Transcript SSBG and Child Welfare Services

Examining Child Fatality
Reviews and Cross-System
Fatality Reviews
David Kelly, J.D., M.A.
Children’s Bureau
Liz Oppenheim, J.D.
Ying-Ying T. Yuan, Ph.D.
Walter R. McDonald & Associates, Inc.
Examining Child Fatality Reviews
and Cross-System Fatality Reviews
to Promote the Safety of Children
and Youth at Risk
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Funded by the Administration on Children,
Youth and Families, Children’s Bureau
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9/26/2011 through 9/25/2012
Project Goals
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Gain an understanding of the types or
recommendations made by fatality reviews
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Gain an understanding of the outcomes and
impact of the recommendations
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Identify best practices for improving:
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Collaboration and increased efficiency within
and among fatality reviews
 Identification and implementation of crosscutting prevention strategies
Fatality Reviews
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Child Death Review (CDR)
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Children up to age 18
Deaths due to accidents, homicides, suicides and
fatalities resulting from abuse and/or neglect
Review child deaths to better understand how
children die and identify prevention strategies
Citizen Review Panel-Fatality Review (CRP-FR)
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Birth to age 18
 Children involved with CPS or child welfare only
 Identify child welfare practices and policies that may
have been a factor in the fatalities
Fatality Reviews
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Fetal and Infant Mortality Review (FIMR)
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Children younger than one year old
Public health strategy to identify ways to improve
services and resources for women, infants, and
families to prevent infant deaths
Domestic Violence Fatality Review (DVFR)
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Review deaths of adults
Goal is to identify issues in the service delivery
systems that may prevent future deaths from
domestic violence
Project Components
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Literature Review
Review of Recommendations and Outcomes
Site Visits
National Meeting
Child Fatality Reviews Logic Model
Purpose: To increase knowledge about child fatalities and identify promising practices which would reduce preventable child deaths.
REVIEW
INPUTS
REVIEW
PROCESSES
•Authorizing legislation
•Multi-agency and multidisciplinary review teams
•Team member training
•Case data
•Available knowledge
about child fatalities, the
causes of fatalities, and
other research literature
•Guidance, direction,
and support
National
standards
Leaders and
champions
Funding
•Collaborate with
other review
teams
•Identify
circumstances
leading to or
involved with the
death
•Identify risk
factors: health,
social, economic,
behavioral,
environmental, and
systemic
•Identify prevention
strategies
INTENDED
RESULTS
OUTPUTS
Recommendations
•Local
•State
•National/ Federal
Implementation
Plans
Findings
•Case-specific
•Aggregate
•Systemic
OUTCOMES
IMPACT
Improved
collaboration
Increased funding
Strengthened
organizational
capacity
Improved
policies/legislation
Increased public
awareness/
education
Improved service
delivery
Data Sources: Literature Review, State Report Reviews, Site Visits, National Meeting
Reduce
preventable
child death
rates
Key Findings from Literature
Review: Fatality Reviews
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All States but one have Child Death Review
(CDR) teams
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17 States use their CDR team as the citizen
review panel for review of fatalities
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200 Fetal and Infant Mortality Review (FIMR)
programs in 40 States
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144 Domestic Violence Fatality Review (DVFR)
teams at the State and local level
Key Findings from Literature
Review: Inputs/Processes
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Coordination and collaboration
Authorizing legislation
Members
Scope
Information access and review
Identification of risk factors
Identification of prevention strategies
Key Findings from Literature
Review: Outputs
Development of recommendations
 Reporting findings
 Implementing recommendations
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Key Findings from Literature
Review: Impact
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Impact: Reduce preventable child
death rates
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Difficult to determine
 Some examples
Key Findings from Literature
Review: Outcomes
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Impact
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Improved collaboration
Increased funding
Strengthened organizational capacity
Improved policies/legislation
Increased public awareness/education
Improved service delivery
Key Findings: The National Child Death
Review Case Reporting System
(NCDR-CRS)
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A majority (86.7%) of the child deaths were not
identified as CAN related deaths
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Largest categories of cause of death for CAN
related
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17.9% weapons related
12.3% asphyxia
11.2% drowning
Recommendations
Four Questions for Small Group
Discussion
1. Have reviews been useful for prevention? If
yes, how have they been useful?
2. Have reviews been useful in strengthening
practice? If yes, how have they been useful?
3. What types of collaboration are being utilized
in reviewing and preventing child abuse
fatalities?
4. How could fatality reviews be more useful to
child welfare, law enforcement, and the courts?
Contact Information
David Kelly: [email protected]
 Liz Oppenheim: [email protected]
 Ying-Ying T. Yuan: [email protected]
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