Ch Child neg ild neglect: lect: How ow hea ealth lth vi visi - - PowerPoint PPT Presentation
Ch Child neg ild neglect: lect: How ow hea ealth lth vi visi sitors tors id iden entify, tify, ass sses ess s and manage age neg eglect lect le Fiona na Miele Complex and multi-faceted Distinction between different
Fiona na Miele le
Complex and multi-faceted Distinction between different types of neglect Influence of personal and organisational
(Horwa wath th 2007) 7)
(Horwarth 2007)
Denial of health care Delay in health care Indicators of poor health
Frequent untreated upper respiratory infections Itching, scratching, long existing skin
Frequent diarrhoea Untreated illnesses
Physical complaints not responded to by parent
Begging for or stealing food Frequently hungry Rummaging through rubbish bins for food Gorging self, eating in large gulps Hoarding food Obesity Overeating junk food
Disturbed self-regulation Negative self identity Low self-esteem Clinical depression Substance misuse
Have gaps in their education General learning disabilities Poor problem solving abilities Poor reading, writing and maths skills Be socially isolated Little confidence and can be Disruptive or overactive in class Be desperate for attention, or Desperate to keep out of the limelight Try too hard Blame themselves for a wide range of issues
Adapted from Aggleton, Dennison & Warwick (2010)
Inadequate supervision Inadequate guidance Children left alone Inappropriate boundaries e.g. Allowing
Physical neglect often includes emotional
Emotional neglect may not include physical
To talk of physical neglect can be shorthand
Physical neglect is a cognitive and emotional
....’It may also include neglect of, or failure to respond to a
child’s emotional needs. Neglect may also result in the child being diagnosed as suffering from ‘non-organic failure to thrive’, where they have significantly failed to reach normal weight and growth or developmental milestones and where physical and genetic reasons have been medically eliminated. In its extreme form children can be at risk from the effects of malnutrition, lack of nurturing and stimulation. This can lead to serious long- term effects such as greater susceptibility to serious childhood illnesses and reduction in potential stature. With young children in particular, the consequences may be life-threatening within a relatively short period of time (Scottish Government 2010)
(Stevenson 1998)
Alterations in the body’s stress response Insecure attachments Delayed cognitive development Low self-esteem and confidence Behavioural problems and poor coping
Socially isolated – difficulty making friends
Depression, anxiety Dissociation Poor emotion regulation ADHD symptoms Anti-social behaviour including violence and
Substance abuse and addiction Poor educational achievement Social isolation Mental health problems - suicide Physical health problems (O’Hara et al 2015)
Cumulative harm may be caused by an
The unremitting daily impact of these
Universal service Holistic approach to assessment of need Named Person role
Aim and objectives Literature review Research Methodology Data Collection Sample Group Ethical Considerations Validity and reliability Data Analysis Findings
To gain an understanding about how health
To explore the nature of health visitors
To explore how health visitors identify
To explore when health visitors refer to social
To ascertain if the Named Person role has
To identify previous work in the area of
Qualitative study Phenomenological approach
Preparation of the data Familiarity of the data Interpreting the data (developing codes,
Verifying the data Representing the data
Confident responses Rich descriptions Focus on physical signs in child and
Hesitancy in their descriptions Articulated difficulty with describing
Acknowledged difficulty dealing with issue
Knowledge Skills Experience and intuition/gut feeling The use of assessment tools
HV Training Child protection knowledge and specifically
Child development knowledge Attachment
Communication skills Interpersonal skills that include the ability to
Observations skills Listening skills
Experience informs assessment process –
Experience and gut feeling or intuition seen
Five of the ten HVs identified that gut feeling
“that gut feeling...yes, I always think it’s the first
SOGS SHANARRI National Risk Assessment Framework National Practice Model My World Triangle Wellbeing Wheel Action for Children Assessment tool for
Allows clarification of thoughts Used to formalise findings for reports Helps to communicate concerns to other
Gives an objective assessment of concerns Helps to identify gaps in knowledge of family Allows the development of a plan Gives a fuller picture of what life is like for a
Support Home visiting Practical support:
Lack of confidence in the response from SW
Difference in thresholds between agencies
Lack of confidence in making a referral Concern that referral to SW will damage
“sometimes I worry that Social Work may not
“I suppose sometimes I do question myself. You
No perceived negative impact on their role Formalises role Improved communication between agencies Concern around administrative role
Use of assessment tools - particularly for
Referral process Multi-agency training