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At least 4 killed in Oklahoma tornado outbreak; 10 shot outside Florida bar; AZ receives millions of dollars for solar investments; Maine prepares young people for climate change-related jobs, activism; Feds: Grocery chain profits soared during and after a pandemic.

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Ukraine receives much-needed U.S. aid, though it's just getting started. Protesting college students are up in arms about pro-Israel stances. And, end-of-life care advocates stand up for minors' gender-affirming care in Montana.

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More rural working-age people are dying young compared to their urban counterparts, the internet was a lifesaver for rural students during the pandemic but the connection has been broken for many, and conservationists believe a new rule governing public lands will protect them for future generations.

Asking the Tough Questions to Address Child Maltreatment

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Friday, October 25, 2013   

PHOENIX – Any child can experience abuse or neglect – and one expert says if this is not addressed, that child’s health and well being later in life will suffer.

Dr. Vincent Felitti is the author of a major study on adverse childhood experiences.

He says sometimes adults have to ask the tough questions to find out what's really going on in a child's life – but even professionals can have a hard time addressing trauma, because it is such a personal experience.

"All of this has attracted intense intellectual interest,” Felitti says, “but great resistance to picking it up and using it in clinical practice."

Felitti says trauma can be caused by physical or emotional neglect, sexual abuse and exposure to alcoholism or depression.

He adds while adverse childhood experiences can affect anyone, they are hallmarks of children in the child welfare and juvenile justice systems.

Arizona law requires suspected child abuse or neglect to be reported to Child Protective Services or law enforcement by a number of people, including teachers, clergy, medical personnel and parents.

Felitti says the short and long-term outcomes of exposure to abuse and neglect can mean a multitude of problems.

"Chronic emotional distress, chronic depression, suicidality, biomedical disease,” he points out, “specifically fractures, liver disease, osteoporosis, heart disease, cancer, social malfunction, violence."

He says it is possible to help a child who has faced maltreatment, but prevention provides the best outcome.

"The numerical magnitude of these problems, as well as their complexity, makes dealing with them after the fact of limited use," he explains.




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