<strong>Neglect</strong> <strong>and</strong> Serious Case Reviews coNcluSioN 82 • To underst<strong>and</strong> parent–child relationships better, practitioners should ask themselves: what does this child mean to the parent <strong>and</strong> what does the parent mean to the child? (Br<strong>and</strong>on et al 2011). Reflective, challenging supervision helps practitioners to underst<strong>and</strong> relationships <strong>and</strong> should support them to act decisively when children are in danger. • Missed appointments should be followed up <strong>and</strong> not considered a reason to withdraw a service. • Children who disappear from view may be at risk of severe or life threatening harm from neglect. This may include children who are not in school <strong>and</strong> older adolescents who go off the radar of helping professionals <strong>and</strong> may be a risk to themselves. To be safe children need to be seen. The fact that neglect is not only harmful but can also be fatal should be part of a practitioner’s mindset as it would be with other kinds of maltreatment. This is not to be alarmist nor to suggest predicting or presuming that where neglect is found the child is at risk of death, but rather to suggest that practitioners <strong>and</strong> managers should recognize how easily the harm that can come from neglect can be minimised or downgraded. In the same way there should be recognition of the harm that arises when neglect <strong>case</strong>s drift. Practitioners need to have an open mind about the possibility of neglect having a fatal or very <strong>serious</strong> outcome for a child but deal with neglect <strong>case</strong>s in a confident, systematic <strong>and</strong> compassionate manner.
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