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Fabricated or induced illness in children: the role of frontline social workers in recognition, intervention and decision making
- Author:
- PRECEY Gretchen
- Journal article citation:
- Seen and Heard, 31(1), 2021, pp.41-55.
- Publisher:
- NAGALRO
- Place of publication:
- Esher
Fabricated or induced illness (FII) in children, formerly referred to as Munchausen Syndrome by Proxy, occurs when the parent (almost always the mother) deliberately but duplicitously seeks to render the child's medical condition, and increasingly their behavioural presentation as well, to be worse than is actually in in order meet her own needs. This article looks particularly at the roles of the social worker in identifying and assessing this very disturbing form of child maltreatment and discusses the necessity, and challenges, of taking a multi-agency approach if the child is to be protected. There is particular emphasis on the focus of work where FII is a concern being what is happening for the child due to the mother's behaviour, rather than seeking to establish whether she should be considered a perpetrator or not. Attention is given to the characteristics often associated with FII in both the mother and child and what forms the mother's behaviour towards the child might take. There is particular reference to the social work task in working directly with the family, but also interactions with what can be a complex network of professionals. Finally, there is discussion about decision-making in situations where FII is identified and the implications for rehabilitation of the child, or the safety of children born subsequently to child protection interventions having been made. (Edited publisher abstract)
Understanding the change for children agenda: the discerning gourmet's guide to acronym soup
- Author:
- PRECEY Gretchen
- Journal article citation:
- Representing Children, 18(3), 2006, pp.166-177.
- Publisher:
- National Youth Advocacy Service
The author sets out the context for the drivers influencing changes in public policy in Children's Services and critically examines some of the key initiatives that local authorities are currently struggling to implement. The article focuses specifically on three initiatives in the Change for Children Agenda: Information Sharing and Assessment (ISA); the Common Assessment Framework (CAF); and the Integrated Children's System (ICS).
Assessment issues in working with mothers who induce illness in their children
- Author:
- PRECEY Gretchen
- Journal article citation:
- Child and Family Social Work, 3(4), November 1998, pp.227-237.
- Publisher:
- Wiley
The author, a Senior Practitioner, in a child protection unit, draws on her experience of working with mothers where there has been concern about induced illness. Highlights the importance of a good assessment about the child's safety; the use of genograms; and the effects this work has on individual workers and within the assessment team.
The fabrication or induction of illness in children with complex needs: views from practice
- Authors:
- PRECEY Gretchen, SMITH Karen
- Journal article citation:
- Practice: Social Work in Action, 16(4), December 2004, pp.283-297.
- Publisher:
- Taylor and Francis
Examines the vulnerability of disabled children to a particular aspect of child abuse, fabricated or induced illness (also known as Munchausen Syndrome by Proxy). Argues that some of the benign behaviour patterns of families who have a disabled child can be similar to some of the dynamics associated with FII. Looks at how parents of disabled children may use professional networks, manage complex treatment and medication regimes and seek second opinions on their child's condition. Suggests that in most cases these activities are undertaken to benefit the child but warn that professionals must also be aware that some parents may exploit their child's circumstances, resulting in effects on the child that range from a compromise to the welfare of the child to serious harm or even death.
Nothing's sacred
- Authors:
- WILD Jim, PRECEY Gretchen
- Journal article citation:
- Community Care, 7.10.99, 1999, pp.26-27.
- Publisher:
- Reed Business Information
The Quality Protects programme is Labour's sacred cow and has been widely welcomed by managers. In this article the first author argues that it is a missed opportunity, while the second says that the measurements and criteria can never encompass the reality of social work.
Building bridges: the interface between adult mental health and child protection
- Authors:
- TYE Charmian, PRECEY Gretchen
- Journal article citation:
- Child Abuse Review, 8(3), May 1999, pp.164-171.
- Publisher:
- Wiley
Discusses how bringing together two distinct professional systems such as adult mental health and child protection challenges strategies for making effective working together/working in partnership arrangements. Offers an analysis of the challenges inherent in bringing these systems together at the assessment interface, and offers some insights into the contribution each systems can make to an integrated assessment process for children and their families.
Parents of children at risk - a multiagency initiative to address substance misuse amongst parents whose children are at risk of neglect
- Authors:
- WELSH Jo-Anne, PRECEY Gretchen, LAMBERT Pauline
- Journal article citation:
- Child Abuse Review, 17(6), November 2008, pp.454-462.
- Publisher:
- Wiley
Brighton and Hove has a large established drug using population. The authors provide an account of an interagency service in Brighton which was set up for substance misusing parents with children. The Parents of Children at Risk (POCAR) service aims to provide interventions for substance misuse and also to incorporate interventions to reduce the risk of harm to the children of its service users and to improve their parenting capacity. The voluntary sector organisation the Brighton Oasis Project deliver the initiative and other agencies involved in the partnership are the Children and Young Persons Trust, the local statutory substance misuse service and the Crime Reduction Initiative.