Search results for ‘Subject term:"fabricated or induced illness"’ Sort:
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Executive summary: Child EQ
- Author:
- NEATH PORT TALBOT SAFEGUARDING CHILDREN BOARD
- Publisher:
- Neath Port Talbot Safeguarding Children Board
- Publication year:
- 2011
- Pagination:
- 15p.
- Place of publication:
- Neath
This executive summary reports the serious case of review relating to Child EQ who was identified as being the victim of fabricated or induced illness. EQ was the first born child of a mother aged 20 years and a father aged 24 years. The mother was reported to be a childcare worker. Between the ages of 3 and 9½ months, Child EQ had 25 separate medical assessments including 8 admissions to hospital and 7 Out of Hours emergencies including presentations at A and E. The presenting concerns included vomiting, diarrhoea, skin rashes, possible lactose intolerance, wheezes and coughs, possible asthma. At 9 ½ months Child EQ was taken to hospital following a convulsion. A toxicology report revealed the presence of prescription medication, which would be for adult use only. Child EQ was then accommodated with foster carers with the parents’ agreement under section 20 of the Children Act 1989 and is safe and well. The parents were subsequently arrested although a police investigation was unable to establish a burden of proof sufficient to meet the thresholds for a criminal prosecution. The Serious Case Review commissioned by Neath Port Talbot Safeguarding Children Board recommended that the lessons from this case be disseminated to all staff through single and multi agency training on the issues involved with fabricated illness.
Perplexing presentations (PP) / fabricated or induced illness (FII) in children: RCPCH guidance
- Author:
- ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH
- Publisher:
- Royal College of Paediatrics and Child Health
- Publication year:
- 2021
- Pagination:
- 44
- Place of publication:
- London
This guidance provides procedures for safeguarding children who present with perplexing presentations (PP) and fabricated or induced illness (FII) and offers practical advice for paediatricians on when and how to recognise it, how to assess risk and how to manage these types of presentations in order to obtain better outcomes for children. The overall aim of this guidance is to ensure that children receive the most appropriate healthcare for their individual needs, ultimately improving their health and wellbeing outcomes. Whenever possible, this should be done by working collaboratively with their parents. The guidance covers: incidence and prevalence; terminology and definitions; features of PP and FII; response to alerting signs; health and education rehabilitation plan; when the health and education rehabilitation plan is not working – necessary referral to children’s social care; record keeping; transitions; training, supervision and support. (Edited publisher abstract)
Fabricated or induced illness in children: a rare form of child abuse?
- Authors:
- LAZENBATT Anne, TAYLOR Julie
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2011
- Pagination:
- 25p.
- Place of publication:
- London
This report reviews the literature on fabricated or induced illness (FII), a form of child abuse where a child is presented for medical attention with symptoms or signs which have been fabricated or induced by the child's carer, also known as Munchausen syndrome by proxy. Manifestations of FII can be seen in schools, churches, the legal system, child protection agencies, the home, and the community at large. This briefing looks at the findings from research on the prevalence of FII, what is known about the carers who fabricate or induce illness in their child and the risks to the child. It also considers the difficulties in recognising FII and the management of a situation where FII is diagnosed. The reported severe or most dramatic events are usually seen in children under the age of 5 years. Recognition of fabricated or induced illness depends, in the first instance, on medical or paediatric clarification of the objective state of the child’s health. Affected children also live in a fabricated sick role and may eventually go on to somatise or simulate illness themselves and be diagnosed with hypochondria. Implications for practice and policy are presented.
Playing sick? Untangling the web of Munchausen Syndrome, Munchausen by Proxy, malingering and factitious disorder
- Author:
- FELDMAN Marc D.
- Publisher:
- Brunner Routledge
- Publication year:
- 2004
- Pagination:
- 288p.
- Place of publication:
- New York
This book reviews epidemiology, presentation, course, motivations, and treatment for each of the disorders. Most chapters include case descriptions of individuals with the various disorders. Some cases are expressed in the patient's own voice. In addition, the book presents many cases from the perspective of friends and family members, who describe their experiences with the disorders. The case descriptions provide an insight into the lives of individuals with these disorders. The book is divided into chapters based on the individual disorders. The book concludes with a discussion of how to diagnose a disorder of simulation, the issues of malpractice and patients' rights, and treatment interventions. The chapter on malpractice and patients' rights provides useful information for clinicians who work with this patient population. The book uses DSM-IV definitions of the various disorders of simulation.
Safeguarding children in whom illness is fabricated or induced: All Wales ACPC protocol
- Author:
- ALL WALES UNIT
- Publisher:
- All Wales Unit
- Publication year:
- 2004
- Pagination:
- 13p.
- Place of publication:
- Cardiff
The guidance provides a framework for all agencies and recommends that more specific and detailed guidance is available locally. In addition in 2001-2 The Royal College of Paediatrics and Child Health (RCPCH)introduced their own working party report. The guidance gives a comprehensive overview of Fabricated Illness, and in particular the complex issues of working with families.
Hurting for love: Munchausen by proxy syndrome
- Authors:
- SCHREIER Herbert A., LIBOW Judith A
- Publisher:
- Guilford Press
- Publication year:
- 1993
- Pagination:
- 186p.,bibliog.
- Place of publication:
- New York
Offers a detailed examination of Munchausen by proxy syndrome. Covers clinical, medical, psychological, social and legal aspects of the disorder. Includes detailed case studies of mothers with the syndrome.
Fabricated or induced illness by carers (FII): a practical guide for paediatricians
- Author:
- ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH
- Publisher:
- Royal College of Paediatrics and Child Health
- Publication year:
- 2009
- Pagination:
- 54p.
- Place of publication:
- London
Fabricated or Induced Illness by Carers (FII) can cause significant harm to children. FII involves a well child being presented by a parent or carer as ill or disabled, or an ill or disabled child being presented with a more significant problem than he or she has in reality, and suffering harm as a consequence. The document replaces the 2002 edition, providing updated guidance for paediatricians and aiming to encourage earlier recognition and an optimal response by improving the competence and confidence of paediatricians who encounter FII. It sets out the specific responsibilities of paediatricians working within the multi-agency framework as specified by Local Safeguarding Children Boards in relation to children who may be subject to FII. The document starts by looking at the background and epidemiology of FII, and its effect on children. It then looks at how a paediatrician should recognise FII, manage a case before and after the strategy discussion, and when to refer to Children’s Social Care. The document also looks at how to work with children and families, and finally deals with record keeping and training. Five examples are outlined, describing carers’ anxiety, misperceptions and abnormal beliefs, carers’ psychiatric illness, the unrecognised genuine medical problem, and presentations where the carer has genuinely fabricated or induced illness in their child.
Safeguarding children in whom illness is fabricated or induced: supplementary guidance to Working together to safeguard children
- Author:
- GREAT BRITAIN. Department for Children, Schools and Families
- Publisher:
- Great Britain. Department for Children, Schools and Families
- Publication year:
- 2008
- Pagination:
- 88p., bibliog.
- Place of publication:
- London
This guidance is intended to provide a national framework within which agencies and professionals at local level - individually and jointly - draw up and agree upon their own more detailed ways of working together where illness may be being fabricated or induced in a child by a carer who has parenting responsibilities for him or her.
Safeguarding children in whom illness is fabricated or induced: a review of the implementation of the 2002 guidance within the NHS
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 65p.
- Place of publication:
- London
This guidance is intended to provide a national framework within which agencies and professionals at local level - individually and jointly - draw up and agree upon their own more detailed ways of working together where illness may be being fabricated or induced in a child by a carer who has parenting responsibilities for him or her.
Fabricated or induced illness by carers
- Author:
- WORKING PARTY OF THE ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH
- Publisher:
- Royal College of Paediatrics and Child Health
- Publication year:
- 2002
- Pagination:
- 78p.,bibliog.
- Place of publication:
- London
This report outlines the role of the paediatrician and the child health services when dealing with fabricated or induced illness (also known as FII). Issues on FII covered by this report include history, definition, epidemiology, signs and symptoms, medical evaluation, procedures and management, collaboration with statutory services, training, and complaint procedures. A list of 18 recommendations for good practice is provided.