Child Protection and Non-Accidental Injuries Flashcards

1
Q

What laws exist to protect children?

A
  • Children (Scotland) Act 1995
  • Children and Young People (Scotland) Act 2014
  • Equal Protection from Assault (Scotland) 2019
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2
Q

Who is the named person for:

  • from birth to school age
  • school age
A

Named person is the point of contact for all agencies to refer to when there is concern about a child:

  • From birth to school attendance
    • Health visitor
  • School age
    • Head teacher
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3
Q

What are different categories of abuse?

A
  • Physical
  • Sexual
  • Emotional
  • Fabricated and induced illness
  • Neglect
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4
Q

Physical abuse - definition

A
  • To hurt or harm child or young person on purpose in anyway, including
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5
Q

What are some presentation alarm bells for physical abuse?

A
  • Late presentation
  • History changes on repeating
  • History inconsistent with findings
    • Need to know what is normal and what is not normal
  • Any bruise in non-mobile infant should raise concern
    • Petechiae – tiny bruises from burst capillaries, suggests high impact blunt trauma
    • Clusters
    • Patterns should raise concerns
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6
Q

What are common sites for accidental and NAI?

A
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7
Q

Neglect - definition

A
  • Ongoing failure to meet a child’s basic needs
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8
Q

What is the most common form of child abuse?

A

Neglect

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9
Q

What are examples of neglect?

A
  • Left hungry or dirty
  • Without proper clothing or shelter
  • Without supervision or healthcare
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10
Q

What are some categories of neglect?

A
  • Emotional
  • Abandonment
  • Medical
  • Nutritional
  • Educational
  • Physical
  • Failure to provide supervision
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11
Q

Emotional abuse - definition

A
  • Any type of abuse that involves the continual emotional mistreatment of a child
  • Sometimes called psychological abuse
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12
Q

How do you recognise emotional abuse?

A
  • Might not have any physical symptoms
  • Recognition of concerning behaviours
    • Behavioural or developmental difficulties
    • Wary or anxious
    • Placid non-demanding baby
    • Self-harm in teenagers
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13
Q

What are different forms of sexual abuse?

A
  • Contact abuse
    • Sexual touching of any part of child’s body
    • Using body part or object to rape or penetrate child
    • Forcing child to take part in sexual activities
    • Making child undress or touch someone else
  • Non-contact abuse
    • In person or online
    • Exposing or flashing
    • Showing pornography
    • Making them masturbate
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14
Q

What are some indicators of sexual abuse?

A
  • Disclosure
  • Sexualised behaviour
  • STI
  • Pregnancy
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15
Q

What examinations are performed in suspected sexual abuse?

A

After this CSA/forensic examination performed:

  • Joint paediatrician/forensic medical examiner
  • Do not repeat interview
  • Video colposcope
  • General physical examination
  • Developmental assessment
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16
Q

What are the definitions of:

  • fabricated illness
  • induced illness
A
  • Fabrication, making up the symptoms of an illness
  • Induction, causing a child to become unwell
17
Q

Who should concerns about a child be raised to?

A

Is a multi-agency approach, any concerns must be given to social work

18
Q

What could happen after the social work become aware of concerns about a child?

A
  • Joint visit health, social work, police
  • Child protection case conference
  • Immediate place of safety
    • Child protection order
  • Children’s panel may need compulsory measures of supervision
  • Looked after child
    • Accommodated or at home