Written Agreement Between the Public Dental Service and the Child Welfare - an Agreement with Possibilities?
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1 Written Agreement Between the Public Dental Service and the Child Welfare - an Agreement with Possibilities? The 7 th Nordic Conference on Child Abuse and Maltreatment. Bergen 14. th of May 2012 Public Dental Health Service Western Norway Linda Næss and Ingfrid Vaksdal Brattabø
2 Agenda Background Agreement of Cooperation Implementation Experiences
3 The Law Act of Dental Care Act of Health Personnel 2006 Strategy to reduce social inequalities in health
4 Act of Dental Care 1-3 (Lov om tannhelsetjenesten) A. Children and young people up to and including the age of 18. B. Mentally handicapped persons in institutions or their own homes. C. Groups elderly, long-term ill and disabled persons in institutions and under home care services. D. Young adults of 19 or 20 years in treatment year. E. Other groups the county council has elected to prioritise.
5 The Health Personnel Act (Lov om Helsepersonell) Chapter 6 Duty of disclosure etc (opplysningsplikt) 33 Information to the childrens welfare service reason to believe that a child is abused in it`s home or there are present other forms for severe neglect
6 The Missing Link Norwegian Directorate of Health made an issue in 2008 about the missing routines in the Dental service reporting to childrens welfare services if : a child does not show up to their dental appointment, the child had grave caries, or if there were other reasons to concern. - IS/-1/2009 National goals and main priorities
7 Agenda Background Agreement of Cooperation Implementation Experiences
8 Cooperation in Western Norway Public Dental Services in Rogaland Hordaland Sogn og Fjordane University of Bergen Department of Clinical Dentistry. Government Children's House Bergen. Resource Centre for Violence and Traumatic Stress.
9 Routines for Reporting Expression of Concern to the Child Welfare for Patients Aged 0 to 18 Years who repeatedly do not meet for dental appointments. one suspect is victim of sexual abuse, physical violence or neglect.
10 Agreement of Cooperation Suggestion for Agreement of Cooperation Between; each local public dental health clinic and the local child welfare office.
11
12 Follow-up intern child welfare advisor 20% position. Function as a support for the dental health personnel. The aim is to lower the threshold for reporting an expression of concern. Register number and type of reported expressions of concern.
13 Agenda Background Agreement of Cooperation Implementation Experiences
14 Collaboration and Education The Government Children's House by R. Dybsland and The University in Oslo by A. Rønneberg have held courses on the topics child neglect and child abuse for: All the employees in the Public Dental Services in western Norway. Intern Child Welfare Advisor has had Internship at: The Child Welfare Guard in Bergen Government Children's House Bergen
15 Agenda Background Agreement of cooperation Implementation Experiences
16 Experiences so far Significant reduction in number of patients who does not show up for appointment. Increased awareness among the dental health personnel due to their responsibility to report suspected child neglect, abuse or maltreatment. Dental health personnel have a better knowledge in order to recognize neglect and feel more confident when it comes to documentation and reporting. An increase in numbers of reported expression of concern to the children's welfare. The child welfare advisor receives several phone calls from dental health personnel weekly.
17 County Numbers of warnings sent to parents Numbers of concerns sent to the child welfare Numbers of children per sent concern. Østfold Akershus Oslo Hedmark Oppland Buskerud Vestfold Telemark Aust-Agder Vest-Agder Rogaland Hordaland Sogn og Fjord Møre og Romsdal Sør Trøndelag Nord Trøndelag Nordland Troms Finnmark
18 Head of Children's Welfare Sogn og Fjordane I really liked this agreement of cooperation and thought we should have these kinds of agreements with our other partners. This was inspiring.
19 What's next? The Dental Health Services in Rogaland and Hordaland have started a scientific study on the new intern routines and the agreement of cooperation between the child welfare and the public dental health clinics. Hopefully our work will be scientific evaluated and result in two PhD degrees. Through scientific studies and results it will be easier to use cooperative agreements as a tool.
20 Thank you for your attention!
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