10 B’s OF CHILD ABUSE

Update [Public Radio Service, Western Kentucky University by Lisa Aurty, APR 25, 2018]

” >> In 2016, the most recent year for which data was available, Kentucky had the second-highest rate of child abuse in the nation. [U.S. Department of Health and Human Services’ Children’s Bureau]

“Kentucky reported 20,000 cases of abuse in 2016, or about 20 per 1,000 children, a 6% increase from 2015.  The state experienced a 34% increase in child abuse cases from 2012-2016. 15 children died from abuse in 2016, one less than the previous year.

“The fatality rate has nearly doubled in neighboring Indiana. The number jumped to 70 in 2016.  Tennessee also reported a spike in child abuse deaths.  41 children died in 2016 compared to 32 the year before.

“Child abuse cases are on the rise in those states for a variety of reasons.  In Kentucky, the opioid epidemic in Kentucky is contributing to the spike.

Kentucky law requires everyone to report suspected Child Abuse or Neglect. All citizens are mandated reporters.”

KRS 620.030 Duty to report dependency, neglect, abuse, or human trafficking — Husband-wife and professional-client/patient privileges are not grounds for refusal to report — Exceptions — Penalties.
(1) Any person who knows or has reasonable cause to believe that a child is dependent, neglected, or abused shall immediately cause an oral or written report to be made to a local law enforcement agency or the Department of Kentucky State Police; the cabinet or its designated representative; the Commonwealth’s attorney or the county attorney; by telephone or otherwise, including all healthcare professionals.

Written reports from healthcare professionals should include the ICD-10 diagnostic codes, in this journalist, advocate’s medical opinion.

“ICD-10, effective October 1, 2015 is the foundation for the identification of health trends and statistics globally, and the international standard for reporting diseases and health conditions. It is the diagnostic classification standard for all clinical and research purposes. ICD defines the universe of diseases, disorders, injuries and other related health conditions, listed in a comprehensive, hierarchical fashion that allows for:
– easy storage, retrieval, analysis of health information for evidenced-based decision making;
– sharing and comparing health information between hospitals, regions, settings and countries;
– data comparisons in the same location across different time periods.

“Uses include monitoring of the incidence and prevalence of diseases, observing reimbursements and resource allocation trends, and keeping track of safety and quality guidelines. They also include the counting of deaths as well as diseases, injuries, symptoms, reasons for encounter, factors that influence health status, and external causes of disease.  [World Health Organization]

The stages of Childhood are the following:

Infant: Birth to 2 Years Old

Toddler: 18 Months – 3 Years

Preschooler: 3 – 6 Years Old

Pre-teen School-Age Children: 6 – 12 Years Old

Teenager, Adolescent: 13 – 18 Years Old [Child Development Institute]

There are several types of Child Abuse. Most of the federal funding and grants are directed to the Prevention of Infant, Toddler, Preschool and Pre-teen School Age Child Abuse. Doctors and healthcare personnel have been discovered lacking Child Abuse diagnostic skills. Hence, the Kentucky C.A.R.E. training (see below) initiation. Additionally, Coaches, Teachers, Athletes and everyone near and/or related to Children must be Alert for the 10 B’s of Child Abuse.

“Child Abuse Recognition Education (C.A.R.E.) is a very important endeavor. The mission of C.A.R.E. is to develop, support and grow a statewide network of doctors, key medical personnel and medical office staff who have committed themselves to ensuring the children in their communities are free from abuse and neglect as a result of receiving office-based training from their medical peers.” [Prevent Child Abuse Kentucky, http://www.pcaky.org/care.html]

The following is an Acronym for the 10 B’s of Child Abuse for Infant, Toddler, Preschool, Pre-teen School Age and Teenage Child Abuse developed by Micheal B. Minix, Sr., M.D. for C.A.R.E. (Child Abuse Recognition Education).

The Acronym was shared with the C.A.R.E. instructors and attendees, who were given permission to use the acronym freely in their instructions and publications per their request. as all other interested parties.

10 B’s of Child Abuse

When anyone sees the following Infant, Toddler, Preschooler, Pre-teen School and Teenagers/Adolescent Children signs

  1. Bites
  2. Bruises
  3. Burns
  4. Broken Bones

Think Child Abuse and Report suspected Child Abuse to the County Attorney, county’s chief law enforcement officer

  1. and Report to DCBS/CPS who will collaborate and initiate the Multidimensional Team approach:When Doctors and Healthcare Personnel are referred the suspected Child Abuse Victim, they must not forget to examine and evaluate:
  2. Belly – enzyme panels for lacerated liver, trauma to pancreas, clean catch urine for kidney trauma
  3. aBdominal – Scan with contrast
  4. Brain – Scan with contrast and possible Neurology Consult
  5. Total Body – Scan – Single whole body x-Rays are not sufficient
  6. Blindness prevention. Back of Eyes. Consult OPHTHALMOLOGY. Eyes are often involved acutely ©2009 mbmsrmd

• Please disseminate and use the 10 B’s of Child Abuse in its unedited, entirety to all who see and interact with Children. Cite source when indicated in publications.

This journalist, advocate for Child Abuse Prevention, Micheal B. Minix, Sr., M.D., was trained and certified with other doctors by C.A.R.E. in 2009 for the instruction of physicians and their office staff in their community based offices about the recognition of Child Abuse.

C.A.R.E. is a division of Prevent Child Abuse Kentucky, co-sponsored by the Kentucky Medical Association and taught by members of the University of Louisville Department Of Pediatric Forensic Medicine.

When anyone witnesses, sees or has knowledge of

  • Infant, Toddler, Preschool, Pre-teen, Adolescent Child Abuse signs, symptoms, or information, caused or allowed to be caused, while in the custody and control of their parents, guardians or other temporary substitute caretakers
  • or ‘Child Athlete Abuse Syndrome’ signs, symptoms, or information, caused or allowed to be caused, while participating in Sports, Recreation, Exercise or other ICD-10 Child Activities, while in the custody and control of their parents, guardians, coaches, teachers, instructors or other temporary substitute caretakers or in Doctor or other Healthcare Personnel attendance
  • They should Report the suspected Child Physical and/or Psychological Maltreatment and Endangerment, Sexual Abuse and Civil Rights Violations to the County Attorney, the county’s chief law enforcement officer, and concomitantly Report to the Child Protective Services (CPS)
  • The County Attorney and CPS will collaborate and initiate a Multidimensional Team Investigation and Intervention, which includes a Doctor examination and treatment, as recommended by the U.S. Department of Justice to the states, that have sovereign, enumerated power and authority for Investigation and Intervention of Child Abuse

__________________________________________________________________________________

The following acronym for this despicable problem is not the complete answer, and presents the following despicable questions. Why do ‘civilized’ societies need an acronym for Child Abuse suspicion? Why is Child Abuse such a serious problem in the United States?

“The Every Child Matters Education Fund released a report ranking Kentucky #1 in child deaths related to abuse and neglect. “This report illustrates the work we, as a state, have ahead of us.” In 2009 over 88,292 children were reported to the Kentucky Cabinet for Health and Family Services as being suspected victims of abuse or neglect.

There are several types of Child Abuse. Most of the federal funding and grants is directed to the Prevention of infant, toddler and young Children Abuse. Doctors and healthcare personnel have been discovered lacking Child Abuse diagnostic skills. Hence, the Kentucky C.A.R.E. training (see below) initiation. Additionally, Coaches, Teachers, Athletes and everyone near and/or related to Children must be Alert for the 10 B’s of Child Abuse.

Prevent Child Abuse Kentucky (PCAK), is “creating a plan of action to better the lives of Kentucky’s children. Now more than ever, our children need your commitment and support.”

“Child Abuse Recognition Education (C.A.R.E.) is a very important endeavor. The mission of C.A.R.E. is to develop, support and grow a statewide network of doctors, key medical personnel and medical office staff who have committed themselves to ensuring the children in their communities are free from abuse and neglect as a result of receiving office-based training from their medical peers.” [Prevent Child Abuse Kentucky, http://www.pcaky.org/care.html]

The following is an Acronym for the 10 B’s of Child Abuse for Infant, Toddler and Young Children by Micheal B. Minix, Sr., M.D. that was created for C.A.R.E. (Child Abuse Recognition Education). The Acronym was shared with the C.A.R.E. instructors, who were given permission to use the acronym freely in their instructions and publications per their request.

Think Child Abuse and refer to Doctors for the following evaluations and CPS and DCBS when you see:
1. Bites
2. Bruises
3. Burns
4. Broken Bones
Doctors, Healthcare Personnel and everyone must not forget to examine and evaluate:
5. Belly – enzyme panels for lacerated liver and trauma to pancreas, clean catch urine for kidney trauma
6. ABdominal scan with contrast
7. Brain – Brain scan with contrast and possible Neurology Consult
8. Total Body Scan – Single whole body x-Rays are not sufficient
9. Blindness prevention. Back of Eyes- consult OPHTHALMOLOGY. Eyes are often involved acutely
10. DCBS (Department of Community Based Services, Social Worker) Consult and, if needed, County Attorney) ©2009

• Please disseminate and use the 10 B’s of Child Abuse in its unedited, entirety to all who see and interact with Children. Cite source when indicated in publications.

This reporter, Micheal B. Minix, Sr., M.D., was trained and certified with other doctors by C.A.R.E. in 2009 for the instruction of physicians and their office staff in their community based offices about the recognition of Child Abuse.

C.A.R.E. is a division of Prevent Child Abuse Kentucky, co-sponsored by the Kentucky Medical Association and taught by members of the University of Louisville Department Of Pediatric Forensic Medicine.

This reporter is concentrating on Child Athlete Abuse Syndrome (CAAS) instruction, an area of monumental proportion, which has been overlooked. He now instructs interested advocates about the Prevention of CAAS as well as the Prevention of infant, toddler and young Children Abuse.

“The Child Safety Branch of DCBS (Department of Community Based Services which has a branch in each Kentucky county) responded (2009) to the question regarding coaches as caregivers”……“Our agency [DCBS] investigates abuse and neglect allegations involving situations where a person is providing care, has custody or has control of a child. Teachers, camp counselors, bus drivers, babysitters, grandparents, COACHES etc. fit in to that category if they are left to care for a child and the parent is not present (for supervision and caregiving). To my knowledge we are investigating these type situations in this manner across the state. If [DCBS] staff have questions about whether a person falls into these categories, they can consult with Central Office or their regional attorney.” [C.A.R.E. Coordinator, Feb. 27, 2009]

To Report Child Abuse call 1-800-Children and they will provide the central intake number in your area. Call your central intake number and Report.

For the record, the following are the difference of Mnemonic vs Initialism vs Acronym vs Abbreviation.

“Getting rid of difficulties is not just the passion, but the necessity of mankind. People try to make everything easy, so that it could be memorize and speak easily. You know well that there are lots of phrases and chain of words that describe only one name, but we make them short to remember them easily. Mnemonic, Initialism, Acronym and Abbreviation are the ways of making single but complicate words, chain of words and phrases, the shorter ones to make them appropriate for memorizing easily and speaking without any tension. Here is the description and difference of these terms.

“Mnemonic is a widely using and pretty cool way of memorizing phrases, lists, poems, special words, numerical sequences and chain of words. In fact, this is the art of converting short-term memory into long-term memory. For example, to memorize the colors of rainbow in sequence, some people establish the word like “VIBGYOR” or “Richard of York gives battle in Vain.

“Initialism is a type of abbreviation that comprises a single word to express the chain of words or a phrase. In case of Initialism, it is not necessary to make the pronounceable short word and mostly, first letter of each word in a string of words is taken to make the single word of Initialism. For example, CIA is an initialism for “Central Intelligence Agency”.

“Acronym is also a type of abbreviation that comprises a single word by taking the first letter of a string of words or phrase. However, in case of acronym, the smart word must be pronounceable. For example, OPEC for “Organization of Petroleum Exporting Agencies.

“Abbreviation is just a very short form of any lengthy or complicated word or even a phrase. For example, the month of December is abbreviated as “Dec.” and Preposition is abbreviated as “prep.”

“Mnemonic is the technique of art of memorizing chain of words, poems, numerical sequences or some long lists, by means of making a an easy sentence or even a word that comprises the first letters of chain of words. Initialism and Acronym are the names of two different types of abbreviation. In case of Initialism, a phrase of string of words is abbreviated in a single word by means of taking first letter of each word, but the abbreviated word is not pronounceable in contrast to Acronym in which the abbreviated word is pronounceable. However, abbreviation is the short form of any single long word or single complicated word.

[Mnemonic vs Initialism vs Acronym vs Abbreviation, Similar but different things, terms and object]

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