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Munchausen by Proxy : Identification, Intervention, and Case Management - Louisa Lasher

Munchausen by Proxy

Identification, Intervention, and Case Management

Paperback Published: 30th August 2004
ISBN: 9780789012180
Number Of Pages: 374

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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.

Forewordp. ix
Preface and Acknowledgmentsp. xv
Munchausen by Proxy Maltreatment
Defining Munchausen by Proxyp. 3
Elements of the Definitionp. 6
Terminology Issuesp. 16
A Controversy: Does MBP Exist?p. 23
Perpetrators, Victims, and Othersp. 27
Perpetratorsp. 27
Victimsp. 42
Othersp. 46
Integrity in MBP Practicep. 53
Fairnessp. 54
Reporting to Child Protective Agenciesp. 59
Confidentialityp. 61
Qualifications to Practice in the Fieldp. 63
Colleague Relationshipsp. 66
System Issuesp. 67
Public Awareness of MBPp. 71
Building a Solid Knowledge Base for MBP Theory and Practicep. 72
The Confirmation/Disconfirmation Process
Essential Elements in the Confirmation/Disconfirmation Processp. 77
Description of the Essential Elementsp. 79
The Essential Elements for MBP Case Success Applied to a Case Examplep. 88
Suspecting and Reportingp. 93
Suspecting MBPp. 93
Reporting MBPp. 103
Criteria for Confirming/Disconfirming MBPp. 114
Initial Child Protective Agency Response to a Report of MBP Suspicionsp. 118
Gathering Information: The MBP Investigationp. 121
Written Records and Documentsp. 125
Interviewsp. 128
Other Methods of Information Gatheringp. 137
Information Evaluation, Information Organization, and the Confirmation/Disconfirmation Decisionp. 143
Information Evaluationp. 143
Organizing Informationp. 147
The MBP Confirmation/Disconfirmation Decision and the Functioning of the MMTp. 152
The Work of the MMT: Initial and Subsequent Meetingsp. 154
Case Planning and Case Management in Confirmed MBP
Essential Elements in Case Planning and Case Management When MBP Has Been Confirmedp. 171
The Essential Elements Following Confirmationp. 172
Summary of the Formula for MBP Case Success: A Case Examplep. 174
Initial Postconfirmation Victim and Case Protectionp. 179
Risk Assessmentp. 179
Protecting the Victim and the Casep. 189
Removing the Victim from the Care, Custody, Control, and Influence of the Perpetrator; Placement in an Appropriate Settingp. 191
The Postconfirmation/Confromation Interviewp. 198
Munchausen by Proxy Risk Assessment Work Sheetp. 206
MBP Case Planning and Managementp. 215
Case Planning in Child Protection and MBP Casesp. 216
Ensuring the Safety of the Victim(s) and Sibling(s)p. 218
Provision of Appropriate Case Servicesp. 231
Determining the Permanency Goal, Time Line, and Future Planningp. 233
Recommended Case Plan Elements in MBPp. 248
MBP Maltreatment Legal Activities and Considerationsp. 253
Attorney Selectionp. 253
The MBP Expertp. 255
Selecting the MBP Expertp. 257
Common MBP Maltreatment Legal Strategiesp. 261
Motionsp. 268
Educating the Court About MBP Maltreatmentp. 269
The Probable Cause Hearingp. 273
A Final Observation on the Importance of the Court Processp. 275
Therapeutic Considerations with Perpetratorsp. 277
Therapy in the MBP Literaturep. 279
Diagnosis and Prognosis in MBPp. 288
Conclusionp. 303
Implications for Intervention with Victimsp. 307
Assessing the Victim's Need for Psychosocial Treatmentp. 308
Consequences of MBP to Victimsp. 313
Therapeutic Approaches Described in the Literaturep. 315
MBP and Child Sexual Abuse: An Analogyp. 319
Referencesp. 329
Indexp. 339
Table of Contents provided by Rittenhouse. All Rights Reserved.

ISBN: 9780789012180
ISBN-10: 0789012189
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 374
Published: 30th August 2004
Country of Publication: US
Dimensions (cm): 20.96 x 15.88  x 2.54
Weight (kg): 0.59
Edition Number: 1