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Child Protection Procedures - East Ayrshire Council

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• Failure to thrive.<br />

• Inadequate clothing.<br />

• Uncleanliness.<br />

• Failure to engage with medical services.<br />

Emotional Abuse<br />

• Behaviour indicative of lack of love, care and stimulation.<br />

• Compulsive eating.<br />

• Neurotic behaviour, rocking/head banging.<br />

• Inability to play.<br />

• Significant decline in concentration span.<br />

• Self harm.<br />

• Extremes of either passivity or aggression.<br />

• Social/emotional immaturity.<br />

• Low self esteem<br />

Sexual Abuse<br />

Traditionally there has been great suspicion of children who allege that they have<br />

been sexually abused and a tendency to describe such claims as fantasy.<br />

Experiences suggests that children rarely fabricate such statements. The child should<br />

always be listened to and what they say should be treated very seriously and<br />

investigated.<br />

The majority of sexually abused children have no physical symptoms but usually<br />

exhibit behavioural or emotional symptoms. These symptoms are not specific to<br />

sexually abused children and, therefore, present problems of diagnosis. Sexual<br />

abuse presents in numerous ways, but should be considered when there is evidence<br />

or vaginal or anal injuries, oversexualised behaviour, some recurrent abdominal pains<br />

and excessive masturbation.<br />

The important point to remember is, that if a child is showing signs of emotional or<br />

behaviour stress, then the possibility of sexual abuse must be considered, particularly<br />

when there are sudden changes in mood or behaviour with no apparent explanation.<br />

Physical/Medical Indicators of the Possibility of Sexual Abuse<br />

• Sleeplessness, nightmares, fear of the dark.<br />

• Bruises, scratches, bite marks to the thighs or genital areas.<br />

• Itch, soreness, a discharge, unexplained bleeding from the rectum, vagina or<br />

penis.<br />

• Pain on passing urine or recurrent urinary infection.<br />

• Stained underwear.<br />

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