Peter Sidebotham - Academia.edu (original) (raw)
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Papers by Peter Sidebotham
The Journal of Laryngology & Otology, 1988
Current Pediatric Reviews, 2010
Dental update
The dental team is well placed to notice signs of child abuse and neglect, yet research shows tha... more The dental team is well placed to notice signs of child abuse and neglect, yet research shows that UK dentists are unprepared for a role in protecting children at risk. This article describes how to recognize signs of child abuse and neglect and what to do when concerned about a child. It highlights that advice and support are available from colleagues in other health professions and social services. The concept of'safeguarding' children and promoting their welfare in dental practice is introduced. All members of the dental team share a responsibility to work with others to safeguard children from abuse and neglect.
Archives of Disease in Childhood, 2000
Archives of disease in childhood, 2014
Prolonged school non-attendance in adolescence poses a significant public health concern. Adverse... more Prolonged school non-attendance in adolescence poses a significant public health concern. Adverse outcomes for adolescents who have missed out on the social and academic benefits of high school include mental health disorders and economic, social and relationship difficulties that may persist into adulthood. Healthcare professionals are often consulted in cases of prolonged school non-attendance. Diagnosis and management of specific physical and mental health problems must be the health professional's initial priority, with the subsequent development of a management plan to assist with school reintegration. Using a specific framework, an understanding of the factors contributing to a young person's school non-attendance can be developed. Intervention leading to a successful return to school has the potential to lower the risk of associated long-term adverse health outcomes.
Paediatrics and Child Health, 2014
ABSTRACT Any health professional working with children is likely, at some point in his or her car... more ABSTRACT Any health professional working with children is likely, at some point in his or her career, to have to give evidence in court. It is a prospect that fills many with anxiety and dread. Standing in the witness box, being cross-examined by a barrister, it is easy to feel that it is you who are on trial, that your every action is being criticised, your motives questioned, and your integrity challenged. And yet, the courts are an essential part of safeguarding the welfare of our most vulnerable children and young people, and as health professionals we bring a unique and valuable contribution to the court processes. Giving evidence in court can be one of the most rewarding and challenging aspects of our work as child health professionals. Rewarding when we see positive outcomes as children are protected from harm and perpetrators of abuse are brought to justice, and challenging as our contribution forces us to take a critical look at our own practice, research evidence, and the context of the cases we are dealing with. This review will provide paediatricians and other child health professionals with an overview of court processes relating to children's welfare; to equip them with the knowledge and skills to prepare high quality legal reports, and to give evidence in court.
Seizure, 2015
To review the quality of care of children and young people with epilepsies who, following a prolo... more To review the quality of care of children and young people with epilepsies who, following a prolonged seizure, received high-dependency or intensive care. To identify and learn from clinical, organisational, management or personal issues that contributed to these admissions, in order to inform practice and improve clinical services for children across the UK. Notifications were collected from consultant paediatricians in England, Wales, Scotland and Northern Ireland over a 10-month period. For all eligible cases a clinical questionnaire was sent to the notifying clinician. A sample of these cases were selected for a detailed case note review. Case notes were reviewed by paediatrician-nurse pairs using a purpose-built assessment tool derived from national guidelines. Data were collected from 135 clinical questionnaires, and 36 sets of case notes were reviewed. Findings were compared to national standards of care and emerging themes identified. There was evidence of good epilepsy management in many cases. In some cases there was evidence of a lack of clear emergency care plans, of delays in administration of emergency medication, and of deviation from established national guidelines. The findings of this review suggest there have been improvements in the care of children and young people with epilepsies presenting with prolonged seizures compared to previous studies. Nevertheless, further improvements are needed, particularly in communication with families and prompt administration of emergency medication.
Ambulatory Child Health, 2000
Social Compass, 2012
ABSTRACT The majority of adults in England describe themselves as affiliated to a religious faith... more ABSTRACT The majority of adults in England describe themselves as affiliated to a religious faith. However, little is known about the influence religion has on family life, particularly in relation to ways in which religion influences the parenting of adolescents. The authors seek to add to the limited body of knowledge by reporting the findings of a qualitative study of young people and parents who held a range of religious beliefs and engaged in varied religious practices. The findings indicate that religious beliefs influence both what parents want for their adolescents, and young people’s lifestyles. Moreover, the perceived views of grandparents and peer and societal pressures on young people inform both parents’ and young people’s attitudes. However, the views of faith leaders do not appear to have an influence. The authors conclude by drawing on the findings of this study to explore ways in which the young people and the parents in the study appeared to negotiate adolescent lifestyle choices.
Emergency Medicine Journal, 2007
Emergency departments (EDs) may be the first point at which children who have been subject to abu... more Emergency departments (EDs) may be the first point at which children who have been subject to abuse or neglect come into contact with professionals who are able to act for their protection. In order to ascertain current procedures for identifying and managing child abuse, we conducted a survey of EDs in England and Northern Ireland. Questionnaires were sent to the lead professionals in a random sample of 81 EDs in England and 20 in Northern Ireland. Departments were asked to provide copies of their procedures for child protection. These were analysed qualitatively using a structured template. A total of 74 questionnaires were returned. 91.3% of departments had written protocols for child protection. Of these, 27 provided copies of their protocols for analysis. Factors judged to improve the practical usefulness of protocols included: those that were brief; were specific to the department; incorporated both medical and nursing management; included relevant contact details; included a single page flow chart which could be accessed separately. 25/71 (35.2%) departments reported that they used a checklist to highlight concerns. The most common factors on the checklists included an inconsistent history or one which did not match the examination; frequent attendances; delay in presentation; or concerns about the child's appearance or behaviour, or the parent-child interaction. There is a lack of consistency in the approach to identifying and responding to child abuse in EDs. Drawing on the results of this survey, we are able to suggest good practice guidelines for the management of suspected child abuse in EDs. Minimum standards could improve management and facilitate clinical audit and relevant training.
Child Abuse Review, 2000
... Get PDF (180K). Keywords: failure to thrive; child protection; interagency collaboration. Abs... more ... Get PDF (180K). Keywords: failure to thrive; child protection; interagency collaboration. Abstract. Failure to thrive is a child protection issue that crosses the boundaries between many professional groups. It is a condition that places ...
The Journal of Laryngology & Otology, 1988
Current Pediatric Reviews, 2010
Dental update
The dental team is well placed to notice signs of child abuse and neglect, yet research shows tha... more The dental team is well placed to notice signs of child abuse and neglect, yet research shows that UK dentists are unprepared for a role in protecting children at risk. This article describes how to recognize signs of child abuse and neglect and what to do when concerned about a child. It highlights that advice and support are available from colleagues in other health professions and social services. The concept of'safeguarding' children and promoting their welfare in dental practice is introduced. All members of the dental team share a responsibility to work with others to safeguard children from abuse and neglect.
Archives of Disease in Childhood, 2000
Archives of disease in childhood, 2014
Prolonged school non-attendance in adolescence poses a significant public health concern. Adverse... more Prolonged school non-attendance in adolescence poses a significant public health concern. Adverse outcomes for adolescents who have missed out on the social and academic benefits of high school include mental health disorders and economic, social and relationship difficulties that may persist into adulthood. Healthcare professionals are often consulted in cases of prolonged school non-attendance. Diagnosis and management of specific physical and mental health problems must be the health professional's initial priority, with the subsequent development of a management plan to assist with school reintegration. Using a specific framework, an understanding of the factors contributing to a young person's school non-attendance can be developed. Intervention leading to a successful return to school has the potential to lower the risk of associated long-term adverse health outcomes.
Paediatrics and Child Health, 2014
ABSTRACT Any health professional working with children is likely, at some point in his or her car... more ABSTRACT Any health professional working with children is likely, at some point in his or her career, to have to give evidence in court. It is a prospect that fills many with anxiety and dread. Standing in the witness box, being cross-examined by a barrister, it is easy to feel that it is you who are on trial, that your every action is being criticised, your motives questioned, and your integrity challenged. And yet, the courts are an essential part of safeguarding the welfare of our most vulnerable children and young people, and as health professionals we bring a unique and valuable contribution to the court processes. Giving evidence in court can be one of the most rewarding and challenging aspects of our work as child health professionals. Rewarding when we see positive outcomes as children are protected from harm and perpetrators of abuse are brought to justice, and challenging as our contribution forces us to take a critical look at our own practice, research evidence, and the context of the cases we are dealing with. This review will provide paediatricians and other child health professionals with an overview of court processes relating to children's welfare; to equip them with the knowledge and skills to prepare high quality legal reports, and to give evidence in court.
Seizure, 2015
To review the quality of care of children and young people with epilepsies who, following a prolo... more To review the quality of care of children and young people with epilepsies who, following a prolonged seizure, received high-dependency or intensive care. To identify and learn from clinical, organisational, management or personal issues that contributed to these admissions, in order to inform practice and improve clinical services for children across the UK. Notifications were collected from consultant paediatricians in England, Wales, Scotland and Northern Ireland over a 10-month period. For all eligible cases a clinical questionnaire was sent to the notifying clinician. A sample of these cases were selected for a detailed case note review. Case notes were reviewed by paediatrician-nurse pairs using a purpose-built assessment tool derived from national guidelines. Data were collected from 135 clinical questionnaires, and 36 sets of case notes were reviewed. Findings were compared to national standards of care and emerging themes identified. There was evidence of good epilepsy management in many cases. In some cases there was evidence of a lack of clear emergency care plans, of delays in administration of emergency medication, and of deviation from established national guidelines. The findings of this review suggest there have been improvements in the care of children and young people with epilepsies presenting with prolonged seizures compared to previous studies. Nevertheless, further improvements are needed, particularly in communication with families and prompt administration of emergency medication.
Ambulatory Child Health, 2000
Social Compass, 2012
ABSTRACT The majority of adults in England describe themselves as affiliated to a religious faith... more ABSTRACT The majority of adults in England describe themselves as affiliated to a religious faith. However, little is known about the influence religion has on family life, particularly in relation to ways in which religion influences the parenting of adolescents. The authors seek to add to the limited body of knowledge by reporting the findings of a qualitative study of young people and parents who held a range of religious beliefs and engaged in varied religious practices. The findings indicate that religious beliefs influence both what parents want for their adolescents, and young people’s lifestyles. Moreover, the perceived views of grandparents and peer and societal pressures on young people inform both parents’ and young people’s attitudes. However, the views of faith leaders do not appear to have an influence. The authors conclude by drawing on the findings of this study to explore ways in which the young people and the parents in the study appeared to negotiate adolescent lifestyle choices.
Emergency Medicine Journal, 2007
Emergency departments (EDs) may be the first point at which children who have been subject to abu... more Emergency departments (EDs) may be the first point at which children who have been subject to abuse or neglect come into contact with professionals who are able to act for their protection. In order to ascertain current procedures for identifying and managing child abuse, we conducted a survey of EDs in England and Northern Ireland. Questionnaires were sent to the lead professionals in a random sample of 81 EDs in England and 20 in Northern Ireland. Departments were asked to provide copies of their procedures for child protection. These were analysed qualitatively using a structured template. A total of 74 questionnaires were returned. 91.3% of departments had written protocols for child protection. Of these, 27 provided copies of their protocols for analysis. Factors judged to improve the practical usefulness of protocols included: those that were brief; were specific to the department; incorporated both medical and nursing management; included relevant contact details; included a single page flow chart which could be accessed separately. 25/71 (35.2%) departments reported that they used a checklist to highlight concerns. The most common factors on the checklists included an inconsistent history or one which did not match the examination; frequent attendances; delay in presentation; or concerns about the child's appearance or behaviour, or the parent-child interaction. There is a lack of consistency in the approach to identifying and responding to child abuse in EDs. Drawing on the results of this survey, we are able to suggest good practice guidelines for the management of suspected child abuse in EDs. Minimum standards could improve management and facilitate clinical audit and relevant training.
Child Abuse Review, 2000
... Get PDF (180K). Keywords: failure to thrive; child protection; interagency collaboration. Abs... more ... Get PDF (180K). Keywords: failure to thrive; child protection; interagency collaboration. Abstract. Failure to thrive is a child protection issue that crosses the boundaries between many professional groups. It is a condition that places ...