Beruflich Dokumente
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FACULTY: EDUCATION
TASK: ASSIGNMENT 1
Types of abuse
The International Society for the Prevention of Child Abuse and Neglect recently
compared definitions of abuse from 58 countries and found some commonality in
what was considered abusive (7). In 1999, the WHO Consultation on Child Abuse
Prevention drafted the following definition (8):
Child abuse or maltreatment constitutes all forms of physical and/or emotional ill-
treatment, sexual abuse, neglect or negligent treatment or commercial or other
exploitation, resulting in actual or potential harm to the childs health, survival,
development or dignity in the context of a relationship of responsibility, trust or
power.
Child maltreatment is the abuse and neglect that occurs to children under 18 years of
age. It includes all types of physical and/or emotional ill-treatment, sexual abuse,
neglect, negligence and commercial or other exploitation, which results in actual or
potential harm to the childs health, survival, development or dignity in the context of
a relationship of responsibility, trust or power. Exposure to intimate partner violence
is also sometimes included as a form of child maltreatment.
Child maltreatment is complex and difficult to study. Current estimates vary widely
depending on the country and the method of research used. Estimates depend on:
the coverage and quality of surveys that request self-reports from victims,
parents or caregivers.
Nonetheless, international studies reveal that a quarter of all adults report having been
physically abused as children and 1 in 5 women and 1 in 13 men report having been
sexually abused as a child. Additionally, many children are subject to emotional abuse
(sometimes referred to as psychological abuse) and to neglect.
Every year, there are an estimated 41 000 homicide deaths in children under 15 years
of age. This number underestimates the true extent of the problem, as a significant
proportion of deaths due to child maltreatment are incorrectly attributed to falls,
burns, drowning and other causes.
In armed conflict and refugee settings, girls are particularly vulnerable to sexual
violence, exploitation and abuse by combatants, security forces, members of their
communities, aid workers and others.
Consequences of maltreatment
Child maltreatment causes suffering to children and families and can have long-term
consequences. Maltreatment causes stress that is associated with disruption in early
brain development. Extreme stress can impair the development of the nervous and
immune systems. Consequently, as adults, maltreated children are at increased risk for
behavioural, physical and mental health problems such as:
smoking
obesity
unintended pregnancy
Via these behavioural and mental health consequences, maltreatment can contribute to
heart disease, cancer, suicide and sexually transmitted infections.
Risk factors
A number of risk factors for child maltreatment have been identified. These risk
factors are not present in all social and cultural contexts, but provide an overview
when attempting to understand the causes of child maltreatment.
Child
It is important to emphasize that children are the victims and are never to blame for
maltreatment. A number of characteristics of an individual child may increase the
likelihood of being maltreated:
Parent or caregiver
Relationship
social and cultural norms that promote or glorify violence towards others,
support the use of corporal punishment, demand rigid gender roles, or
diminish the status of the child in parentchild relationships;
social, economic, health and education policies that lead to poor living
standards, or to socioeconomic inequality or instability.
Prevention
o body ownership
Such programmes are effective at strengthening protective factors against child sexual
abuse (e.g. knowledge of sexual abuse and protective behaviours), but evidence about
whether such programmes reduce other kinds of abuse is lacking.
The earlier such interventions occur in children's lives, the greater the benefits to the
child (e.g. cognitive development, behavioural and social competence, educational
attainment) and to society (e.g. reduced delinquency and crime).
In addition, early case recognition coupled with ongoing care of child victims and
families can help reduce reoccurrence of maltreatment and lessen its consequences.
To maximize the effects of prevention and care, WHO recommends that interventions
are delivered as part of a four-step public health approach:
WHO response
Drugs are chemicals. Different drugs, because of their chemical structures, can affect
the body in different ways. In fact, some drugs can even change a person's body and
brain in ways that last long after the person has stopped taking drugs, maybe even
permanently.
Depending on the drug, it can enter the human body in a number of ways, including
injection, inhalation, and ingestion. The method of how it enters the body impacts on
how the drug affects the person. For example: injection takes the drug directly into the
blood stream, providing more immediate effects; while ingestion requires the drug to
Most abused drugs directly or indirectly target the brain's reward system by flooding
the circuit with dopamine. Dopamine is a neurotransmitter present in regions of the
brain that regulate movement, emotion, cognition, motivation, and feelings of
pleasure. When drugs enter the brain, they can actually change how the brain
performs its jobs. These changes are what lead to compulsive drug use, the hallmark
of addiction.
Illicit drug users make over 527,000 costly emergency room visits each year
for drug related problems.
One dollar out of every $14 of the nation's health care bill is spent to treat
those suffering from smoking-related illnesses.
Drug offenders account for more than one-third of the growth in the state
prison population and more than 80 percent of the increase in the number of
federal prison inmates since 1985.
More than 75 percent of domestic violence victims report that their assailant
had been drinking or using illicit drugs at the time of the incident.
Injuries
More deaths, illnesses and disabilities stem from substance abuse than from any other
preventable health condition. Today, one in four deaths is attributable to illicit drug
use. People who live with substance dependence have a higher risk of all bad
outcomes including unintentional injuries, accidents, risk of domestic violence,
medical problems, and death.
Health Problems
The impact of drug abuse and dependence can be far-reaching, affecting almost every
organ in the human body. Drug use can:
Cause the liver to have to work harder, possibly causing significant damage or
liver failure.
Cause seizures, stroke and widespread brain damage that can impact all
aspects of daily life by causing problems with memory, attention and decision-
making, including sustained mental confusion and permanent brain damage.
Although initial drug use may be voluntary, drugs have been shown to alter brain
chemistry, which interferes with an individual's ability to make decisions and can lead
to compulsive craving, seeking and use. This then becomes a substance dependency.
All drugs of abuse - nicotine, cocaine, marijuana, and others - effect the brain's
"reward" circuit, which is part of the limbic system.
Drugs hijack this "reward" system, causing unusually large amounts of
dopamine to flood the system.
This flood of dopamine is what causes the "high" or euphoria associated with
drug abuse.
Behavioral Problems
Paranoia
Aggressiveness
Hallucinations
Addiction
Impaired Judgment
Impulsiveness
Loss of Self-Control
Birth Defects
Nearly 4 percent of pregnant women in the United States use illicit drugs such as
marijuana, cocaine, Ecstasy and other amphetamines, and heroin. These and other
illicit drugs may pose various risks for pregnant women and their babies. Some of
these drugs can cause a baby to be born too small or too soon, or to have withdrawal
symptoms, birth defects or learning and behavioral problems. Additionally, illicit
drugs may be prepared with impurities that may be harmful to a pregnancy.
Finally, pregnant women who use illicit drugs may engage in other unhealthy
behaviors that place their pregnancy at risk, such as having extremely poor nutrition
or developing sexually transmitted infections.
References: