child protection and dental neglect Flashcards
what is child abuse?
> the physical, sexual or emotional mistreatment or neglect of a child
what is a child?
> a child is defined as a person under the age of 18 years
what does the GDC expect registration to do in the case of child protection?
> expects registrants to be aware of procedures to raise concern
> have knowledge of who to contact
> have knowledge of how to refer to appropriate authority
who’s responsibility is child protection?
> Everyone’s responsibility.
> A shared responsibility.
> The responsibility of every member of the dental team
what are the current Northern Ireland legislations involved with child protection?
> The Children (NI) Order 1995
> Addressing Bullying in Schools Act (NI) 2016
> Children’s Services Co-operation Act (NI) 2015
> Safeguarding Board Act (NI) 2011
> Safeguarding Vulnerable Groups (NI) Order 2007
> Criminal Law Act (NI) 1967
> Legislation about criminal offences of abuse and neglect
> POCVA (NI) 2003
what are the 5 Rs outlined in the child protection and dental team?
> Responsibility
> Recognising
> Responding
> Reorganising
> Resources
based of the children and young peaples charter…what do they have the right to?
> The right to respect
> The right to information about yourself
> The right to be protected from harm
> The right to have a say in your life
> The right to a good start in life
> The right to be and feel secure
what was the outcome of the laming report for professionals?
> ‘do the simple things better’
> Have a responsibility to work together
> Should never do nothing
> Confidentiality doesn’t apply
> Training and education if contact with children is a regular feature of work
who abuses ?
abuse can occur in/ or by =
> Families
> Institutions or community settings
> People known to them
> Or more rarely by strangers
who is vulnerable to abuse?
> Younger children
- Under 5 years
- Infants under 1 year
- Pre-term babies.
> Children with disabilities/learning difficulties
> A “difficult” or “demanding baby”
> Children living away from home
> Children who are/were on a Child Protection Register
> children of parents with chronic health or mental health needs
what groups of people are vulnerable?
> homeless families,
> travelling families,
> refugees and asylum seekers
what are the types of abuse?
- physical neglect
- emotional abuse
- physical abuse
- sexual absue
> combination
what is the definition of physical abuse?
> may involve hitting, shaking, throwing, poisoning, burning or scalding, drowning, suffocation or otherwise causing physical harm to a child
> also includes fabricated and induced illness
how do you recognise physical abuse?
> bruising, abrasions, lacerations, burns, bite marks, eye injuries, bone fractures, intra-oral injuries
> site, size, patterns
> delay in presentation
> does not fit the explanation given
(torn frenum, bruising behind both side of the ear)
what is the definition of emotional abuse?
> persistent emotional maltreatment of a child such as to cause severe and persistent adverse effects on the child’s emotional development
how do you recognise emotional abuse?
> poor growth
> developmental delay
> educational failure
> social immaturity
> lack of social responsiveness, aggression or
indiscriminate friendliness
> challenging behaviour
> attention difficulties
> Concerning parent-child interaction
emotional abuse is persistent emotional neglect or ill treatment…how does the abuser do this?
> Conveying to a child that they are worthless or unloved/inadequate
> Imposition of inappropriate expectations on a child
> Causing children to feel frightened or in danger, or exploiting or corrupting children
what is sexual abuse?
> forcing or enticing a child or young person to take part in sexual activities, including prostitution, whether or not the child is aware of what is happening
how do you recognise sexual abuse?
> direct allegation (disclosure)
> sexually transmitted infection
> pregnancy
> trauma
> emotional and behavioural signs e.g. delayed development, anxiety and depression, self-harm, drug, solvent or alcohol abuse
what are multifactorial examples of neglect?
Multifactorial:
> Inadequate = food, shelter, medical care, clothing, protection from harm/danger, emotional support.
> ‘Non-organic failure to thrive’
what are the signs of neglect?
> Failed to reach normal weight/growth or developmental milestones
> physical and genetic reasons have been medically eliminated
what are the long term effects of neglect ?
> serious childhood illnesses and reduction in stature
> in young children this is life threatening within a short period of time
what is the definition of neglect?
> persistent failure to meet a child’s basic needs, likely to result in the serious impairment of the child’s health or development
> includes failing to ensure appropriate medical care or treatment
how do you recognise neglect?
> failure to thrive
> short stature
> inappropriate clothing
> frequent injuries
> ingrained dirt
> developmental delay
> withdrawn or attention seeking behaviour
> failure to respond to a known significant dental problem
