Spanish and 200+ through interpretation service: 1-800-799-7233
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Behavioral Signs: There may be sudden changes in behavior like withdrawal, aggression or reverting to child-like behaviors. They may fear certain location or individuals. May have a drop in grades and sleep quality.
Emotional Signs: May be excessively sad, anxious, or on edge. May feel a loss of worth or enjoyment in life.
Physical Signs: May have unexplained bruises, especially in genital area. May have frequent pain, discomfort or headaches.
Sexual Signs: May have frequent infections. May act inappropriate for their age, showing an unusual knowledge of sexual topics.
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Behavioral Signs: May be absent or late frequently.
Academic Signs: May e falling behind classmates. May lack school supplies.
Physical Signs: May have poor hygiene, fatigue and underfed.
Social Signs: May be isolated and have low self-esteem.
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Physical Signs: Bruises, cuts or burns that have various stages of healing and occur frequently. These injuries often have unexplained or unlikely explanations. The injuries can also resemble the shape of a hand, object or belt.
Medical Signs: Frequent visits the emergency room. Unexplained chronic pain, head aches and more.
Behavioral Signs: May appear anxious, on edge, or fearful. May appear depressed, sad, or anhedonia. May defer to their partner for permission or reassurance. May downplay injuries or partner’s behavior.
Emotional Signs: May have low self-esteem, self-blame or feel helpless. May describe partner as controlling or scary.
Is not a mandated report if a child is not being directly abused or assaulted.
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Physical Signs: Bruises, cuts or burns that have various stages of healing and no explanation. Marks on wrists or ankles that indicate restraint. Overmedication or undermedication. May show signs of dehydration or malnutrition. May have poor hygiene or untreated medical conditions.
Medical Signs: Frequent visits the emergency room. Unexplained chronic pain, head aches and more.
Behavioral Signs: May appear fearful and avoid eye contact. May feel hopeless or worthless. May experience rapid changes in mood.
Financial Sings: Sudden changes in back accounts, large withdrawals or transfers. May have unpaid bills or missing belongings.
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Physical Signs: Bruising, bleeding, pain, swelling, or infections in the genital or anal areas. Difficulty walking or sitting may indicate trauma in these areas. Torn, stained or bloodied undergarments.
Medical Signs: Presence of STIs or pregnancy, especially in young children.
Behavioral Signs: May have inappropriate knowledge of sex for young child. May have risky sexual behaviors, or engage in explicit sexual behaviors. Regressive behaviors like thumb-sucking or fear of the dark. May experience mood swings or avoidant behavior.
Emotional Signs: May show signs of depression, anxiety, or PTSD like nightmares, sleep disturbances, or flashbacks. May fear being alone with certain individuals.
Only reported if a child is involved and the abuse is done by someone who has authority over them. Oral reports must be made immediately to the statewide central register of child maltreatment hotline (1-800-342-3720)
Additional Situations:
FAQ:
What CPS Can and Cannot do HERE
Mandated Reporting: everyone at DMHS is a mandated reporter. If you suspect abuse (you do not need to have confirmed abuse) in an adult or an adolescent client, you must call the State Central Registry’s Mandated Reporter Hotline 1-800-635-1522.
Mandated Reporting General Info: You do not need the agency or a supervisor’s permission to make this call; in fact, it is your legal and ethical responsibility to make this call regardless of supervisor approval. That being said, supervisors and the Executive Director are always available to support with mandated reporting responsibilities.
Please inform your supervisor and the Executive Director immediately after making a mandated report with the outcome. If a case is accepted, you must fill out and mail a copy of the LDSS-2221A form within 24 hours of making a report.