FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4384566658> ?p ?o ?g. }

• W4384566658 abstract "<h3>Objectives</h3> There is a recognised overlap between trauma, adverse childhood experiences and neurodevelopmental presentations.¹ In 2021, following a serious incident when the community paediatric team were not aware of safeguarding concerns for a child with a neurodevelopmental presentation, a new system of notification was established for the safeguarding nurses to inform community paediatricians when there is a safeguarding referral for a community paediatric patient. The purpose of this service evaluation was to analyse the safeguarding notifications made to the community paediatric team in August 2021 and June 2022, to look at the overlap between the safeguarding and the neurodevelopmental concerns of children and young people who present to both services, with a view to improve the service offered. <h3>Methods</h3> A retrospective review of the electronic patient records of the children and young people notified to the community paediatricians in August 2021 and June 2022 was undertaken. The chronologies of these cases were reviewed to look at the patient journeys, documenting their contact with services. <h3>Results</h3> 6 notifications were made in August 2021 and 12 were made in June 2022. 6 of these children had been referred to the single point of contact of the social care team, 5 had been escalated to the multi-agency safeguarding hub and 7 had been escalated to the safeguarding hub for children at risk of exploitation. A review of the chronologies of these 18 cases found there was temporal overlap between the children presenting to safeguarding services, community paediatrics for neurodevelopmental symptoms and to mental health services. The chronologies also showed that children were being referred between services and being added to multiple waiting lists, which can result in delays in the provision of support to these children with complex problems. There was evidence of families and professionals experiencing anxiety and confusion in relation to the expectations from the different referrals. The chronologies also showed that a high proportion of these children presenting with neurodevelopmental symptoms had experienced multiple adverse childhood experiences and that they were vulnerable to further exploitation perpetuating the cycle of trauma. <h3>Conclusions</h3> This service evaluation highlights the fragmented provision of services for children with neurodevelopmental conditions and safeguarding concerns. There is a need for a co-ordinated approach between social care, neurodevelopmental services and mental health services with the support of commissioners, for children presenting with overlapping safeguarding and neurodevelopmental difficulties. <h3>Reference</h3> Gajwani R, Minnis H. Double jeopardy: implications of neurodevelopmental conditions and adverse childhood experiences for child health. <i>Eur Child Adolesc Psychiatry</i> (2022)." @default.
• W4384566658 created "2023-07-18" @default.
• W4384566658 creator A5061441705 @default.
• W4384566658 creator A5081542356 @default.
• W4384566658 creator A5082731271 @default.
• W4384566658 date "2023-06-19" @default.
• W4384566658 modified "2023-10-16" @default.
• W4384566658 title "927 Neurodevelopmental presentations (Autism and ADHD symptoms) and safeguarding concerns" @default.
• W4384566658 doi "https://doi.org/10.1136/archdischild-2023-rcpch.114" @default.
• W4384566658 hasPublicationYear "2023" @default.
• W4384566658 type Work @default.
• W4384566658 citedByCount "0" @default.
• W4384566658 crossrefType "proceedings-article" @default.
• W4384566658 hasAuthorship W4384566658A5061441705 @default.
• W4384566658 hasAuthorship W4384566658A5081542356 @default.
• W4384566658 hasAuthorship W4384566658A5082731271 @default.
• W4384566658 hasConcept C159110408 @default.
• W4384566658 hasConcept C187212893 @default.
• W4384566658 hasConcept C2776135927 @default.
• W4384566658 hasConcept C2776743756 @default.
• W4384566658 hasConcept C512399662 @default.
• W4384566658 hasConcept C545542383 @default.
• W4384566658 hasConcept C71924100 @default.
• W4384566658 hasConceptScore W4384566658C159110408 @default.
• W4384566658 hasConceptScore W4384566658C187212893 @default.
• W4384566658 hasConceptScore W4384566658C2776135927 @default.
• W4384566658 hasConceptScore W4384566658C2776743756 @default.
• W4384566658 hasConceptScore W4384566658C512399662 @default.
• W4384566658 hasConceptScore W4384566658C545542383 @default.
• W4384566658 hasConceptScore W4384566658C71924100 @default.
• W4384566658 hasLocation W43845666581 @default.
• W4384566658 hasOpenAccess W4384566658 @default.
• W4384566658 hasPrimaryLocation W43845666581 @default.
• W4384566658 hasRelatedWork W1981772790 @default.
• W4384566658 hasRelatedWork W2042489430 @default.
• W4384566658 hasRelatedWork W2053221007 @default.
• W4384566658 hasRelatedWork W2156892191 @default.
• W4384566658 hasRelatedWork W2261807348 @default.
• W4384566658 hasRelatedWork W2403047334 @default.
• W4384566658 hasRelatedWork W2973164754 @default.
• W4384566658 hasRelatedWork W3136978941 @default.
• W4384566658 hasRelatedWork W3207070436 @default.
• W4384566658 hasRelatedWork W2021519447 @default.
• W4384566658 isParatext "false" @default.
• W4384566658 isRetracted "false" @default.
• W4384566658 workType "article" @default.