Describe two factors in this family that place these children at increased risk, identifying the research evidence to support this view.

This paper is part of an examination of the College counting towards the award of a degree. Examinations are governed by the College Regulations under the authority of the Academic Board.

BSc EXAMINATION

Postgraduate Diploma EXAMINATION

MODULE CODES: 6KNIN631 & 7KNIM737

TITLE OF EXAMINATION: Child Protection: Assessment and Intervention

EXAMINATION PERIOD 2 (Term 3 2021)

Paper opens from 08.00 Tuesday 4th May 2021

Submission deadline 22.00 Wednesday 5th May 2021

Submission deadline for students with a PAA is also 22.00 Wednesday 5th May 2021

EXAM INSTRUCTIONS TO CANDIDATE

Part A: Scenario and 3 related questions. Please read the scenario carefully and complete each of the three sub-questions. Part A should be a maximum of 500 words in total (excluding references and exam title). Answer each sub-question on a separate page. A reference list should be provided for Part A, with a maximum of 5 references. Ensure the question number and your candidate number are also included on each page.

Part B: Essay question. Please answer ONE of the two questions. Part B should be a maximum of 500 words in total (excluding references and exam title). A reference list should be provided for Part B, with a maximum of 5 references. Ensure the question number and your candidate number are also included on each page.

Complete the cover sheet clearly and include the exam title, the question numbers attempted, your candidate number and the word counts.

When submitting your work, create one word document containing the cover sheet, Part A and Part B answers with their respective reference lists and submit your work through Turnitin.

The expectation is that the work you complete and submit is your own as per the Academic Regulations and the Academic Honesty and Integrity policy. Any sources that you use need to be acknowledged using the correct referencing format. As students undertaking a professional programme of study it is important that you reflect the professional values required in your approach to your examination

PLEASE ENSURE YOU USE YOUR CANDIDATE NUMBER AS THE SUBMISSION TITLE.

Part A: Scenario – 50 marks in total

Please read the scenario carefully and complete each of the three questions

Family Members

Ms A Mother Age 23 years

Mr B Father Age 30 years

Child C Son Age 6 years

Child D Son Age 4 years

Ms A had her first baby (Child C) after an uneventful pregnancy and the baby was born at term (40 weeks). Ms A presented for antenatal care when she was 28 weeks pregnant with Child C. At the time of the birth Ms A and Child C were living with Ms A’s foster parents but they quickly moved to the home of Mr B, who was Child C’s father. Child D, the second child of Ms A and Mr B, was born two years later. Once again, Ms A presented for antenatal care at an advanced stage in the pregnancy. In the case of each pregnancy Ms A said that she had not realised she was pregnant until the pregnancy was well advanced and at that point sought medical advice. When Child D was born the family acquired a home of their own. Both children had their six-week developmental assessment and primary immunisations.

When Child C began nursery the nursery workers expressed concern about his speech, growth and general development. Child C had very few words and his play was violent and destructive. The health visitor was contacted. She assessed Child C’s development and a referral for speech therapy was made. At the home visit the health visitor also noticed that Child D was not vocalising and had poor weight gain. Although born on the 50th centile Child D’s weight was, when weighed by the health visitor, on the 0.4th centile.

The home environment was cluttered and there were few toys and little safe play space. Ms A seemed unaware of the children’s difficulties and was most concerned with the health of Mr B who, she said, had epilepsy that was gradually becoming worse. The health visitor completed a CAF and a family support worker was appointed to help within the home and to support Ms A in therapeutic play with the family.

In the year Child C started primary school he was taken with minor injuries to the local accident and emergency department, on 4 separate occasions. Ms A gave an appropriate explanation on each occasion. That same year, Child D attended nursery with a cut on his head that required sutures. Child D said to the school nurse and to his teacher that ‘Dad did it’. A referral was made to Children & Young People services.

Part A: Questions

Using the scenario above answer all the following questions

1. Describe two factors in this family that place these children at increased risk, identifying the research evidence to support this view.

2. If you were working with this family, what additional information would help you assess the wellbeing of these children and how could you access this information?

3. Were there any missed opportunities and if so, what were they?

(Part A – 50 marks in total)

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Part B: Please answer ONE of the following questions.

1. Children who live in neglectful or emotionally impoverished households can present with a range of behavioural and developmental difficulties. Describe some of these difficulties in children or young people and your role in identifying appropriate support services.

2. Using observations from practice, describe the qualities and skills used by health visitors and school nurses to successfully engage families or colleagues in difficult conversations.

(Part B – 50 marks in total)

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