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Child Maltreatment
Protecting Children Through Reporting and Training
Mandatory abuse reporters are professionals who are legally required to report any suspected child abuse, neglect, or maltreatment. In North Carolina, anyone who suspects a child is being harmed must report it. Certain professionals, such as teachers, health care staff, child care providers, counselors, social workers, and employees or volunteers in residential or institutional settings, have an additional responsibility to report concerns immediately. The goal is to protect children, and failure to report can result in legal consequences.
Report Child Abuse or Neglect
- If a child is in immediate danger, Call 911 or contact law enforcement right away so emergency responders can take action.
- Reports should be made to the DSS office.
During regular business hours: Call 252-902-1112 or After Hours & Emergencies Call 252-830-4141
Spotting Early Red Flags in Children’s Behavior and Health
Children show signs of abuse or neglect in different ways, and no single behavior confirms that harm is happening. Still, certain patterns can be warning signs that a child may need support. Understanding these red flags can help adults notice concerns early and take appropriate steps to protect a child’s well-being. These signs do not always mean abuse is occurring, but they may indicate that a child needs attention or that further support is necessary.
- Unexplained injuries: Bruises, burns, cuts, or marks that cannot be clearly explained or appear often.
- Changes in behavior: Sudden fearfulness, withdrawal, aggression, or acting out in unusual ways.
- Regression of skills: Loss of skills the child previously used, such as toileting, speech, or social interactions.
- Fear of certain places or people: Hesitation or strong reactions when around specific individuals or settings.
- Changes in eating or sleeping: Sudden nightmares, difficulty sleeping, overeating, or loss of appetite.
- Poor hygiene or unmet needs: Ongoing issues with cleanliness, lack of appropriate clothing, or signs that basic care is not being provided.
- Inappropriate sexual behaviors or knowledge: Behaviors or comments that are not typical for the child’s age or developmental stage.
- Chronic absences or frequent injuries: Repeated injuries, repeated illnesses, or ongoing absences without explanation.
- Changes in school or child care performance: Difficulty focusing, falling behind, or sudden changes in engagement.
North Carolina Mandatory Reporting Information
North Carolina law requires all individuals to report as soon as they have reasonable cause to suspect abuse or neglect. Concerns may include physical or sexual abuse, emotional harm, lack of supervision, or unsafe living conditions. Reports should be made to the local Department of Social Services in the county where the child lives. In emergencies, law enforcement should be contacted.
Several training options are available to help professionals recognize signs of abuse and respond appropriately. Some are required for child care staff, and others provide helpful additional guidance.
Training on Recognizing & Responding to Child Maltreatment
A free, two-hour online course is offered by Prevent Child Abuse North Carolina. Child care center staff and family child care home operators must complete this course within two months of starting work and then every three years.
Stewards of Children Training
Stewards of Children is a practical training that teaches adults how to prevent, recognize, and respond to child sexual abuse. Child sexual abuse affects 1 in 10 children, making this one of the most significant child health concerns. The training helps adults identify risks early and take actions that support child safety.
The program is offered at no cost through the TEDI BEAR Children’s Advocacy Center at ECU’s Brody School of Medicine. Sessions last two to two and one-half hours and can be offered to child care programs, youth-serving organizations, and community groups. The training is approved for continuing education credit and is well suited for:
- Child Care Centers
- After-School Programs
- Bus and Van Drivers
- Mentoring Programs
- Church Child Care Programs
- Child Care Training Classes
- Tutoring and Early Education Centers
- Parent Education Programs
To learn more or schedule a training, contact the TEDI BEAR Children’s Advocacy Center at 252-744-8334.