From Colwell to Climbie: Inquiring into fatal child abuse

The Age of the Inquiry: Learning and Blaming in Health and Social Care

Volumn , Issue , 2004, Pages 92-115

  Reder, Peter ^a   Duncan, Sylvia ^a  

^a Baker and Duncan Family Consultancy ^*

Author keywords

[No Author keywords available]

Indexed keywords

EID: 27844542038     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.4324/9780203642726     Document Type: Chapter

References (73)

1. Anderson, D.G. (2000) 'Coping strategies and burnout among veteran child protection workers', Child Abuse and Neglect, 24: 839-48.
2. Appleby, L., Shaw, J., Amos, T. and McDonnell, R. (1999) Safer Services: National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, London: Department of Health.
3. Appleby, L., Shaw, J., Sherratt, J., Amos, T., Robinson, J. and McDonnell, R. (2001) Safety First: Five Year Report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, London: Department of Health.
4. Arthurs, Y. and Ruddick, J. (2001) An Analysis of Child Protection 'Part 8' Reviews Carried out over a Two-Year Period in the South-Fast Region of the N.H.S. London: South East Regional Office, Department of Health.
5. Berwick, D.M. (2001) 'Not again! Preventing errors lies in redesign- not exhortation' (editorial), British Medical Journal, 322: 247-8.
6. Boyd, W. (Chair) (1996) Report of the Confidential Inquiry into Homicides and Suicides by Mentally Ill People, London: Royal College of Psychiatrists.
7. Brandon, M., Owers, M. and Black, J. (1999) Learning How to Make Children Safer: An Analysis for the Welsh Office of Serious Child Abuse Cases in Wales, Norwich: University of East Anglia/Welsh Office.
8. Corby, B., Doig, A. and Roberts, V. (1998) 'Inquiries into child abuse', Journal of Social Welfare and Family Law, 20: 377-95.
9. Creighton, S.J. (2001) 'Childhood deaths reported to coroners: an investigation of the contribution of abuse and neglect', in C. Cloke (ed.) Out of Sight: NSPCC Report on Child Deaths from Abuse 1973 to 2000, 2nd edn, London: NSPCC.
10. Dale, P., Davies, M., Morrison, T. and Waters, J. (1986) Dangerous Families: Assessment and Treatment of Child Abuse, London: Tavistock.
11. Dale, P., Green, R. and Fellows, R. (2002a) What Really Happened? Child Protection Case Management of Infants with Serious Injuries and Discrepant Parental Explanations, London: NSPCC.
12. Dale, P., Green, R. and Fellows, R. (2002b) 'Serious and fatal injuries to infants with discrepant parental explanations: some assessment and case management issues', Child Abuse Review, 11: 296-312.
13. Department of Health (1991) Child Abuse: A Study of Inquiry Reports 1980-1989, London: HMSO.
14. Department of Health (1995) Child Protection: Messages from Research, London: HMSO.
15. Department of Health (2000) An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS, London: The Stationery Office.
16. Department of Health, Home Office and Department for Education and Employment (1999) Working Together to Safeguard Children: A Guide to Inter-agency Working to Safeguard and Promote the Welfare of Children, London: The Stationery Office.
17. Department of Health and Social Security (1974) Report of the Committee of Inquiry into the Care and Supervision Provided in Relation to Maria Colwell, London: HMSO.
18. Department of Health and Social Security (1982) Child Abuse: A Study of Inquiry Reports 1973-1981, London: HMSO.
19. Department of Health and Social Security and Welsh Office (1988) Working Together: A Guide to Arrangements for Inter-Agency Co-operation for the Protection of Children from Abuse, London: HMSO.
20. Dingwall, R. (1986) 'The Jasmine Beckford affair', Modern Law Review, 49: 489-507.
21. Durfee, M.J., Gellert, G.A. and Tilton-Durfee, D. (1992) 'Origins and clinical relevance of child death review teams', Journal of the American Medical Association, 267: 3172-5.
22. Durfee, M. and Tilton-Durfee, D. (1995) 'Multi-agency child death review teams: experiences in the United States', Child Abuse Review, 4: 377-81.
23. Durfee, M., Tilton Dufee, D. and West, M.P. (2002) 'Child fatality review: an international movement', Child Abuse and Neglect, 26: 619-36.
24. Falkov, A. (1996) Study of Working Together 'Part 8' Reports. Fatal Child Abuse and Parental Psychiatric Disorder: An Analysis of 100 Area Child Protection Committee Case Reviews Conducted under the Terms of Part 8 of Working Together under the Children Act 1989, London: Department of Health.
25. Falkov, A. (ed.) (1998) Crossing Bridges: Training Resources for Working with Mentally Ill Parents and their Children, London: Department of Health.
26. Fitzgerald, J. (2001) 'Lessons from the past- experience of inquiries and reviews', in C. Cloke (ed.) Out of Sight: NSPCC Report on Child Deaths from Abuse 1973-2000, 2nd edn, London: NSPCC.
27. Goldacre, M.J., Evans, J. and Lambert, T.W. (2003) 'Media criticism of doctors: review of UK junior doctors' concerns raised in surveys', British Medical Journal, 326: 629-30.
28. Greenland, C. (1987) Preventing CAN Deaths: An International Study of Deaths Due to Child Abuse and Neglect, London: Tavistock.
29. Hallett, C. (1989) 'Child-abuse inquiries and public policy', in O. Stevenson (ed.) Child Abuse: Professional Practice and Public Policy, Hemel Hempstead: Harvester Wheatsheaf.
30. Hallett, C. and Birchall, E. (1992) Coordination and Child Protection: A Review of the Literature, Edinburgh: HMSO.
31. Handley, M. (2001) 'Serious incidence case reviews- "Part 8s"', in C. Cloke (ed.) Out of Sight: NSPCC Report on Child Deaths from Abuse 1973 to 2000, 2nd edn, London: NSPCC.
32. Helmreich, R.L. (2000) 'On error management: lessons from aviation', British Medical Journal, 320: 781-5.
33. Hill, M. (1990) 'The manifest and latent lessons of child abuse inquiries', British Journal of Social Work, 20: 197-213.
34. Home Office, Department of Health, Department of Education and Science and Welsh Office (1991) Working Together Under the Children Act 1989: A Guide to Arrangements for Inter-Agency Co-operation for the Protection of Children from Abuse, London: HMSO.
35. Howitt, D. (1992) Child Abuse Errors: When Good Intentions Go Wrong, Hemel Hempstead: Harvester Wheatsheaf.
36. Hoxter, S. (1983) 'Some feelings aroused in working with severely deprived children', in M. Boston and R. Szur (eds), Psychotherapy with Severely Deprived Children, London: Routledge & Kegan Paul.
37. James, G. (1994) Study of Working Together 'Part 8' Reports: Discussion Report for ACPC Conference 1994, London: Department of Health.
38. Killen, K. (1996) 'How far have we come in dealing with the emotional challenge of abuse and neglect?' Child Abuse and Neglect, 20: 791-5.
39. Krell, H.L. and Okin, R.L. (1984) 'Counter transference issues in child abuse and neglect cases', American Journal of Forensic Psychiatry, 5: 5-16.
40. Laming, H. (2003) The Victoria Climbie Inquiry: Report of an Inquiry by Lord Laming, London: The Stationery Office.
41. Lewis, E. (1979) 'Counter-transference problems in hospital practice', British Journalof Medical Psychology, 52: 37-42.
42. London Borough of Greenwich (1987) A Child in Mind: Protection of Children in a Responsible Society, The Report of the Commission of Inquiry into the Circumstances Surrounding the Death of Kimberley Carlile, London: London Borough of Greenwich and Greenwich Health Authority.
43. MacCarthy, B. (1988) 'Are incest victims hated?', Psychoanalytic Psychotherapy, 3: 113-20.
44. Main, T. (1957) 'The ailment', British Journal of Medical Psychology, 30: 129-45.
45. Menzies, I.E.P. (1970) The Functioning of Social Systems as a Defence against Anxiety, London: Tavistock Institute of Human Relations.
46. Morrison, T. (1996) 'Partnership and collaboration: rhetoric and reality', Child Abuseand Neglect, 20: 127-40.
47. Munro, E. (1999) 'Common errors of reasoning in child protection work', Child Abuse and Neglect, 23: 745-58.
48. Munro, E. (2002) Effective Child Protection, London: Sage.
49. NHS Confederation and National Patient Safety Agency (2003) Creating the Virtuous Circle: Patient Safety, Accountability and an Open and Fair Culture, London: NHS Confederation.
50. NSW Child Death Review Team (2000) 1998-99 Report. Surrey Hills, New South Wales: NSW Child Death Review Team.
51. Pollak, J. and Levy, S. (1989) 'Countertransference and failure to report child abuse and neglect', Child Abuse and Neglect, 13: 515-22.
52. Prins, H. (1998) 'Inquiries after homicide in England and Wales', Medicine, Science and the Law, 38: 211-20.
53. Reason, J. (2000) 'Human error: models and management', British Medical Journal, 320: 768-70.
54. Reder, P. and Duncan, S. (1996) 'Reflections on child abuse inquiries', in J. Peay (ed.) Inquiries after Homicide, London: Duckworth.
55. Reder, P. and Duncan, S. (1998) 'A proposed system for reviewing child abuse deaths', Child Abuse Review, 7: 280-6.
56. Reder, P. and Duncan, S. (1999) Lost Innocents: A Follow-up Study of Fatal Child Abuse, London: Routledge.
57. Reder, P. and Duncan, S. (2002) 'Predicting fatal child abuse and neglect', in K.D. Browne, H. Hanks, P. Stratton and C. Hamilton (eds) Early Prediction and Prevention of Child Abuse: A Handbook, Chichester: Wiley.
58. Reder, P. and Duncan, S. (2003) 'Understanding communication in child protection networks', Child Abuse Review, 12: 82-100.
59. Reder, P., Duncan, S. and Gray, M. (1993) Beyond Blame: Child Abuse Tragedies Revisited, London: Routledge.
60. Reder, P., McClure, M. and Jolley, A. (eds) (2000) Family Matters: Interfaces Between Child and Adult Mental Health, London: Routledge.
61. Reder, P., Duncan, S. and Lucey, C. (eds) (2003) Studies in the Assessment of Parenting, London: Brunner/Routledge.
62. Rumgay, J. and Munro, E. (2001) 'The lion's den: professional defence in the treatment of dangerous patients'', Journal of Forensic Psychiatry, 12: 357-78.
63. Salop County Council (1973) Report of Inquiry into the Circumstances Surrounding the Death of Graham Bagnall (D.O.B. 20/5/1970) and the Role of the County Council's Social Services, Shrewsbury: Salop County Council.
64. Sanders, R., Colton, M. and Roberts, S. (1999) 'Child abuse fatalities and cases of extreme concern: lessons from reviews', Child Abuse and Neglect, 23: 257-68.
65. Sinclair, R. and Bullock, R. (2002) Learning from Past Experience- A Review of SeriousCase Reviews, London: Department of Health.
66. Stevens, M. and Higgins (2002) 'The influence of risk and protective factors on burnout experienced by those who work with maltreated children', Child Abuse Review, 11: 313-31.
67. Stevenson, O. (1989) 'Reflections on social work practice', in O. Stevenson (ed.) Child Abuse: Professional Practice and Public Policy, Hemel Hempstead: Harvester Wheat-sheaf.
68. Tranter, M. and Vizard, E. (1988) 'The professional network and management of disclosure', in A. Bentovim, A. Elton, J. Hildebrand, M. Tranter and E. Vizard (eds) Child Sexual Abuse within the Family: Assessment and Treatment, London: Wright.
69. Walshe, K. and Higgins, J. (2002) 'The use and impact of inquiries in the NHS', British Medical Journal, 325: 895-900.
70. West, J. (1997) 'Caring for ourselves: the impact of working with abused children', Child Abuse Review, 6: 291-7.
71. White, R. (1995) 'A perspective from child death reviews', Child Abuse Review, 4: 371-6.
72. Wilczynski, A. (2001) 'Child deaths: working together', in C. Cloke (ed.) Out of Sight: NSPCC Report on Child Deaths from Abuse 1973 to 2000, 2nd edn, London: NSPCC.
73. Woodhouse, D. and Pengelly, P. (1991) Anxiety and the Dynamics of Collaboration, Aberdeen: Aberdeen University Press.