child death review: the power to prevent deaths and keep children safe and healthy
TRANSCRIPT
CDR is:
• An engaged, multidisciplinary community, telling a child’s story, one child at a time, to understand the causal pathway that leads to a child’s death to identify pre-existing vulnerabilities and circumstances- in order to identify how to interrupt the pathway for other children
• ….By generating a broad spectrum of data for an ecological understanding of the individual, community, and societal factors that interact at different levels to influence child health and safety
• ….Then taking action to improve systems and prevent deaths.
It’s all aabout
prevention
CDR: Where Good Shift Happens
Moving from Bad things happen toWe can prevent this
Coordinated and Comprehensive Investigations Risk Factor Analysis
Determination of Manner and Cause Effective Recommendations
Agency Practices and Policies Prevention ACTIONS:
Systems of Care Policy, Programs, Services
Justice
Family Support
Systems Improvements Prevention
Department of DefenseDoD directive requires CDR when a child abuse death of an active duty soldier is suspected.Reviews managed by Office of Family Advocacy
Army: reviews conducted at installation level;Navy, Air Force, Marines: Command level in Washington, DC
Approximately 50-60 per yearNavy also reviewing all SUID deathsAnnual fatality summit in DCMajor worries: deployment related;
gaming addiction; off-base families
By the Numbers
43 states using the System
Over 2300 authorized users
Over 1050 CDR teams have recorded a
death in the System
More than 150,000 deaths have been entered
• 99% deaths
• 54% infants
• 75% cases from 2005-2012
• 59% males
• 51% natural deaths; 24% accidents
Scope of Deaths
All preventable child deaths
Potential child abuse or
neglect related deaths Deaths
known or open to
CPS
Reviewing Maltreatment Deaths
CDR
Legislative mandated panels and/or citizens review Panels/Internal Reviews/audits
WE NEED A CLOSER LOOK HERE
Data Source
Year
2000 2001 2002 2003 2004 2005
FCANS
Reconciliation Audit 129 133 140
Not
conducted
Not
conducted 185
Vital Statistics Death
Statistics Master File 21 30 23 30 20 21
Supplemental
Homicide File 79 77 78 90 76 82
Child Abuse Centeral
Index 34 24 30 18 36 59
Child Welfare
Services/Case
Management System 21 50 59
Not
included
Not
included
Not
included
Child Death Review
Teams - FCANS 62* 116 105 134 107 124
California:Child Maltreatment Deaths Reported to Multiple Data
Sources, 2000-2005
Major Policy Changes Made Following Reviews
186 deaths in 1999-2001 264 findings
170 deaths in 2002-2004 172 findings
9% drop in deaths 35% drop in findings
Vincent J. Palusci, Steve Yager, Theresa M. Covington. Effects of a Citizens Review Panel in preventing child maltreatment fatalities, Child Abuse and Neglect, 09: September
High level of interest from:• Federal partners
HRSA MCHB, ACF, NTSB, NHTSA, CPSC, SAMHSA, CDC, DOD, NTSB Study on Non-Users of Car Seats
• Industry: pool, window and crib manufacturers
• Advocacy Groups: Parent Heart Watch, Kids and Cars, Safe Kids
Local reviews effect national policy…..
DATE TO ACTIONUsing the Data for National Policy
Release of special reports, Injury Prevention Supplement
Release of counts
Dissemination of data base to researchers
Understanding Limitations of Data and Data Quality