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Person of interest identified in connection with deadly Brown University shooting as police gather evidence; Bondi Beach gunmen who killed 15 after targeting Jewish celebration were father and son, police say; Nebraska farmers get help from Washington for crop losses; Study: TX teens most affected by state abortion ban; Gender wage gap narrows in Greater Boston as racial gap widens.

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Debates over prosecutorial power, utility oversight, and personal autonomy are intensifying nationwide as states advance new policies on end-of-life care and teen reproductive access. Communities also confront violence after the Brown University shooting.

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Farmers face skyrocketing healthcare costs if Congress fails to act this month, residents of communities without mental health resources are getting trained themselves and a flood-devasted Texas theater group vows, 'the show must go on.'

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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