Recommendations from child fatality review teams: results of a US nationwide exploratory study concerning maltreatment fatalities and social service delivery

Douglas, Emily M.; Cunningham, Jennifer

doi:10.1002/car.1044

Cited by 25 publications

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“…? ) The third paper in this themed issue is by Emily Douglas and Jennifer Cunningham (Douglas and Cunningham, 2008) who discuss the work of the US equivalent of the English SCR, the Child Fatality Review Team (CFRT). Douglas and Cunningham studied CFRT reports published from 2000-07.…”

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confidence: 99%

“…high turnover and dissatisfaction' (Douglas and Cunningham, 2008, DOI: 10.1002/car.1044) indicate that practitioners in the US are operating under some of the same pressures as their UK colleagues. The authors highlight the 'problems that plague the professions that respond to child maltreatment' and 'the failures of the nation's social service system' (Douglas and Cunningham, 2008, DOI: 10.1002/car.1044. This suggests that the issues and pressures they have identified may be rooted-as they are in the UK-in more fundamental problems in the child protection system.…”

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confidence: 99%

“…Nonetheless, it is astonishing that there is so much variation in the way in which they operate. Part of the explanation for this may be that: 'the child fatality review movement lacks official, coordinated, national leadership' (Douglas and Cunningham, 2008, DOI: 10.1002/car.1044 The impression of CFRTs being marginalised is reinforced when one considers the extent to which they have been researched. The authors explain that 'the products of the review process, however, remain unexamined' and 'with the exception of one U.S. state.…”

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confidence: 99%

“…. CFRTs have never been subjected to an extensive evaluation and we do not know the true usefulness of the reviews ' Douglas and Cunningham, 2008, DOI: 10.1002/car.1044. It may be that in each of the 'countries' of the UK with, for example, their smaller size, more centralised political administration and stronger statutory child protection system, there will not be such divergence in the operation of the child death review process.…”

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Preventing child deaths

Gallagher

2008

Child Abuse Review

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Gallagher

2008

Child Abuse Review

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“…139]. Reviews of (near) fatal CAN cases have demonstrated practice failings, including inadequate inter-organisational communication and information-sharing [160,161]. Integrating information held by various professionals on, for example, signs, risk factors or critical events can result in a more comprehensive view of the child's situation.…”

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Fragile, please handle with care : understanding and supporting professionals' response to suspicions of child abuse and neglect

Konijnendijk¹

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Understanding and supporting professionals' response to suspicions of child abuse and neglect FRAGILE, PLEASE HANDLE WITH CARE UNDERSTANDING AND SUPPORTING PROFESSIONALS' RESPONSE TO SUSPICIONS OF CHILD ABUSE AND NEGLECTReferences 181 Summary 193Samenvatting 201 Dankwoord (Acknowledgements) 209 Curriculum Vitae 217Publications and other contributions 221 CHAPTER 1General introduction Child maltreatment traumatises millions of children across the globe [4]. A meta-analysis that included articles published between 1980 and 2008 on the prevalence of child abuse and neglect reported the following overall estimated rates for self-report studies that mainly assessed lifetime prevalence rates: 12.7% for sexual abuse, 22.6% for physical abuse, 36.3% for emotional abuse, 16.3% for physical neglect and 18.4% for emotional neglect. For studies using informants that mainly assessed one-year prevalence rates, the estimated prevalence rates were 0,4% for sexual abuse, and 0,3% for both physical and emotional abuse [4]. Child abuse and neglect in the NetherlandsChild abuse and neglect remains a major societal problem in high-income countries, as a considerable number of children continue to be maltreated and exploited [5]. In the Netherlands, the following definition of child abuse and neglect is currently in use, officially documented in the Kindermishandeling, Veilig Thuis since 2015) on child abuse and neglect reports, and self-reports of students in secondary school. In 2016, the nation-wide prevalence study was limited to self-reports of secondary school students. In 2010, the overall estimated one-year prevalence was 3.4% based on the results of the informants study and the official registration of Veilig Thuis [7]. This prevalence rate is 0.4% higher than found in 2005 [8]. In 2003, the yearly report of the Dutch Advice and Reporting Centre [9] showed the organisation was consulted 47,000 times, and investigated 20,000 suspected cases (0.6% of all Dutch children in 2013 [10]). One-year prevalence rates based on self-report study alone remained stable between 2005 and 2010, 9.9% of students between eleven and seventeen years old reported to have experienced child abuse and neglect [7,8]. The self-report study among secondary school students (in one of the first four years of secondary schools) performed in 2016 (6.5%) showed a decline of the one-year prevalence rate compared to 2005 and 2010 [11].In 2010, the most prevalent types of child maltreatment were physical, emotional and educational neglect, i.e. not attending to children's academic needs. Furthermore, the study concluded that almost a quarter of victims underwent sexual and/or physical abuse in 2010. Compared to 2005, emotional neglect (including being a witness of domestic violence) and educational neglect were reported more often, while sexual abuse and physical neglect were reported less often [7]. Causes and consequencesIn the last two decades, research has increased public knowledge about risk factors and protective factors of child abuse and neglect. It b...

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Case, Service and Family Characteristics of Households that Experience a Child Maltreatment Fatality in the United States

Douglas

2013

Child Abuse Review

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Child maltreatment fatalities have increasingly received attention over the past three decades and yet there is a dearth of information concerning case, service and family/ household factors associated with maltreatment fatalities. This is a US multi-state study of 135 child welfare workers who experienced the death of a child on their caseload. They reported on the case, service and family/household characteristics of a child who died on their caseload. Results indicate that workers had seen victims one week prior to their death and were closely monitoring families. The most frequently mentioned family characteristics included: parental unemployment, parental mental health, experiencing a major life event and parents' inappropriate age expectations of the child. Parental alcohol and substance use were more common among infant victims; and parental perceptions of the child being 'difficult' were more common among older victims. The results are discussed with regard to future research and prevention for the field. Copyright © 2013 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGES:The primary findings of this study indicate that:• Workers have regular contact with children leading up to the time of their death.• Children die even when they are being closely monitored and have had a full-risk assessment.• Families where children died were not using very many services.

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Recommendations from child fatality review teams: results of a US nationwide exploratory study concerning maltreatment fatalities and social service delivery

Cited by 25 publications

References 55 publications

Preventing child deaths

Preventing child deaths

Fragile, please handle with care : understanding and supporting professionals' response to suspicions of child abuse and neglect

Case, Service and Family Characteristics of Households that Experience a Child Maltreatment Fatality in the United States

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