Child Abuse and Neglect Indicators Neglect occurs when a parent or caretaker allows the child to experience avoidable suffering or fails to provide basic essentials for physical, social, and emotional development. Indicators of neglect include: Lack of basic food and clothing Poor hygiene Lack of appropriate supervision Lack of education as required by law Lack of medical treatment or medication for a serious illness Residing in an unhealthy or dangerous living environment Physical abuse is indicated when non-accidental injuries occur, including: Burns Welts Broken bones  Bruises Severe beatings Unexplained or repeated physical injuries Sexual abuse happens when a child is exploited for the sexual gratification of an adult or older child. Indicators include: Involvement of a child in sexual activity Knowledge of sexual behavior inappropriate for the child's age Contact for sexual purposes such as fondling Involvement or exposure to prostitution and/or pornography Emotional abuse occurs when a parent or caretaker allows or creates a negative emotional atmosphere for the child with these conditions: Demeaning remarks Unrealistic expectations Perceived or actual threats of harm Illegal behaviors taught to a child Domestic violence-related child abuse occurs when a child: Is injured during a physical altercation between adults Witnesses domestic violence between adults Experiences perceived or actual threats of harm Experiences repeated disruptions in his/her living situation