Safeguarding children
It is essential that everyone who provides dental care for children has an understanding of other factors that affect children’s lives. This includes non-dental aspects of their health and wider issues that affect children’s development and well-being. Child maltreatment is one such issue. Abuse and neglect are forms of maltreatment of a child. Child maltreatment involves acts of commission or omission which result in harm to a child. When health professionals work with others to take action to protect children who are suffering, or are at risk of suffering, significant harm as a result of maltreatment, this is known as ‘child protection’. Child protection sits within the context of a wider agenda to ‘safeguard’ children. Safeguarding measures are actions taken to minimize the risks of harm to children and young people. These include: • protecting children from maltreatment • preventing impairment of children’s health or development • ensuring that children are growing up in a safe and caring environment. This should enable children to have optimal life chances and to enter adulthood successfully. The foundation for the success of such work is an acceptance and understanding of children’s internationally agreed human rights. In this context the term ‘child’ includes children and young people up to the age of 18. Violence towards children has been noted between cultures and at different times within the same culture since early civilization. Infanticide has been documented in almost every culture, and ritualistic killing, maiming, and severe punishment of children in an attempt to educate them, exploit them, or rid them of evil spirits has been reported since early times. Ritualistic surgery or mutilation of children has been recorded as part of religious and ethnic traditions. In the seventeenth century values started to change and incest was seen as a crime under church law, but until the eighteenth century society viewed children as possessions of their parents who were at liberty to treat them in any way they wished. In fact, legislation to protect animals was introduced before children were afforded the same ‘privilege’.