child protection

Question 1

what does safe guarding mean?

Answer 1

-protecting child from abuse and maltreatment
-preventing harm to children health and development
-ensure children grow up with safe and effective care
-take action so children/young adults have the best outcome

Question 1

what is the difference between safeguarding and child protection?

Answer 1

safegaurding-preventative approach by minimising or eliminating harm to children
child protection- reactive approach to suspected or known child abuse/neglect

Question 2

who is responsible for child protection?

Answer 2

everyone!

Question 3

what are forms of maltreatment?

Answer 3

abuse and neglect

Question 4

what is a key indicator of neglect?

Answer 4

dental neglect

Question 5

what are the types of child abuse that can occur?

Answer 5

-physical
-emotional
-neglect
-sexual
-domestic

Question 6

what are forms of physical abuse?

Answer 6

-hitting
-shaking
-throwing
-suffocating
-burning

Question 7

where do accidental injuries normally occur?

Answer 7

-bony prominences
-match the history
-in keeping with normal child development

Question 8

give examples of where accidental injuries may occur?

Answer 8

-knees
-elbows
-nose
-chin
-forehead
-occipital/pariatal bone

Question 9

what are typical features of non-accidental injuries?

Answer 9

-bruising
-bite marks
-burns
-eye injuries
-frenal injuries
-non-ambulatory
-lacerations
-bone fractures

Question 10

what are warning signs of non-accidental injuries?

Answer 10

-doesnt match story
-shrinking from physical contact
-facial injuries that do not match history
-parents who are not concerned
-hiding injuries with clothing
-late/delayed presentation
-unexaplained injuries
-repeated history of injuries
-visibly fearful
-injuries to both sides of body
-injuries to soft tissues
-untreated injuries

Question 11

where might non-accidental injuries occur?

Answer 11

-black eyes
-soles of feet
-intra oral injuries
-soft tissue injuries- thigh, cheeks
-chest/abdomen
-groin/genital injury
-back/side of trunk
-forearms
-ears
-triangle of safety

Question 12

what is the triangle of safety?

Answer 12

ears, side of face, neck and shoulders- accidental injuries in this area are unusual

Question 13

what does emotional abuse involve?

Answer 13

-ignoring the child
-not providing child with love/affection
-constant threatening/criticising child
-making child feel worthless

Question 14

what are the warning signs of emotional abuse?

Answer 14

-overreaction to mistakes
-desparate to please
-lagging behind peers developmentally
-sudden speech disorders
-fear of new situations
-passive or aggressive behaviour

Question 15

what does sexual abuse involved?

Answer 15

-using sexual language towards children
-making children watch sexual activity
-using children to make pornography
-forcing/persuading child to take part in sexual activity

Question 16

what are the warning signs of sexual abuse?

Answer 16

-inappropriate sexual behaviour/language
-isolation
-attempted suicide
-withdrawn
-unexplained soft tissue injuries
-STI
-pregnancy

Question 17

what is involved with neglect?

Answer 17

-failure to provide food/drink
-failure to provide clothing/heat/shelter
-failure to supervise or protect child from harm
-failure to provide app medical/dental care

Question 18

what are the warning sign of neglect?

Answer 18

-hunger/thirst- asking for food/water
-poor personal hygiene- dirty/smelly
-old clothes that don’t fit/worn
-no friends
-untreated medical/dental problems
-underweight

Question 19

what are the 3 ways you may be aware that a child is at risk of abuse/neglect?

Answer 19

-observation
-allegation
-disclosure

Question 20

how do you gather information in a dental setting which may confirm or alleviate concerns?

Answer 20

-ask about hobbies, friends, home life, siblings, school life

Question 21

what may make a carer higher risk of abuse/neglect?

Answer 21

-young parents-poor parenting
-alcohol/drug misuse
-animal abuse
-learning disabilities
-previous mistreatment of child
-mental health issues
-those who have experienced domestic abuse

Question 22

what children are seen as more at risk of abuse/neglect?

Answer 22

-looked after childen
-young offenders
-children with disabilities
-children in poverty
-homeless children

Question 23

what is dental neglect?

Answer 23

-persistent failure to meet a Childs basic oral health needs- likely to result in poor oral, general and developmental health

Question 24

what are considerations when thinking about dental neglect from parents?

Answer 24

-do they understand the information -was tx sought after diagnosis of disease -socio-economic status -was health education by professionals efficient?

Question 25

how do you manage dental neglect in a dental setting?

Answer 25

-raise concerns to parents -educate parents -offer support -monitor progress regularly -document everything -liase with parents regularly -refer if still concerned

Question 26

discuss attendance for child at dental visits

Answer 26

-onus on parent to bring child -change fta to wnb in notes -will fta regular -late presentation or ongoing pain/infection in child is neglect -refer if parents do not engage in dental visits

Question 27

what does OHIT stand for?

Answer 27

oral health improvement team

Question 28

what does the ohit do?

Answer 28

-support and promote dental attendance -liase with at risk families and parents in a MDT approach to provide oral health education. -liase with other health and social care professionals

Question 29

is it legal or illegal for parents to fail to bring children for routine dental care?

Answer 29

legal- but if child has untreated pain/disease and is not brought to the dentist- could lead to child protection issue.

Question 30

when is sharing an confidentiality ignored?

Answer 30

when child is at immediate risk- must inform appropriate agencies for immediate action- this overrides any confidentiality concerns

Question 31

what are two forms of legislation?

Answer 31

childs Scotland act 1995 the human right act 1998

Question 32

what does GIRFEC stand for?

Answer 32

get it right for every child

Question 33

what do the GIRFEC organisation do?

Answer 33

offer children and young people the right help at the right time from the right people -supports the child and parent to work in partnership with services that can help them

Question 34

what are the principles of GIRFEC?

Answer 34

- child focused -based on understanding of wellbeing of that child/young person -tackles needs early to prevent development -requires joined working between children parents and services

Question 35

discuss the parental responsibilities of mothers?

Answer 35

-mothers have parental responsibilities and rights as soon as they give birth -these can be removed by a court- -birth mothers rights are removed if adopted -fathers don't always have responsibilities and rights

Question 36

discuss the parental responsibilities of fathers?

Answer 36

-have parental responsibilities and rights if you're the biological father and either -married or civil parternship when concieved -married or civil partenership after conceiving child -jointly registered childs birth with birth mother -signed and registered agreement with birth mother -given them by court [[