The aim of this policy document is to create a safe working environment as well as to ensure that we behave in an ethical manner in terms of professional practice.
It is by no means a complete document and will be updated accordingly.
In joining the team of Counsellors / Psychotherapists / Psychologists, hereafter called practitioners, practitioners agree to comply with the provisions of our policies and procedures regarding child protection.
Child Care Protection
- To protect the children in our care
- To prevent abusers gaining access to the children in our care
- To protect our panel of counsellors/psychotherapists/psychologists when working with children.
A child is anyone under the age of eighteen years.
Like all other citizens, practitioners are subject to the law, and their practice must conform to the law. Therefore in putting together this policy we consulted the current UN Children’s Convention on the Rights of the Child 1992. We also consulted The Child Care Act 2001, Youth Work Act 2002, the HSE Trust in Care Policy 2005 and The Children’s First Handbook.
What is Child Abuse?
Types of Abuse
- Physical Abuse: any form of non-accidental injury, which results from willful or neglectful failure to protect a child.
- Sexual Abuse: When a child is used by another person for his or her gratification or sexual arousal, or that of another person. (para 3.2.1; 3.3.1; 3.4.1; 3.5.1)
- Emotional Abuse: When a child’s need for affection, approval, consistency and security are not met. Emotional abuse is normally to be found in the relationship between caregiver and a child.
- Neglect: An omission, where the child suffers harm or impairment of development by being deprived of food, clothing, warmth, hygiene, intellectual stimulation, supervision and safety, attachment to and affection from adults or medical care.
- Bullying: Can be defined as repeated aggression, be it verbal, psychological or physical, which is conducted, by an individual or group against others. (Children’s First, 1999: 107).
Harm can be defined as the ill-treatment or the impairment of health or development of a child, whether it is significant is determined by his/her health and development as compared to that which could be reasonably be expected of a child of similar age (Children First, para.3.3.2).
Indicators of Neglect
- Constant Hunger
- Lack of supervision and being exposed to danger
- Inadequate/inappropriate clothing
- Poor Hygiene/ untreated illnesses
- Tiredness, Listlessness
- Lack of peer relationships
- Low self-esteem
- Compulsive stealing/ begging
Abuse is manifested in passivity and omission
Indicators of Emotional & Psychological Abuse
- Sudden speech disorders
- Signs of mutilation
- Frequent vomiting
- Rocking, thumb sucking
- Poor peer relationships
- Chronic runaway
- Attention-seeking behaviours
Indicators of Physical Abuse
- Scratches/ Bites/Welts
- Bruises in awkward places
- Burns, especially from cigarettes
- Untreated injuries
- Chronic runaway
- Undue fear/watchfulness of adults
Indicators of Sexual Abuse
- Bleeding in genital/anal areas
- Itching/soreness in genitals
- Stomach pains/headache
- Pain on urination
- Difficulty in walking/sitting
- Bruises on inner thighs
- Chronic depression
- Inappropriate language
- Making sexual advances to others
- Low self-esteem
- Afraid of dark
- Substance/drug abuse
Remember to Exercise Caution, Seek advice and use Sound Judgment before taking Action.
Even for professionals and experts it is very difficult to decide if a child has been abused.
Privacy & Confidentiality
Store, handle, transfer and dispose of all records in a way that safeguards the client’s right to privacy.
Procedure for Reporting Suspected Cases of Child/Vulnerable Adult Abuse
If a client refrains from reporting abuse their wishes must be respected in spite of the ethical dilemma it may raise for the practitioner.
Upholding the client’s right to confidentiality is a core principle of the service delivery of the Hazelton Clinic but in certain cases it may be necessary for the practitioner to override the wishes of the client:
- Where there is immediate or serious risk to the clients.
- Where serious risk to others is suspected from the client or others in their situation.
Practitioners should take the following steps if child or vulnerable adult abuse is suspected or alleged:
- NB: Client’s permission and consent will be sought before disclosure except in cases where such action would result in further risk.
- All disclosures or observations of abuse will be reported verbally to the Hazelton Clinic’s Manager and recorded in the client’s file along with any actions required/taken.
- All decisions with regard to external reporting of disclosures and observations will first be discussed with the clinic’s manager who will get in touch with the Health Service executive to tease out the concern.
- An internal report for submission to the Health Service Executive should be written up following the guidelines below and given to the manager. The submission of the report needs to be made in person either by phone or in writing. Each Health Service has a Duty Social Worker that is available to meet with or talk on the telephone to person’s wishing to report child protection concerns (A list of local contact numbers is available at this document). It is the responsibility of the Social Worker on Duty to investigate the situation and take action if necessary.
- It is generally most helpful if the person who first witnessed or suspected the alleged child abuse makes personal contact with the duty social worker.
- The Gardai also have a statutory role in the protection of children. In the event of an emergency or non-availability of Health Service Executive staff, a report may be made to An Garda Siochana at any Garda Station.
Requirements needed in making an Internal Report:
- Names and addresses of the child, parents, carers and any other children in the family.
- Name and address of the person alleged to be causing harm to the child.
- A full account of the current concern about the child’s welfare or safety
- The source of any information which is being discussed with the health board
- Dates of any incidents being reported
- Circumstances in which the incident or concern arose
- Any explanation offered for the risk, injury or concern
- The child’s own statement if relevant
- Any other relevant information about the family
- Any factors relating to the family which could be considered supportive or protective
- Name of the child’s school
- Name of the child’s general practitioner
- Reporters own involvement with the child an parents/carers
- Details of any action already taken in relation to the child’s safety
- Names and addresses of any agency or key person involved with the family
- Identity of the person reporting, including name, address, telephone number, occupation and relationship with the family.
Protection for Persons Reporting Abuse:
For Details of your local Community Care Social Work Team telephone free phone 1800 520 520
Health Service Executive:
- South Lee: 021 492 3826
- North Lee: 021 492 3965
- North Cork: 022 302 00
- West Cork: 028 231 72
- Kerry: 066 718 4811
Some other useful Addresses and Telephone Numbers:
- Childline: 1800 666 666
- ISPCC (Irish Society for the Prevention of Cruelty to Children): 01 679 4944
- The Cari Foundation: 1890 924567