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CIC and Health

CIC and Health. Thresa McCarthy/Jill Sim Children in Care Nurses. Policy Context. Healthy Lives, Brighter Futures: the strategy for children and young people’s health (2009) Statutory Guidance on Promoting the Health & Well-being of Looked After Children (2009)

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CIC and Health

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  1. CIC and Health Thresa McCarthy/Jill Sim Children in Care Nurses

  2. Policy Context • Healthy Lives, Brighter Futures: the strategy for children and young people’s health (2009) • Statutory Guidance on Promoting the Health & Well-being of Looked After Children (2009) • The NICE Quality Standard of the Health and wellbeing of looked-after-children and young people (2013)

  3. Effects of Trauma and Neglect on the Child in Care • These functions may be diminished or lost: • language, especially spoken language • words for feelings • sense of meaning and connection • empathy • impulse control • mood regulation • short term memory • capacity for joy

  4. Physiological Effects • Perpetual extreme levels of stress arousal • may lead to: • hyper vigilance and loss of ability to concentrate • altered vision and hearing • hyperactivity or dissociation • avoidance of potential triggers to trauma • altered sleep patterns • altered eating patterns • compulsive self harm • attempts to self medicate with substances

  5. What is the impact? • Neglect and unmet emotional needs • Children may: • be slow to learn to walk and talk • be very passive and unable to be spontaneous • have feeding problems and grow slowly • find it hard to develop close relationships • be overfriendly with strangers • find it difficult to make and sustain relationships • be unable to play imaginatively • think badly of themselves • be easily distracted and find it difficult to learn

  6. Children in Care - ‘Physical Health Need’ • Two thirds of Children in Care have at least one physical complaint most commonly eye and or sight problems, bedwetting, speech or language problems, difficulty in co-ordination, and asthma. (Meltzer et al 2003) • 52% of Children in Care for a year had a physical or health condition that required out- patient treatment. (Skuse et al 2001) • Three quarters of children with a mental health disorder also had at least one physical complaint. (ONS 2002) • (Quoted in the Guidance on Promoting the Health & Wellbeing of LAC, 2009)

  7. Children in Care -“Lifestyle choices” • DRUGS & ALCOHOL: • In 2003 • One in twenty with a mental health disorder drank alcohol daily • One in five had used cannabis • Next most popular substances were ecstasy and glue (ONS 2003) • In 2007 • 5% identified as having a substance misuse problem of whom two thirds received treatment • (formerly DCSF 2008 now Department for Education) • In 2008 • YP in care reported drinking alcohol, smoking and experimenting with sex at an early age but only 11% reported experimentation with drugs ( CAFCASS 2008 )

  8. Children in Care“Lifestyle choices” • Higherlevel of substance misuse , including smoking, among Children in Care than among the non – care population (Meltzer et al 2003) • SMOKING: • One third 11-17year olds are smokers • 69% of those in residential care • (DCSF 2008)

  9. Children in Care“Lifestyle choices” • Sexual Health • Teenage girls in Care are 2.5 times more likely to become pregnant than other teenagers – Social Care Institute for Excellence 2004 • - This is more likely if they are placed in residential as opposed to foster care. • Children and Young people in Care are at increased risk of sexual exploitation. The Children’s Society 2012.

  10. Role of CIC Nurse • Undertake a holistic comprehensive health assessment • Inform/support & challenge health professionals and others • including CiC Clinical Supervision/advocacy and interpretation of health information • Liaise with other CiC Nurses – Countywide/Regionally/Nationally • Multi Agency Training - to a multi Agency Audience including Carers • Lead and contribute to audits • Influence Policy & Strategic Planning, Locally and Nationally • Work with Partners • Client focused meetings -

  11. Issues of Consent • Parental responsibility. • Fraser Guidelines.

  12. VSK East and South. • Brook House • John Wilson Business Park • Reeves Way • Whitstable • CT5 3SS • Tel: 01227 284475 • VSK West and North. • Commercial Services • Gibson Drive • Kings Hill • West Malling • Kent • ME19 4QG • Tel: 01732 525355

  13. Service for OLA (Other Local Authority) Children • 1 Specialist Nurse –Sally Galbraith • 2 Part time administrators based at:- • Aylesham Health Centre • Aylesham • Kent • CT3 3BB • Tel: 01304 843768

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