Webinar presenter Roger Blevins answered a number of your questions after his presentation, The Medical Aspects of Child Neglect. Here are just a few of his responses.
Audience Question: Do we have a sense of what percentage of the US population has four or more ACEs?
Roger Blevins: Ah, we don’t. I know the ACEs literature these days has grown exponentially from 1989. And it’s just, it’s become huge now. But I don’t have an idea. I don’t know if anybody has an estimation of who may have had four or more aces or how many people have in the population. I’m sorry.
Audience Question: Are child patients with substance consumption issues reported to child services or CPS?
Roger Blevins: Yes. They’re supposed to be. At birth, depending upon your state, if a child is born positive for THC, it will probably be reported. There may not be any particular action on it. Other drugs of abuse certainly will be looked at a lot better by CPS. But yes, if a child comes in even with ingestion, in other words, they’ve got it in their system, even though they haven’t overdosed, that’s going to be reported to CPS.
Audience Question: At what prevalence do obese children have Prader-Willi Syndrome?
Roger Blevins: Well, Prader-Willi is a genetic syndrome. And one of the things that come with Prader-Willi, just eating and eating and eating and eating. I think, probably, I don’t know the prevalence of Prader-Willi in the population. I can tell you that the vast majority of kids with Prader-Willi are going to be obese.
Audience Question: Why is failure to thrive no longer divided up in organic versus inorganic in the professional field? This seems like an important causal distinction. Maybe if you don’t mind, talk a little bit about what that means, organic versus inorganic. And then, if you know the underlying reasons why it stopped by that, that’d be great, too.
Roger Blevins: Well, I think that there’s a certain degree of maybe professional political correctness associated with that. And what I mean by that is, if a child has organic failure to thrive, in other words, there’s something wrong with the child, and they won’t grow properly, that’s nobody’s fault. But, if a child has inorganic failure to thrive, and they’re just not being fed well, maybe there’s some sort of blaming that goes with that. Or possibly, it’s felt that way by the folks, by the caregivers, I don’t really know. But I still teach it that way, because it helps to divide it up. The problem is not growing. The problem is not getting enough nutrients or not being able to absorb nutrients for one reason or another. And I think that’s the rationale for not teaching organic versus inorganic very much anymore.
Audience Question: Should parents who display ignorance of appropriate feeding or intellectually compromised parents have parental rights terminated? And how likely is it that they can be taught how to care for a child?
Roger Blevins: Well, I think the last thing that we want to do in the world is terminate parental rights unless we’re in a situation where for some reason, the situation just can’t be resolved. And I think that folks, even if they have problems with —- Usually, ignorance can be dealt with by just some teaching. We get the kid in the hospital, we teach good nutrition, and the child eventually begins to grow, and the parent feels some achievement with that. So, normally, they shouldn’t have rights terminated. But if we’re at a juncture where the kid’s life is in danger, and we just can’t get these folks to be able to parent, then you may have to do that. You may have to terminate parental rights, and I hate saying that, but I have had some cases over the past 34 years that just went that way, and it’s a terrible thing to have to do.
Audience Question: Can you recommend a good glossary of terms or a dictionary that you would recommend for use in this area with child abuse and neglect?
Roger Blevins: Well, as a matter of fact, we have one here in Phoenix. And it has all the common acronyms and all the meanings in lay terms, all the medical terms. And if anybody wants it, I would be happy to supply them with it.
Host: Got it. And, Roger, if you’re able to distribute it. Certainly, if you’re able to provide that link to us or that document to us, we can always put it on the course page for this webinar so everyone can access it. If that works.
Click Here to Watch a Recording of The Medical Aspects of Child Neglect.