When to suspect child maltreatment. Implementing NICE guidance Workshop on implementing NICE guidance in an Accident and Emergency settings. 2009. NICE clinical guideline 89. Pre-workshop test. What is the definition of child maltreatment? What does it mean to consider child maltreatment?
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Implementing NICE guidance
Workshop on implementing NICE guidance in an Accident and Emergency settings
NICE clinical guideline 89
The following forms of alerting features that may lead you to consider or suspect child maltreatment are covered:
Any serious or unusual injury with an absent or unsuitable explanation.
Persistent or recurrent genital or anal symptom in a girl or boy, without a medical explanation, that is associated with behavioural or emotional change.
If a girl or boy has a genital, anal or perianal injury and the explanation is absent or unsuitable.
Parents or carers who repeatedly fail to attend essential follow-up appointments that are necessary for the health and wellbeing of their child.
The child is persistently smelly and dirty.
Unusual, unexpected or developmentally inappropriate response by a child to a health examination or assessment.
Repeated or coercive sexualised behaviours or preoccupation in a prepubertal child.
Poor school attendance that the child’s parents or carers know about that is not justified on health (including mental health) grounds, and formally approved home education is not being provided.
Repeated apparent life-threatening events in a child, if the onset is witnessed only by one parent or carer and a medical explanation has not been identified.