Factors associated with impairments can lead to greater vulnerability to
abuse. Behaviours indicative of abuse such as self-mutilation and repetitive
behaviours may be misconstrued as part of a child’s impairment or health
condition. It is of vital importance that professionals are adequately trained and
alert to recognise indicators of potential abuse or changes in children, which
might indicate that something is wrong, and to understand particular behaviours
associated with impairments. (Gov.uk, July 2009)