Abstract
Introduction Child abuse and neglect present a significant global concern, therefore, it is imperative that dental professionals can identify children at risk. Previous literature has suggested that general dental practitioners (GDPs) do not feel adequately trained to do so and that there is a gap between the suspicion of abuse and onward referral.
Aims To assess the experience of paediatric safeguarding reporting among GDPs in Greater Manchester and investigate the current barriers to reporting safeguarding concerns.
Methods An anonymous questionnaire was distributed via email to a sample of general dental practices in Greater Manchester.
Results Thirty-six questionnaires were completed, giving a 36% response rate. Fifty-eight percent of respondents had received undergraduate training and 83% had received postgraduate training. Eighty-one percent felt that GDPs require further training and support. Fifty-eight percent of GDPs had been suspicious of at least one case of child abuse or neglect, however, only 28% had completed an onwards referral. Common barriers to reporting included: fear of violence to the child; lack of certainty of diagnosis; and lack of confidence in their suspicions.
Conclusion Barriers to the referral of suspected cases of abuse or neglect are still commonly reported. There is a strong demand for further child protection training among GDPs.
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References
NSPCC. Child protection plan and register statistics: UK 2013-2017. 2018.
Bentley H, Burrows A, Hafizi M et al. How safe are our children? The most comprehensive overview of child protection in the UK. London: NSPCC, 2018.
Cairns A M, Mok J Y, Welbury R R. Injuries to the head, face, mouth and neck in physically abused children in a community setting. Int J Paediatr Dent 2005; 15: 310-318.
Welbury R R, MacAskill S G, Murphy J M et al. General dental practitioners' perception of their role within child protection: a qualitative study. Eur J Paediatr Dent 2003; 4: 89-95.
Cairns A M, Mok J Y, Welbury R R. The dental practitioner and child protection in Scotland. Br Dent J 2005; 199: 517-520.
Harris C M, Welbury R R, Cairns A M. The Scottish dental practitioner's role in managing child abuse and neglect. Br Dent J 2013; 214: E24.
Park C M, Welbury R. Current and historical involvement of dentistry in child protection and a glimpse of the future. Oral Dis 2016; 22: 605-608.
Harris J, Sidebotham P, Welbury R et al. Child protection and the dental team: an introduction to safeguarding children in dental practice. Sheffield: Committee of Postgraduate Dental Deans and Directors (COPDEND), 2006.
General Dental Council. Enhanced CPD. Available at https://www.gdc-uk.org/professionals/cpd/enhanced-cpd (accessed August 2019).
Lord Lanning. The Victoria Climbie Inquiry. 2003. Available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/273183/5730.pdf (accessed August 2019).
Royal College of Nursing. Safeguarding children and young people: roles and competencies for healthcare staff: intercollegiate document. 4th ed. London: Royal College of Nursing, 2019. Available at https://www.rcn.org.uk/-/media/royal-college-of-nursing/documents/publications/2019/january/007-366.pdf (accessed August 2019).
Harris J C, Bradbury J, Poritt J, Nilchian F, Franklin C D. NHS dental professionals' evaluation of a child protection learning resource. Br Dent J 2011; 210: 75-79.
Ramos-Gomez F, Rothman D, Blain S. Knowledge and attitudes among California dental care providers regarding child abuse and neglect. J Am Dent Assoc 1998; 129: 340-348.
Uldum B, Christensen H N, Welbury R, Poulsen A. Danish dentists' and dental hygienists' knowledge of and experience with suspicion of child abuse and neglect. Int J Paediatr Dent 2010; 20: 361-365.
Harris J C, Elcock C, Sidebotham P D, Welbury R R. Safeguarding children in dentistry: 1. Child protection training, experience and practice of dental professionals with an interest in paediatric dentistry. Br Dent J 2009; 206: 409-414.
Saxe M D, McCourt J W. Child abuse: a survey of ASDC members and a diagnostic - data-assessment for dentists. ASDC J Dent Child 1991; 58: 361-366.
Kilpatrick N M, Scott J, Robinson S. Child Protection: a survey of experience and knowledge within the dental profession of New South Wales, Australia. Int J Paediatr Dent 1999; 9: 153-159.
Kvist T, Wickstrom A, Miglis I, Dahllof G. The dilemma of reporting suspicions of child maltreatment in paediatric dentistry. Eur J Oral Sci 2014; 122: 332-338.
Welbury R, Park C M. Is safeguarding safe in our hands? Fac Dent J 2016; 7: 110-115.
H M Government. Working together to safeguard children: A guide to inter-agency working to safeguard and promote the welfare of children. London: The Stationery Office, 2018. Available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/779401/Working_Together_to_Safeguard-Children.pdf (accessed August 2019).
General Dental Council. Standards for the dental team. London: General Dental Council, 2013. Available at https://www.gdc-uk.org/api/files/NEW%20Standards%20for%20the%20Dental%20Team.pdf (accessed August 2019).
Harris J C, Balmer R C, Sidebotham P D. British Society of Paediatric Dentistry: a policy document on dental neglect in children. Int J Paediatr Dent 2018; 28: e14-e21.
Harris J, Whittington A. Dental neglect in children. Paediatr Child Health 2016; 26: 478-484.
Low W, Tan S, Schwartz S. The effect of severe caries on the quality of life in young children. Paediatr Dent 1999; 21: 325-326.
Harris J C, Elcock C, Sidebotham P D, Welbury R R. Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect? Br Dent J 2009; 206: 465-470.
Bhatia S K, Maguire S A, Chadwick B L et al. Characteristics of child dental neglect: a systematic review. J Dent 2014; 42: 229-239.
Hardigan P C, Popovici I, Carvajal M J. Response rate, response time and economic costs of survey research: A randomized trial of practicing pharmacists. Res Social Adm Pharm 2016; 12: 141-148.
Hardigan P C, Succar C T, Fleisher J M. An analysis of response rate and economic costs between mail and web based surveys among practicing dentists: a randomised trial. J Community Health 2012; 37: 386-394.
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We are grateful to all practitioners who took the time to complete the questionnaire and take part in this study.
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Clarke, L., Chana, P., Nazzal, H. et al. Experience of and barriers to reporting child safeguarding concerns among general dental practitioners across Greater Manchester. Br Dent J 227, 387–391 (2019). https://doi.org/10.1038/s41415-019-0663-2
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DOI: https://doi.org/10.1038/s41415-019-0663-2
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