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UNICEF – EAPRO Language and Cultural Considerations for Child Protection 10 th November 2010

Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

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Page 1: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

UNICEF–EAPROLanguageandCulturalConsiderationsforChild

Protection

10thNovember2010

Page 2: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

Background:

Whatischildprotection?

Whydoesitmatter?

Whataretheimplications?

SomeIssuesforconsiderationintermsofculture

andlanguage

Page 3: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

CRCDefinitionofChildProtection

‘State par(es shall take all appropriate legisla(ve,administra(ve, social and educa(onal measures toprotect the child from all forms of physical or mentalviolence, injury or abuse, neglect and negligenttreatment, maltreatment or exploita(on, including

sexual abuse, while in the care of parent (s), legalguardian (s) or any other person who has the care ofthe child.’

Ar(cle 19, CRC.

Page 4: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

CRCConcludingObservations: Data– Partial,Insufficient,uncoordinated,– Notsystematicandoftennotdisaggregated– discriminatedorexcludedpopulations,e.g.childrenwithdisabilities,– Persistentlackofcomprehensivedataonchildprotectionissues,i.e.childsexualabuse,commercialsexualexploitation,childtrafficking,sextourism,violence,neglect,abandonment,childrenininstitutions,childreninconflictwiththelaw

Page 5: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

SignificantHarm: Definesthethresholdthatjustifiescompulsoryinterventioninfamilylifeintheinterestsofchildren.

Noabsolutecriteriaforwhatconstitutessignificantharm. Considerationoftheseverityofill-treatment:– thedegreeandtheextentofphysicalharm,– thedurationandfrequencyofabuseandneglect,– theextentofpremeditation,– degreeofthreatandcoercion,sadism,andbizarreorunusualelements

asingletraumaticevent:e.g.aviolentassault,suffocationorpoisoning.

acompilationofevents-acuteandlong-standing,whichinterrupt,changeordamagethechild’sphysical,emotionalandpsychologicaldevelopment.

Page 6: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

Childsexualabuseprevalenceestimatesbysub-regionandsex

Female% Male%

Africa(highmortality) 21.3 9.6

Africa(veryhighmortality) 42.7 29.8

LatinAmerica/Caribbean 13.3 20.0

EasternMediterranean 28.0 11.5

EastAsia&Pacific 27.8 28.6Andrews et al., Child sexual abuse, WHO, 2004

Page 7: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

ToxicStressDamagesBrainArchitecture

• Excessiveandrepeatedstresscausesthereleaseofchemicalsthatimpaircellgrowthandinterferewiththeformationofhealthyneuralcircuitsinthebrain

• Toxicstresscandamagethebrain'sstressresponsesystemandcontributetoprematureageingofthebody

Healthy brain

Abused brain

Page 8: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

Impactofchildneglectonbraindevelopment

These images illustrate the nega/ve impact of neglect on the developing brain.Le9: CT scan of healthy 3 yr old with average head size. Right: 3 yr old childsuffering from severe sensory‐depriva/on neglect. Brain is significantly smallerthan average and has abnormal development of cortex

Page 9: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

Early nurture impacts on developmental outcomes

Page 10: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

Consequencesofchildmaltreatment

ChildMaltreatment

Health-risk behavioursSexual promiscuitySexual violenceAlcohol abuseIllicit / injecting drug useSmokingBehaviour problemsMental / social problemsPTSDDepressionAnxietyEating disordersCognitive developmentUnwanted pregnancyObesityRepeat victimization

Diseases and injuriesIschemic heart diseaseDiabetesStrokeCancerSuicideSkeletal fracturesChronicbronchitis/emphysemaAsthmaSTDS (e.g. HIV)Hepatitis

Page 11: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

Implications: Impairmentofbrainfunctioning-reductioninhumancapacity;

Pooreducationalachievement/schooldropout; Erraticemploymentpattern/unskilledwork; Highriskbehaviour;drugandalcoholabuse; Earlypregnancy/poorparenting; Inabilitytomaintainrelationships Earlyonsetofchronicdisease Familyseparation/institutionalization Cycleofpoverty/cycleofviolence;

Page 12: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

CostsofChildProtection:

“Wefindanincidencerateforchildabuseandneglectthatisabouttentimesashighastheincidencerateforallformsofcancer.Thereisamulti-billion-dollarresearchbasereliablyrenewedonanannualbasisforcancertreatmentandprevention.Nothingremotelysimilartothisexistsfor(thepreventionofandresponseto)childabuseandneglect.”

FrankPutnam,M.D.,researcherattheNationalInstituteofMentalHealth,from“WhyIsItsoDifficultfortheEpidemicofChildAbusetobeTakenSeriously?”Handout:“TheCostsandConsequencesofChildAbuse”byFrankW.Putnam.

Page 13: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

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Page 15: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of
Page 16: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

Needforoutcomeevaluationstudies

Page 17: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

TheEcologicalFramework:CulturalAssets

Page 18: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

ResearchandStudies:

Mainlyincountrieswith‘developed’ChildProtectionSystems:

Systemsemergefromdominantculture; Pre-existingor‘immigrant’groups; Statisticallysmallresearchnumbers; Understandingtherealitiesofminority,indigenousorexcludedgroups;

Thevalueofculturaldiversityandmulti-lingualismtochilddevelopment

Page 19: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

DiversityandCulture: Differences in, and abuse of power Discrimination, stigma and exclusion Context : inter-personal relations; societal

structures; institutional. Values and perspectives of child rearing , child

development and child protection; Exploring the ecological framework, risks and

cultural assets; Nexus of social values and customs as

powerful sources of child protection; Culture is dynamic /groups not homogeneous;

Page 20: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

ExploringLanguageandChildProtection Linksbetweencultureandlanguage;

ImportanceofaccessintheChildProtectiontask;

Theuseofinterpreters;considerations,

Theuseandabuseoflanguage:VictoriaClimbie, ChildRightstoProtection:“…the rights granted to

children should, in their localization andimplementation, bear the local cultural fingerprintingwithout, however, extinguishing the essential core ofthe right itself.”

Page 21: Language and cultural considerations for child protection ... · brain's stress response system and contribute to premature ageing of the body Healthy brain Abused brain. Impact of

IssuesandRecommendations: Utilizingculturalassetsapproach:understandingriskandresiliencefactors,supportingdiversity,

Trainingforprofessionalstaff;culturalcompetence;understandingdiscrimination;multi-agencyframeworkforpreventionandresponse;

Effectiveresourcing:trainedstaff;appropriateinterpreters;morefrequentandshorterinterviews;crosssectoralsupport;

IncorporatingInnovativeAssessmentTools;terminology;descriptiveandsubstantiveinformationcollection;groupandindividualassessment;dialogueandobservation;accesstoappropriatetools;