The diagnosis was not recorded by either primary or secondary school and prescribed medication may not have always been ingested. If you decide to leave. Model: Multi-Agency Child Practice Review methodologyRecommendations: review how the principles of the holistic 'Think Child, Think Parents, Think Family' approach are operating and how they are embedded in commissioning and leadership of frontline practice and its management, with joint working and understanding of mental ill-health and parenting.Keywords: mental health problems; alcohol abuse; domestic abuse; physical abuse; emotional abuse; risk assessment; interagency cooperation; holistic approach > Read the overview report, Concerns about a 10-month-old girl having ingested methadone and her two siblings aged 4- and 10-years-old being exposed to drugs in January 2014.Learning includes:professionals must assess the impact on parenting of mental health or drug and alcohol misuse; It is important to work directly with children ensuring their voices are heard; professionals should consider the possibility that parents in a drug treatment programme may be tempted to use their medication on their children.Recommendations include: social workers should consider the risk of drug using parents actively giving drugs to their children; training for social workers in order to gain confidence in working with parents who show disguised compliance and manipulative behaviour; extended family who are relied upon should be included in key child protection meetings. He was convicted of Child K’s murder and sentenced to life imprisonment.Learning includes: full assessments must be made of accommodation arrangements of offenders when they are known to have been domestically violent to adults and/or children; awareness of the vulnerability of victims of domestic abuse whose immigration status is not secure.Recommendations include: ensuring that staff involved in cases involving domestic abuse are aware of arrangements for sharing information about offenders; that the risks to children, including emotional abuse are assessed when assessing incidents of alleged domestic abuse; reviewing how families experiencing domestic abuse with no recourse to public funding are supported.Model: uses the Welsh Child Practice Review methodology, a model that takes a multi-agency collaborative approach, focussing on systemic strengths and weaknesses.Keywords: child deaths, family violence, homeless families; murder, prison and prisoners, inter-agency cooperation; no recourse to public funds> Read the overview report, Death of an 8-month-old girl in 2017. … A post-mortem revealed injuries including bruises, scratches and a fractured skull.Learning includes: the importance of focusing on the child’s experience; remembering that a number of minor injuries, including bruising on a baby, may be an indication that the child is at risk of harm; and ensuring family history, background and contextual information is taken into account during the referral process.Recommendations include: embedding the Early Help assessment process across the local authority; ensuring that staff are regularly reminded about the significance of bruising in non-mobile babies; and all agencies should be confident to question medical opinion provided as part of Care Proceedings.Model: sets out findings using the Partnership Learning Review model.Keywords: infant deaths, non-accidental head injuries, non-attendance, care proceedings, attachment behaviour, family violence.> Read the overview report. Horrifying record of child sex abuse in Amish communities with more than 50 cases in seven states as victims tell of being shunned or sent to 'mental health' facilities if they complained . The post-mortem gave the cause of death as “unascertained”.Key issues: parents were known to police due to the supply and use of drugs and related offences; the family was known to multiple agencies due to concerns about the neglect of 2 older siblings. Child G and her mother were also referred for mental health support. physical abuse, family violence, disclosure, voice of the child. Tracy was found deceased at home. Identifies areas of good practice.Recommendations: to inform the Child Safeguarding Practice Review Panel about the apparent lack of explicit guidance about the transfer of school records across borders in Scotland and England; to review and amend guidance and procedures on the management and information sharing practices between local community based child mental health services, acute health settings and community health services for situations where children re-present to an acute setting.Model: Uses the SILP (Significant Incident Learning Process) methodology.Keywords: self-harm, suicide, adolescent boys, adverse childhood experiences, information sharing<> Read the overview report, Self-harm of a young female in June 2018. According to the National Child Abuse and Neglect Data System, an estimated 3.4 million reports of alleged physical abuse and/or neglect involving nearly 6.2 million children were delivered to local child protective services agencies throughout the United States of America. What is Reported While the criteria for just what information must be included in a report of suspected child abuse or neglect vary by jurisdiction , minimal requirements generally include: The BBC is not responsible for the content of external sites. PB was placed in a residential educational setting, living with a second foster carer (FC2) during weekends and holidays. The family left the UK for several years and experienced racism when they returned. Physical abuse in a relationship is more than just battering. They are more prone to contracting sexually transmitted diseases for two reasons – during an enforced intercourse, or due to chronically lowered immune system because of the stress associated with physical abuse. Whorlton Hall: Hospital 'abused' vulnerable adults - BBC News Siblings W and X left the UK in January 2014.Learning: professionals do not have effective ways to intervene in families who have suffered long standing trauma: this can increase the risk of young people being vulnerable to exploitation; efforts to support children so they are less likely to become vulnerable to radicalisation do not seem to address all the core issues.Recommendations: practitioners need to have a greater understanding of, and curiosity about, the role and potential impact of culture, identity, gender, religion and beliefs on children.Model: SCIE (Social Care Institute for Excellence) Learning Together methodology.Keywords: Muslim people, racism, radicalisation, runaway adolescents> Read the overview report, Death of a 4-day-old girl in December 2014.Learning: the complexity and range of services that work with pregnant women with mental health problems makes it difficult to coordinate multi-organisational working; the positive strategy of long-term engagement with service users in mental health services can create difficulties when balancing the needs of a pregnant service user against the needs of the unborn child; the practice of service users being asked to relay complex information about their treatment or condition verbally to other agencies makes it more likely that this information will be incorrectly relayed or not shared at all, placing the unborn child and service user at increased risk of vulnerability.Recommendations: This report does not make recommendations to the Bristol Safeguarding Children’s Board about what actions should be taken in response to the findings of this review.Keywords: pregnancy, parents with a mental health problem, infanticide, family support services, antenatal care, children’s services> Read the overview report, Discusses all the cases of child sexual exploitation (CSE) in Buckinghamshire from 1998-2016. FJ had a history of domestic abuse with a previous partner and increasingly with Baby J's mother. Model: Uses the Significant Incident Learning Process (SILP) model.Keywords: disguised compliance, drug misuse, hostile behaviour, voice of the child, alcohol misuse> Read the report overview, Death of a 4-year-1-month-old girl as a result of non-accidental head injuries and ingestion of a range of illegal drugs.Background: Child T was subject to a Child in Need plan for 13 months following her birth. Jonathan Beebee, of the Royal College of Nursing, said Panorama had shined a light on a "dark corner" of the sector. Mr W, father of the two youngest children, had watched Category A, B and C child abuse images and uploaded them for others to watch.Learning: the huge increase in the number of men viewing online child sexual abuse images has not been matched by professional knowledge; the absence of a clear framework for interviewing children outside the established process; insufficient appropriate professional challenge and the use of escalation processes; a tendency for professionals to uncritically accept what parents tell them about their children; professionals are deskilled in their response and inconsistent in how they name child and adolescent neglect; and evidence of lack of rigour and focus in child protection processes.Recommendations: there are no recommendations presented as such, but under each finding are questions for the Board. Billy was born prematurely and placed in foster care subject to an interim care order at 2-weeks-old.Learning includes: evidence of good practice with professionals working well together to do the best for Billy; some opportunities missed for professionals from different agencies and disciplines to formulate effective plans together; purposeful professional meetings may have promoted better clarity and more effective ways to have informed decision making.Challenges include: consider how all involved agencies can contribute effectively to the formulation of a child’s plan; ensure the inclusion of hypothetical risks that may be predicted along with risks identified in a comprehensive assessment to better safeguard children.Model: uses the Welsh model methodology.Keywords: physical abuse, infants, substance misuse, parenting capacity, risk assessment> Read the overview report, Non-accidental head injury to a 2-year-old boy, Child A, in February 2016. The Coroner’s Inquiry found her death was a tragic accident that could not have been predicted.Key issues: mother was 20 and father 28 when Sama was born. There were over 30 multi-agency contacts or events involving the young person and/or their close family in the ten-month period prior to the young person’s death.Learning: the need to further develop the knowledge and skills in understanding and responding appropriately to adolescents and young people at risk of self-harm; to review how agencies fulfil their statutory obligations by recognising a 17-year-old as a child and ensure the child’s voice and views are key elements in the decision-making process; training to enable practitioners to be confident in recognising the impact of religious, ethnic and cultural influences; the need to actively promote support and advocacy services for young carers; to understand communication needs particularly in families whose first language is not English.Recommendations: There were no recommendations in this learning summary.Keywords: child deaths, culture, family violence, interpreters, voice of the child> Read the overview report, Failure to thrive and lack of care of a young person in foster care over a number of years until November 2015.Learning: health assessments should be holistic; every agency and foster carer need to understand the statutory requirement for children in care to be seen alone; the voice of the child and lived experiences were not sufficiently captured and considered; there was a lack of professional curiosity and generalisations were viewed as facts and not evidence-based; there needs to be appropriate challenge to the views and opinions of foster carers; both foster carers need to be effectively managed; safeguarding concerns raised by professionals were not given sufficient weight in decision making.Recommendations: these are embedded in the learning points.Keywords: child abuse, foster care, disguised compliance, deception> Read the overview report, Death of a 3-month-old Black British/Caribbean girl September 2016 from cardiac arrest. 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