Munchausen by Proxy: Identification, Intervention, and Case Management

Description

This step-by-step guide will help you identify and manage cases of this unique form of child maltreatment! Munchausen by proxy (MBP) is a dangerous kind of maltreatment in which a caretaker deliberately and repeatedly exaggerates, fabricates, and/or induces a health problem or problems in someone under his or her care. Munchausen by Proxy: Identification, Intervention, and Case Management is... Read more

This step-by-step guide will help you identify and manage cases of this unique form of child maltreatment!

Munchausen by proxy (MBP) is a dangerous kind of maltreatment in which a caretaker deliberately and repeatedly exaggerates, fabricates, and/or induces a health problem or problems in someone under his or her care. Munchausen by Proxy: Identification, Intervention, and Case Management is the first book to walk you step-by-step through a suspected MBP maltreatment case from suspicion onward. This skills-based, practical book contains a thorough, up-to-date overview of MBP and includes suggestions for identifying and reporting to child protection agencies, investigating and gathering evidence, and legal and court procedures. Its easy readability and immediate applicability make this text a valuable tool in identifying and preventing this form of child abuse.

Munchausen by Proxy is divided into three parts. The first covers the definition of MBP, the role of the perpetrator and victim, and the ethical issues affecting professionals, patients, and family. Part two addresses case work from initial suspicions through the investigative and confirmation/disconfirmation process. The third section is dedicated to case planning and case management once MBP has been confirmed, including intervention, immediate child protection, and legal activities.

Those involved in a suspected or confirmed MBP case will learn about:

the limits of the DSM-IV as applied to MBP
perpetrator-consistent characteristics
the MBP situational suspicion indicators
the inappropriateness of risk assessment tools developed for other forms of maltreatment
the danger when MBP perpetrators realize they are under suspicion
and more!

This volume is generously enhanced with case examples, sample forms, figures, and representative management plans. In Munchausen by Proxy, authors Lasher and Sheridan—experts in MBP and child protection—have come together to fill the gap in the libraries of anyone who may become involved with a MBP case. This includes child welfare professionals and staff, law enforcement, school personnel, health care practitioners, judges and lawyers, and social workers. Read less

Foreword (Marc D. Feldman)
Preface and Acknowledgments
PART I: MUNCHAUSEN BY PROXY MALTREATMENT
Chapter 1. Defining Munchausen by Proxy
Elements of the Definition
Terminology Issues
A Controversy: Does MBP Exist?
Chapter 2. Perpetrators, Victims, and Others
Perpetrators
Victims
Others
Chapter 3. Integrity in MBP Practice
Fairness
Reporting to Child Protective Agencies
Confidentiality
Qualifications to Practice in the Field
Colleague Relationships
System Issues
Public Awareness of MBP
Building a Solid Knowledge Base for MBP Theory and Practice
PART II: THE CONFIRMATION/DISCONFIRMATION PROCESS
Chapter 4. Essential Elements in the Confirmation/Disconfirmation Process
Description of the Essential Elements
The Essential Elements for MBP Case Success Applied to a Case Example
Chapter 5. Suspecting and Reporting
Suspecting MBP
Reporting MBP
Criteria for Confirming/Disconfirming MBP
Initial Child Protective Agency Response to a Report of MBP Suspicions
Chapter 6. Gathering Information: The MBP Investigation
Written Records and Documents
Interviews
Other Methods of Information Gathering
Chapter 7. Information Evaluation, Information Organization, and the Confirmation/Disconfirmation Decision
Information Evaluation
Organizing Information
The MBP Confirmation/Disconfirmation Decision and the Functioning of the MMT
The Work of the MMT: Initial and Subsequent Meetings
PART III: CASE PLANNING AND CASE MANAGEMENT IN CONFIRMED MBP
Chapter 8. Essential Elements in Case Planning and Case Management When MBP Has Been Confirmed
The Essential Elements Following Confirmation
Summary of the Formula for MBP Case Success: A Case Example
Chapter 9. Initial Postconfirmation Victim and Case Protection
Initial Task 1: Risk Assessment
Initial Task 2: Protecting the Victim and the Case
Initial Task 3: Removing the Victim from the Care, Custody, Control, and Influence of the Perpetrator; Placement in an Appropriate Setting
Initial Task 4: The Postconfirmation/Confrontation Interview
Appendix: Munchausen by Proxy Risk Assessment Work Sheet
Chapter 10. MBP Case Planning and Management
Case Planning in Child Protection and MBP Cases
Case Planning Goal 1: Ensuring the Safety of the Victim(s) and Sibling(s)
Case Planning Goal 2: Provision of Appropriate Case Services
Case Planning Goals 3 and 4: Determining the Permanency Goal, Time Line, and Future Planning
Appendix: Recommended Case Plan Elements in MBP
Chapter 11. MBP Maltreatment Legal Activities and Considerations
Attorney Selection
The MBP Expert
Selecting the MBP Expert
Common MBP Maltreatment Legal Strategies
Motions
Educating the Court About MBP Maltreatment
The Probable Cause Hearing
A Final Observation on the Importance of the Court Process
Chapter 12. Therapeutic Considerations with Perpetrators
Therapy in the MBP Literature
Diagnosis and Prognosis in MBP
Conclusion
Chapter 13. Implications for Intervention with Victims
Assessing the Victim’s Need for Psychosocial Treatment
Consequences of MBP to Victims
Therapeutic Approaches Described in the Literature
MBP and Child Sexual Abuse: An Analogy
References
Index

Author(s)

Biography

Mary S Sheridan, Louisa Lasher

Munchausen by Proxy Identification, Intervention, and Case Management

Description

Table of Contents

Author(s)

Biography

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