1. Safeguarding Flashcards

Be familiar with signs of physical, emotional and substance abuse and seek advice from appropriate authorities. - Knowledge of child abuse and understand role of GDP. - Competent at recognising clinical features of physical abuse in clothed dental patient.

1
Q

What is child protection ?

A

Activity undertaken to protect specific children who are suffering, or are at risk of suffering significant harm.

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2
Q

Who are children in need ?

A

Children who require additional support or services to achieve their full potential.

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3
Q

!!
What are the three elements which must be present to define child abuse ?

A

Significant harm to child.
Carer has some responsibility for that harm.
Significant connection between carer’s responsibility for child and harm to child.

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4
Q

What is child abuse or neglect ?

A

Anything which those entrusted with care of child do, or fail to do which damages their prospects of safe and healthy development into adulthood.

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5
Q

What is GIRFEC ?

A

National practice model which creates shared -
- Organising and recording info about child.
- Discussing ways of addressing concerns about wellbeing.
For anyone working with children.

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6
Q

GIRFEC - what are the SHANARRI indicators and concept of ‘wellbeing’ ?

A

Safe.
Healthy.
Achieving.
Nurtured.
Active.
Respected.
Responsible.
Included.

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7
Q

When can information be shared ?

A
  • When safety is at risk.
  • Where benefits of sharing info outweighs the public and individual’s interest in keeping info confidential.
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8
Q

What are the four categories of child abuse ?

A

Physical, emotional, neglect, sexual.

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9
Q

What are some of the contributing adult factors for child abuse ?

A

Drugs, alcohol, poverty, unemployment, martial stress, mental illness, disabled, domestic violence, step-parents, isolation, abused as child, unrealistic expectations.

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10
Q

What are some of the contributing child factors for child abuse ?

A

Crying, soiling, disability, unwanted pregnancy, failed expectations, wrong gender, product of coercive or commercial sex.

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11
Q

What are the three parenting capacity factors which lead to child abuse ?

A

Domestic abuse.
Drug and alcohol misuse.
Mental health issues.

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12
Q

At what age are children most vulnerable to child abuse ?

A

<5s - not at school yet and less opportunity for them to access other adults.

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13
Q

What are the 3 most vulnerable children the dentist should be aware of ?

A

Under 5s.
Irregular attenders.
Medical problems and disabilities.

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14
Q

What is the definition of dental neglect ?

A

Persistent failure to meet a child’s basic oral needs, likely to result in serious impairment of child’s oral or general health or development.

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15
Q

What are 3 stages in managing dental neglect ?

A

Preventative dental team management.
Preventative multi-agency management.
Child protection referral.

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16
Q

What % of physical abuse results in head and neck ?

A

60%.

17
Q

Where should 3 referral letters for child abuse concern be kept ?

A

Patient record.
To social services.
To child protection unit - based at Children’s hospital in Glasgow.

18
Q

What happens after referral ?

A

No further child protection action needed.

Joint investigation starts - referral to children’s reporter and decision if court proceeding are required.