skip navigation


Register for Latest Research

Stay Informed
Register with NCJRS to receive NCJRS's biweekly e-newsletter JUSTINFO and additional periodic emails from NCJRS and the NCJRS federal sponsors that highlight the latest research published or sponsored by the Office of Justice Programs.

NCJRS Abstract

The document referenced below is part of the NCJRS Virtual Library collection. To conduct further searches of the collection, visit the Virtual Library. See the Obtain Documents page for direction on how to access resources online, via mail, through interlibrary loans, or in a local library.


NCJ Number: 199958 Find in a Library
Title: Developing Good Practice in Cases of Fabricated and Induced Illness by Carers: New Guidance and the Training Implications
Journal: Child Abuse Review  Volume:12  Issue:1  Dated:January-February 2003  Pages:58-63
Author(s): Jan Horwath
Date Published: January 2003
Page Count: 6
Type: Issue Overview
Format: Article
Language: English
Country: United Kingdom
Annotation: This paper discusses training issues in preparing professionals who work with children to recognize cases of fabricated and induced illness in children by carers (FII), also known as Munchausen syndrome by proxy.
Abstract: Britain's Department of Health, Home Office and the Department for Employment and Skills has provided guidance for cases of FII by preparing the publication entitled, "Safeguarding Children in whom Illness Is Induced or Fabricated by Carers With Parenting Responsibilities." Guidance in this publication supplements guidance provided in "Working Together to Safeguard Children." In addition, the Royal College for Pediatrics and Child Health has produced a report on FII. The report focuses on the effects on children of FII and the role of pediatricians in addressing this condition. The task for practitioners is indicated to be consideration of the impact of FII on the child; hence, the carer's behavior should be assessed in terms of his/her capacity to meet the needs of the child. The complexity of the assessment task in cases of FII is acknowledged in all the documents mentioned, and emphasis is given to the importance of using skilled and experienced staff. Training for those in contact with children or parents should alert staff to the ways in which FII can present in children and how practitioners should manage their concerns in compliance with local Area Child Protection Committee procedures. Interagency training should address ways in which the professional should contribute and work with others to assess, plan, and intervene to meet the needs of children subject to FII. The training should explore issues of confidentiality and the limits to working in partnership with parents and other professionals in cases of FII. Training should also target staff who are involved in co-working on complex tasks in relation to FII. Effective multidisciplinary training and practice is crucial if professionals are to work together to meet the needs of children abused because of FII. 13 references
Main Term(s): Juvenile victims
Index Term(s): Child abuse; Child abuse detection; Child abuse prevention; Foreign crime prevention; Munchausen by Proxy Syndrome; Physician child abuse neglect role
To cite this abstract, use the following link:

*A link to the full-text document is provided whenever possible. For documents not available online, a link to the publisher's website is provided. Tell us how you use the NCJRS Library and Abstracts Database - send us your feedback.