Child Bruises shape, grouping, site, repeat or multiple Withdrawal from physical contact – Bite-marks site and size – Aggression towards others, emotional and behaviour Burns and Scalds shape, definition, size, depth, – problems scars Improbable, conflicting explanations for injuries or Frequently absent from school unexplained injuries Untreated injuries Admission of punishment which appears excessive Injuries on parts of body where accidental injury is Fractures unlikely Repeated or multiple injuries Fabricated or induced illness - Parent Family/environment Parent with injuries History of mental health, alcohol or drug misuse or domestic violence. Evasive or aggressive towards child or others Past history in the family of childhood abuse, somatising disorder or false allegations of physical or sexual assault Explanation inconsistent with injury Marginalised or isolated by the community. Fear of medical help / parents not seeking medical Physical or sexual assault or a culture of physical help chastisement. Over chastisement of child Emotional abuse The persistent emotional maltreatment of a child such as to cause severe and persistent adverse effects on the child’s emotional development. It may involve conveying to a child that they are worthless or unloved, inadequate, or valued only insofar as they meet the needs of another person. It may include not giving the child opportunities to express their views, deliberately silencing them or fun’ of what they say or how they communicate. It may ‘making feature age or developmentally inappropriate expectations being imposed on children. These may include interactions that are beyond a child’s developmental capability, as well as over protection and limitation of exploration and learning, or preventing the child participating in normal social interaction. It may involve seeing or hearing the ill-treatment of another. It may involve serious bullying (including cyber bullying), causing children frequently to feel frightened or in danger, or the exploitation or corruption of children. Some level of emotional abuse is involved in all types of maltreatment of a child, though it may occur alone. Child Self-harm Over-reaction to mistakes / Inappropriate emotional responses Chronic running away Abnormal or indiscriminate attachment Drug/solvent Low self-esteem Compulsive stealing Extremes of passivity or aggression Makes a disclosure Social isolation withdrawn, a Frozen – ‘loner’ watchfulness particularly pre school Developmental delay Depression Desperate attention-seeking behaviour Neurotic behaviour (e.g. rocking, hair twisting, thumb sucking) Parent Family/environment
Child Bruises – shape, grouping, site, repeat or multiple Withdrawal from physical contact Bite-marks – site and size Burns and Scalds – shape, definition, size, depth, scars Aggression towards others, emotional and behaviour problems Improbable, conflicting explanations for injuries or unexplained injuries Frequently absent from school Untreated injuries Admission of punishment which appears excessive Injuries on parts of body where accidental injury is unlikely Fractures Repeated or multiple injuries Fabricated or induced illness - Parent Family/environment Parent with injuries History of mental health, alcohol or drug misuse or domestic violence. Evasive or aggressive towards child or others Past history in the family of childhood abuse, somatising disorder or false allegations of physical or sexual assault Explanation inconsistent with injury Marginalised or isolated by the community. Fear of medical help / parents not seeking medical help Physical or sexual assault or a culture of physical chastisement. Over chastisement of child Emotional abuse The persistent emotional maltreatment of a child such as to cause severe and persistent adverse effects on the child’s emotional development. It may involve conveying to a child that they are worthless or unloved, inadequate, or valued only insofar as they meet the needs of another person. It may include not giving the child opportunities to express their views, deliberately silencing them or ‘making fun’ of what they say or how they communicate. It may feature age or developmentally inappropriate expectations being imposed on children. These may include interactions that are beyond a child’s developmental capability, as well as over protection and limitation of exploration and learning, or preventing the child participating in normal social interaction. It may involve seeing or hearing the ill-treatment of another. It may involve serious bullying (including cyber bullying), causing children frequently to feel frightened or in danger, or the exploitation or corruption of children. Some level of emotional abuse is involved in all types of maltreatment of a child, though it may occur alone. Child Self-harm Over-reaction to mistakes / Inappropriate emotional responses Chronic running away Abnormal or indiscriminate attachment Drug/solvent Low self-esteem Compulsive stealing Extremes of passivity or aggression Makes a disclosure Social isolation – withdrawn, a ‘loner’ Frozen watchfulness particularly pre school Developmental delay Depression Neurotic behaviour (e.g. rocking, hair twisting, thumb sucking) Desperate attention-seeking behaviour Parent Family/environment
csf0034_cp_policy_jul18_v2.docx