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Faith, an 8 year old child

Deceased

Faith

Demographics

8y, female

Coroner

Bentley

Date of death

2011-11-28

Finding date

2014-06-27

Cause of death

Faith died from the combined effects of the haemodynamic consequences of extensive cutaneous and subcuticular blood loss, and systemic fat embolism, from multiple blunt force trauma contacts

AI-generated summary

An 8-year-old girl, Faith, died from injuries caused by repeated beatings with a metal vacuum pole by her mother. She had previously disclosed abuse to school staff in 2009 and 2010, leading to Department investigations. However, inadequate investigation in May 2009 resulted in dismissal of her allegations. Following a second disclosure in November 2010, Faith was briefly removed from her mother's care but returned after only 9 days based on an incomplete assessment. Critical protective factors failed: the Department did not notify the school of its protective monitoring plan; ACT for Kids made minimal engagement efforts and failed to notify the Department of non-engagement; and Faith's extended family, despite witnessing abuse, did not report it. Faith was absent from school for an entire year without triggering coordinated agency intervention. Key clinical and systemic lessons include: ensuring thorough investigation with medical examination before returning children to care; establishing clear communication protocols between child protection agencies and schools; requiring formal notifications of service non-engagement; and addressing staff resource constraints that compromise decision-making.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

paediatricsforensic medicine

Error types

diagnosticsystemcommunicationdelay

Clinical conditions

child abuseblunt force traumahaemorrhagefat embolism

Contributing factors

  • Inadequate investigation by Department in May 2009 resulting in dismissal of valid allegations
  • Incomplete investigation and assessment in November 2010 prior to return to mother's care
  • Premature return of child to mother after only 9 days despite history of abuse
  • Failure to arrange medical examination of child
  • Failure to interview extended family members and stepfather
  • Inadequate engagement by ACT for Kids with family
  • Failure of ACT for Kids to notify Department of non-engagement
  • Lack of communication between Department and school regarding protective monitoring role
  • School removed as protective factor when child removed from enrollment
  • Extended family's failure to report known abuse to authorities
  • Departmental staff workload and resource constraints
  • Inability to track child's absence from school system for one year
  • Lack of information sharing between government agencies (Department, schools, Centrelink)

Coroner's recommendations

  1. The Department respond to notifications from DETE with: confirmation of receipt, whether assessed as child concern report or child protection notification, name of team leader assigned to investigation, and direct contact details of that team leader
  2. The Department update its practice manual to mandate that when a child concern report is recorded at Regional Intake Service and relates to a notification closed for less than 30 days, email the information to the appropriate child safety officer
  3. ACT for Kids update its practice manual to clearly require email notification to the referrer advising of case closure on basis of non-engagement
  4. The Department include in service agreements with Intensive Family Support Services the requirement that case closures on basis of non-engagement are notified to the referrer
  5. The Department notify all parties to current Service Agreements utilizing CSIS that: the Department does not have access to personal client information or identified information on CSIS; information entered into CSIS by service providers is not accessible by the Department; and the Department is only able to view referral information for families referred by Child Safety Services
  6. The Department of Communities, Child Safety and Disability Services engage at earliest opportunity with Centrelink, Department of Education Training and Employment, Queensland Police Service, Queensland Health and non-state school sector representatives to consider feasibility of information sharing system allowing agencies access to Centrelink customer information including name, address and telephone details for school-aged children, their nominated carers and school-aged siblings, considering Queensland Child Protection Commission of Inquiry recommendations
  7. The Department consider launching a public awareness campaign, particularly in Far North Queensland, promoting that child protection is the responsibility of every community member and emphasizing the Department's role in supporting families
Full text

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