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Neglect and Serious Case Reviews most recently, child protection plans for neglect were being used more successfully. Worryingly, there was no similar decline in the number of reviews for children who had a discontinued CP plan for neglect – and the question remains as to why the plan was removed. deathS or SeriouS harm where childreN had ever had a cp plaN for Neglect? • Fifty-seven reviews concerned the death of a child who had ever been the subject of a child protection plan for neglect. • Forty-four reviews concerned children with a neglect plan who suffered a serious injury but survived. how doeS Neglect compare with other categorieS of maltreatmeNt? • Neglect was by far the most frequent category of child protection plan in SCRs, and amounted to more than the other categories of maltreatment combined. • There is more often a context of known neglect than known physical abuse. The majority of SCRs for children with a past or present plan for neglect (56%) died in comparison with a lower proportion (37%) of cases of physical abuse. • There was co-existing physical abuse and neglect for over one-third (36%) of all children with a plan for neglect. what are the typeS of fatality for the 56 childreN with a cp plaN for Neglect? 38 • Most of the deaths (34) were related to, but not directly linked to maltreatment (13 children died as a result of SUDI, 12 following accidents, and nine young people died through suicide). • 13 children died as a result of a form of physical assault (either ‘infanticide’, ‘homicide’ or ‘fatal physical assault’ – see Table 2.6). • In nine cases the cause of death was unclear.
what did Neglect coexiSt with? 2. Neglect in the lives of children who become the subject of a serious case review – a statistical overview • Parental drug and alcohol misuse were higher for children with a past/current CP plan for neglect than for the other children. what iS the exteNt of Neglect iN all ScrS from 2009–11? • Neglect occurred in a total of 60 per cent (83) of the 139 serious case reviews from 2009–11. • Neglect featured evenly across the age ranges apart from 11–15 year olds where it was much more common. • Where children died, current or past neglect was evident for almost all whose deaths were related to but not directly caused by maltreatment (SUDI, suicide accidents and ‘other’). There was neglect in a quarter of the deaths through assault and deliberate homicide. • There was neglect in over two thirds of the 43 non-fatal cases, and in five of the seven serious sexual abuse cases. • Neglect was evident for two thirds of the children who suffered non-fatal physical assault. 39
Page 1 and 2: Neglect aNd SeriouS caSe reviewS A
Page 3 and 4: Contents Executive Summary 7 1. The
Page 5 and 6: tableS Tables and Figures appeNdix
Page 7 and 8: iNtroductioN Key fiNdiNgS Executive
Page 9 and 10: fiNdiNgS how ofteN iS Neglect evide
Page 11 and 12: Neglect iN all ScrS from 2009-11 To
Page 13 and 14: Sudden unexpected deaths in infancy
Page 15 and 16: maintaining a healthy, safe relatio
Page 17 and 18: 1. The context of neglect and serio
Page 19 and 20: Summary 1. The context of neglect a
Page 21 and 22: 2.2 reSultS 2. Neglect in the lives
Page 23 and 24: There are encouraging signs of a dr
Page 25 and 26: figure 2.1: age distribution of chi
Page 27 and 28: 2. Neglect in the lives of children
Page 31 and 32: what did Neglect co-exiSt with? 2.
Page 35 and 36: figure 2.2: incidence of cp plan fo
Page 37: Summary 2. Neglect in the lives of
Page 41 and 42: 3. A thematic analysis of neglect h
Page 43 and 44: As discussed in Chapter 2, it was n
Page 45 and 46: • There had been a lack of proper
Page 47 and 48: In reading the set of serious case
Page 49 and 50: The SCRs drew our attention to undu
Page 51 and 52: or more of a burden to his mother,
Page 53 and 54: parental learning disability Parent
Page 55 and 56: event prompting the serious case re
Page 57 and 58: themeS aNd learNiNg poiNtS ‘an ac
Page 59 and 60: 3.5 SuddeN uNexpected death iN iNfa
Page 61 and 62: agency involvement: learning: There
Page 63 and 64: Sudi riSKS aNd targeted iNterveNtio
Page 65 and 66: event prompting the Serious case re
Page 67 and 68: learning: themeS aNd learNiNg poiNt
Page 69 and 70: uising and rough handling An unders
Page 71 and 72: event prompting the Serious case re
Page 73 and 74: themeS aNd learNiNg poiNtS the long
Page 75 and 76: situation or dangers posed by, for
Page 77 and 78: Sudden unexpected deaths in infancy
Page 79 and 80: 4 Implications for policy and pract
Page 81 and 82: maiNtaiNiNg a healthy, Safe relatio
Page 83 and 84: Bibliography Blair, P., Sidebotham,
Page 85 and 86: Bibliography Ofsted (2008) Learning
Page 87 and 88: Appendix Table A.2 Category of abus
Page 89 and 90:
3. extreme Neglect / deprivatioNal
Page 92:
Photography by Jon Challicom, posed
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