DGD13-037 Child Protection Policy Policy Statement ACT Health takes its responsibility for protecting children and young people extremely seriously and therefore requires ALL its staff to report suspicions of ALL forms of abuse and neglect. ACT Health staff must comply with: 1. The requirements of the Children and Young People Act 2008 (the Act). This is the law in the ACT relating to the care and protection of children and young people. Section 356 of the Act makes it mandatory for certain groups of people (including certain ACT Health staff) to make a report to Care and Protection Services when they believe on reasonable grounds, during the course of their work, that a child or young person has experienced or is experiencing sexual abuse or non- accidental physical injury. The Children and Young People Act 2008 also has other sections that refer to prenatal reporting (Section 362) and voluntary reporting (Section 354). 2. The ACT Health requirement to report suspicions of all other forms of abuse, including neglect and emotional abuse. These obligations arise as a condition of employment and must be complied with regardless of whether or not the employee is mandated under the Act to report such suspicions. This policy should be read in conjunction with the: Child Protection Standard Operating Procedure (SOP); and Child Protection Practice Paper. Purpose Reporting begins the process of protection… the victims of child abuse and neglect are usually too young or too frightened to obtain protection for themselves. They can be protected only if a concerned individual recognises the danger and reports it to the proper authorities. Besharov, 1990:34 This policy establishes the guiding principles, responsibilities and legislative basis for ACT Health staff to protect unborn children, children and young people aged 0 and up to 18 years. This policy aims to improve the protection of children by assisting both clinical and nonclinical ACT Health staff to understand and fulfil their responsibilities in relation to child protection. Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 Area Responsible Women, Youth & Child Health Policy Unit Page 1 of 11 DGD13-037 Guiding principles for protecting children include: The best interest of the child is paramount; Child abuse and neglect is a crime; Child abuse and neglect will not go away without intervention; Children are vulnerable and need members of the community to support, advocate and protect them, even if their parents or carers cannot or do not do so; Listening to children and advocating on their behalf is an important role for ACT Health staff; Protecting children is a shared community responsibility; Supporting children and families and intervening early improves long-term outcomes for children; ACT Health staff are mandatory reporters and are legally bound to report suspicions of child physical and sexual abuse. ACT Health staff are also required to report suspicions of all other forms of abuse, including neglect and emotional abuse. It is mandatory for all ACT Health staff to attend child protection training. Scope This Child Protection Policy and related SOP applies to all ACT Health staff. Evaluation Outcome Measures ACT Health supports the protection of children and young people from harm. Staff fulfil mandatory reporting requirements. Method Establish a program to conduct clinical audits to ascertain compliance with the policy and legislative requirements for reporting child abuse and neglect. Annual audit of compliance with staff mandatory training requirements. Ongoing qualitative evaluation of staff training course delivery and resources. Annual review of the Child Protection Advisory Committee work plan. Data provided by the child protection training officers and the Capabiliti system will be reported to the ACT Health Executive Council through the annual Board Assurance on Compliance e-System (BaCES) child protection policy compliance report in October each year. Child protection training officers report through the Child Protection Advisory Committee (CPAC). Incidents related to this policy are reported via the Clinical Incident Reporting System Riskman. Incidents are reviewed and corrected actions are reported via relevant departments in line with continuous quality improvement processes. Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 Area Responsible Women, Youth & Child Health Policy Unit Page 2 of 11 DGD13-037 Related Policies and Standards In addition to finding the documents below on the online Policy Register, staff can also access them by clicking the child protection button (at left) on the top right hand side of the ACT Health intranet homepage. Child Protection Standard Operating Procedure (SOP) (ACT Health) The SOP establishes the guiding principles, responsibilities and legislative basis for ACT Health employees to protect unborn children, and children and young people aged 0 to 18 years. Hyperlink Child Protection Practice Paper (ACT Health) The Practice Paper provides detailed information on child protection to assist ACT Health staff to fulfil their role in protecting children and young people, be child-centred in their practice, and promote the best interests of the child. Hyperlink Neglect of medical needs of children and young people Standard Operating Procedure (SOP) (ACT Health) The SOP establishes the responsibilities and legislative basis for ACT Health staff to protect children and young people whose medical needs are being neglected. Under development Child Protection Factsheets (ACT Health) Factsheet 1: Information Sharing This Factsheet provides information on what information sharing is permitted between ACT Health staff and Care and Protection Services Information Sharing Factsheet 2: Prenatal Reporting and Pre-birth Alerts This Factsheet provides information on prenatal reporting, prenatal information sharing and pre birth alerts. Prenatal Reporting and Prebirth Alerts Factsheet 3 Making a Child Protection Report to CPS This Factsheet provides information on how to make a child protection report to Care and Protection Services. Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 Making a Child Protection Report to Care and Protection Services (CPS) Area Responsible Women, Youth & Child Health Policy Unit Page 3 of 11 DGD13-037 Related Policies and Standards – continued Child Protection Reporting Form (ACT Health) The Reporting Form is completed http://inhealth/SearchCenter/Pages/PPR by ACT Health staff and faxed or searchresults.aspx?k=Child%20Pr sent to the Care & Protection otection%20Reporting%20Form Services. Completed forms are filed on client files. Guide to Public Health Officers responding to notifications of sexually transmittable infections in children and young people (ACT Health) To provide guidance to Public Health Officers (PHOs) in understanding their responsibilities, as mandatory reporters and as ACT Health staff, when they receive a laboratory notification of a child or young person with a sexually transmissible infection (STI). Hyperlink tba Family Violence Policy (ACT Health) Under development for release in 2013/14 Under development National Framework for Protecting Australia’s Children 2009-2020 The National Framework aims to build parenting and community capacity to care for children and reduce child abuse over time. www.fahcsia.gov.au/ourresponsibilities/families-andchildren/publicationsarticles/protecting-childrenis-everyones-business Children and Young People Act 2008 This ACT legislation provides for and promotes the wellbeing, care and protection of children and young people www.legislation.act.gov.au/ a/2008-19/default.asp Domestic Violence and Protection Orders Act 2008 This ACT legislation aims to prevent violence between family members and others who are in a domestic relationship and to facilitate the safety and protection of people who fear or experience violence. www.legislation.act.gov.au/ a/2008-46/default.asp Related Legislation Education Act 2004 Doc Number DGD13-037 This ACT legislation promotes compulsory education and states the responsibilities of parents and the government in relation to education and the principles and values for government and non-government school education and home education Issued Sep 2013 Review Date Sep 2016 www.legislation.act.gov.au/a/2 004-17/default.asp Area Responsible Women, Youth & Child Health Policy Unit Page 4 of 11 DGD13-037 Related Legislation – continued - Freedom of Information Act 1989 This ACT legislation aims to extend as far as possible the right of the Australian community, to access information in the possession of the Territory. Health Records (Privacy and Access) Act 1997 This ACT legislation aims to provide for privacy rights in relation to personal health information; and to provide for the integrity of records www.legislation.act.gov.au/a/ containing personal health 1997-125/default.asp information; and to provide for access to personal health information contained in health records. Human Rights Act 2004 This ACT legislation aims to respect, protect and promote human rights. www.legislation.act.gov.au/a/ 2004-5/default.asp Legislation Act 2001 This ACT legislation aims to make legislation more accessible by encouraging access to legislation through the internet and assisting users of legislation to find, read, understand and use legislation. www.legislation.act.gov.au/a/ 2001-14/default.asp www.legislation.act.gov.au/a/ alt_a1989-46co/default.asp Privacy Act 1988 This Commonwealth legislation covers the ACT and makes provision to protect the privacy of individuals, and for related purposes. www.comlaw.gov.a u/ComLaw/Legislati on/ActCompilation1. nsf/0/97BD1BC0103 3A306CA2571A0000 08DBD?OpenDocum ent Public Advocate Act 2005 This ACT legislation provides for the appointment of a public advocate, and for related matters. www.legislation.act.gov.au/ a/2005-47/default.asp Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 Area Responsible Women, Youth & Child Health Policy Unit Page 5 of 11 DGD13-037 References, resources and further reading Keeping Children and Young People Safe – A shared This is a guide to reporting child community responsibility abuse and neglect in the ACT. (November 2012) www.dhcs.act.gov.au/__dat a/assets/pdf_file/0020/201 935/Keeping_Children_You ng_People_Safe_Nov2013_ DesignerVersion.pdf Help Break Down the Wall: Community Attitudes Survey - Summary of Results National Association for the Prevention of Child Abuse and Neglect (NAPCAN) This national survey gauges community attitudes to child abuse and neglect across Australia and identifies inhibitors to action. www.preventingchildabuse. com.au/public/pdfs/NAPCA N_Survey_Report_FINAL_4 _June_2010.pdf ACT Children’s Plan The plan has a vision that Canberra is a child and youth friendly city that supports all children and young people to reach their potential, make a contribution, and share the benefits of our community. www.children.act.gov.au/p ublications.htm ACT Young People’s Plan The plan is a statement of commitment by the ACT Government to work in partnership www.youth.act.gov.au/cms with young people and key /index.php?page=publicatio stakeholders to improve outcomes ns for young people in the ACT aged 12 to 25 years. Canberra Social Plan The plan articulates the ACT Government’s commitment to collaboration and strengthening partnerships as the cornerstone of an inclusive community, and provides direction for planning and service delivery. Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 www.cmd.act.gov.au/policy strategic/socialplan Area Responsible Women, Youth & Child Health Policy Unit Page 6 of 11 DGD13-037 Definition of Terms Aboriginal means a person who— (a) is a descendant of the indigenous inhabitants of Australia; and Aboriginal (b) either— (i) for any person—regards himself or herself as an Aboriginal; or (ii) if the person is a child—is regarded as an Aboriginal by a parent or family member; and (c) is accepted as an Aboriginal by an Aboriginal community. Abuse of a child or young person, means— (a) physical abuse; or (b) sexual abuse; or (c) emotional abuse (including psychological abuse) if the child or young person has experienced the abuse or is experiencing the abuse in a way that has caused or is causing significant harm to his or her wellbeing or development; or Abuse (d) emotional abuse (including psychological abuse) if— (i) the child or young person has seen or heard the physical, sexual or psychological abuse of a person with whom the child or young person has a domestic relationship, the exposure to which has caused or is causing significant harm to the wellbeing or development of the child or young person; or (ii) if the child or young person has been put at risk of seeing or hearing abuse mentioned in subparagraph (i), the exposure to which would cause significant harm to the wellbeing or development of the child or young person. Adult Adult means someone who is 18 years old or older. Age of consent means: (a) to sexual intercourse – sixteen years of age for both heterosexual and homosexual relationships; (b) to medical care – is variable. NOTE: The High Court has determined that the ability to consent to medical treatment accrues as the child ages and matures. Age of consent Initially, the power to consent rests with the parents as a result of parental responsibility and as the child becomes a teen they gradually assume that responsibility and power from their parents, in accordance with their maturity. Whether a particular child can consent to medical treatment will thus depend upon the age and apparent maturity of the child, and also upon the nature of the procedure. For example, irreversible operations such as sterilisation may never be within the power of a child to consent. The High Court has held that such an irreversible operation would require the consent of the Family Court. Assessment order means a care and protection assessment. Assessment order Doc Number DGD13-037 NOTE: The term "assessment" has a much wider, but still clearly defined, role in health. There are many different forms of health assessment such as physical and mental health assessments, developmental assessments and progress assessments. Issued Sep 2013 Review Date Sep 2016 Area Responsible Women, Youth & Child Health Policy Unit Page 7 of 11 DGD13-037 Definition of Terms – continued Care and protection assessment of a person— (a) means any of the following carried out by an authorised assessor for section 438 (Care and protection assessment—authorisation of assessors): (i) a medical examination or test of the person; (ii) a dental examination or test of the person; (iii) a social assessment of the person; (iv) a paediatric or developmental assessment of the person; Care and protection assessment (v) a psychological examination or test of the person; (vi) a psychiatric examination or test of the person; (vii) if the person is a parent or other person with parental responsibility—an assessment of the person’s parenting capacity; but (b) does not include an assessment, examination or test that— (i) involves surgery; or (ii) is prescribed by regulation. Care and protection application Care and protection application means an application for a care and protection order. Care and protection order Care and protection order means an order under Children and Young People Act 2008 for or in relation to the care and protection of a child or young person. Case plan for a child or young person who is, or is proposed to be, subject to a care and protection order or interim care and protection order— (a) means a written plan for meeting the child’s or young person’s protection or care needs; and (b) may include proposals for the purposes of case planning about the following: (i) who the Director-General of Community Services Directorate (CSD) considers would be the best person to have a stated aspect of parental responsibility for the child or young person; (ii) for an Aboriginal or Torres Strait Islander child or young person—the preservation and enhancement of the identity of the child or young person as an Aboriginal or Torres Strait Islander person; Care plan (iii) if the Director-General of CSD proposes to place the child or young person in kinship care or foster care—the kind of placement that will be sought or provided for the child or young person including any interim placement arrangements; (iv) how the Director-General of CSD proposes to ensure the living arrangements for the child or young person are as stable as possible; (v) contact arrangements for the child or young person with family members and significant people as appropriate; (vi) services to be provided for the child or young person; (vii) if the child or young person is or is proposed to be placed in outof-home care—planning and services to be provided for the child or young person when leaving out of home care. Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 Area Responsible Women, Youth & Child Health Policy Unit Page 8 of 11 DGD13-037 Definition of Terms – continued If the Director-General of Community Services Directorate (CSD) reasonably suspects that a child or young person is in need of care and protection, the Director-General of CSD may make an appraisal of the circumstances of the child or young person. For the appraisal, the Director-General of CSD may— (a) visually examine the child or young person or anyone else; and (b) may conduct an interview with the child (c) give information to anyone; and Child protection appraisal (d) ask anyone to give information to the Director-General; and (e) make inquiries about the child or young person or anyone else; and (f) arrange for an assessment to be made of the child or young person or anyone else. In conducting the child protection appraisal, the Director-General of CSD must seek the cooperation of anyone with parental responsibility for the child or young person, if it is practicable to do so. The Director-General of CSD may ask the child or young person or other person who is being appraised or assessed to— (a) attend at the place and time stated for the appraisal or assessment; and (b) comply with any arrangement made by the Director-General of CSD for the purpose of the appraisal or assessment. Emergency action Emergency action means action taken by the Director-General of Community Services Directorate (CSD) or a police officer under division 13.1 (Emergency action) of the Children and Young People Act 2008 Harmful conduct Harmful conduct engaged in by a child or young person, means conduct which leads to a significant risk of significant harm to the child or young person or someone else. Neglect Neglect of a child or a young person, means a failure to provide the child or young person with a necessity of life if the failure has caused or is causing significant harm to the wellbeing or development of the child or young person. Reasonably believes Reasonably believes means believes on reasonable grounds. Reasonably suspects Representative Reasonably suspects means suspects on reasonable grounds. Representative means for a child or young person, a lawyer or other person representing the child or young person, but does not include a child or young person who represents himself or herself. School means a school as defined in the Education Act 2004 as follows: School (a) except for chapter 2, part 3.4, chapter 4 and part 6.2—means a school or school-related institution established under section 20 (Establishing government schools etc); and (b) for chapter 2 (School enrolment and attendance) and part 6.2 (Other provisions)—means a government school or non-government school; and (c) for part 3.4 (Schools boards of government schools)—see section 37; and (d) for chapter 4 (Non-government schools)—see section 74. Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 Area Responsible Women, Youth & Child Health Policy Unit Page 9 of 11 DGD13-037 Definition of Terms – continued Therapeutic protection Therapeutic protection is the confinement to a therapeutic protection place in circumstances where a child or young person is engaging in harmful conduct either to him or herself and is to implement a therapeutic protection plan that is a plan to reduce the person engaging in harmful conduct. The Children’s Court may make a therapeutic protection order in relation to a child or young person that directs that the child or young person be confined— where is (a) (i) for a period of time (the period of confinement) starting on a stated day (the start day); and Therapeutic protection order (ii) at a therapeutic protection place; and (iii) for implementation of a stated therapeutic protection plan; and (b) transfers daily care responsibility for the child or young person to the Director-General of Community Services Directorate (CDS) for the period of confinement; and (c) includes any conditions the Children’s Court considers necessary to prevent the child or young person from engaging in harmful conduct. Torres Strait Islander means a person who— (a) is a descendant of the indigenous inhabitants of the Torres Strait Islands; and Torres Strait Islander (b) either— (c) (i) for any person—regards himself or herself as a Torres Strait Islander; or (ii) if the person is a child—is regarded as a Torres Strait Islander by a parent or family member; and is accepted as a Torres Strait Islander by a Torres Strait Islander community. Visual Examination (without agreement) may include a visual examination of the child or young person; and an interview of the child or young person. Where the child or young person is a student at a school, a patient at a health facility or being cared for by a childcare service, the Director-General of CSD — Visual Examination (a) may enter the school, health facility or childcare service to visually examine or interview the child or young person; and (b) if entering the school, health facility or childcare service, must— (i) produce his or her identity card; and (ii) Young person tell the person in charge of the school, health facility or childcare service the purpose of the entry. Young person means a person who is 12 years old or older, but not yet an adult. Disclaimer: This document has been developed by ACT Health, specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and ACT Health assumes no responsibility whatsoever. Doc Number DGD13-037 Issued Sep 2013 Review Date Sep 2016 Area Responsible Women, Youth & Child Health Policy Unit Page 10 of 11 CHILD PROTECTION IMPORTANT CONTACTS EMERGENCY CONTACTS For emergency and immediate police and/or ambulance attendance 000 131 444 For police attendance 24 hours 24 hours FRONTLINE CONTACTS – CARE & PROTECTION SERVICES (CPS) Centralised Intake Service Mandated Reporters Phone 1300 556 728 24 hours Centralised Intake Service Mandated Reporters Fax Line (02) 620 50641 24 hours Centralised Intake Service Email Address Note: Please contact by telephone before sending a report childprotection@act.gov.au 24 hours 1300 556 729 24 hours Centralised Intake Service General Public Reporters Phone FRONTLINE CONTACTS – ACT HEALTH Business hours Child at Risk Health Unit (CARHU) Note: In the case of emergencies after hours, a recorded message on the above number will direct you to further assistance. CARHU can provide 24 hour specialist medical consultation. However, suspected abuse or neglect should always be referred to Care and Protection Services. Child and Adolescent Mental Health Services (CAMHS) Intake Line (02) 6244 2712 (02) 6205 1971 24 hours 24 hours Child Protection Helpline NSW Note: Family and Community Services (previously DoCS) is responsible for care and protection matters in NSW. In the case of children or young people from NSW seen in the ACT, a report to ACT Care & Protection Services should be made in the first instance, followed by a report to Family and Community Services. 132 111 ADMINISTRATIVE – CARE & PROTECTION SERVICES 6205 3693 Business hours Child Protection Education and Training Officer (02) 6174 7108 Business hours Child Protection Liaison Officer (02) 620 76961 Business hours Health Liaison Officer ADMINISTRATIVE – ACT HEALTH Mandated Reporters Centralised Intake Service 1300 556 728