Sexual abuse of three girls by their male foster carer. Child abuse has also extended to include forced child prostitution, rape and mutilations. A Boise woman was charged Thursday with six counts of injury to child. Child W and her siblings, aged 1 and 4, were placed in foster care.Background: all 3 siblings were subject to child protection plans for neglect. Keywords: parents with mental health problems, filicide> Read the overview report, Harmful sexual behaviour and death of 17-year-old boy in 2015 as the result of stab wounds.Background: Child F was assessed as a Child in Need in 2011. January 04, 2021 12:16 PM ORDER REPRINT → Boise Police arrested a 29 … What does a deadly day mean for Trump's legacy? 2 According to the National Child Abuse and Neglect Data System, more than 600,000 children were affected by some form of child abuse or neglect. John suffered serious significant leg fractures more than once, with X-rays showing healing rib fractures; he was a child with disabilities who was not independently mobile and was pre-verbal.Learning: John’s disability needs were a distraction leading to a lack of focus on the vulnerabilities/risks to John following domestic abuse incidents; where there is suspicion of a potential non-accidental injury a formal Child Protection Medical should be undertaken to assess risk and inform decision-making; the response to the third incident of domestic abuse was not robust and left John and siblings at risk of harm; the Child in Need plan was not child focused.Recommendations to the LSCB: to seek assurance that the multi-agency response to domestic abuse is in line with its policies and procedures; to assure itself that the daily lived experience of children is central and captured in all the work partners undertake to promote their health and wellbeing.Model: the review adopted a systems based approach.Keywords: adults abused as children, children with disabilities, developmental disorders, risk assessment, supervision.> Read the overview report, Concerns about the risk of sexual abuse of two half-siblings aged 10 and nearly 6 years old, and about the drift and delay in planning for their future.Learning includes: there is a difference between the risk of reoffending and the risk of harm that a convicted sex offender might pose to a child in their family; the need for social workers to understand other agencies’ risk assessments; the importance of keeping historic ‘risk’ alive; the importance of pre-birth assessments and child protection conferences; the effectiveness of step-down and escalation.Recommendations to the LSCB include: amend Child Protection procedures to state that when a child is subject to a child protection plan and a parent or carer is on the sex offender register, their sex offender manager should be a part of the core group; when children’s names are on a Child Protection plan and there are concerns about possible sexual abuse, risk of sexual abuse is the most appropriate category.Keywords: child sexual abuse, sex offenders, risk assessment, recidivism.> Read the overview report, Sexual abuse of eight primary school aged children by an approved local authority foster carer. Examples of good practice were noted by the GP, the housing support worker and the health visiting service.Recommendations: the strengthening of interagency procedures for the police, children’s social care, housing providers and the NHS Foundation Trust.Keywords: disguised compliance, fractures, parenting capacity, teenage pregnancy> Read the overview report, Severe and irreversible brain damage caused to a 6-month-old boy as a result of non-accidental injury. Decision made that prosecution relating to first rape was not in public interest.Key issues: when cases are not pursued in the public interest it is still necessary for the young person to be given a full understanding of the implications of their actions; lack of support for mental health needs due to referrals to and from between agencies; good chronologies of key events would help spot risks; agencies should take great care when describing sex as consensual when in law it cannot be; young teenagers are often unclear about consent.Recommendations: review safeguarding approach to young people with harmful sexual behaviour; encourage education providers to ensure law around consent is explained clearly; ensure that a young person’s concern about violent risks to them is taken seriously by agencies.Keywords: harmful sexual behaviour, adolescents, consent> Read the overview report, Serious health and developmental impairment of a teenage boy due to fabricated or induced illness (FII) over a number of years. Police attended incidents involving the family on 5 separate occasions and notified children’s services each time. Family had contact with services including the GP, health visitors, midwifery and maternity services and the police. A list of the executive summaries or full overview reports of serious case reviews, significant case reviews or multi-agency child practice reviews published in 2018. The stepfather was found not guilty of rape at his trial. At the time of the reported injuries, the baby and their older half-sibling had been subject to child protection plans and to a Public Law Outline (PLO) process.Learning: centres around: the effectiveness of pre-birth and post-birth multi-agency assessment, multi-agency case management, inter-agency communication and information sharing; how well practitioners considered the inherent vulnerability of babies to abuse and non-accidental injury, particularly in the context of the trilogy of risk; barriers to recognising and addressing over optimism in parents.Recommendations: include: ensure that pre-birth assessments are completed on time by social workers and include all relevant information, and parents’ accounts and views are appropriately tested and triangulated by evidence from other sources; ensure that guidance on injuries to non-mobile babies has been widely disseminated to all front-line practitioners and embedded in practice.Model: uses a Welsh model.Keywords: infants, physical abuse, injuries, information sharing> Read the overview report, Serious neglect and physical and emotional abuse of a 9-year-old boy and his siblings by their parents.Learning: the role of neighbours and local communities in recognising and responding to concerns about children and young people; areas that usefully inform practitioner learning and improvements in practice include taking a child-focused approach, cultural sensitivity and professional curiosity; contact with the family at transition from health visiting to school nursing services can help determine ‘school readiness’ of a child and to identify unmet needs.Recommendations: identify how to report and share information about children who have not been seen for a significant amount of time and triangulate whether there are further concerns across agencies; ensure that children and young people who are home educated can access help and support to meet their needs via the current children and young people section of the local authority schools and learning webpage.Keywords: witchcraft, religion, Childline, children with learning difficulties, culture.> Read the overview report, Sexual abuse of two children by a carer whilst in a long-term kinship care placement. Recommendations: to consider how the LSCB can draw to national attention the inconsistent application of duties for authorities to safeguard and promote the welfare of children of families with no recourse to public funds.Keywords: immigrant families, non-accidental head injuries, non-attendance, single mothers, religion, unknown men> Read the overview report. Aware that she is scared of men, they tell her, in an effort to keep her quiet, that her room will be inundated with men. He was assessed by a psychological therapist as being at moderate risk of causing himself harm.Learning: professionals working with the father needed to consider how his mental health problems might affect Child G and what her needs might be. Care proceedings concluded in 2017 and the children are no longer under parents' care. Kevin’s anger was discussed but not in relation to the physical abuse, which ultimately led to her death. She now wants to raise awareness of Childline to support other young people. It includes: hitting with hands or objects; slapping and punching; kicking; shaking; throwing; poisoning; burning and scalding; biting and scratching; breaking bones; drowning. Learning: possible side effects of medication (aggression, impulsivity, violence) should have been explored; annual reviews by the GP practice of medication should follow practice policy; response times to medical emergencies in the YOI should be reviewed; internal information sharing within the YOI should be improved.Recommendations: the YOI should strengthen procedures around medical risk factors of under-18-year-olds; the health provider at the YOI should undertake an audit of the ordering of medical tests to ensure procedural compliance; school nurses should alert teaching staff if a pupil has a diagnosis of epilepsy; NHS England should ensure that GP practices have policies in place with respect to regular medication reviews for children with epilepsy.Keywords: aggressive behaviour, detention centres, exclusion from school, information sharing> Read the overview report, Circumstances around Child N becoming a looked after child at the age of 7. Learning: the importance of using assessments to support early intervention; the needs of children who live with adults who have reported mental health problems should be systematically assessed by all partner agencies to ensure that children and families receive the support they require; and assessments should explore the wishes and feelings of the child to understand the cause of a child's behaviour and underlying distress. These children were subsequently taken into care and adopted. Young Person B took a significant overdose of her prescription medication, alongside over the counter medication, which caused a brain injury.Learning: includes the importance of ensuring representation from schools at child protection conferences and in core groups even when the child or young person is not attending school; the need to risk assess access to prescribed medication for children and young people who self-harm; importance of understanding the potential adverse impact on the young foster person and on other children in the family of private fostering arrangements not being assessed.Recommendations:ensure practitioners understand the signs of adolescent neglect and review the effectiveness of local approaches in addressing both chronic and acute factors; ensure that the voice of the child is more consistently acted upon; ensure private fostering is more effectively publicised across the partnership and children are identified, assessed and supported in their private fostering arrangement.keywords: self-harm, adolescent neglect, informal care, private fostering, adverse childhood experiences> Read the overview report, Death of a 10-week-old infant in March 2019. 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