A SURVEY OF THE EXPERIENCE, KNOWLEDGE AND ATTITUDE OF DENTAL PRACTITIONERS IN BULGARIA ABOUT CHILD ABUSE AND NEGLECT

Aim: To study the experience, knowledge and attitude of dental practitioners in Bulgaria about child abuse and neglect. Material and methods: An anonymous questionnaire was conducted on 265 dental practitioners from several regions of Bulgaria. The questionnaire consists of 15 questions, including demographic characteristics and questions about their attitude, knowledge and actions in suspected cases of child abuse and neglect. Results: Only 1/4 of the respondents, n=60 (22.3%), reported having suspected cases of Child Abuse and Neglect, and only 5.7% of them were reported to the authorities. The notification to the relevant institutions increases with the professional experience up to 30% to 40%. The most common reason for not reporting was lack of knowledge of the way or procedures of reporting (40.4%), fear of subsequent violence against the child - 23.4% and fear of consequences for the child when the relevant institutions interfere - 12.8%. Irregular dental visits were considered the most significant indicator of neglect of children's oral health. Need for additional education and training on recognizing the signs of child abuse and neglect were reported from 72.5% of the participants. Conclusions: The present study showed uncertainty in recognizing and reporting suspected cases of child abuse and neglect, especially for the younger dentists and for those without a certain specialty. There is a clear need for additional education of dental practitioners, as well as certain legal guidelines on the procedures of reporting and recording suspected cases, along with reliable support from the relevant institutions.

Safe from Harm: Development of Online Child Protection Training for Scouts New Zealand

Introduction: SCOUTS New Zealand place paramount importance on keeping young people safe from harm. New Zealand (NZ) has one of the highest rates of child abuse and child death by maltreatment in the developed world. SCOUTS NZ engage with 14,500 children and young people, supported by 4,500 adult volunteers in 340 locations across New Zealand. SCOUTS wanted to inform and educate all their members about the importance of child protection (CP), while managing the challenges of a geographically disparate population through online learning.Method: “Introduction to Child and Youth Protection” module was created collaboratively with SCOUTS NZ and online educators at Whitireia NZ. The aim was to provide an accessible, evidence based, self-paced online module illustrating the realities of child abuse and neglect in NZ, while enabling the participants to understand the role of SCOUTS NZ in child and youth protection. The module was developed using “Articulate Storyline”, peer reviewed by Subject Matter Experts (SMEs) working in Youth Development and Social Work, and evaluated using the Kirkpatrick framework.Results: 1102 SCOUTS leaders and volunteers have completed the CP module and evaluation to date. Significant improvements in the learning outcomes “Understanding the realities of child abuse and neglect in NZ” (5.32 ± 1.35 vs. 6.26 ± 0.79, p 0.001), “Understanding the importance of child and youth protection in NZ” (5.99 ± 1.13 vs. 6.51 ± 0.71, p 0.001) and “Understanding the role of SCOUTS in child protection” (5.74 ± 1.22 vs. 6.46 ± 0.79, p 0.001) were found on completion of the module. Participants found the module engaging (95%), useful (97%), applicable (99%) and relevant to their role (99%).Conclusion: By using tailored, appropriate content, emotive topics can be addressed through online learning, as this successful collaboration has demonstrated.