1. Mentor Scotland Conference - Breaking the Cycle
25 September 2018
Background
Action for Sick Children Scotland (ASCS) is a registered Scottish charity which aims to improve standards in healthcare provision for children and young people. A key aspect of its work is promoting high quality healthcare services for children and young people, including equality of services and service access across Scotland.

2. Health matters for children and young people in kinship care
The issues for carers
The DVD
Attachment - neglect - trauma
Impact in healthcare settings
Children/Young People’s Rights(CYP Act)
Attachment and trauma sensitive health services

3. Background
Action for Sick Children Scotland (ASCS) is a registered Scottish charity which aims to improve standards in healthcare provision for children and young people. A key aspect of its work is promoting high quality healthcare services for children and young people, including equality of services and service access across Scotland.

4. Health matters for children and young people in kinship care
Universal health records
Medical history
Inherited illness
Status of the carer
Consent
Useful resources section

5. https://www. childrenshealthscotland
Background
Action for Sick Children Scotland (ASCS) is a registered Scottish charity which aims to improve standards in healthcare provision for children and young people. A key aspect of its work is promoting high quality healthcare services for children and young people, including equality of services and service access across Scotland.

6. A Two Year Old Goes to Hospital (James Robertson Films)

7. It is now accepted that a baby’s emotional environment will influence the neurobiology that is the basis of mind……. the most vital part is the
emotional connection with the care giver.

8. Impact of unregulated stress
All infants experience stress
Most infants are helped to manage this by those adults who love and care for them
If an infant’s experience is predominantly of neglect or fear then they will be in a state of unregulated stress.
The neuronal pathways that are most used are those associated with stress, alarm and fear.
Pathways that are associated with trust, soothing and pleasure remain undeveloped.

9. The way the child is stimulated and soothed shapes the brain’s neurobiological structure. What happens in the early years has a direct impact on the child’s capacity for living, learning and relating as a social being

10. What is worse than an insecure attachment?
The triple whammy

11. The Right to Recovery
States Parties shall take all appropriate measures to promote physical and psychological recovery and social reintegration of a child victim of:
any form of neglect, exploitation or abuse
torture or any other form of cruel, inhuman or degrading treatment or punishment
armed conflicts.
Such recovery and reintegration shall take place in an environment which fosters the health, self-respect and dignity of the child.
United Nations Convention on the Rights of the Child
UNCRC 39

12. UNCRC 39

13. UNCRC 39

14. UNCRC 24

15. Some Issues High anxiety Environment Trust of others
Not known personally
Lack of awareness
Reaction to pain
Inconsistency in staffing
Systemic Barriers – DNA rules
Learned helplessness
Supports?

16. Who’s Who in the cast of thousands?
CAMHS GP
Dentist
Optician
A and E
Community Paediatrician
Children’s Community Nurse
Kinship Carer
Acute Paediatrician
Community Psychiatric Nurse
What does the concept of CP look like in child health?
LAC Specialist Nurse
Residential Staff

17. Hospitals can be scary places

18. Too close for comfort!

19. I'm not as independent as I appear

20. What matters to me?

21. Work together for us

22. Pain and Needles

23. Immunisations

24. Going to the Dentist

25. How can I get to know you?

27. What helps in health?
I like it ken when they’ve got that look on their face that says we do care what's gone down wi people.

28. Anne Wilson a.wilson@childrenshealthscotland.org Background
Action for Sick Children Scotland (ASCS) is a registered Scottish charity which aims to improve standards in healthcare provision for children and young people. A key aspect of its work is promoting high quality healthcare services for children and young people, including equality of services and service access across Scotland.