General dental practitioners’ perception of their role within child protection: a qualitative study

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ABSTRACT

Aim

This was to assess general dental practitioners' knowledge, attitudes and practice regarding their role within child
protection in relation to child abuse.

Methods

Structured interviews with seven key informants from general dental practice (2), local
dental committees (1), social services (2), paediatric dentistry (1) and community child health (1), together with five focus groups
comprising 23 general dental practitioners (GDPs) on Health Authority Lists in Tyne and Wear and Northumberland (UK).

Results

GDPs reported feelings of isolation with little communication with other health professionals or local authority services. The majority had
scarcely considered child protection issues in their clinical practice although those qualified for less than 15 years were more aware.
GDPs acknowledged a lack of awareness of signs and symptoms of physical abuse and even less confidence in dealing with emotional
or sexual abuse. Dentists expressed concern, even fear, about the outcomes of reporting suspicions, and had little knowledge of the
local Child Protection mechanisms.

Conclusion

GDPs in Tyne and Wear and Northumberland feel unprepared to undertake a role
in the child protection process with confidence. National and local initiatives may be required to address existing barriers.

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