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15 Cards in this Set
- Front
- Back
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Who could you seek help from if having concerns about possible abuse or neglect? |
- Paediatrician - social worker with experience in child protections - CYFS |
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What tool should you use when suspecting or detecting child abuse and/or neglect? |
Suspected, detected or disclosed cases of child abuse must be acted on and reported using the '6 step protection intervention' |
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What are the 6 steps? |
1) identification of signs and symptoms 2) validation and support 3) health and risk assessment 4) intervention/safety planning 5) referral and follow up 6) document!!! |
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What steps are taken under 'step 1: identification of signs and symptoms' |
- observe caregiver-child interaction - take a history from the parents and caregivers - if child has an injury ask them about the injury using open-ended, non-leading questions - past history: review past records for history of abuse/suspected abuse/alerts - social history - physical examination - complete child protection checklist for children under 2 years |
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What steps are taken under step 2 'support and validation'? |
For the child: - Listen to what you are being told - do not put words in a child's mouth - allow them to tell only as much as they want - act on the assumption that they are telling the truth For the adult - listen to what you are being told - thank them for telling you if appropriate - let them know that you will act to keep them safe |
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What steps are taken under Step 3 'Health and Risk Assesment'? |
- mental health assessment - family and environmental contact e.g. Intimate partner violence, alcohol and substance abuse, untreated mental health - risk to child or young person or risk to other children/young people - treat injuries (if applicable) |
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What steps are taken under step 4 'safety planning'? |
- children admitted to hospital with actual or suspected abuse or neglect should be managed in accordance to the memorandum of understanding between DHBs, CYF, and the police - if child is being harmed and/or safety concerns warrant a statutory intervention consult with experienced colleague and/or MDT prior to referral - if child is at risk but concerns don't warrant a statutory intervention consult with experienced colleague and/or MDT prior to referral - if untreated mental health or alcohol/drug abuse consult and refer - if intimate partner violence is disclose consult and refer |
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What steps are taken under step 4 'safety planning'? |
child being harmed - report concern to CYFS and/or police - manage in accordance to the memorandum of understanding between DHBs, CYF, and Police if child is at risk (but not needing statutory response) - discuss with experienced colleague, CYF, or MDT if untreated mental health or alcohol/drug abuse or intimate partner violence is disclosed consult and refer to appropriate services |
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What steps are taken under step 5 'referral(s)'? |
- if child is admitted to hospital with actual or suspected abuse refer to police and/or CYFS - if child is at risk a statutory response is not needed refer to family support service - if untreated mental health or alcohol/drug abuse refer to appropriate mental health agency - if IPV disclosed refer to specialist services (e.g. Women's refuge, CYFS) |
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What steps are taken under step 6 'document'? |
- Document intervention (history taken, examination of findings, consultation process, risk assessment, and referrals) - a written report of concern is required when making a referral to CYFS |
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I'm what situations would you NOT discuss concerns or child protective actions with the parent/family? |
- it will place the child or health provider in danger - there is risk of flight - the family may close ranks |
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What are the 5 commandments? |
1) believe what the child tells you 2) believe what you see rather than what the adult tells you 3) report and consult on every case you suspect 4) recognise the dilemma faced in taking action 5) don't assume others are taking action |
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What are some child characteristics which predispose them to be at risk? |
- have a disability - is irritable - is rigid and non-cuddly - is premature - is unwanted or not the desired gender - foster/adopted/step-child |
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What are some physical signs of abuse? |
- injuries (cuts, bruises, fractures, burns, scalds) - pregnancy - genital injuries - STI - unexplained failure to thrive - poor hygiene - dehydration or malnutrition |
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What are some behavioural and developmental signs? |
- aggression - anxiety, fear and regression - obsession - frozen watchfulness - overly responsible behaviour - sexualised behaviours - suicidal thoughts - withdrawal - substance abuse |
