Child Safeguarding Flashcards

1
Q

How would you define the term ‘child protection’?

A

Activity undertaken in order to protect specific children who are suffering or at risk of suffering significant harm

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2
Q

Who are children in need?

A

Those who require additional support or services to achieve their full potential

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3
Q

What are the elements of child abuse?

A
  • Significant harm to child
  • Carer has some responsibility for that harm
  • There is a significant connection between carer’s responsibility for the child and the harm to the child
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4
Q

What adult factors can contribute to child abuse?

A
  • drugs
  • alcohol
  • unemployment
  • mental illness
  • domestic violence
  • abuse as a child
  • poverty
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5
Q

What are the categories of child abuse?

A
  • physical
  • emotional
  • neglect
  • sexual
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6
Q

how many children in the uk die as a result of child abuse each week?

A

1-2

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7
Q

What are the effects of child neglect?

A
  • failure to thrive/short stature
  • inappropriate clothing (can lead to cold injury or sunburn)
  • ingrained dirt
  • withdrawn or attention seeking behaviour
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8
Q

What is the definition of dental neglect?

A

wilful failure of a parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection

OR

Persistent failure to meet a child’s basic oral health needs

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9
Q

what are examples of ‘wilful neglect’ in regards to dentistry?

A

After dental problems have been pointed out:
- irregular attendance
- repeated failed attendance and/or late cancellations
- failure to complete treatments
- returning in pain in repeated intervals
- repeated GA for extractions

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10
Q

What are indicators of dental neglect?

A
  • obvious dental disease
  • practical care being offered, however child has not returned for treatment
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11
Q

What are indicators of dental neglect?

A
  • obvious dental disease
  • practical care being offered, however child has not returned for treatment
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12
Q

what are the 3 stages of managing dental neglect?

A
  • preventative dental team management
  • preventative multi-agency management
  • child protection referral
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13
Q

What does preventative dental team management entail?

A
  • Raising concerns with patients
  • offering support
  • keeping records and monitoring progress
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14
Q

What is preventative multi-agency management?

A
  • leasing with other professionals e.g. GP, health visitors, school nurse to see if concerns are shared
  • check if child is subject to a child protection plan
  • agree a joint plan of action, with review at agreed intervals
  • letter to health visitor of children under 5 who fail appointments or fail to respond to letter from dental practice
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15
Q

What is meant by a child protection referral?

A

referral to social services in complex or deteriorating circumstances

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16
Q

How would you, as a dental professional, go about making a child protection referral?

A

by contacting social services by telephone, following up in writing

17
Q

When did Scotland make it illegal to physically punish a child?

A

November 2020

18
Q

what are some extra oral signs of physical abuse?

A
  • facial bruising
  • bruising of ears
  • abrasions and lacerations
  • burns and bites
  • choke marks on neck
  • eye injuries
  • pulled hair
  • fractures of the nose, mandible or zygoma
19
Q

What are the intra-oral signs of physical abuse?

A
  • tooth trauma
  • bruises
  • abrasions and lacerations
  • burns
  • frenal injuries
20
Q

What are some things to consider regarding suspected cases of physical abuse?

A
  • child’s general demeanour
  • nature of relationship between child and guardian
  • child’s reactions to other people
  • any comments from child and/or guardian about child’s upbringing and lifestyle
20
Q

What are some things to consider regarding suspected cases of physical abuse?

A
  • child’s general demeanour
  • nature of relationship between child and guardian
  • child’s reactions to other people
  • any comments from child and/or guardian about child’s upbringing and lifestyle
21
Q

What is expected of the dental team in suspected abuse cases?

A
  • observe
  • record
  • communicate
  • referral for assessment
22
Q

TRUE or FALSE: the dental team are expected to diagnose suspected cases of child abuse

A

FALSE

23
Q

What happens if a child is deemed to be in immediate danger following a referral?

A
  • Child protection order
  • exclusion order
  • child assessment order
  • removal by police