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Child Protection in the Emergency Department

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

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Child Protection in the Emergency Department

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  1. Child Protectionin the Emergency Department xxxxxxx [consultant paediatrician] March 2010

  2. 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

  3. 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

  4. 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 ….

  5. What will not be covered in this talk • Policies and Procedures • Referral process • CYPS management • An update – but not a full Level 2 training

  6. 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

  7. When to suspect child maltreatment

  8. Physical Abuse

  9. Physical Abuse

  10. Typical sites for Accidental Injuries

  11. Sites suspicious for Non-Accidental Injury

  12. Sexual Abuse • What would lead you to • Consider? • Suspect?

  13. Sexual Abuse

  14. Neglect • What would lead you to • Consider? • Suspect?

  15. Neglect

  16. Emotional, Behavioural, Interpersonal & Social Functioning • What other factors might prompt you to consider child maltreatment?

  17. Emotional, Behavioural, Interpersonal & Social Functioning

  18. Parent Child Interactions

  19. Clinical Presentations • Are there types of presentation that may lead you to consider maltreatment • For example that suggest Fabricated or Induced Illness?

  20. Clinical Presentations

  21. 18 Cards • Free to access and distribute (Google: BMA child protection) • Useful to have readily accessible in the department.

  22. Further Training options • RD&E Level 2 training • ALSG Response and Recognition • LSCB Level 3 Multi-Agency Training

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