WORKING TOGETHER TO PREVENT CHILD FATALITIES: COLLABORATION AMONG REVIEW TEAMS, CHILD WELFARE AGENCIES, AND COMMUNITIES David P. Kelly, J.D., M.A. Administration

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WORKING TOGETHER TO PREVENT CHILD FATALITIES: COLLABORATION AMONG REVIEW TEAMS, CHILD WELFARE AGENCIES, AND COMMUNITIES David P. Kelly, J.D., M.A. Administration for Children and Families, Childrens Bureau Ying-Ying Yuan, Ph.D. Walter R. McDonald & Associates, Inc. Teri Covington, M.P.H. National Center for the Review and Prevention of Child Deaths Liz Oppenheim, J.D. Walter R. McDonald & Associates, Inc. Slide 2 Examining Child Fatality Reviews and Cross- System Fatality Reviews to Promote the Safety of Children and Youth at Risk Funded by the Administration on Children, Youth and Families, Childrens Bureau 9/26/2011 through 9/25/2012 Contract Number: HHSP23320095656WC Working Together to Prevent Child Fatalities: Collaboration Among Review Teams, Child Welfare Agencies, and Communities 2 Slide 3 Overview of Presentation Study Purpose Identify promising practices for fatality reviews and furthering collaboration among reviews Methods Literature Review Review of Recommendations and Outcomes Site Visits/Telephone Interviews National Meeting What Do Fatality Statistics Tell Us? Fatality Review Structures & Processes Fatality Review Recommendations Summary Working Together to Prevent Child Fatalities: Collaboration Among Review Teams, Child Welfare Agencies, and Communities 3 Slide 4 What Do Fatality Statistics Tell Us? Several data sources for national statistics Vital Statistics National Resource Center for the Review and Prevention of Child Deaths National Child Abuse and Neglect Data System (NCANDS) Children younger than 1 and 1-4 are at highest risk Working Together to Prevent Child Fatalities: Collaboration Among Review Teams, Child Welfare Agencies, and Communities 4 Slide 5 Child Mortality Has Decreased Dramatically for 1- 4 Year Olds 1 Overall death rate has consistently downward trend 1,419 deaths per 100,000 in 1907 28.6 deaths per 100,000 in 2007 Homicide rate increased between 1970-2007 by 26% (points in time) Homicide percentages increased from 2% to 8% Racial/ethnic, socioeconomic and geographic disparities continue Black children 50% higher mortality risk than White counterparts and socioeconomic disparities increasing 1 Singh G.K. (2010). Child Mortality in the United States, 1935-2007: Large Racial and Socioeconomic Disparities Have Persisted Over Time. A 75th Anniversary Publication. Health Resources and Services Administration, Maternal and Child Health Bureau. Rockville, MD: US Department of Health and Human Services. Available from: http://www.hrsa.gov/healthit/images/mchb_child_mortality_pub.pdf Working Together to Prevent Child Fatalities: Collaboration Among Review Teams, Child Welfare Agencies, and Communities 5 Slide 6 Leading Causes of Death for 1- 4 Year Olds, 2007 (Singh, 2010) Unintentional injuries: 34% 1/3 of these relate to motor vehicle accidents Birth defects: 12% Homicides: 8% Diseases: Cancer: 8% Heart Disease: 4% Less than 2% Pneumonia: 2% Septicemia: 2% Perinatal conditions: