2013 Georgia Child Fatality Analysis Report
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This powerpoint presentation was put together by Martha Duke, Child Death Liaison, Division of Family and Children Services and presented on August 8 at our Georgia Children's Advocacy Network (GA-CAN!) Forum. This month we looked at Deconstructing Child Deaths in Georgia: A Discussion of the 2013 DFCS Child Fatality Report
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2013 Georgia Child Fatality Analysis Report
- 1. Interim Director Bobby Cagle Georgia Division of Family and Children Services 2013 Child Fatality Analysis
- 2. Purpose: 2013 Child Fatality Analysis The 2013 Child Fatality Analysis is the second such annual report DFCS has released on deaths of children whose families had prior contact with the agency. Purpose •Provide information over and above the federal requirements for states to review and analyze child fatalities*, and offer additional insight on a population with previously reported or identified risks of abuse and/or neglect. •Aid the agency and the public in improving intervention efforts and developing community-based solutions to reduce the risk of harm to Georgia’s children. *Per 42 U.S. C. Sec. 5106a(b)(2)(B)(x) of the Child Abuse Prevention and Treatment Act.
- 3. Methodology: 2013 Child Fatality Analysis How this report was compiled: •Child deaths that occurred between January 1, 2013 and December 31, 2013 were reported to DFCS by local Child Fatality Review committees, employees of local DFCS offices or other external partners, including law enforcement and medical personnel. •Data was compiled and reviewed in June and July of 2014 in an effort to provide a more complete picture of deaths that occurred late in 2013*. •Report details child deaths by age, time, location, manner and cause, as well as information on agency involvement. *The Division’s 2012 Child Death Report was completed during the first three months of 2013 when data elements for some deaths were not available.
- 4. Methodology: 2013 Child Fatality Analysis Who is included in this report: •All children included in this report were members of families that came into contact with child protective services within the last five years.
- 6. Overview: DFCS involvement Georgia DFCS response in 2013: •76,995 reports to agency intake line. •54,101 cases assigned for follow up. •13,067 children in DFCS custody at some point in the year. •6,057 families involved in preservation cases.
- 7. Fatalities: Prior DFCS Involvement
- 8. Fatalities: Manner of death Percentages cover 180 reported deaths with DFCS history in 2013 and 152 reported deaths with
- 9. Fatalities: Prior DFCS Involvement Children under the age of one make up 48 percent of all child deaths with DFCS history in 2013.
- 10. Fatalities: Children under the age of 1 In 2013, there were 42 sleep-related deaths for children younger than 12 months old. •(26) deaths categorized as undetermined •(9) deaths categorized as natural •(7) deaths categorized as accidental This accounts for 23% of all deaths in 2013, and nearly half of deaths for children under the age of one.
- 11. Fatalities: Substance abuse 43 percent of child fatalities with DFCS history in 2013 involved previous allegations of a caretaker’s drug use.
- 12. Conclusion: Agency goals for future reports The Georgia Division of Family and Children Services seeks to work with stakeholders to learn from every child fatality and improve intervention efforts. •In 2014, the Division will continue to enhance data collection methods and improve collaborations with law enforcement and other community agencies to develop a more consistent protocol for making DFCS aware of child deaths and target agency intervention efforts. •Through in-depth analyses of child deaths with identified maltreatment, we can target changes to policy and practice that reduce the risk of harm to children, and provide staff with the tools they need to appropriately assess child safety and respond to reports of child maltreatment. Understanding factors that increase risks for children
Notas do Editor
- For a child’s death to be included in this report, the child must have been in the custody of DFCS or his or her family must have had child protective services history with DFCS within the previous 5 years. 2nd click: We call this “DFCS history” for short, and I will likely reference it several times throughout this presentation. So before we go any further, let’s discuss the basics of how we define “DFCS history” for the purposes of this report.
- For a child’s death to be included in this report, the child must have been in the custody of DFCS or his or her family must have had child protective services history with DFCS within the previous 5 years. Child Protective Services history covers a wide array of potential encounters between DFCS and a family, ranging from a report that did not rise to the level of agency intervention to intensive involvement with the family. When a report comes in to DFCS, it can go one of three routes: it could be investigated, referred for family support services or screened out. Anything from the report on is considered history. Any report that does not meet Georgia statute and DFCS policy requirements for child abuse and/or neglect is screened out and not acted on further by the agency. Any report that establishes the potential of child maltreatment and it appears that a child is apparently unsafe in his or her current situation is investigated. Any report with allegations of child abuse and/or neglect, but has no indication of an imminent or impending risk of harm will be referred for family support services. The two gold boxes indicate reports that require more intensive agency involvement, meaning DFCS will likely open some sort of “CASE” on the family.
- CLICK: Before we talk about DFCS history with regard to child deaths, we should offer some context that gives the complete picture of DFCS intervention activities in the state of Georgia. Click 1: In 2013, DFCS … Click 2: received 76,995 reports of abuse or neglect in person, over the phone or electronically. Click 3: assigned 54,101 cases for follow up by a caseworker, either for family support services, an abuse or neglect investigation or for family preservation. Click 4: had custody of 13,067 children at some point in time throughout the year Click 5: worked to keep 6,057 families together through family preservation services.
- For children who died with DFCS history in 2013: For about 10 percent of the deaths in 2013 with defined “DFCS history” involved children whose came into contact with the agency for the first time with the injuries that caused their deaths. For 58 percent, DFCS was involved and working an active case at the time of the child’s death. For the remaining 60 percent, DFCS had provided the family services and closed the case in the last five years. For 29 of these cases in the green section, DFCS involvement pre-dated the life of the child whose death is recorded in this report.
- 63 percent of the deaths detailed in the report were determined to be a result of natural causes and unintentional injuries. For the remaining deaths, causes were either undetermined or ruled as homicides or suicides. This breakdown is somewhat in line with the deaths reported by the agency last year.
- This chart breaks down the child deaths with DFCS history by the child’s age at the time of death. The red, green, gold and orange colors represent children from 0 to 4 years old, and make up 72 percent of the deaths with agency history for 2013. Of all of these, it is pretty clear in this chart that children under 1 are most at risk for death. Of the 180 reported child deaths with DFCS history, nearly half of them were children younger than 12 months of age, and more than one-third were younger than six months old. So what factors are at play with these children under the age of 1?
- Sleep-related deaths account for 23% of all child deaths with DFCS history in 2013, and nearly half of all deaths for children under the age of one. These deaths were categorized under several different manners, including “undetermined,” “natural,” and “accidental.” Co-sleeping with siblings or adults, or unsafe sleeping environments, such as a sofa, car seat or a crib with blankets and pillows, may have been a contributing factor in the deaths. In 2012, Sleep-related deaths accounted for about 40 percent of the recorded deaths with DFCS history. After co-sleeping was identified as a trend in sleep-related deaths, the Division developed a campaign to educate families on the dangers of co-sleeping and the importance of safe sleep habits in 2012. While the data from 2012 isn’t completely comparable to that collected for 2013 -- and it is certainly too early to state a trend ---we may be seeing a decline in these types of deaths, due to outreach efforts by both the Department of Public Health and DFCS. Other: There were 86 total deaths for children under the age of 1 in 2013 Nine of the deaths for children in this age group were classified as homicides. 12 children never left the hospital. Some were born prematurely—some due to substance abuse….. Drug use and its impact on parents’ ability to care for their children is a critical factor in DFCS involvements that precede child deaths. Of the 180 children who died with DFCS history in 2013, 78 had caretakers who were alleged to be using drugs at some time during the agency’s involvement with the family;
- Drug use and its impact on parents’ ability to care for their children is a critical factor in DFCS involvements that precede child deaths. Of the 180 children who died with DFCS history in 2013, 78 had caretakers who were alleged to be using drugs at some point during the agency’s involvement with the family; While not all of these deaths were directly attributed to the parent or caretaker’s drug use, this statistic provides further insight into the risk factors at play in the lives of children whose families come into contact with DFCS.
- These are a few of the high level items we’ve identified in our review of 2013 fatalities. Again, this data only covers a specific population of children, and isn’t as comprehensive as the Child Fatality Review, which should help stakeholder develop prevention efforts. We hope, that by providing this information to the public and to our staff, we will be able to identify trends, target intervention efforts