child protection in the emergency department
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Child Protection in the Emergency Department. xxxxxxx [consultant paediatrician] March 2010. Of the 12 million children in the UK. 7% suffer serious physical abuse at the hands of carers and family 25% experience violence or abuse in the home - PowerPoint PPT PresentationTRANSCRIPT
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Child Protectionin the Emergency Department
xxxxxxx [consultant paediatrician]March 2010
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Of the 12 million children in the UK
• 7% suffer serious physical abuse at the hands of carers and family
• 25% experience violence or abuse in the home
• Each week at least 2 children die following abuse and neglect
NSPCC 2000
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All those who come in to contact with children and families …
……Have a duty to safeguard and promote the welfare of children
Department of Health 2003
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What will be covered in this session
• Advice on essential knowledge & learning
• Update on events of past year
• Summary of the key documents– Competences for Health Care Staff– Working Together to Safeguard Children– Laming Progress Report– NICE guidance ‘When to Suspect Child
Maltreatment’– What to do if you are concerned ….
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What will not be covered in this talk
• Policies and Procedures
• Referral process
• CYPS management
• An update – but not a full Level 2 training
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• Sets out Statutory Guidance on roles and responsibilities:
• Details how doctors should:– Identify possibly abuse (in all its forms) and include in
the differential diagnosis– Contribute to a growing picture of concern– Identify children with a Child Protection Plan – or if
concerns are held by other professionals– Recognise when an adult’s problems may impact on a
child– Know when to refer– Maintain skills & regular training– Communication is key
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When to suspectchild maltreatment
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Physical Abuse
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Physical Abuse
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Typical sites for Accidental Injuries
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Sites suspicious for Non-Accidental Injury
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Sexual Abuse
• What would lead you to– Consider?– Suspect?
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Sexual Abuse
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Neglect
• What would lead you to– Consider?– Suspect?
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Neglect
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Emotional, Behavioural, Interpersonal & Social Functioning
• What other factors might prompt you to consider child maltreatment?
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Emotional, Behavioural, Interpersonal & Social Functioning
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Parent Child Interactions
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Clinical Presentations
• Are there types of presentation that may lead you to consider maltreatment
• For example that suggest Fabricated or Induced Illness?
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Clinical Presentations
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• 18 Cards
• Free to access and distribute(Google: BMA child protection)
• Useful to have readily accessible in the department.
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Further Training options
• RD&E Level 2 training
• ALSG Response and Recognition
• LSCB Level 3 Multi-Agency Training