Durfee Michael, Durfee Deanne Tilton, West M Patricia
Los Angeles County Department of Health Services, Child Abuse Prevention Program, Los Angeles, CA, USA.
Child Abuse Negl. 2002 Jun;26(6-7):619-36. doi: 10.1016/s0145-2134(02)00337-x.
This article discusses the multidisciplinary Child Fatality Review process in the US, Canada, and Australia, including common patterns, unique programs, changes over time, impact on multiagency systems, and future directions.
An open-ended survey was shared with teams listed in the directories of the Los Angeles County Inter-Agency Council on Child Abuse and Neglect National Center on Child Fatality Review (ICAN-NCFR). Responses were received from 58 state and local Child Fatality Review teams.
Teams exist in all 50 states, Washington, DC, most Canadian provinces, and New South Wales, Australia. Team structure varies but generally includes a similar core membership, and most teams select cases from coroner/medical examiner or vital statistics records through established protocols. While most case review is conducted by local teams, state teams may review cases because of small size or sparse population or choose to review specific types of cases (e.g., Child Protective Services). State teams often support local review through training, resources, policy development, and political assistance. An increasing number of teams collect data and issue reports, often published on the internet, allowing teams to share resources.
Teams have matured with time, often broadening their intake spectrum, membership and data collection, and developing and following through with case management or systems change recommendations. Teams continue to improve multiagency interaction and are committed to the prevention of child injury and death. The number of teams, as well as their scope and expertise, continues to increase, developing into a national/international system.
本文探讨美国、加拿大和澳大利亚多学科儿童死亡审查流程，包括常见模式、独特项目、随时间的变化、对多机构系统的影响以及未来方向。
向洛杉矶县虐待与忽视儿童问题跨机构理事会儿童死亡审查国家中心（ICAN-NCFR）名录中列出的团队发放了一份开放式调查问卷。收到了来自58个州和地方儿童死亡审查团队的回复。
美国50个州、华盛顿特区、加拿大大多数省份以及澳大利亚新南威尔士州均设有团队。团队结构各不相同，但通常包括类似的核心成员，大多数团队通过既定方案从验尸官/法医或人口动态统计记录中选取案例。虽然大多数案例审查由地方团队进行，但州团队可能因规模小或人口稀少而审查案例，或选择审查特定类型的案例（如儿童保护服务案例）。州团队经常通过培训、资源、政策制定和政治援助来支持地方审查。越来越多的团队收集数据并发布报告，这些报告通常在互联网上公布，以便团队共享资源。
随着时间的推移，各团队不断成熟，通常会扩大受理范围、成员规模和数据收集范围，并制定并落实案例管理或系统变革建议。各团队不断改善多机构间的互动，致力于预防儿童伤害和死亡。团队的数量及其范围和专业知识不断增加，正发展成为一个国家/国际系统。
