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It discusses indicators such as frequent masturbation, toilet training regression, inappropriate touching, non-age-appropriate sexual knowledge, dramatic mood changes or rage, and self-mutilation, and extends guidance with additional parental red flags.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/identifying-sexually-abused-children-through-their-art/664825/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/identifying-sexually-abused-children-through-their-art/664825.png","ImageObject",300,407,{"name":92,"@type":93},"dhado","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-10-29",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why are signs of sexual abuse harder to identify than signs of physical abuse?","Question",{"text":112,"@type":113},"Physical abuse often leaves obvious injuries, while sexual abuse indicators can resemble normal childhood behavior or be harder to recognize. 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Neubauer, BS MPA • Educational Liaison[sneubauer@caefwi.org](sneubauer@caefwi.org) • Phone (262) 729-0311 1200 West Royal Lee Drive Palmyra, WI 53156  \nIdentifying Sexually Abused Children Through Their  \nART  \nThe Child Abuse Education Foundation of WI, Inc. exists to prevent child abuse by educating child care professionals, teachers, social workers and law enforcement about the early identification, reporting and investigation of physical and sexual abuse of children.  \nCONTACT US  \nChild Abuse Education Foundation of WI, Inc. Scott R. Neubauer, BS MPA • Educational Liaison[sneubauer@caefwi.org](sneubauer@caefwi.org) • Phone (262) 729-0311 1200 West Royal Lee Drive  \nPalmyra, WI 53156  \nABOUT  \nSCOTT NEUBAUER  \nScott Neubauer has been a lecturer at the University of WisconsinWhitewater since the fall semester of 2006. He currently teaches Criminal Investigation and Criminal Investigation of Child Abuse. In addition to his teaching, Scott works for the Child Abuse Education of Wisconsin Foundation, giving presentations on child abuse throughout Wisconsin, Michigan and Illinois. Scott has 35 years experience in Law Enforcement, the last 22 years serving as Chief of Police in Palmyra, WI. He holds a bachelor’sof science in Criminal Justice from the University of Wisconsin-Milwaukee and a master’s degree in Public Administration from the University of Wisconsin-Oshkosh. He is a life member of the Wisconsin Chiefs of Police Association and the 2004 Victim’s Advocacy Award winner for his child abuse investigations and presentations.  \nFor the last ten years Scott has been traveling the state of Wisconsin and beyond giving talks on identifying child abuse. It is common when giving talks to elementary and early childhood teachers for them to bring up specific concerns about past and present students. One of the most frequently asked questions is: Do we have enough information to report child abuse? Unlike physical abuse, where the black eyes and bruises are an obvious giveaway, the signs of sexual abuse are more difficult to identify. Scott has always used the following list of “red flags,” or indicators, to identify sexually abused children:  \n► Frequent masturbation  \n► Toilet training regression  \n► Children touching other children’s private parts  \n► Non-age appropriate sexual knowledge  \n► Dramatic mood changes  \n► Uncharacteristic rage  \n► Self-mutilation  \nred flags to identify abuse  \nFrequent Masturbation  \nOn the surface one might assume that frequent masturbation in a young child is easily identified. After giving talks to hundreds of day care workers, however, we have learned that it is not uncommon for children with diaper rash to reach down their pants to scratch it. We have also been told that it is common for some children to sleep with their hand tucked into the waistband of their pants. Such rational behavior and explanations make this indicator more difficult to identify.  \nToilet Training Regression  \nWhen a toilet-trained child suddenly has accidents, and there is no medical cause, it is a strong indicator of abuse. I have investigated cases where children as old as 15 started to wear diapers again for seemingly mysterious reasons, only to learn they were sexually abused. Unfortunately, Health Insurance Portability and Accountability Act (HIPAA) compliance means that medical information may be withheld, making this indicator difficult to identify as well.  \nChildren Touching Other Children’s Private Parts  \nExperts now agree that children under the age of five who are the victims of child abuse have substantially more difficulty dealing with their victimization. We believe that sexual contact is a learned behavior and when children are inappropriately touching playmates we have an indicator that the child might have been abused.  \nNon-Age Appropriate Sexual Knowledge  \nChildren under the age of five do not understand that they are being sexually abused. They","cbCaivJO6ZSvcg9h","https://ap.wps.com/l/cbCaivJO6ZSvcg9h","pdf",765314,"English","# Red Flags for Identifying Sexual Abuse\n## Frequent Masturbation\n## Toilet Training Regression\n## Inappropriate Touching\n## Non-Age-Appropriate Sexual Knowledge\n## Mood Changes and Uncharacteristic Rage\n## Self-Mutilation\n## Parent Red Flags","[{\"question\":\"Why are signs of sexual abuse harder to identify than signs of physical abuse?\",\"answer\":\"Physical abuse often leaves obvious injuries, while sexual abuse indicators can resemble normal childhood behavior or be harder to recognize. Some cues may also be limited by medical privacy requirements.\"},{\"question\":\"What list of “red flags” is used to identify sexually abused children?\",\"answer\":\"The document lists red flags including frequent masturbation, toilet training regression, children touching other children’s private parts, non-age-appropriate sexual knowledge, dramatic mood changes or uncharacteristic rage, and self-mutilation.\"},{\"question\":\"How should professionals use self-mutilation as an indicator?\",\"answer\":\"Self-mutilation can signal multiple problems and is not specific to sexual abuse, so it should not be used as the only indicator. It should be considered alongside other observations.\"}]","Identifying Sexually Abused Children Through Their ART | PDF",25]