Munchausen by Proxy - Louisa Lasher, Mary S Sheridan

Munchausen by Proxy

Identification, Intervention, and Case Management
Buch | Softcover
374 Seiten
2004
Routledge (Verlag)
978-0-7890-1218-0 (ISBN)
53,60 inkl. MwSt
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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. This book walks you step-by-step through a suspected MBP maltreatment case from suspicion onwards.
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 Sheridanexperts in MBP and child protectionhave 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.

Mary S Sheridan, Louisa Lasher

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

Erscheint lt. Verlag 30.8.2004
Verlagsort New York
Sprache englisch
Maße 148 x 210 mm
Gewicht 690 g
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Psychiatrie / Psychotherapie
ISBN-10 0-7890-1218-9 / 0789012189
ISBN-13 978-0-7890-1218-0 / 9780789012180
Zustand Neuware
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