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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.
Training the workforce following a serious case review: lessons learnt from a death by fabricated and induced illness
- Authors:
- HORWATH Jan, TIDBURY Wade
- Journal article citation:
- Child Abuse Review, 18(3), May 2009, pp.181-194.
- Publisher:
- Wiley
In England, when a child dies as a result of suspected maltreatment, the Local Safeguarding Children Board is required to establish whether lessons can be learnt about collaborative working to safeguard children. These reviews usually include recommendations for both inter and intra-agency training. In this paper, the authors argue that it is crucial, when planning and delivering training in this situation, to recognise the emotional impact on the workforce of the death of a child from maltreatment. This is particularly important when the child has died as a result of fabricated and induced illness (FII) by a carer and professionals may have inadvertently contributed to the child's suffering. Drawing on a case example of training following the death of a child from FII, this paper considers the challenges encountered by those responsible for commissioning and providing training. Attention is given to managing logistics, such as time delays between the death of the child and the eventual publication of the serious case review. The particular knowledge and skills required by trainers, not only in relation to the subject matter but also in managing complex group processes, are discussed. The support required by course participants and the trainers themselves is explored. The paper concludes with a checklist for those commissioning and providing training.