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It is my privilege to address this, the Second World Congress on
Families. I view this as a unique opportunity to discuss issues that
are important to children not only in my country but all over the world.
The needs of a child are the same regardless of the location in
which that child happens to grow up. Every child
deserves the love of a mother and father and a protective environment
chiefly headed up by his or her parents. That environment should also
include the extended family. In addition, the institutions of a society
must also be involved in the protection of a child. A child needs
appropriate medical care, educational opportunities, and in extreme
cases of abuse or neglect, the protection of the government through its
criminal justice or child protection systems.
My remarks will necessarily reflect my own experience as an
independently elected prosecutor in a large jurisdiction within the
State of Illinois, United States of America. I do not hold myself out as
an international expert in this field, but I do believe that many of our
experiences in the United States as they relate to the protection of
children can be considered by the people of other nations as they
evaluate their own systems designed to protect children. As we address
the central issue of how best to protect children from the ravages of
physical, sexual and even emotional abuse, we must first look at the
defmition of abuse and the depth of the problem at least in the United
States.
Although it is difficult to find a universal definition of what
constitutes abuse, I will briefly address the various types of abuse
encountered.
1. Physical Abuse—Includes physical acts
that cause or could cause serious physical injury or permanent
disfigurement. It would not include the parental use of non-injurious
corporal punishment. For example, at least one state, California, has
indicated that Physical Child Abuse "does not include reasonable
and age appropriate spanking to the buttocks where there is no evidence
of serious physical injury."
2. Sexual Abuse—Commonly identified as
involvement of the child in sexual activity to provide sexual
gratification or fmancial benefit to the perpetrator, including contacts
for sexual purposes, prostitution, pornography or other sexually
exploitive activities.
3. Emotional Abuse—While this is not the
subject of formal legislation, it is also harmful to a child. It is best
described as acts including verbal or emotional abuse that could cause
behavioral or mental disorders in the child.
4. Neglect—Includes failure to
provide a child with proper clothing, food, shelter or medical care. It
also includes lack of proper supervision or educational support and
inattention to emotional or developmental needs.
The extent of the problem of child abuse or maltreatment is not
clearly known. In the United States it cannot be
determined with certainty because a substantial but unknown proportion
of child maltreatment cases are never brought to the attention of state
and local child protective services or law enforcement. The officially
reported figures involving cases of child abuse undoubtedly undercount
the actual number of victimized children. The following estimates were
compiled by the National Committee to Prevent Child Abuse after
surveying all 50 states and the District of Columbia. For the year 1995,
there were over 3.1 million children reported to child protective
services as alleged victims of maltreatment. The reports of child
maltreatment have steadily risen over the 10 years prior to 1995 showing
a 49% increase from the reports filed in 1986.
According to the National Committee to Prevent Child Abuse
approximately one million children were found to be victims of
maltreatment for every year from1992 through 1995. Of the substantiated
1995 reports, the NCPCA reports that 54% of the cases involved neglect,
25% were the result of physical abuse, 11% sexual abuse, and 3% involved
emotional maltreatment. Some of this abuse can cause permanent injury or
death. It is estimated that in the ten years between 1985 and 1995 more
than three children in the United States died each day as a result of
various forms of maltreatment. Abuse was the most common cause of death
at 48%, followed by neglect at 37% and a combination of abuse and
neglect at 15%. 85% of the victims were under age 5 and nearly half of
the victims never reached their first birthday.
Research has shown that the consequences of child maltreatment
extend into adolescence and beyond. Survivors of child maltreatment
experience many problems in the course of further development. Some of
those long-term problems include medical complications, cognitive
difficulties, poor school achievement, violent behavior, substance abuse
and delinquency. So even if a child survives abuse or neglect with no
physical injuries, the emotional and developmental injuries continue for
years.
When researchers have looked at the demographic characteristics of
child victims the results do not suggest that any particular group of
children is the sole target of violent abuse. Girls as well as
boys are reportedly maltreated and all age groups are represented in the
abused population. There is a diversity of ethnic backgrounds also
represented among the victims of physical abuse. Some evidence, however,
suggest that some characteristics place certain individuals at more risk
than others. For example, young children between the ages of 0 and 5
years of age, are at a particularly high risk for physical cruelty. That
is probably because they are least able to defend themselves and least
able to communicate the nature of the abuse to other protective adults.
Victims of physical abuse are also disproportionately represented among
economically disadvantaged groups. Children with special needs such as
those with physical or mental disabilities also appear to be at higher
risk for abuse.
A relatively large volume of literature and research is available
that tries to address the characteristics of perpetrators of physical
abuse of children. Clearly, there is no single profile of the abusing
perpetrator. Research suggests that some segments of the population
represent a higher risk for engaging in conduct abusive to children. The
average age for perpetrators is about 32 years of age. High rates of
abuse are also found in individuals who begin their families at a young
age. The overwhelming majority of reported cases indicate that
perpetrators are the parents of the victim. Single parenthood is more
commonly associated with abuse. The contribution of step-parenting as a
risk factor is less clear but there is evidence to indicate a heightened
risk of abuse from a step-parent. Abuse is committed by males as well as
by females. Among the factors that seem to distinguish abusive adults
from non-abusive adults are factors such as depression, anger control
problems, parenting difficulties, family stress, and physiological
overreaction to difficult child behavior.
In the case of perpetrators of sexual abuse, research and
experience has shown that the sexual perpetrator can be homosexual or
heterosexual, married or unmarried, educated or uneducated, male or
female, although the offender is primarily a male. Unfortunately, there
is no brand or mark that sets apart a victimizer of children from
anybody else in our society.
The successful effort to prevent child abuse, is not comprised of
one or two components. Society must address the
problem simultaneously in a number of ways. Some of the steps require
action by government. Other steps require fundamental changes in how
society and individuals in a society build families or provide an
environment to support and nurture children. A successful program to
prevent the maltreatment of children must include elements performed at
both the government level and the level of individual responsibility.
The governmental response lies in major part in its
responsibilities to respond to reported cases of sexual and physical
abuse of children. The last decade or so has seen much greater emphasis
being placed on the coordination of the official response to a reported
case of child abuse. Child welfare agencies that are primarily
responsible for the welfare and protection of children have a particular
role in an investigation, namely to remove a child from a harmful
situation and place the child in a more secure setting. The police on
the other hand, are primarily responsible for collecting sufficient
evidence so that a perpetrator of child abuse can be identified,
convicted and punished. Sometimes, these two separate roles come into
conflict.
In a typical case, for example, involving the report of the sexual
abuse of a child, the child welfare agency will look into the
allegations and determine if the allegations are founded and have
probably occurred. If their review indicates that abuse has occurred,
then their first response will be to remove the child from the dangerous
environment and place the child in a secure and safe foster environment.
If that happens separately from the police investigation, then obviously
the alleged perpetrators are placed on notice of the investigation and
thus would have a chance to destroy evidence of the crime, flee the
jurisdiction, or be more likely to present false evidence when finally
contacted by the police. In a situation such as the one I have
described, the child may be placed in a protective environment but the
investigation may have been damaged by the fact that the child welfare
agency responded before the police had a chance to become involved in
the investigation.
In the last decade a movement in the United States has formulated
the establishment of child advocacy centers within many of the
jurisdictions throughout the nation. Child advocacy centers are
empowered by law to coordinate the official response to reported cases
of sexual or serious physical abuse of children. That coordination has
both the child welfare component and the police investigation component
working closely with each other to carry on their functions in a
simultaneous fashion so that both the steps taken on behalf of the
welfare of the child and the conduct of a criminal investigation are
done in a coordinated, contemporaneous and comprehensive fashion.
Advocacy centers also provide facilities that provide police, child
welfare authorities and prosecutors the opportunity to observe the
formal interview of a child in a non-threatening and non-obtrusive
manner. This is accomplished by special rooms that to the eyes of a
child appear to be a child’s playroom. Closer examination, however,
reveals that a two-way mirror separates that room from an adjoining room
in which individuals can observe an interview of a child by a trained
investigator. The interview of the child is done in an atmosphere that
gives the child time to respond to non-leading and non-aggressive
questioning by the interviewer. The interview itself may be taped by
means of audio or video recorders. The interview may also be assisted by
allowing the child who may have limited verbal skills to illustrate the
conduct that made up the abuse by using anatomically correct dolls. This
type of interview reduces the number of times a child has to relay
stories of the abuse that child has experienced. That, in and of itself,
reduces the trauma to the child of having to relive a most unfortunate
experience. It also permits representatives of the participating
agencies to observe the interview. Those individuals can then quickly
meet regarding what has been presented and review not only the
interview, but also any other evidence of the alleged crime. At that
time with the coordination and support of the advocacy center, steps can
be taken simultaneously to remove the child from the harmful situation
while the police apprehend and interview the offender and gather other
evidence of the alleged criminal activity. In some states, children’s
advocacy centers are mandated by law and are supported by special tax
levies or grants from state, federal and private entities.
Shortly after the initial response, the child and non-offending
members of that child’s family are given the opportunity to engage in
therapeutic intervention. The goal of the intervention is to reduce the
trauma to the child and to begin helping the child to recover from the
injuries both physical and emotional. Family members have to be an
important component to assist the child in his or her recovery. In order
to assist in the recovery of the child and to gather even more evidence
against the perpetrator, many advocacy centers also work with local
medical providers to have the child examined in order to determine the
nature and extent of the abuse. Results of these examinations can assist
many times in the successful prosecution of the offender. Advocacy
centers provide physical examination rooms separate and apart from
clinics, hospitals and doctors offices. These facilities are
child-friendly and also help to reduce the trauma to the victim of
abuse.
Children’s advocacy centers speak volumes to a community insofar
as they represent a humane, coordinated and effective response to
incidents of abuse. They help to reduce the trauma to the child and lay the groundwork
for successful prosecution of perpetrators. They also bespeak the values
of the community and acknowledge that cases involving abuse of children
are special cases and require specially trained personnel, skilled
interviewers, qualified physicians who specialize in a particular type
of physical examination, and police and prosecutors who are specially
trained and sensitive to the needs of a child and the unique
characteristics of cases involving child abuse.
As government professionals engage in their duties, a community
must be more fully educated to identify situations wherein a child is
being abused. Children are damaged physically many times as a result of
an intentional act but can also be damaged by adults who unintentionally
respond inappropriately to certain stimuli and may cause physical harm
to a child. Inappropriate corporal punishment to an infant or shaking an
infant may not be intended to cause abuse to a child, but nonetheless
can seriously and permanently damage a child. A successful prevention
program must help to educate adults in the proper nurturing and care of
children, especially infants and toddlers. As children get older, they
become more able to afford some protection to themselves. As a child
approaches adolescence, that child must be trained to recognize abuse
when it is being directed at them. Children must also be given the
opportunity to report the possibility of abuse to other adult members of
the family, school personnel or social workers, Educational programs
that discuss "good touch" and "bad touch" will
prepare children to avoid abduction or molestation. In other words, the
response by government, schools and social agencies must involve not
only a prompt response to reports of sexual and physical abuse of
children and a humane and efficient investigative response to those
incidents, but also a system of education of both adults and children
all directed to the recognition of abuse and its prevention.
The final and perhaps most important component in preventing abuse
is society’s support for family. Research and experience
has taught many of us that abuse is more likely to occur in a stressful
family environment. Stress may be caused by the presence of only one
parent in the family or the fact that a family lives in poverty and does
not have adequate access to medical care or other necessities. A family
that is isolated and not part of an extended family is also an
environment that may be more conducive to the abuse of children.
The solution to family stress does not lie solely or even primarily
with government institutions. It lies within the decisions of
individuals bringing children into the world. In the case of a teenaged
mother who, for whatever reason does not have the support of the
child’s father, the road to social and fiscal stability is wrought
with many obstacles. The lack of a supporting father can create undue
financial hardship that deprives a child of appropriate medical and
educational opportunities. A single mother who has to deal with the
absence of the child’s father may bring virtual strangers into the
house who have no familial loyalty to the child and thus may be more
likely to be abusive toward the child. Finally, mothers and fathers each
bring unique talents and influences to bear on the upbringing of a
child. It is a very exceptional person who can perform both functions
equally and competently.
In short, research and experience has shown that children who are
brought up in a single parent environment, are more likely to be brought
up in poverty and with the lack of appropriate family support. They also
are more likely to be abused and to become involved in juvenile or
criminal courts. Traditional families, that is a man and a woman,
committed to each other in marriage and open to children are more likely
to provide a proper environment for children. In spite of modern trends,
it is still important that a child receive nurture and support from both
of his or her parents. A family subject to less stress economically and
otherwise, is more prone to afford protection to children from many
forms of abuse. There is obviously no guarantee that a child in any
environment will not be abused but the probabilities of abuse decline
with the increase in family stability.
In the United States as in other parts of the world, there exist to
a greater degree today than ever before a widening economic gap between
segments of the population. That gap is producing two different
societies; one of economic means and one that may be stranded forever in
poverty. Societies and governments must narrow the gap so that all
people are afforded appropriate opportunities of education, employment
and family stability. The gap can be narrowed by government policies
that encourage traditional families and discourage non-traditional
family environments. Changes in tax and welfare policies in the United
States have already begun to accomplish this goal. Further steps are
necessary, however, to reduce the tax burden on married families and
reduce the welfare subsidy for irresponsible family behavior. Individual
adults, however, are still primarily responsible for the decisions they
make especially when those decisions involve bringing children into the
world. It has become clear that an effective way of preventing the abuse
of children is to bring them into the world as a result of stable adult
relationships that are grounded on commitment, respect and love. Those
characteristics are more likely to produce a protective environment that
respects the needs of children and protects those children from abuse
within the family itself or from those persons who may constitute a
threat outside of the family.
Speaking as a
prosecutor from a large jurisdiction, I will concede as representative
of state and local agencies that our response to the abuse of children
is necessarily reactive. The nature of our response can help to reduce
the trauma of abuse for a child and can identify perpetrators of abuse
and even successfully prosecute and punish them. That will provide a
specific deterrent to the perpetrating individual and a general
deterrent to those who might be tempted to abuse a child. That system,
however, is necessarily limited as a long-term preventative approach to
the problem. As prosecutors and law enforcement officials, we must also
serve as leaders in our community to undertake the educational and even
moral effort to preserve and promote the basic family unit as the most
protective environment for children. At the same time, we must
acknowledge that the response to the problem of child abuse is not
primarily a legislative or judicial response. It must necessarily be a
response of individuals and private institutions such as social
programs, foundations, churches, neighborhood associations and others
who advocate for families and support the decisions of individuals to
form traditional families as the primary and more successful environment
for the growth and protection of children.
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