http://hdl.handle.net/10147/47895 Search the Channel search http://www.lenus.ie/hse/simple-search http://hdl.handle.net/10147/142926 Title: Child protection and welfare practice handbook<br/><br/>Authors: Health Service Executive (HSE) http://hdl.handle.net/10147/119028 Title: North South survey of children’s oral health in Ireland 2002<br/><br/>Authors: Whelton, Helen; O'Mullane, D.; Harding, M.; Guiney, H.; Cronin, M.; Flannery, E.; Kelleher, Virginia<br/><br/>Description: Executive Summary highlights: Since 1964, water supplies in the Republic of Ireland (RoI) have been adjusted to 0.8 to1.0 parts per million (ppm) fluoride. Currently 71% of the population receive fluoridateddomestic water supplies.• In RoI, decay levels are lower among children with fluoridated domestic water supplies thanthey are among those with no domestic water fluoridation.• Decay levels are lower among children who get fluoride in their water supply in RoI than theyare among children in Northern Ireland (NI, no water fluoridation).• Although decay levels are higher amongst the less well off, disadvantage does not account forthe difference seen between flouridated and non flouridated areas. Fluoridation is effectivein both disadvantaged and non disadvantaged groups.• The prevalence of dental fluorosis (most commonly seen as paper white patches or fine whitelines on the tooth enamel) is higher amongst children and adolescents with fluoridated watersupplies.• Despite the effectiveness of water fluoridation and fluoride toothpastes, there is little causefor complacency since tooth decay continues to be a very common disease. For example byage 15, 73% of adolescents with fluoridated water supplies in RoI already have decay in theirpermanent teeth, this compares with 81% in non fluoridated NI.• Children in RoI have amongst the highest frequency of consumption of foods and drinkssweetened with sugar when compared with 34 other countries (WHO). Given theirunfavourable dietary habits and average or below average frequency of brushing (WHO),water fluoridation continues to be an important preventive agent for the control of dentaldecay levels in Ireland.• The factors associated with variation in decay levels amongst 15-year-old adolescents in RoIwere fluoridation status, parents’ occupational status, frequency of tooth brushing, methodof rinsing after tooth brushing and frequency of snacking.• In NI, there were two factors found to be associated with varying decay levels amongst 15-year-old adolescents, these were parents’ occupational status and amount of toothpaste usedwhen brushing.• The level of oral hygiene was judged to be unsatisfactory for the majority of children in RoI;this variable was not measured in NI.• The percentage of 15-year-olds who were under orthodontic treatment or had completedtreatment rose from 14% in 1984 to 23% in 2002 in RoI.• Dependants of medical card holders were less likely to have had orthodontic treatment thanthose without medical cards (17% vs 26%).• Amongst 15-year-olds, 22% of those in RoI had trauma to their anterior teeth, compared with14% in NI. A high proportion of this trauma to anterior teeth remains untreated in RoI.• In RoI, one in five 12-year-old children, and one in three 15-year-old adolescents, had toothwear exposing dentine on at least one anterior permanent tooth.• In RoI, 46% of parents were ‘very satisfied’ and 37% were ‘satisfied’ with the dental serviceprovided to their children, 4% of parents were either ‘dissatisfied’ or ‘very dissatisfied’ withthe service. In NI, almost all the parents completing the questionnaire were either ‘verysatisfied’ (69%) or ‘satisfied’ (29%) with the service provided. http://hdl.handle.net/10147/119005 Title: Oral health of children attending special needs schools and day care centres<br/><br/>Authors: Whelton, Helen; Crowley, Evelyn; Nunn, J.; Murphy, A.; kelleher, V.; Guiney, H.; Cronin, M.; Flannery, E.<br/><br/>Description: A survey of the oral health and need for dental treatment was undertaken on children and adolescents with special needs in Ireland in 2003. The group had predominantly mild and moderate disabilities although a small number had severe impairments. The participants’ potential for cooperation with dental care ranged from those who could receive routine dental treatment in a primary care setting to those who would require sedation or general anaesthesia for even the most basic dental examination. The Disability Act 2005 outlines our responsibilities to people with disabilities. Good oral health is a right and indeed is integral to enabling the better assimilation of people with disabilities into society. Poor oral health, ugly stained teeth, abscesses, gaps and bad breath detracts from people’s quality of life and compounds the disadvantage that many of these children and adolescents already suffer. Prevention of oral disease in this sub group of the population is therefore fundamental since the need for dental treatment, or its provision, may further add to the morbidity and even mortality for some patients. The consequences of tooth loss can be particularly devastating for those with disabilities and permanent tooth loss levels among this young population already exceed that amongst the same age group in the general population The findings are summarised at the start of this report followed by the full results and more detailed summaries for each section. The major considerations for policy makers revealed by the study results are that: The current level of oral and dental care available to children and adolescents with special needs is inadequate and urgently needs to be expanded in order to bring services up to an acceptable level, comparable at least to that of their peers or better, given the serious health consequences of oral diseases for this group of children and adolescents. The results not only expose the lack of suitably trained personnel to deliver a quality service but also the precarious reliance on a small cohort of very dedicated and experienced dental teams, inequitably distributed across the country. The results of this survey point to the fact that for many, their first encounter with the dental services is too late since oral and dental diseases have become established and accessing and accepting dental care will pose significant new challenges.. Thirty-five percent of children in the five-year-old group had never been to a dentist. Fourteen percent of children from the 12-year-old group and 21% from the 15-year-old group had their first ever visit to a dentist when they were 9 years of age or older. One in three of the 12- and 15-year-old group with special needs had already received dental treatment under a general anaesthetic. The consequences of this approach are seen in the results of the oral health survey of adults with intellectual impairments1 Early introduction to the dental service and tailored oral hygiene support is fundamental for children and adolescents with special needs. Oral and dental diseases are avoidable and prevention is paramount given the high probability of requiring general anaesthesia (with its accompanying risks and cost) for the provision of what for children without disability would be routine care. http://hdl.handle.net/10147/117446 Title: Caring for your child : two to five years old<br/><br/>Authors: Conway, Edel<br/><br/>Description: Revised ed. of: Caring for your child : two to five years old / Edel Conway. Kilkenny: Health Service Executive, 2006. http://hdl.handle.net/10147/117432 Title: Caring for your child : six months to two years old<br/><br/>Authors: Conway, Edel<br/><br/>Description: Revised ed. of: Caring for your child : six months to two years old / Edel Conway. Kilkenny: Health Service Executive, 2005. http://hdl.handle.net/10147/117430 Title: Caring for your baby : birth to six months old<br/><br/>Authors: Conway, Edel<br/><br/>Description: Revised ed. of: Caring for your baby : birth to six months old / Edel Conway. Kilkenny: South Eastern Health Board, 2004. http://hdl.handle.net/10147/115907 Title: Report on the audit of the child health screening and surveillance programme<br/><br/>Authors: Denyer, Sean; Cullen, Carmel http://hdl.handle.net/10147/115801 Title: Report of the Task Force for Children and Families Social Services: principles and practice<br/><br/>Authors: Integrated Services Directorate (HSE) http://hdl.handle.net/10147/113945 Title: Roscommon child care case report of the inquiry team to the Health Service Executive<br/><br/>Authors: Roscommon Child Care Inquiry http://hdl.handle.net/10147/112916 Title: Renting life in Ireland: the experiences of young asylum seekers, refugees and children from ethnic minority backgrounds living in County Clare, June 2007<br/><br/>Authors: Collopy, Sinead