Child Protection and Non-Accidental Injuries Flashcards
What laws exist to protect children?
- Children (Scotland) Act 1995
- Children and Young People (Scotland) Act 2014
- Equal Protection from Assault (Scotland) 2019
Who is the named person for:
- from birth to school age
- school age
Named person is the point of contact for all agencies to refer to when there is concern about a child:
- From birth to school attendance
- Health visitor
- School age
- Head teacher
What are different categories of abuse?
- Physical
- Sexual
- Emotional
- Fabricated and induced illness
- Neglect
Physical abuse - definition
- To hurt or harm child or young person on purpose in anyway, including
What are some presentation alarm bells for physical abuse?
- Late presentation
- History changes on repeating
- History inconsistent with findings
- Need to know what is normal and what is not normal
- Any bruise in non-mobile infant should raise concern
- Petechiae – tiny bruises from burst capillaries, suggests high impact blunt trauma
- Clusters
- Patterns should raise concerns
What are common sites for accidental and NAI?
Neglect - definition
- Ongoing failure to meet a child’s basic needs
What is the most common form of child abuse?
Neglect
What are examples of neglect?
- Left hungry or dirty
- Without proper clothing or shelter
- Without supervision or healthcare
What are some categories of neglect?
- Emotional
- Abandonment
- Medical
- Nutritional
- Educational
- Physical
- Failure to provide supervision
Emotional abuse - definition
- Any type of abuse that involves the continual emotional mistreatment of a child
- Sometimes called psychological abuse
How do you recognise emotional abuse?
- Might not have any physical symptoms
- Recognition of concerning behaviours
- Behavioural or developmental difficulties
- Wary or anxious
- Placid non-demanding baby
- Self-harm in teenagers
What are different forms of sexual abuse?
- Contact abuse
- Sexual touching of any part of child’s body
- Using body part or object to rape or penetrate child
- Forcing child to take part in sexual activities
- Making child undress or touch someone else
- Non-contact abuse
- In person or online
- Exposing or flashing
- Showing pornography
- Making them masturbate
What are some indicators of sexual abuse?
- Disclosure
- Sexualised behaviour
- STI
- Pregnancy
What examinations are performed in suspected sexual abuse?
After this CSA/forensic examination performed:
- Joint paediatrician/forensic medical examiner
- Do not repeat interview
- Video colposcope
- General physical examination
- Developmental assessment