child protection Flashcards
what does safe guarding mean?
-protecting child from abuse and maltreatment
-preventing harm to children health and development
-ensure children grow up with safe and effective care
-take action so children/young adults have the best outcome
what is the difference between safeguarding and child protection?
safegaurding-preventative approach by minimising or eliminating harm to children
child protection- reactive approach to suspected or known child abuse/neglect
who is responsible for child protection?
everyone!
what are forms of maltreatment?
abuse and neglect
what is a key indicator of neglect?
dental neglect
what are the types of child abuse that can occur?
-physical
-emotional
-neglect
-sexual
-domestic
what are forms of physical abuse?
-hitting
-shaking
-throwing
-suffocating
-burning
where do accidental injuries normally occur?
-bony prominences
-match the history
-in keeping with normal child development
give examples of where accidental injuries may occur?
-knees
-elbows
-nose
-chin
-forehead
-occipital/pariatal bone
what are typical features of non-accidental injuries?
-bruising
-bite marks
-burns
-eye injuries
-frenal injuries
-non-ambulatory
-lacerations
-bone fractures
what are warning signs of non-accidental injuries?
-doesnt match story
-shrinking from physical contact
-facial injuries that do not match history
-parents who are not concerned
-hiding injuries with clothing
-late/delayed presentation
-unexaplained injuries
-repeated history of injuries
-visibly fearful
-injuries to both sides of body
-injuries to soft tissues
-untreated injuries
where might non-accidental injuries occur?
-black eyes
-soles of feet
-intra oral injuries
-soft tissue injuries- thigh, cheeks
-chest/abdomen
-groin/genital injury
-back/side of trunk
-forearms
-ears
-triangle of safety
what is the triangle of safety?
ears, side of face, neck and shoulders- accidental injuries in this area are unusual
what does emotional abuse involve?
-ignoring the child
-not providing child with love/affection
-constant threatening/criticising child
-making child feel worthless
what are the warning signs of emotional abuse?
-overreaction to mistakes
-desparate to please
-lagging behind peers developmentally
-sudden speech disorders
-fear of new situations
-passive or aggressive behaviour
what does sexual abuse involved?
-using sexual language towards children
-making children watch sexual activity
-using children to make pornography
-forcing/persuading child to take part in sexual activity
what are the warning signs of sexual abuse?
-inappropriate sexual behaviour/language
-isolation
-attempted suicide
-withdrawn
-unexplained soft tissue injuries
-STI
-pregnancy
what is involved with neglect?
-failure to provide food/drink
-failure to provide clothing/heat/shelter
-failure to supervise or protect child from harm
-failure to provide app medical/dental care
what are the warning sign of neglect?
-hunger/thirst- asking for food/water
-poor personal hygiene- dirty/smelly
-old clothes that don’t fit/worn
-no friends
-untreated medical/dental problems
-underweight
what are the 3 ways you may be aware that a child is at risk of abuse/neglect?
-observation
-allegation
-disclosure
how do you gather information in a dental setting which may confirm or alleviate concerns?
-ask about hobbies, friends, home life, siblings, school life
what may make a carer higher risk of abuse/neglect?
-young parents-poor parenting
-alcohol/drug misuse
-animal abuse
-learning disabilities
-previous mistreatment of child
-mental health issues
-those who have experienced domestic abuse
what children are seen as more at risk of abuse/neglect?
-looked after childen
-young offenders
-children with disabilities
-children in poverty
-homeless children
what is dental neglect?
-persistent failure to meet a Childs basic oral health needs- likely to result in poor oral, general and developmental health
what are considerations when thinking about dental neglect from parents?
-do they understand the information
-was tx sought after diagnosis of disease
-socio-economic status
-was health education by professionals efficient?
how do you manage dental neglect in a dental setting?
-raise concerns to parents
-educate parents
-offer support
-monitor progress regularly
-document everything
-liase with parents regularly
-refer if still concerned
discuss attendance for child at dental visits
-onus on parent to bring child
-change fta to wnb in notes
-will fta regular
-late presentation or ongoing pain/infection in child is neglect
-refer if parents do not engage in dental visits
what does OHIT stand for?
oral health improvement team
what does the ohit do?
-support and promote dental attendance
-liase with at risk families and parents in a MDT approach to provide oral health education.
-liase with other health and social care professionals
is it legal or illegal for parents to fail to bring children for routine dental care?
legal- but if child has untreated pain/disease and is not brought to the dentist- could lead to child protection issue.
when is sharing an confidentiality ignored?
when child is at immediate risk- must inform appropriate agencies for immediate action- this overrides any confidentiality concerns
what are two forms of legislation?
childs Scotland act 1995
the human right act 1998
what does GIRFEC stand for?
get it right for every child
what do the GIRFEC organisation do?
offer children and young people the right help at the right time from the right people
-supports the child and parent to work in partnership with services that can help them
what are the principles of GIRFEC?
- child focused
-based on understanding of wellbeing of that child/young person
-tackles needs early to prevent development
-requires joined working between children parents and services
discuss the parental responsibilities of mothers?
-mothers have parental responsibilities and rights as soon as they give birth
-these can be removed by a court-
-birth mothers rights are removed if adopted
-fathers don’t always have responsibilities and rights
discuss the parental responsibilities of fathers?
-have parental responsibilities and rights if you’re the biological father and either
-married or civil parternship when concieved
-married or civil partenership after conceiving child
-jointly registered childs birth with birth mother
-signed and registered agreement with birth mother
-given them by court [[
