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Serious and fatal injuries to infants with discrepant parental explanations: some assessment and case management issues
Author(s) -
Dale Peter,
Green Richard,
Fellows Ron
Publication year - 2002
Publication title -
child abuse review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.569
H-Index - 41
eISSN - 1099-0852
pISSN - 0952-9136
DOI - 10.1002/car.753
Subject(s) - context (archaeology) , child protection , risk assessment , medicine , occupational safety and health , psychology , injury prevention , human factors and ergonomics , poison control , medical emergency , developmental psychology , nursing , computer security , paleontology , pathology , computer science , biology
The objective of this study was to examine the challenges faced by child protection systems in assessment and case management where babies and infants have received serious and fatal physical injuries in the context of discrepant parent/carer explanations. Thirty‐eight case files or review records of children under the age of 2 with serious or fatal physical injuries were examined. Qualitative methods were employed to identify issues relating to types of parent/carer explanations, factors of concern in addition to the injuries and child protection system responses to the families. Findings indicate that the initial safety response by child protection systems to babies with serious injuries with discrepant explanations can be inadequate. Assessment of further risks could be inconsistent, especially in cases where there are few other factors of concern apart from the injury. There is a need for the development in the UK of more systematic decision‐making processes to achieve more consistent standards of assessment and case management of high‐risk infants and to minimize false‐negative and false‐positive predictions of further risk. Copyright © 2002 John Wiley & Sons, Ltd.