Childsafe guarding and protection Flashcards
(35 cards)
What does the GDC expect of dentists to be aware of
The procedures involved in raising concerns about the possible abuse or neglect in children and vunerable adults
What do dental proffesionals have the responsibility of
To raise concerns about the possible abuse neglect of children or vunerable adults andto know who to contact for further advice and how to refer to an appropriate authority
What is Child Protection
Activity undertaken to protect specific children who are suffering, or are at risk of suffering, significant harm
What is included in the term ‘safe guarding children’
protecting children from maltreatment
preventing impairment of children’s health or development
ensuring that children are growing up in a safe and caring environment
What is meant by childhood abuse or neglect
Anything which those entrusted with the care of children do, or fail to do, which damages their prospects of safe and healthy development into adulthood
What 3 elements must be present in the definiton of child abuse
Significant harm to child
Carer has some responsibility for that harm
Significant connection between carer’s responsibility for child and harm to child
In scotland what 3 papers are there in regards to child protection
National Guidance for Child Protection in Scotland 2014.
Scottish Government
Children and Young Peoples Act 2014
Getting It Right for Every Child (GIRFEC)
What are the righrs of kids
The right to respect
The right to information about yourself
The right to be protected from harm
The right to have a say in your life
The right to a good start in life
The right to be and feel secure
What are the 4 aetiology contributing factors of child abuse and give some examples
Adult: drugs, alcohol, poverty, unemployment, marital stress, mental illness, disabled, domestic violence, abused as a child,
Child: crying, soiling, disability, unwanted pregnancy (born at wrong time), failed expectations
Community/ environmental: Dwelling place and housing conditions, Neighbourhood
Family violence and dysfunctional family: Intergenerational cycle, Violence toward pets, Social isolation, Poverty
Wha are the 3 concerns of parenting capacity
Domestic violence
Drug and alcohol misuse
Menatl health problems
Data suggests what is the volume of children experiencing severe maltreatment
1 in 5
What are the categories of child abuse
physcial
emotional
neglect
sexual
What are classed as vunerable children
Under 5’s
Irregular attenders
-repeatedly DNA, return in pain, exposed to risks of GA
Medical problems and disabilities
-more at risk of experiencing abuse of all kinds
-serious impairment of health or development is more likely as a result of untreated dental disease
In the UK how many children die per week
1-2
In scotland how mant children die each year
10
In the markers for general neglect what are the child needs
Nutrition
Warmth clothing and shelter
Hygiene and health care
Stimulation and education
Affection
In the markers for general neglect what are the effects of neglect
Failure to thrive/ short stature
Inappropriate clothing (cold injury sun burn)
Ingrained dirt, head lice, dental caries, developmental delay
Withdrawm or attention seeking behaviour
What can be the short and long term damage of neglect
Short Term:
-Physical health
-Emotional health
-Social development
-Cognitive development
Long term Adults neglected as children-higher incidence of:
-Arrest
-Suicide attempts
-Major depression
-Diabetes
-Heart disease
What is the British Society of Paediatric Dentistry 2009
definition of neglect
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
-British Society of Paediatric Dentistry 2009
What is dental wilful neglect
After dental problems have been pointed out:
-Irregular attendance, repeated failed appointments, repaeated late cancellations
-Failure to complete treatment
-Returning in pain at repeated intervals
-Repeated GA for dental extractions
What are indicators of dental neglect
Obvious dental disease
Impact on the child (pain/ unable to eat or sleep)
Practical care has been offered, yet the child has not returned for treatment
How do you manage dental neglect
3 stages
-Preventive dental team management
-Preventive multi-agency management
-Child protection referral
What is stage 1 in managing dental neglect and what do you do
Preventive dental team management:
raise concerns with parents
offer support
set targets
keep records that you raised concerns and what the targets are and that you have offered appoitments in a awwy that suits the patients
monitor progress
What is stage 2 in managing dental neglect and what do you do
Preventive multi-agency management:
When first stage doesnt work the patient doesnt come back
liaise with other professionals (e.g. health visitor) to see if concerns are shared for the child
A child may be the subject of a CAF (Common Assessment Framework) at this level.
Check if child is subject to a child protection plan (which replaced the child protection register)
Agree joint plan of action at agreed intervals
Letter to HV of children < 5 who fail appointments and have failed to respond to letter from dental practice
-“If this family is known to you, we would welcome working together to promote their oral health.”
