Community station Flashcards
How to answer - main spiel?
” I will take a holistic approach using the biopsychosocial model and will prioritise any vulnerable individuals first before treating the rest of the family
“In this scenario the vulnerable individuals are.. so starting with this individual”
Headings to structure your answer?
- Safeguarding
- biological
- Psychological
- Social
- Educational
Public health
Safeguarding concerns?
- Do they need immediate protection? 999 and admit to place of safety
- Speak to your safeguarding lead
- Take a full and thorough history and examination
- Treat immediate medical problems
What is included in a full and thorough history and examination?
- wt, ht, head circumference
- Injuries recorded on a topographical chart
- Document how they interact with the carer
- If sexual abuse -> pregnancy test/STI testing
What steps may be taken with help of safeguarding lead?
- Check child protection register
- Consider making a referral to Cambridgeshire or Peterborough children’s social care with a statutory intervention form (SIF)
- Refer to the multi-agency safeguarding hub (MASH); involve social services and NSPCC
FGM?
If confirmed FGM < 18yo then contact police
If FGM is identified in an adult - refer to gynaecology (with consent)
Sexual and domestic abuse safeguarding
- Do they need immediate protection? 999 and admit to place of safety (need consent in adults)
- Speak to safeguarding lead
- Take full and thorough history and examination (be empathetic and taking time)
- Pregnancy test/STI testing
- Referral
- Resources in the community
Referals for sexual and domestic abuse?
- Multiagency risk assessment conference - need consent for referral
- independent domestic violence advisor
Resources in the community for sexual and domestic abuse?
- Cambridge rape crisis
- Women’s aid
- men - survivors UK
Childcare - available?
15 hours of free childcare (2,3 and 4 y/o) for 38 weeks
30 hours of free childcare (3/4 y/o) for 38 weeks for working families
- Romsey Mill = support for children with ASD, preschool, youth development and helping young parents
- Sure start centre
- Antenatal parenting classes through NHS
Child with disabilities or special educational needs - support?
- Education, health and care plan
- SENCo at school
- Counsellor
- School nurse
- Specialist teacher/ teaching assistant
- Educational psychologist
- behavioural support
- Disability social care at Cambridge council
- Disability living allowance
Smoking - support?
- CamQUIT
- GP referral services
- Healthy you
Drugs and alcohol - support?
- Talk to FRANK - confidential drugs advice
- Change Grow Live
- Centre 33 - for <25 yrs
- Cam child + adolescent substance use services - for <18yrs; self/GP refer
- Drink line
- Substance abuse in pregnancy - referred into high risk group, discussed at MDT
Housing - support?
- The council
- Jimmy’s Cambridge
- Shelter
- ACORN/tenants unions
Teen pregnancy support?
- Young woman’s guide to pregnancy
- Specialist midwife
- Cambridge housing service (<21yrs)
- Family nurse partnership - home visits in early pregnancy until his 2yrs old; health education; job prospects
- iCASH/GUM clinics
