child safeguarding Flashcards

1
Q

what is the definition of child abuse

A

3 elements must be present

  • significant harm to child
  • carer has some responsibility for that harm
  • significant connection between carer’s responsibility for the child and the harm caused to the child
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the three main national guidance for Scotland documents

A
  • National guidance for child protection in Scotland 2014
  • Children and Young Peoples Act 2014
  • Getting It Right for Every Child
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the aetiology and contributing factors to child abuse

A

Adult, child, community/environmental, family violence and dysfunctional family

These factors all mean a child may be more likely to be abused

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what contributing factors does the adult bring to child abuse

A
  • drugs, alcohol, unemployment, marital stress, mental illness, disability, domestic violence, step parents, isolation, abuse as a child, unrealistic expectations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what contributing factors does the child bring to child abuse

A
  • crying, soiling, disability, unwanted pregnancy, failed expectations, wrong gender, produced of forced or coercive sex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what contributing factors does a dysfunctional family bring to child abuse

A

intergenerational cycle, violence towards pets, social isolation and poverty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the 3 concerns about parental capacity

A
  • domestic violence
  • drugs and alcohol misuse
  • mental health issues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are the categories of child abuse

A
  • physical
  • emotional
  • neglect
  • sexual
  • non organic failure to thrive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is neglect

A

Child neglect is defined as any confirmed or suspected egregious act or omission by a parent or other caregiver that deprives a child of basic age-appropriate needs and thereby results, or has reasonable potential to result, in physical or psychological harm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the definition of dental neglect

A

the persistent failure to meet a child’s basic oral health needs, likely to result in the serious impairment of a child’s oral or general health or development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when does dental neglect become wilful neglect

A

after dental problems have been pointed out;

  • irregular attendance, repeated failed appointments, repeated late cancellations
  • failure to complete treatment
  • returning in pain at repeated intervals
  • repeated GA for dental extractions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does dental disease put a child at risk of

A
  • teasing due to poor dental appearance
  • repeated antibiotics
  • repeated general aesthetic extractions
  • severe infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is stage 1 of managing dental neglect

A

preventative dental team management

  • raise concerns with parents, offer support, set targets, keep records and monitor progress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is stage 2 of managing dental neglect

A

preventative multi-agency management

  • lease with other professionals e.g. health visitor, school nurse, GMP, social worker to see if concerns are shared
  • a child may be subject to a common assessment framework at this level
  • check if the child is subject to a child protection plan
  • agree joint plan of action, review at agreed intervals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is stage 3 of managing dental neglect

A

child protection referral

do so in:

  • in complex or deteriorating situations
  • follow local guidelines
  • referral is to social services by telephone and then followed up in writing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

in what ways can physical abuse occur

A
  • over chastisement (cultural)
  • acute/compassionate (shaking) - spontaneous, uncalculated reaction, shows remorse and childs need is a priority
  • chronic/pathological (way of life) - help sought but not actively, no remorse shown, child needs are not a priority
17
Q

what are the laws regarding physical abuse in Scotland

A
  • illegal to hit a child with an object or hit them anywhere on head
  • from 7th nov 2020, illegal to physically punish a child
18
Q

how many abuse injuries occur on the head and neck

A

approx 60%

19
Q

what is expected of the dental team

A
  • observe
  • record
  • communicate
  • refer for assessment
  • NOT expected to diagnose child abuse or neglect