Navigating Neglect

Toronto Treatment and Therapy for Neglect

What is Neglect?

Neglect occurs when a caregiver fails to provide an individual, for whom they have the duty to care for, with the basic needs. These basic needs include adequate food, sleep, safety, supervision, clothing or medical treatment. In addition, neglect can include:

  • Failure to supervise, resulting in physical or sexual harm

  • Permitting criminal behaviour

  • Physical or medical neglect

  • Failure to provide psychological treatment

  • Abandonment

  • Educational neglect

Fortunately, there are many effective virtual and in-person treatments and therapies in Toronto that can help children who are struggling with the impacts of neglect.

What are Common Signs of Neglect?

Individuals who are neglected may show the following physical and/or behavioural signs:

Physical Signs

  • Poor appearance and hygiene

  • Unusual weight loss, malnutrition

  • Consistent hunger

  • Frequent illness or infections

  • Frequent accidental injuries caused by lack of supervision  

  • Unattended physical or medical needs (i.e. dental work, glasses)

  • Consistent lack of supervision

  • Unsafe living conditions

  • Inappropriate clothing for the weather

  • Child’s failure to thrive

Behavioural Signs

Infants:

  • Constantly cry in hunger

  • Odd eating habits (i.e. eat really fast, throw up)

  • Indiscriminate attachment

  • Regressive behaviour (i.e. wanting a bottle)

Preschool and School-Aged Children:

  • Frequently “forgets” a lunch, or begs for food or money

  • Odd eating behaviours (i.e. hoard food, rarely share food)

  • Spend a lot of time at others’ houses or avoid going home

  • Frequent absence from school or not enrolled in school

  • Extremely withdrawn or extremely aggressive

  • Low self-esteem

  • Low academic achievement

  • Difficulty relating to children their age

  • States that no one is home to provide care

Adolescents:

  • Engages in delinquent behaviour or substance abuse

  • Frequent absence from school

  • Eating disorders

  • Constant fatigue

  • Difficulty controlling their emotions

  • Difficulty developing and maintaining relationships

  • Signs of depression, anxiety, or post-traumatic stress disorder

How to Support Children who are Neglected?

  • For instructions:

    • Create a list of small, realistic goals with the child that they can check-off as they achieve them

  • For social skills:

    • Use role-play to teach the child how to join a group

    • Use small group or assigned partner activities to ensure the child is included

  • For emotional regulation:

    • Allow for body breaks in a cool down zone, or if you know the child’s threshold for attention, include body breaks in their schedule

Neglect Support for Families

For individuals and families in Toronto struggling with the impacts of neglect, there are a variety of in-person and virtual treatments that may be beneficial, including:

  • Programs and groups for kids that focus on behaviour and self-regulation

  • Individual and family therapy

  • Social skills training

  • Dialectical behaviour therapy

  • Emotional regulation training

  • Play therapy 

  • Trauma-focused cognitive behavioural therapy

  • Behavioural therapy

  • Parent training for behavioural management for kids

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Signs of Trauma and Post-Traumatic Stress Disorder (PTSD)

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Impacts of Emotional Abuse