Flashcards in Child protection Deck (22)
What % of children suffered serious physical abuse?
what % of children suffer serious neglect?
what % suffered emotional abuse?
what % suffer sexual abuse from an unrelated but known person?
what % are sexually abused by family member?
how many deaths per week in the UK are caused by child abuse
name 4 legislations that apply to protect children from abuse?
- children's (scotland act) 1995
- children and young people scotland act 2014
- the age of legal capacity (scotland) act 1991
- sexual offences (Scotland) act 2010
what % of fatally abused children visited a health care professional the previous month?
abuse or neglect can be shown in which 4 main ways?
- signs and symptoms suggesting abuse/neglect (age must be considered here)
- a direct allegation made by the child, parent or other person
- conscerning observations of child behaviour or parent/child interactions
- delay in seeking advice or non-attendance for treatment
name some of the sites of a typical accidental injury?
- parietal and occipital bone
(typically bony prominences and unilateral)
sites of typical abuse injuries are...
- soles of feet
- inner aspect of thighs
- groin/genital injury
- chest and abdomen
- forearms (commonly raised to protect self)
- intra-oral injuries
- soft tissues of cheeks
- black eyes (esp if bilateral)
- ears - look for pinch marks on both sides
- inner aspect of arms
- back and side of trunk (not so much directly over spine)
- the 'triangle of safety' is rarely injured accidentally - including the ear, side of face, neck and top of shoulders
Alarm bells if
- injury to both sides
- injury to soft tissues
- injury with unusual pattern
- any injury not fitting explanation
- delayed presentation of injury
- untreated injury
what % of physical abuse have oro-facial signs?
extra-oral signs of abuse?
- bruising or face and ears
- burns and bites
- abrasions and lacerations
- neck with choke or cord marks
- eye injury
- hair pulling
- fractures (nose, maxilla, zygoma)
intra-oral signs of abuse?
- tooth fracture
- tongue and frenum lacerations
- loose and missing teeth
- fractures of jaw
- dental neglect
1 in ? children with injuries to their mouth are being physically abused.
1 in ? children with mouth injuries are being sexually abused.
how to manage dental neglect in 7 stages
1. raise concerns with parents
2. explain what changes are required
3. offer support
4. keep accurate records
5. continue to liase with parent/carer
6. monitor progress
7. if concerned that child is suffering harm involve other agencies or proceed to make child protection referral
indicators of sexual abuse?
- intra oral injury (eg torn frenum)
- disclosure/direct allegation
- sexually inappropriate or explicit behaviour ie drawings, pregnancy etc
give scenarios where children will be at increased risk of abuse/neglect
- parent alcohol or drug misuse
- children affected by parents mental health condition
- domestic abuse in household
- previous child protection concerns
- young parents
- children who are carers
- children with disabilities
- vulnerability (eg children under 1 year)
what does GIRFEC stand for?
getting it right for every child
what to do if you feel that the child is in immediate danger?
call 99 and seek help