The Child in Mind: A Child Protection Handbook

By Judy Barker; Deborah T. Hodes | Go to book overview

11

Non-compliance
THERE WILL ALWAYS be parents/carers who do not wish to be helped by the professional network for a variety of reasons, and they have the right to exercise that choice. However, the refusal or reluctance of parents or carers to work in partnership with professionals where there are concerns about a child's welfare is known as non-compliance and should trigger further enquiries. Always consider whether non-compliance is concealing child abuse or neglect. The checklist below helps pinpoint those occasions when parental non-compliance could indicate that a child is at risk:
Outright refusal of a service, such as child health promotion, with little explanation and/or refusal to allow the child to be seen
Child has not been seen for long periods
Covert refusal of service, for example arrangements are made but not kept, leading to repeated failed appointments at home and/or in clinic
Failure to comply with appointments (such as, dentist, orthoptist, therapist, dietician, paediatric outpatients and so on) in circumstances that might jeopardise the child's health and development
Consider too the following:
Hostile behaviour towards the health professional and/or other individuals
Prior history of abuse and/or neglect of the child or sibling
Current concerns about the child and capacity of parent to meet child's needs

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