Ministry of Social Development Child Protection Policy 15 September 2015 Ministry of Social Development Wellington New Zealand Contents Section 1: Introduction................................................................................................................ 3 Section 2: Policy Summary ........................................................................................................ 4 Purpose statement .............................................................................................................. 4 Policy scope .......................................................................................................................... 4 Organisational commitment to child protection ............................................................. 4 Section 3: Our responsibilities and expectations ........................................................................ 6 Support for staff .................................................................................................................. 7 Confidentiality and information sharing .......................................................................... 8 Review ................................................................................................................................... 8 Appendix 1: Responding to suspected abuse or neglect - Report of Concern ............................ 9 Dealing with suspected abuse ........................................................................................... 9 Responding to a child when the child discloses abuse ................................................... 10 Recording and notifying Child, Youth and Family of suspected child abuse or neglect: ............................................................................................................................... 11 Response when the allegations relate to a Ministry staff member ........................... 13 Appendix 2: Other relevant resource material .......................................................................... 14 Appendix 3: Defining child abuse and neglect .......................................................................... 16 Child abuse ......................................................................................................................... 16 Physical abuse ................................................................................................................ 16 Sexual abuse................................................................................................................... 16 Emotional abuse ............................................................................................................. 17 Neglect ............................................................................................................................. 17 Family Violence .................................................................................................................. 17 Vulnerable Children ........................................................................................................... 18 Appendix 4 - Potential indicators of abuse................................................................................ 19 Physical abuse.................................................................................................................... 19 Sexual abuse ...................................................................................................................... 20 Emotional abuse ................................................................................................................ 21 Neglect ................................................................................................................................ 21 Intimate partner violence ................................................................................................ 22 Page 2 of 22 Section 1: Introduction This policy requires all Ministry staff to share in the organisation’s commitment to support and protect vulnerable children and to report situations where they have concerns that a child is being, or is suspected of being, abused or neglected. Staff from the Ministry of Social Development (the Ministry) engage directly or indirectly with several hundred thousand children each year. Many of these children are vulnerable to a number of negative life outcomes, including being exposed to the risk of abuse or neglect. The Government has introduced a suite of legislative, policy and service delivery initiatives to more effectively identify and respond to the needs of vulnerable children; including the Vulnerable Children Act 2014 (VCA) and the multi-agency Children’s Action Plan. More information on both these initiatives can be found at: www.childrensactionplan.govt.nz Under the provisions of the Vulnerable Children Act 2014, the Ministry (along with other State services and organisations providing government-funded services to children and families) is required to have a Child Protection Policy to articulate the agency’s commitment to building a culture of child protection and to set out its expectations on how staff should respond when they have concerns about the safety and well-being of children. The focus of the policy is on how you should respond to situations you may encounter in your work. However, in keeping with the Ministry’s strong commitment to child protection and the policy intent of the VCA (which is to create a national culture of child protection that consistently safeguards and promotes the well-being of children), we very much encourage you to be vigilant about child vulnerability and protection wherever you may be. The Ministry’s leadership role in child protection means it is well-placed to promote attitudinal change in this important area and we would like all our staff to join us in this. You are therefore urged to demonstrate your commitment to child protection by applying the principles of the policy wherever you come across situations where children are at risk of abuse or neglect. The policy supersedes Procedures for Reporting Suspected or Actual Child Abuse and Neglect, between Work and Income, Integrity Services and Child, Youth and Family dated January 2012. Page 3 of 22 Section 2: Policy Summary Purpose statement The purposes of this policy are to: protect the safety and promote the wellbeing of vulnerable children 1, including vulnerable disabled children 2, who are receiving services from any staff3 member of the Ministry or are associated with adults who are receiving services from any staff member of the Ministry assist staff to respond appropriately when child abuse or neglect is suspected or identified assist staff to respond to the needs of the many vulnerable children who come to the notice of the Ministry without the presence of indicators of abuse or neglect. Policy scope This policy applies to all staff and should be used wherever abuse or neglect is suspected or identified. Policy principles The right of children to be protected from abuse and neglect is a fundamental human right The protection of children is a Ministry priority and as such, we accept that we have organisational and individual responsibilities to act to protect the safety of vulnerable children. Organisational commitment to child protection Our leadership team will ensure that: 1 there is an organisation-wide policy for the appropriate response to, and management of, reports of suspected or confirmed child abuse and neglect and the identification of vulnerable children, including vulnerable disabled children the Child Protection Policy and procedures comply with legislative requirements, the principles of the Treaty of Waitangi and best practice standards organisation-wide procedures exist to provide appropriate adequate support for staff that may witness or be dealing with child abuse and neglect. For ease of reference in this document, the words ‘child’ and ‘children’ are used to refer to children/mokopuna/young person/rangatahi under the age of 17 years 2 International research evidence indicates that disabled children are at greater risk of being subjected to all types of abuse; see https://www.gov.uk/government/publications/safeguarding-disabled-children-practice-guidance 3 Staff means all persons employed or engaged by the Ministry, in both paid positions and as volunteers Page 4 of 22 the Ministry commits to using safer recruitment procedures, including compliance with any requirements in the Vulnerable Children Act. The Ministry will take steps to ensure that: all staff are conversant with our Child Protection Policy and related procedures all staff understand the statutory referral processes and management of identified or suspected child abuse and neglect all staff know how to seek advice when child abuse is suspected or identified staff receive information about the policy, access to training and/or resource material and periodic updates appropriate to their areas of work and roles in the organisation all public areas within the Ministry display information, brochures and posters pertaining to accessing support and interventions for child abuse and neglect. These will be provided in a range of languages and visual images that reflect the cultural diversity of New Zealand frontline staff will be able to identify the signs and symptoms of potential abuse and neglect, identify vulnerable children, and will take appropriate action in response relationships with clients/service users are open and transparent. This includes being willing to share concerns about child safety issues with the family/whānau unless this would result in an escalation of risk Ministry services to children and families contribute to improving the wellbeing of vulnerable children there will be on-going work towards improvement in the Ministry’s child protection practices lawful and effective information sharing and consistent communication between Ministry staff and other agencies is the foundation for sound decision-making to keep children safe The Ministry will support staff to work with partner agencies and community organisations to best ensure child protection policies are consistent, of a high quality, and always comply with relevant legislative responsibilities Ministry policies will be in line with the whole of Government Vulnerable Children’s Plan as set out in section 8 of the Vulnerable Children Act. Page 5 of 22 Section 3: Our responsibilities and expectations This policy outlines the Ministry’s responsibilities and expectations of how staff should respond when they come across situations where child abuse or neglect is suspected or identified. Staff who understand their responsibilities under this policy and act appropriately will make a significant contribution to helping keep children safe. Statutory responsibility to investigate allegations of child abuse in New Zealand rests with Child, Youth and Family (CYF) and the Police. These statutory agencies operate collaboratively under the provisions of a joint Child Protection Protocol when responding to situations of serious child abuse - http://doogle.ssi.govt.nz/documents/resources/helpingcyf-clients/procedures-manuals/interagency-agreements/final-child-protection-protocol.pdf Under this Child Protection Policy, all staff are required to: know that the policy exists and know where to locate it if required have an understanding of what the policy covers and what to do if they come across child abuse and neglect successfully complete the on-line ChildSafe module seek advice from their manager or colleagues in the Ministry who have child protection knowledge and skills. These include; the Child, Youth and Family (CYF) National Contact Centre, CYF local site duty Social Workers, CYF Differential Response Coordinators or Service Delivery Family Violence Co-ordinators take steps to ensure that any concerns about actual or suspected abuse are reported to CYF or the Police. In most cases that will involve making a Report of Concern to the CYF National Contact Centre – 0508 FAMILY (refer to Appendix 1 for further details), but in situations where a child is believed to be in imminent danger, this should be reported immediately to Police via 111. In addition, our goal is that frontline staff4 are able to identify vulnerable children, including vulnerable disabled children. To enable them to do this they will: 4 be able to recognise the potential indicators of abuse or neglect be able to recognise the potential indicators of abuse and neglect of disabled children be aware of the risk that persons and situations may pose to children access available child protection information and training, appropriate to their role generally be able to distinguish between situations that call for a Report of Concern to be made to CYF and/or Police and those situations where the child’s vulnerability is at the lower end of the risk continuum and where a referral to community social services agencies for support is more appropriate. If the level of risk/concern is uncertain, staff should contact the CYF National Contact Centre for advice make sure a factual account of their concerns and actions taken are recorded. Frontline staff are defined as those who are dealing directly with children, families and/or providers of services to children and families Page 6 of 22 Where a report of concern has been made to CYF or the Police and an investigation or assessment is about to commence, Ministry staff, with the exception of CYF, must not: contact the suspected person for any reason connected with the report of concern. If it is necessary to contact that person in relation to other Ministry business (for example, in relation to a benefit application) staff are to discuss this with their Line Manager and the investigating agency first to ensure that the contact doesn’t interfere with the investigation discuss the case with anyone that is not connected directly with the investigation. The primary focus of this policy is to ensure that staff understand the Ministry’s expectations in relation to the reporting of suspected child abuse and neglect to the statutory agencies – Child, Youth and Family and the Police. However, there will be situations where children are considered vulnerable, but where the involvement of statutory agencies will be inappropriate, particularly in situations where the levels of vulnerability or concern are not related to abuse or neglect and where families are actively seeking help. In those situations staff are encouraged to help families to access other community support services. Support for staff In order to support staff to implement this policy a range of resource material and procedural advice is attached as appendices. An on-line ChildSafe training module is being developed for all staff and additional training modules are available for frontline staff who work directly with children and families. In addition to the standard support to staff available through their supervisors, team leaders and line managers, there are people in a range of roles across the Ministry with the relevant child protection knowledge and skills to act as a sounding board and provide advice to staff. These include; CYF National Contact Centre, CYF local site duty Social Workers, CYF Differential Response Co-ordinators and Service Delivery Family Violence Co-ordinators. These resource people identified above will be able to help staff determine the most appropriate response. These resource people will: have a sound understanding of the potential indicators of child abuse and neglect, including indicators of possible abuse or neglect of a disabled child, and be able to identify vulnerable children be available to support their colleagues who are dealing with child protection issues as and when the need for support is brought to their attention (irrespective of whether the alleged abuse is current or past or likely to occur in the future) advise and support staff to decide whether or not to take referral action support staff to ensure the completion of detailed and confidential records on all child protection cases provide advice to staff on the relevant local social service agencies available to provide support to vulnerable children and families whose needs don’t reach the threshold for referral to the statutory agencies. Page 7 of 22 Confidentiality and information sharing The Privacy Act 1993 and the Children, Young Persons, and their Families Act 1989 allow information to be shared to keep children safe when abuse or suspected abuse is reported or investigated. Note that, under sections 15 and 16 of the Children, Young Persons, and their Families Act, any person who believes that a child has been, or is likely to be, harmed physically, emotionally or sexually or ill-treated, abused, neglected or deprived may report the matter to Child, Youth and Family or the Police and, provided the report is made in good faith, no civil, criminal or disciplinary proceedings may be brought against them. Review This Policy will be reviewed in 12 months from the date of signing and every two years thereafter or as required. These reviews will be comprehensive, and take into account the views of staff/stakeholders, and lessons-learned. Page 8 of 22 Appendix 1: Responding to suspected abuse or neglect - Report of Concern In all cases where a member of the Ministry has a concern about a child’s safety or wellbeing they will report this to their manager/supervisor. This needs to be done in a timely manner to best ensure the safety of the child. When the concern is about actual or suspected abuse or neglect, this is to be reported to the Child, Youth and Family National Contact Centre on 0508 FAMILY (0508 326 459). Dealing with suspected abuse The basic principles of dealing with disclosure are: Respond to the person Believe what they tell you and what you see. Record Record all initial statements and observations and concerns immediately to avoid misinterpretations or confusion at a later date. Record any decisions made and actions taken. Consult Do not make decisions alone. Consult with your Line Manager and make contact with someone with child protection knowledge; CYF National Contact Centre, CYF local site duty Social Workers, CYF Differential Response Co-ordinators or Service Delivery Family Violence Coordinators. The person you consult with may vary depending on your local network of relationships and access to specialist advice. Refer to this Child Protection Policy. Ensure the safety of the child Always take action in the short term to ensure the immediate safety of the child. If there is imminent risk call Police on 111. If in doubt, contact CYF National Contact Centre (0508 FAMILY). Report Decide to act on your concerns. Do not leave it to someone else or hope it will not happen again. Report your concerns to your Line Manager and/or CYF National Contact Centre (0508 FAMILY). Get support Get support for yourself. There is support available through the Employee Assistance Programme service and your immediate manager. Page 9 of 22 In most instances, non-Child, Youth and Family Ministry staff will be dealing with information received from adults. If, however, a disclosure is received directly from a child, the following steps should be taken: Responding to a child when the child discloses abuse Listen to the child Disclosures by children are often subtle and need to be handled with particular care, including an awareness of the child’s cultural identity and how that affects interpretation of their behaviour and language. Reassure the child Let the child know that they are not in trouble and have done the right thing. Ask open-ended prompts – e.g. “What happened next?” Do not interview the child (in other words, do not ask questions beyond open prompts). If the child is visibly distressed Provide appropriate reassurances and re-engage in appropriate activities under supervision until they are able to participate in ordinary activities. If the child is not in immediate danger Re-involve the child in ordinary activities and explain what you are going to do next. If the child is in immediate danger Contact the Police immediately via 111. As soon as possible formally record the disclosure Record: Do not make promises that can’t be kept, e.g. “I will keep you safe now”. what the child said, word for word the date, time and who was present. Page 10 of 22 Recording and notifying Child, Youth and Family of suspected child abuse or neglect: What process to follow Recording For example Key considerations Formally record: Relevant information can inform any future actions. anything said by the child the date, time, location names of any people that may be relevant the factual concerns or observations that have led to the suspicion of abuse or neglect (e.g. any physical, behavioural or developmental concerns) the action taken by your business unit any other information that may be relevant. Decisionmaking Discuss any concerns with your Line Manager and/or staff member identified as having child protection expertise. No decisions should be made in isolation. Notifying authorities Notify Child, Youth and Family promptly if there is a belief that a child has been, or is likely to be, abused or neglected. Child, Youth and Family will: A phone call to the National Contact Centre is the preferred initial contact with Child, Youth and Family (see below) as this enables both parties to discuss the nature of the concerns and appropriate response options. make the decision to inform the parents or caregivers advise what, if any, immediate action may be appropriate, including referring the concern to the Police. Phone: 0508 FAMILY (0508 326 459) Fax: 09 914 1211 email: [email protected] Following the advice of Child, Youth and Family Child, Youth and Family advice will include what, if any, immediate action may be appropriate, including referring the concern to the Police. Child, Youth and Family is responsible for determining whether an investigation is necessary/desirable. Child, Youth and Family will decide whether they need to work with the family/whānau or put them in touch with people in their community who can help. Page 11 of 22 Storing relevant information Securely store: the record of the concern a record of any related discussions (including copies of correspondence, where appropriate) a record of any advice received the action your service line took, including any rationale for this concern alongside any earlier concerns, if the notification is based on an accumulation of concerns (rather than a specific incident). Records assist in identifying Patterns. Additional Information for Community Investment Staff Community Investment staff members who observe something during an interaction with a contracted provider that raises concerns about the safety of children should: advise the local regional manager Approvals or Approvals Assessor along with their own line manager. This could be done via email or a conversation supported by an email. Approvals will apply our standard complaints process following consultation make a report of concern to Child, Youth and Family where required. Approval complaints procedure Providers need to be given the opportunity to resolve complaints related to their service provision. Principles of natural justice apply. If we are contacted by someone with a concern about a provider (whether internal or external), we give the provider an opportunity to respond to and address any issues raised. Depending on the level of risk associated with the concerns, Approvals may either conduct a special investigation (a targeted assessment), or review the areas of concern during the next scheduled review, or bring forward the assessment review date if necessary. Consultation with Child, Youth and Family and Police should occur prior to this commencing when they are involved. Approvals’ role is to ensure that there will be proper standards of care for all clients over a period of time. While complaints or information may relate to specific incidents, it is not the primary or only concern of the assessor to determine exactly what happened. If the complaint relates to an allegation of abuse or neglect this is referred to CYF National Contact Centre to initiate an investigation. The outcome of that investigation may require Approvals to then engage further with the agency to consider their policies, procedures and the application of these in practice. Page 12 of 22 Response when the allegations relate to a Ministry staff member Code of Conduct http://doogle.ssi.govt.nz/working-here/working-for-us/standards-of-behaviour/ Some allegations may constitute potential breaches of the code of conduct. In particular the code of conduct states that the Ministry has a zero tolerance policy whereby it is unacceptable under any circumstances for a Ministry staff member to interfere with or in any way abuse a child we are responsible for or have a professional relationship with. Where it is shown that a staff member has acted in this way, they will be dismissed and the matter will be referred to the Police. Need to report Ministry staff are strongly advised to take steps to report suspected or identified abuse or neglect that they become aware of to the Child, Youth and Family National Contact Centre (0508 FAMILY) or Police. The need to report exists regardless of whether or not the child or their family/whānau is a client of the Ministry and whether or not a staff member is involved. If a staff member is involved in ‘serious wrongdoing’, it may be possible for the reporting employee to make a protected disclosure in accordance with the Protected Disclosures Act 2000. For guidance, see the Ministry’s Doogle pages: http://doogle.ssi.govt.nz/resources/helping-staff/policies-standards/hr/protecteddisclosure.html Potential code of conduct breach and employment investigation Once a manager/supervisor receives an allegation of abuse or neglect that relates to a Ministry staff member, the manager must contact the Human Resources Consultancy. Human Resources Consultancy will consult with the manager of the employee of concern. If an employment investigation is required, Human Resources Consultancy will advise the next steps and continue to provide advice and assistance to the employee’s manager until the matter is brought to a conclusion. Ministry policy on managing staff issues will apply. It is important that the responsible manager and Human Resources Consultancy liaise closely with the CYF or Police staff undertaking the child abuse investigation to ensure that the employment investigation and the abuse investigation processes are not compromised. Confidentiality and information sharing Human Resources Consultancy will advise on issues or concerns in regard to confidentiality and the employment investigation. Relationships with other procedures There are other procedures within the Ministry that deal with complaints and grievances. Managers and staff should be aware of these and ensure that matters of concern are raised and managed in accordance with the correct procedure. Page 13 of 22 Appendix 2: Other relevant resource material This section of the policy identifies existing Ministry policies and procedural information related to the Child Protection Policy. It also refers to existing legislation and sources of further information. The Children, Young Persons and Their Families Act 1989 relates to children and young persons who are in need of care or protection, or who offend against the law. The Child, Youth and Family and NZ Police Child Protection Protocol, 2013 defines the roles of each organisation and sets out processes for working together when responding to situations of serious child abuse. http://doogle.ssi.govt.nz/documents/resources/helping-cyf-clients/proceduresmanuals/interagency-agreements/final-child-protection-protocol.pdf The Green Paper for Vulnerable Children was launched in July 2011 and is available on the Ministry of Social Development website. The Green Paper asked New Zealanders to focus on our most vulnerable children, initiating a consultation process to consider and debate the issues. The White Paper for Vulnerable Children was released in October 2012 and is available on the Children's Action Plan website. The White Paper guided the creation of the Vulnerable Children Act 2014 and sets out a framework designed to ensure key agencies and professionals working with children are better connected and identify the needs of vulnerable children earlier. The Children’s Action Plan provides a framework that will continue to evolve as New Zealanders work together to achieve the fundamental changes contained in the White Paper for Vulnerable Children. The Vulnerable Children Act 2014 makes significant changes to protect vulnerable children and help them thrive. It supports the Government in setting priorities for improving the wellbeing of vulnerable children and ensures that agencies work together to improve the wellbeing of vulnerable children. The Domestic Violence Act 1995 (Protection and Parenting Orders). The Safer Organisations - Safer Children guidelines, developed under the Children’s Action Plan, outline what a good child protection policy should contain along with links to supporting resources. They are intended to build on existing expertise and give organisations an opportunity to reflect on their current policies and practices. The Care of Children Act 2004 http://www.legislation.govt.nz/act/public/2004/0090/latest/DLM317233.html?src=qs Victims’ Rights Act 2002 http://www.legislation.govt.nz/act/public/2002/0039/latest/DLM157813.html?src=qs Disabled children https://www.gov.uk/government/publications/safeguarding-disabled-childrenpractice-guidance Page 14 of 22 The United Nations Convention on the Rights of the http://www.msd.govt.nz/about-msd-and-our-work/publicationsresources/monitoring/uncroc/ Office of the Commissioner for Children http://www.occ.org.nz/ Child (UNCROC) Page 15 of 22 Appendix 3: Defining child abuse and neglect Child abuse This Child Protection Policy is created as a requirement of the Vulnerable Children Act 2014 (the VCA). As the VCA does not define child abuse it is appropriate to use the definition of child abuse as contained in section 2 Children, Young Persons, and Their Families Act 1989 (the CYPFA). Child abuse means the harming (whether physically, emotionally or sexually), ill treatment, abuse, neglect, or deprivation of any child and/or young person. A report of concern to a Social Worker or the Police can be made in relation to abuse or neglect that is actual or likely. Child abuse can be classified under the following four categories: Physical abuse Sexual abuse Emotional abuse Neglect. The four categories of child abuse are briefly discussed below. All frontline staff should familiarise themselves with all four categories to ensure they understand what constitutes abuse under each category, and how they might present physically and/or through the behaviour of the child and perpetrator. Detailed information on the potential indicators for each abuse category is included in Appendix 4. Indicators are signs or symptoms that point to possible abuse. In many cases, indicators are found in combinations or clusters. Physical abuse Physical abuse can be any act that may result in the physical harm of a child. It can be, but is not limited to: bruising, cutting, hitting, beating, biting, burning, causing abrasions, strangulation, suffocation, drowning, poisoning and fabricated or induced illness. Sexual abuse Sexual abuse can be any act that involves forcing or enticing a child to take part in sexual activities, whether or not the child is aware of what is happening. Sexual abuse can be, but is not limited to: contact abuse: touching breasts, genital/anal fondling, masturbation, oral sex, penetrative or non-penetrative contact with the anus or genitals, encouraging the child to perform such acts on the perpetrator or another, involvement of the child in activities for the purposes of pornography or prostitution non-contact abuse: exhibitionism, voyeurism, exposure to pornographic or sexual imagery, inappropriate photography or depictions of sexual or suggestive behaviours or comments. Page 16 of 22 Emotional abuse Emotional abuse can be any act or omission that results in adverse or impaired psychological, social, intellectual and emotional functioning or development. This can include: patterns of isolation, degradation, constant criticism or negative comparison to others. Corrupting, exploiting or terrorising a child can also be emotional abuse exposure to family/whānau or intimate partner violence. Neglect Neglect can be: physical (not providing the necessities of life, like adequate shelter food and clothing) emotional (not providing comfort, attention and love) neglectful supervision (leaving children without someone safe looking after them) medical neglect (not taking care of health needs) educational neglect (allowing truancy, failure to enrol in education or inattention to education needs). Neglect is the most common form of abuse, and although the effects may not be as obvious as physical abuse, the impact on the child is often just as serious. Family Violence Given the link between family violence, intimate partner violence and child abuse, it is also important to understand these terms: Family violence covers a broad range of controlling behaviours, commonly of a physical, sexual and/or psychological nature that typically involve fear, intimidation or emotional deprivation. It occurs within a variety of close interpersonal relationships, such as between partners, parents and children, siblings, and in other relationships where significant others are not part of the physical household but are part of the family/whānau and/or are fulfilling the function of family/whānau. Common forms of violence in families/whānau include: spouse/partner abuse (violence among adult partners) child abuse/neglect (abuse/neglect of children by an adult) elder abuse/neglect (abuse/neglect of older people aged approximately 65 years and over, by a person with whom they have a relationship of trust) parental abuse (violence perpetrated by a child against their parent) sibling abuse (violence among siblings). Intimate partner violence is a subset of family violence. Intimate partner violence includes physical violence, sexual violence, psychological/emotional abuse, economic abuse, intimidation, harassment, damage to property and threats of physical or sexual abuse towards an intimate partner. Page 17 of 22 Vulnerable Children The Vulnerable Children Act 2014 does not contain a definition of vulnerable children. The White Paper that underpinned the creation of the Vulnerable Children Act 2014 provides guidance when it states that: “All children are vulnerable in the sense that they are reliant on the adults around them to provide them with food, shelter, nurturance and protection, in the absence of which their development and wellbeing would be seriously endangered. For most children, these things are provided as a matter of course, as a result of which they generally grow up to be healthy, well adjusted, productive members of society. A minority of children, however, are not so fortunate. Risks to their wellbeing come from a range of sources, including both factors associated with the environment within which they are being raised (the family/whānau, community, peers and wider society) and factors intrinsic to the children (such as chronic ill-health, disability, age and temperament).” The White Paper also noted that: “A minority of children in New Zealand are at significant risk of harm to their wellbeing now and into the future because of the environment in which they are being raised and, in some cases, their own complex needs. Environmental factors that influence child vulnerability include not having their basic emotional, physical, social, developmental and cultural needs met at home and/or in their wider communities. The concept of vulnerability provides a way of thinking about children that recognises that their needs do not always fit neatly into the service categories of government agencies, and that their wellbeing depends on the actions of their parents, their wider families and whānau, their communities and government. The factors that make children more or less vulnerable are often multiple and interrelated in complex ways. Addressing those factors requires co-ordinated action across the social sector, with families, communities and government working together.” Page 18 of 22 Appendix 4 - Potential indicators of abuse Indicators are signs or symptoms that, when found either on their own or in various combinations, point to possible abuse, family violence or neglect. In many cases, indicators are found in combinations or clusters. Indicators do not necessarily prove or mean that a child has been harmed. Indicators are clues that alert us that abuse may have occurred and that a child may require help or protection. Sometimes indicators can result from life events which do not involve abuse e.g. accidental injury. The indicators below are not exhaustive lists and should be taken as examples. It is the responsibility of Child, Youth and Family and the Police to conduct an assessment or investigation, as may be necessary or desirable, of the indicators to determine whether the child has been or is likely to be harmed through abuse or neglect. Frontline Ministry staff are required to be aware of, and able to identify, the potential indicators. Ministry staff are required to take steps to report any issues or concerns to their line manager and/or identified child protection subject matter expert so that appropriate actions can be taken. If any member of staff is concerned about the safety of a child, it is important to report those concerns. Staff can call 0508 FAMILY (0508 326 459) for advice. Child, Youth and Family staff will discuss any concerns and can provide confidential practice advice. Physical abuse Physical indicators (often unexplained or inconsistent with explanation given): bruises and welts cuts and abrasions burns fractures and dislocations - particularly in very young children multiple fractures at different stages of healing. Behavioural indicators: gives inconsistent or vague explanations regarding injuries is wary of adults or a particular person vacant stare or frozen watchfulness cringes or flinches if touched unexpectedly may be extremely compliant and eager to please dresses inappropriately to hide bruising or injuries runs away from home or is afraid to go home may regress (e.g. bedwetting) may indicate general sadness could have vision or hearing delay is violent to other children or animals. Page 19 of 22 Caregiver indicators: gives inconsistent or vague explanations regarding injuries may appear unconcerned about the wellbeing of the child may state the child is prone to injuries or lies about how they occur delays in seeking medical attention may take the child to multiple medical appointments and seek medical treatment without an obvious need. Sexual abuse Physical indicators: unusual or excessive itching or pain in the genital or anal area stained or bloody underclothing bruises or bleeding in the genital or anal area blood in urine or stools sexually transmitted infections pregnancy urinary tract infections discomfort in sitting or fidgeting as unable to sit comfortably. Behavioural indicators: age-inappropriate sexual play or language sophisticated or unusual sexual knowledge refuses to go home (or to a specific person's home) for no apparent reason fear of a certain person depression or anxiety withdrawal or aggression self-destructive behaviour overly compliant and eager to please extreme attention seeking behaviours or extreme inhibition dresses inappropriately to hide bruising or injuries or in an non-age appropriate provocative manner eating disorders compulsive behaviours vacant stare or frozen watchfulness cringes or flinches if touched unexpectedly runs away from home or is afraid to go home may regress (e.g. bedwetting) may indicate general sadness. Caregiver indicators: may be unusually overprotective of the child accuses the child of being sexually provocative misuses alcohol or drugs invades privacy (e.g. interrupting a child during dressing or in the bathroom) may favour the victim over other children. Page 20 of 22 Emotional abuse Physical indicators: bed wetting or bed soiling with no medical cause frequent psychosomatic complaints (e.g. headaches and nausea) pale and emaciated prolonged vomiting or diarrhoea malnutrition dressed differently to other children in the family/whānau. Behavioural indicators: severe developmental lags with obvious physical cause depression or anxiety withdrawal or aggression self-destructive behaviour overly compliant extreme attention seeking behaviours or extreme inhibition running away from home or avoiding attendance at school poor sleeping patterns anti-social behaviours lack of self esteem obsessive behaviours eating disorders. Caregiver indicators: labels the child as inferior or publicly humiliates the child (e.g. name calling) treats the child differently from siblings or peers in ways that suggest dislike actively refuses to help the child threatens the child with physical harm or death locks the child in a closet or room for extended periods of time teaches or reinforces criminal behaviour withholds physical and verbal affection keeps the child at home in the role of servant or surrogate parent has unrealistic expectations of the child involves the child in adult issues such as separation or disputes exposes child to situations of arguing and violence in the home. Neglect Physical indicators: dressed inappropriately for the season or the weather often extremely dirty and unwashed severe nappy rash or other persistent skin disorders inadequately supervised or left unattended frequently or for long periods may be left in the care of an inappropriate adult does not receive adequate medical or dental care malnourished - this can be both underweight or overweight lacks adequate shelter. Page 21 of 22 Behavioural indicators: severe developmental lags without an obvious physical cause lack of attachment to parents or caregivers indiscriminate attachment to other adults poor school attendance and performance demanding of affection and attention engages in risk taking behaviour such as drug and alcohol abuse poor social skills no understanding of basic hygiene. Caregiver indicators: puts their own needs ahead of the needs of the child fails to provide the basic needs of the child demonstrates little or no interest in the life of the child leaves the child alone or inappropriately supervised drug and alcohol use is depressed. Intimate partner violence Children may also be negatively impacted by adult-to-adult intimate partner violence, which includes physical and/or sexual violence, threats to harm people, pets or property and causes family/whānau members to live in fear. Where there is intimate partner violence, children are affected, either emotionally or physically, even if they are not personally injured or physically present. Indicators in a child exposed to an environment where intimate partner violence occurs: physical injuries consistent with the indicators of physical abuse absenteeism from school bullying or aggressive behaviour complaints of headaches or stomach aches with no apparent medical reason talking or describing violent behaviours. Indicators in the intimate partner victim: physical injuries including bruising to chest and abdomen, scratches, black eyes, broken bones etc. depression and anxiety inconsistent explanations for injuries fearful and submissive. Indicators in the perpetrator of intimate partner violence: isolates and controls partner and children threatens and uses aggressive and physical abuse towards partner and children and pets minimises and denies own behaviour blames the victim for their own behaviour. Page 22 of 22
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