Analysis of risks and Protective Factors CONFIDENTIAL: Not to be shared with family unless agreed at Multiagency Strategy Meeting Page 1 Name: Child’s Date of Birth: NHS Number: ICS/Pupil Number: Table 1 Example 1 Example 2 Example 3 Example 4 Example 5 Type of presentation Simple anxiety, lack of symptoms are Carer actively promotes sick Carer suffers from psychiatric Unrecognised genuine Child’s knowledge about illness, over misperceived, perpetuated or role by exaggeration, illness (e.g. delusional disorder) medical problem becomes interpretation of normal or trivial reinforced by the non-treatment of real problems, which leads them to believe apparent after initial concern carer’s features of childhood; may in behaviour; carer may genuinely fabrication (lying) or child is ill about FII some cases be associated with believe the child is falsification of signs, and/or depressive illness in carer ill or may have fixed beliefs induction of illness (sometimes about illness referred to as ‘true’ FII) Level of risk Seldom reaches the threshold of May be disabling for the child; High risk of harm; always some May be risk of harm Risk of harm due to significant harm often some risk of significant resultant harm, often severe inappropriate child protection harm, including emotional or process and delay in correct educational harm, or social diagnosis Evidence supporting level of risk (actual harm / concerns about probable harm)
Analysis of risks and Protective Factors CONFIDENTIAL: Not to be shared with family unless agreed at Multiagency Strategy Meeting Page 1 Child’s Name: Date of Birth: NHS Number: ICS/Pupil Number: Table 1 Example 1 Example 2 Example 3 Example 4 Example 5 Type of presentation Simple anxiety, lack of knowledge about illness, over interpretation of normal or trivial features of childhood; may in some cases be associated with depressive illness in carer Child’s symptoms are misperceived, perpetuated or reinforced by the carer’s behaviour; carer may genuinely believe the child is ill or may have fixed beliefs about illness Carer actively promotes sick role by exaggeration, non-treatment of real problems, fabrication (lying) or falsification of signs, and/or induction of illness (sometimes referred to as ‘true’ FII) Carer suffers from psychiatric illness (e.g. delusional disorder) which leads them to believe child is ill Unrecognised genuine medical problem becomes apparent after initial concern about FII Level of risk Seldom reaches the threshold of significant harm May be disabling for the child; often some risk of significant harm, including emotional or educational harm, or social High risk of harm; always some resultant harm, often severe May be risk of harm Risk of harm due to inappropriate child protection process and delay in correct diagnosis Evidence supporting level of risk (actual harm / concerns about probable harm)
FII%20%20Toolkit.docx