The Neglect of Children Glaure 4.1 Child Neglect Index (Continued) inadeguate cl

Question

The Neglect of Children Glaure 4.1 Child Neglect Index (Continued) inadeguate clothing or hygiene likely to cause illness requiring medical treatment (e.g. infestation of head lice). s Illness requiring medical treatment due to inadequate clothing or hygiene (e.g. serious infection due to poor diaper care, intestinal disorder). 60 sing three scales “not provided" means "does not provide, or refuses or is unavailable or unable to CESAS.37(2(e, f, g, h, & j). The extent to which harm could be avoided should be carefully con- Three factors should be examined: (a) whether a reasonable layman would rec- PROVISION OF HEALTH CARE For the following three scales "not provided consent to..." (CFSA S.37(2)(e, f. sidered in talins und idered in rating these three scales. Three factors should be examined: (a) whether blem needs professional attention; or (b) whether a professional has recommended services or ognize that a problem needs profession or led availability and/or effectiveness of treatment or services (e.g. the questionable effectiveness of treatment; or (c) a vailability and/or effective services for chronic teen runners). PHYSICAL HEALTH CARE CFSA S.37(2(e) Unknown/Does Not Apply 1. Basic medical care provided. 2. Preventive medical care not provided (e.g. no regular checkups). 3. Medical care not provided for injury or illness causing avoidable distress. 4 Medical care not provided for injury or illness causing avoidable distress and interfering with child's functioning (e.g. chronic absence from school due to untreated illness). 60 5. Medical care not provided for injury or illness which could lead to permanent impairment or death (e.g. infant vomiting or diarrhea leading to dehydration). MENTAL HEALTH CARE CFSA S.37(2)6, 8, & j) egalgo ovatud total Unknown/Does Not Apply 1. Parents anticipate and respond to child's emotional needs. 2. Inconsistent response to emotional distress (e.g., responds only to crisis situations). 3. Services or treatment not provided in response to emotional distress, child at substantial risk of severe emotional or behavioural problems (anxiety, depression, withdrawal, self-destructive or aggressive behaviour, child under 13 engaging in criminal activity). 4. Services or treatment not provided in response to emotional distress, child experiencing severe emo- tional or behavioural problems. 60 DEVELOPMENTAL AND EDUCATIONAL CARE CFSA S.(2)(h) Unknown/Does Not Apply 1. Child's developmental and educational needs are met. 2. Child's developmental and educational needs are inconsistently met (e.g. limited infant stimulation, child could benefit from remedial help in one or two subjects, child having academic difficulties due to poor school attendance). 3. Services or treatment are not provided in response to identified learning or developmental product (e.g. learning disability diagnosed but caretakers refuse remedial help). 4. Child has suffered or will suffer serious/permanent delay due to inattention to deve 1ous/permanent delay due to inattention to developmental/educa- needs (e.g. Non-Organic Failure To Thrive identified but caretakers refuse remedial help). 50 1718; nico@fsw.utoronto.ca), Faculty of Social Work, University of For further information contact Nico Toronto (Version 5: Toronto, 1995). Funding provided by the Child, Youth & Family roi • Youth & Family Policy Research Centre & the Social Sciences & Humanities Research Council. anted with permission from Nico Trocmé, "Development and Preliminary Child Maltreatment, 1(2) (1996) pp. 145-155, pp. 153-154. lopment and Preliminary Evaluation of the Ontario Child Neglect Index."

Explanation / Answer

Ontario Chilhood Neglect index(CNI) is an index used to diagnose and know the severity of Childhood neglect.

Though its a good tool to define neglect an important limitation of this instrument is that its is based on laws prevalent in Ontario only. The definitions of few components have been adapted from legal definitions in that jurisdiction only.

For eg. : Educational neglect does not hold a parent responsible for Truancy in CNI and only non-provision of educational needs/remedial needs is given importance.

Such definitions need to be included/modified to make it applicable to other areas and more sceintifically sound.

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