Safeguarding + Parental Responsibility

Question 1

Define child abuse/neglect

Answer 1

Anyone entrusted to care for child damaging their development into adulthood

Question 2

Criteria for child abuse

Answer 2

Significant harm to child
Carer has responsibility for harm

Question 3

Guidelines for child protection

Answer 3

National Guidance for Child Protection in Scotland 2013
Child and Young Peoples Act 2014
GIRFEC

Question 4

What are the different Child Abuse Categories?

Answer 4

Physical
Emotional
Neglect
Sexual

Question 5

Children’s rights

Answer 5

right to:
respect
info about yourself
be protected from harm
have a say in your life
a good start in life
be and feel secure

Question 6

What are the 3 big concerns in regards to parenting capacity

Answer 6

Domestic violence
Drug/alcoholism
Mental health issues

Question 7

Definition of Dental neglect from BSA of Paeds Dent 2000

Answer 7

Persistent failure to meet a child basic OH needs likely to result in serious impact on Childs oral + general health/development

Question 8

List some areas of concern: non accidental injuries

Answer 8

ST of cheeks
I/O
Inner thigh
Triangle of safety (ears/neck/side of face/top of shoulder)
Soles of feet

Question 9

Suspicious aspects of injury

Answer 9

Injury on both sides
Delay in presentation
Vague story telling
Story of parent + child doesn’t add up
Abnormal parent mood + behaviour
Abnormal child appearance + interaction with parent
Hx of prev injury/violence in family

Question 10

Parental responsibility flowchart

Answer 10

Mum/adoptive mum = YES
Father married at conception = YES
Father on birth certificate registered after 4 May 2006 = YES
Step parent/father w/o parents responsibility agreement = NO

Question 11

What are the 3 stages of managing dental neglect?

Answer 11

1. preventative dental team management
2. preventative multiagency management
3. child protection referral

Question 12

Step 1 described

Answer 12

Raise concerns with parents
Offer support
Set targets
Keep records
Monitor progress
Document in notes

Question 13

Step 2 described

Answer 13

Liaise with other professionals (health visitor/school nurse/gmp/social work)
Child may be subject to a CAF at this level
Check if child subject to child protection plan
Agree joint plan of action
Review at agreed intervals
Letter to HV of children <5 who fail to attend appts + failed to respond to letter from GDP

Question 14

Step 3 described

Answer 14

Complex/deteriorating situation
Referral to social services by phone and followed up in writing
Follow up within 48hrs

Question 15

What happens after a referral if a child is in immediate danger?

Answer 15

Child protection order
Exclusion order
Child assessment order