Safeguarding Flashcards
What is a child in need?
A child who will need extra support or additional services to reach their full potential
What is child abuse / neglect
Behaviour shown by anyone trusted with the care of the child that:
- damages the prospects of safe and healthy development into adulthood
What are the 3 elements that must be present in child abuse?
- significant harm to the child
- carer has some responsibility for that harm
- significant connection between responsibility over the child and the harm that has occurred to the child
Give the names of some legislation in place to help prevent child abuse / negligence
Children and young peoples act 2014 - GIRFEC
Children and young peoples charter - UN convention
What are the main aims/focuses of GIRFEC - CYPA 2014?
GETTING IT RIGHT FOR EVERY CHILD
- implementing a named person who is a single point of contact for the child and family to go to for advice
- SHANARRI approach 8 domains of wellbeing of the child
What is the SHANARRI approach? What act does it belong in?
GIRFEC - child and young persons act 2014 - helps to view child’s strengths and weaknesses
Safe - grow in safe environment
Healthy - physical and mental health
Achieving - supported and guided
Nurtured - provides physical and emotional security
Active - opportunity for physical activites
Respected - having voices heard
Responsible - encourage to take on responsible roles
Included - overcome inequalities or discrimination
What are the aims of the UN convention - children and young peoples charter?
Protection - against physical abuse. Some areas of UK have reasonable chastisement issue
Participation - full participation for all disabled children
Provision - standard of living should be adequate for proper development of the child
What are the main etiological factors of child abuse?
Adult - drugs, alcohol, poverty, unemployment etc
Child - crying, disability, unwanted pregnancy, product of forced, commercial or coerced sex
Community - living conditions, neighbourhood
Family violence /dysfunctional - violence towards pets, social isolation, poverty
In 2019, how many children on child protection register?
2599
What are the categories of child abuse?
Physical
Emotional
Neglect
Sexual
Which children are most vulnerable to child abuse?
Under 5’s
Irregular attenders who DNA, return in pain
Children who are involved in social care
Children with medical conditions or disabilities
What are some markers of general neglect?
Short stature
Inappropriate clothing and weather injuries
Ingrained dirt, gross dental decay
Attention seeking behaviour
What are some short term effects of child neglect?
- cognitive issues
- poor emotional health
- poor physical health
- poor social development
What are some longer term effects of child neglect?
Increased likelihood of
- arrest
- suicide
- major mental health issues
- diabetes
- heart disease
Define dental neglect
Wilful failure, of a parent or carer, to seek and follow the required treatment for the child to ensure a level of oral health for adequate function and freedom from pain and infection
What would be some indicators a child is dentally neglected?
Repeated failure to attend appointments
Failure to complete treatment when it has been offered
Repeatedly in pain
Repeated GA
Obvious disease
What are the 3 stages of managing dental neglect?
Preventative dental team management
Preventative multi-agency management
Referral to child protection
What should be done in stage 1 - preventative dental team management?
I should raise concerns with the parents or carers of the child’s dental condition
This incudes offering support, setting targets, keeping records and monitoring progress
What should be done at stage 2 - multi agency management?
Liaise with other professionals to see if concerns have been raised elsewhere - GP, councillor, school nurse or social worker
CAF (common assessment framework) maybe
Is child on child protection plan? Check this
Agree to joint plan of action
What are features of non accidental injuries?
Irregular injuries both sides
Injuries to soft tissue - most accidental are on bony prominences
Injury that doesn’t fit explanation
Untreated injuries
Injury in the triangle of safety
What are some major clinical features of injuries to the head and mouth?
Tooth trauma
Fraenal injuries
Skin lesions - burns, bites, bruises
Bone lesions - fractures
Inter-cranial lesions from shaking
What questions should be raised when a child has an injury?
Could it be done acidentally?
Does explanation fit age and clinical findings?
Any delay in seeking advice?
