Kentucky Children's Hospital at UK opens center to treat children who are harmed by abuse and neglect, in which Ky. ranks 14th

University of Kentucky and Kosair for Kids representatives celebrate opening of the Kosair for Kids Center for Safe & Healthy Children & Families at Kentucky Children's Hospital. (Photo by Adam Padgett)

By Hilary Brown
University of Kentucky

Representatives from Kentucky Children’s Hospital and the nonprofit foundation Kosair for Kids cut the ribbon recently on the Kosair for Kids Center for Safe & Healthy Children and Families, a new clinic space for the treatment of children harmed by abuse and neglect at KCH, part of the University of Kentucky. This center was made possible by a $2 million gift from Kosair for Kids.

“I’ve spent the better part of my career looking at the challenges that Kentucky faces, especially when it comes to the ability of vulnerable Kentuckians to get care they desperately need,” said Mark D. Birdwhistell, vice president for health system administration and chief of staff, UK HealthCare. “I’ve seen how hard it can be to effect change for Kentucky’s vulnerable citizens, and that’s why I’m so proud of this new center and of what we’ve been able to accomplish with the partnership of Kosair for Kids.”

Kentucky ranks 14th in the country for child abuse and neglect; according to the state Cabinet for Health and Family Services, in 2022, 11,002 children experienced neglect, 1,146 suffered physical abuse and 756 were victims of sexual abuse. Those numbers have decreased over the years, due largely to the efforts of Kosair for Kids and their partners across the state.

“Today we celebrate opening a center dedicated to giving the best to children who have experienced the worst, said Barry Dunn, Kosair for Kids president and CEO. “Our goal, our aspiration, is that this center serves as a beacon of hope for children who have experienced unfathomable trauma. We stand with them, united in purpose, on the road to healing. We are proud to call them a Kosair Kid, and we want to show them the love and care they deserve. Kosair for Kids is proud of this place, the skilled and dedicated staff on the front lines of this epidemic, and the growing alliance we have formed to protect all children.”

“I’m an ardent believer that you can’t separate physical health from mental and emotional health,” said Dr. Scottie B. Day, physician-in-chief at Kentucky Children’s Hospital. “Maltreatment and childhood trauma have effects that ripple out into adolescence and adulthood and continue to inform patterns of behavior for generations. Through our partnership with Kosair for Kids, we can disrupt generational cycles of abuse and make Kentucky much safer for kids.”

KCH is home to one of only two pediatric forensic medicine programs in Kentucky. Of the five child-abuse pediatricians practicing in Kentucky, four are at KCH’s Division of Pediatric Forensic Medicine along with specially trained advanced nurse practitioners, social workers and psychologists.

Features of the new clinic include:

• Secure and private space to provide trauma-informed care, including three exam rooms and two therapy services rooms
• Proximity to the Makenna David Pediatric Emergency Center and other services such as radiology and sedation with private entrance and egress to those sites
• Space for therapeutic interventions, evidence storage and consultation with law enforcement and other partners
• Technology to consult virtually with the child’s care team which may include state child protective services, guardian ad litem and law enforcement.

The pediatric forensics staff also provides regular education to medical students, family medicine providers as well as community organizations. They developed a core curriculum for the Department of Community Based Services in the Cabinet for Health and Family Services that includes 16 one-hour lectures. Forensics providers lead a multi-hour training to each new class of Kentucky State Police cadets, as well as continued education to healthcare providers in the community.

Children who are abused and neglected may suffer immediate physical injuries, but also may have emotional and psychological problems, such as anxiety or posttraumatic stress. Over the long term, children who are abused or neglected are also at increased risk for experiencing future violence victimization and perpetration, substance abuse, sexually transmitted infections, delayed brain development, lower educational attainment, and limited employment opportunities. Chronic abuse may result in toxic stress, which can change brain development and increase the risk for problems like posttraumatic stress disorder and learning, attention, and memory difficulties.

All Kentuckians are mandated reporters of child abuse and neglect. If you believe a child is being abused or neglected, call the Child Protection Hotline at 1-877-KYSAFE1 or 1-877-597-2331 or report online.

Kentucky leads the nation in child abuse, which in most cases is neglect that equals abuse; April is Child Abuse Awareness Month

From an editorial by The Winchester Sun

Kentucky ranks first in the nation in a terrible way, according to a recent report.

The most recent Child Maltreatment Report, issued in late March by the the Children’s Bureau of the U.S. Department of Health and Human Services, reveals Kentucky has the nation's highest rate of child abuse, which includes child neglect.

According to the report, Kentucky had 22,410 child-abuse victims in 2017, the last year for which data is available. That equates to a rate of about 22 victims per 1,000 children in the commonwealth, which is more than twice the national average rate of nine. Ten child fatalities were attributed to abuse in Kentucky in 2017.

Kentucky’s child-abuse rate has increased annually from 2013, when it was 17.3 per 1,000. That's an increase of more than 27 percent over the four-year period. Among the victims in 2017, more than 15,000 were first-time victims, meaning more than 7,000 children had been abuses in previous years.

Most of the the 22,410 cases (21,313) in 2017 were attributed to neglect. There were 487 cases of medical neglect, 1,533 cases of physical abuse, 44 cases of psychological maltreatment and 852 cases of sexual abuse. Many involved more than one of these serious issues.

More than 3,000 of Kentucky’s cases of child abuse involved alcohol abuse by their caretaker and nearly 12,000 involved drug abuse. Also, according to the report:

• Nationally, evidence indicates children are most likely to be abused by their parents
• Children in their first year of life have the highest rate of victimization at 25.3 per 1,000 children of the same age in the national population. In Kentucky, 3,090 cases were reported in children younger than 1 year in 2017.
• “Child fatalities are the most tragic consequence of maltreatment,” according to the report. “For 2017, 50 states reported 1,688 fatalities.”

While many die each year, and others are treated, there are likely thousands more cases in our state where the abuse goes unreported. These children survive, but are destined to deal with the negative ramifications of their childhood abuse for the rest of their lives — often prohibiting them from becoming well-functioning, healthy, productive adult citizens.

April is Child Abuse Awareness Month, a time dedicated to honoring and remembering the lives lost too soon to abuse and neglect. The month also serves as an opportunity for the community to band together to raise awareness, educate about risk factors and indicators and advocate for children.

It’s a problem that has no easy solution, but one that must be addressed from multiple angles and quickly. We can all take part in reversing this negative trend and helping survivors. The most important things we can do are advocate and educate. Learn about the indicators of abuse. There are many, including unexplained bruises, cuts, welts, scars, fractures and burns.

There are also behavioral indicators, like aggressiveness or withdrawal. Other obvious signs are children who are frightened of their parents or say they are afraid to go home. Be mindful of children who report being extremely hungry, who exhibit bad hygiene or dress inappropriately for the season.

Watch for children in your community who are often unsupervised, especially for long periods of time or in potentially dangerous scenarios. Report potential abuse to the police or by calling the Child Help National Child Abuse Hotline at 1-800-4ACHILD.

Encourage your legislators to support laws that protect children and strengthen punishments for abusers. Additionally, our state must continue fighting against addiction, including drugs and alcohol. They play a huge role in the quality of life for our families and children, and as this research indicates, contribute to child abuse and neglect in our state.

Our state needs to also allot more funding for the Department for Community Based Services and other child-welfare programs. There are shortages of qualified social workers and foster parents to help these children find their way out of abusive homes and into loving, safe places.

Finally, we need to improve access and funding for programs for parents, including parenting classes, HANDS programs, educational programs and other assistance programs to reduce the burden of stress many parents, especially first-time, young or low-income parents feel, which might result in abuse or neglect.

Childhood should be fun. It should be a time of growth and learning. It’s a time to be nurtured and loved. Our children are our future and they deserve better.

Be mindful. Speak up. Stop abuse. Report it. Be an advocate. Help make the world a better place for children.