Child Abuse And Neglect: Treatment Overview

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Treatment Overview

The first treatment priority for an abused or neglected child is to provide a safe environment to prevent further harm. Early treatment gives a child the best chance for physical and emotional recovery. This includes separating the child, as well as any other children in the household, from the suspected abusive parent or caregiver. Children who have higher-than-normal intelligence, specific talents, counseling, and support from a trusted adult are more likely to successfully manage the effects of their abuse.

A wide variety of therapies may be used for both children and parents. Specific treatment depends on the type of abuse, who inflicted it (perpetrator), and in what setting it occurred. Health and legal professionals work as a team to develop the most effective program using their training, experience, judgment, and creativity.⁴

Treatment for physical injuries

Treatment for an abused or neglected child depends on the nature of the abuse. If a child's injury or neglect has caused a life-threatening condition, such as shaken baby syndrome (also called intentional head injury), treatment will be given in a hospital setting. Less serious physical injuries, such as cigarette burns on the skin, will be treated on an outpatient basis with scheduled follow-up appointments.

Treatment for emotional injuries

Counseling is recommended for all children who are victims of abuse or neglect. For very young children, this treatment may involve play therapy. Counseling for children of all ages usually addresses:

• How they feel about themselves.
• Their past experiences.
• Fears and concerns they may have about the present and future.

Treatment for parents or caregivers

Parents or caregivers who have abused or neglected a child also need treatment. The type of treatment depends on the specific abuse that occurred. Some people need more education on effective parenting techniques. Others may need treatment for other serious problems, such as:

• Substance abuse.
• Depression or other mental health problems.
• Low self-esteem.
• Violent behavior.

Parents who have lost custody of their children may regain it. Whether they do so depends on the severity of the abuse or neglect and a professional evaluation of their rehabilitation progress. In severe cases, future contact between parent and child must be supervised. Sometimes all parental rights are lost.

Last updated:	January 03, 2007
Author:	Ralph Poore
Reviewed By:	Kathleen Romito, MD - Family Medicine, Michael J. Sexton, MD - Pediatrics
Editors:	Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC