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Child Protection and Welfare Practice Handbook - Health Service ...

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60<br />

<strong>Child</strong> <strong>Protection</strong> <strong>and</strong> <strong>Welfare</strong> <strong>Practice</strong> H<strong>and</strong>book<br />

3.2.1 Age of the child<br />

Risk factors <strong>and</strong> early years – the vulnerabilities of infants<br />

• The majority of child deaths from abuse <strong>and</strong> neglect are of children<br />

under the age of 4, when children are most vulnerable to physical<br />

attacks <strong>and</strong> to dangers created by lack of supervision <strong>and</strong> severe<br />

neglect, <strong>and</strong> are isolated from professionals, such as teachers, who<br />

might intervene to protect them.<br />

• This age group is more at risk of being maltreated when they are<br />

growing up in families affected by parental substance misuse, domestic<br />

violence <strong>and</strong> mental ill health.<br />

• Experiences of abuse <strong>and</strong> neglect can cause distress, emotional <strong>and</strong><br />

physical pain, <strong>and</strong> overwhelming fear or terror in response to sudden<br />

separations, experiencing neglect, being assaulted or witnessing<br />

violence.<br />

• Exposure to trauma affects every dimension of an infant’s psychological<br />

functioning (e.g. emotional regulation, behaviour, response to stress<br />

<strong>and</strong> interaction with others). Very young infants may be overwhelmed<br />

with intense negative emotions, manifesting in incessant crying, inability<br />

to be soothed, feeding problems, sleep disturbances, hyper-arousal<br />

<strong>and</strong> hyper-vigilance, <strong>and</strong> intense distress during transitions. Toddlers<br />

may experience intense separation anxiety, wariness of strangers,<br />

social avoidance <strong>and</strong> withdrawal, <strong>and</strong> constricted affect <strong>and</strong> play. They<br />

are likely to have reduced tolerance of frustration <strong>and</strong> problems with<br />

emotional regulation, evident in intractable tantrums, non-compliance<br />

<strong>and</strong> negativism, aggression <strong>and</strong> controlling behaviour.<br />

Risk factors <strong>and</strong> adolescents<br />

Risks factors specific to adolescents <strong>and</strong> young people include:<br />

adolescent mental health problems;<br />

• self-harm <strong>and</strong>/or suicide;<br />

• involvement with, or fear of, gang-related violence;<br />

• sexual exploitation;<br />

• teenage domestic violence.<br />

•<br />

The neglect of older children <strong>and</strong> adolescents is difficult to recognise <strong>and</strong> too<br />

often goes unnoticed (see p. 21, ‘Indicators of neglect in older children’).

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