PSYCHOLOGICALLY ABUSIVE BEHAVIOR BY CAREGIVERS (INCLUDING COACHES WHO ARE CAREGIVERS)

The Coaches of amateur school and non-school Athletes are by definition caregivers / caretakers, because most amateur school and non-school Athletes are age less than 18 years. The umbrella of child and youth protection passes from one caretaker to another until the child or youth are returned to the parent or custodial caretaker.

Additionally, according to the ICD-10 medical diagnoses’ codes, implemented Oct 1, 2016, YO7.53 is the modifier code for an injury or death caused or allowed to be caused by the Coach, who perpetrates Child and Youth Athlerte Abuse Syndrome, which includes Children less than 18 and Youth 15-24 years who have sustained psychological and/or physical malatreatment, sexual abuse, negligent supervision and/or human rights violations.

FROM THE AMERICAN ACADEMY OF PEDIATRICS

TABLE 1 Types of Psychologically Abusive Behaviors by Caregivers
Spurning
• Belittling, denigrating, or other rejecting
• Ridiculing for showing normal emotions
• Singling out or humiliating in public
Terrorizing
• Placing in unpredictable/chaotic circumstances
• Placing in recognizably dangerous situations
• Having rigid/unrealistic expectations accompanied by threats if not met
• Threatening/perpetrating violence against child or child’s loved ones/objects
Isolating
• Confining within environment
• Restricting social interactions in community Exploiting/Corrupting
• Modeling, permitting, or encouraging antisocial or developmentally inappropriate behavior
• Restricting/undermining psychological autonomy
• Restricting/interfering with cognitive development
Denying emotional responsiveness
• Being detached or uninvolved; interacting only when necessary
• Providing little or no warmth, nurturing, praise during any developmental period in childhood Mental health/medical/educational neglect
• Limiting a child’s access to necessary health care because of reasons other than inadequate resources
• Refusing to provide for serious emotional/behavioral, physical health, or educational needs Adapted from Hart et al2 and Brassard et al.5

[Roberta Hibbard, MD, Jane Barlow, DPhil, Harriet MacMillan, MD, and the Committee on Child Abuse and Neglect and AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, Child Maltreatment and Violence Committee, www.pediatrics.org/cgi/doi/10.1542/peds.2012-1552 doi:10.1542/peds.2012-1552, 2012 by the American Academy of Pediatrics, PEDIATRICS Volume 130, Number 2, August 2012 373 FROM THE AMERICAN ACADEMY OF PEDIATRICS Downloaded from pediatrics.aappublications.org by guest on June 7, 2015 See publication:http://www.ecu.edu/cs-dhs/tedibear/upload/Psychological-Maltreatment-Pediatrics.pdf ]

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