Child Protection

Question 1

who is responsible for child protection?

Answer 1

everyone

Question 2

what is the responsibility of health professionals?

Answer 2

recognise when there is a concern, respond appropriately, record what happened, communicate with appropriate professionals, inform parents/carers of concerns, provide an opinion to statutory agencies

Question 3

what is it most likely that the unhealthy adult has gone through?

Answer 3

adverse childhood experiences

Question 4

what can a child be harmed by?

Answer 4

an actin such as violence or sexual attach or mental cruelty or through a failure to act (not providing enough clothing and food)

Question 5

what makes a child vulnerable?

Answer 5

parental issues, environmental issues, disabilities

Question 6

what are the different ways to recognise concerns of abuse?

Answer 6

direct disclosure, orofacial trauma, failure to attend appointments, failure to engage, harmful parent child interactions, harmful parental behaviours

Question 7

what are the different types of abuse?

Answer 7

physical abuse, neglect, sexual abuse, emotional abuse, genital mutilation, familial v non-familial

Question 8

with physical abuse what should you try to notice?

Answer 8

bruising, abrasions etc. any explanation that does not fit presentation of injury, facial and intra-orbital trauma

Question 9

what are the orofacial signs suggesting abuse?

Answer 9

intra/extra oral bruising, pinch marks, burns/bites, head/facial injuries, injury outwith bony prominences, teeth displaced or broken, pain on eating

Question 10

what type of lip injuries could there be?

Answer 10

contusions, lacerations, burns, blunt force trauma traps lips between teeth and object

Question 11

what are the questions to ask when discovering an injury?

Answer 11

could it have been accidental, does explanation fit and is consistent, is this behaviour normal, delay in seeking advice, refusal to allow proper treatment, unprovoked aggression towards staff

Question 12

what should you observe with a child?

Answer 12

general demeanour, nature of relationship with guardian and child, child’s reaction to other people, reaction to medical or dental examination, comments by the child or guardian that give concern about the upbringing

Question 13

what should you do when you suspect abuse?

Answer 13

write down what you have seen, heard and been told, report to line manager ASAP, phone police if immediate danger

Question 14

what occurs during referring and recording of suspected abuse

Answer 14

discuss with senior, notification of concern, duty SW, advice and support, role of wider health team, recording of concerns and actions, outcome from NOC

Question 15

what is neglect

Answer 15

persistent failure to meet physical and psychological needs

Question 16

what is dental neglect

Answer 16

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

Question 17

what are the risk factors for neglect?

Answer 17

social and environmental, parental, children, unintentional v intentional harm

Question 18

how does poverty make parenting harder?

Answer 18

risk of domestic violence, mental health, substance, maternal hardships, social exclusion, food insecurity

Question 19

what are risk indicators

Answer 19

factors that are identified in the childs circumstances or environment that may constitute a risk

Question 20

what are the issues that can be seen in the practice

Answer 20

dental neglect, general concern for child welfare, failure to engage, injuries, general behaviour

Question 21

what are neglected children more likely to have/do?

Answer 21

poorest long-term health, high risk of accidents, vulnerable to sexual abuse, attachment patterns

Question 22

what is the impact of neglect on a child?

Answer 22

toothache, disturbed sleep, difficulty in eating, absence from school, teased due to poor dental appearance, repeated antibiotics, GA, severe acute infection which can cause life-threatening systemic illness