Hospital Protocol for the Evaluation of Munchausen by Proxy

Sanders, Mary J.

doi:10.1177/1359104599004003008

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…When it is suspected that no true disease exists and it is felt that harm to the child is imminent, the use of covert videotape surveillance has been recommended. [15][16][17] Such surveillance may capture a parent's misbehavior, as when a child is being physically abused in the hospital. It may fail to confirm reported symptoms when they are being exaggerated or exonerate a suspected caregiver when a disease truly exists.…”

Section: Diagnosismentioning

confidence: 99%

Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting

Stirling¹,

Neglect²

2007

Pediatrics

128

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The condition widely known as Munchausen syndrome by proxy comprises both physical abuse and medical neglect and is also a form of psychological maltreatment. Although it is a relatively rare form of child abuse, pediatricians need to have a high index of suspicion when faced with seemingly inexplicable findings or treatment failures. The fabrication of a pediatric illness is a form of child abuse and not merely a mental health disorder, and there is a possibility of an extremely poor prognosis if the child is left in the home. In this statement, factors are identified that may help the physician recognize this insidious type of child abuse that occurs in a medical setting, and recommendations are provided for physicians regarding when to report a case to their state's child protective service agency.

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Section: Diagnosismentioning

confidence: 99%

Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting

Stirling¹,

Neglect²

2007

Pediatrics

128

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“…The purpose of this article is to present guidelines for the forensic evaluation of possible illness falsification and factitious disorder, NOS, and for formulating recommendations. Recommendations for the hospital evaluation of MBP are published elsewhere (Sanders, 1999).…”

mentioning

confidence: 99%

Forensic Assessment of Illness Falsification, Munchausen by Proxy, and Factitious Disorder, NOS

Sanders

Bursch

2002

Child Maltreat

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The purpose of this article is to propose guidelines for the evaluation of possible Munchausen by proxy child abuse for the court systems. These assessments require the evaluator to have an understanding of the complexity involved when this type of abuse is alleged. The evaluator should have an appreciation of how falsification of illness may or may not occur, recognize the need for careful analysis of medical records, and understand the problems associated with the use of a profile in determining the validity of an abuse allegation. This article presents guidelines for gathering pertinent data, analyzing records, and evaluating psychological testing for forensic evaluations when the questions for the evaluation are the following: (a) Is there evidence that child abuse did occur? (b) Does the alleged perpetrator meet criteria forfactitious disorder, NOS (or factitious disorder by proxy)? and (c) What management and treatment recommendations should be made?

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Munchausen by Proxy and Pediatric Factitious Disorder Imposed on Self

Emerson

Bursch

2020

Clinical Handbook of Psychological Consultation in Pediatric Medical Settings

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Hospital Protocol for the Evaluation of Munchausen by Proxy

Cited by 9 publications

References 11 publications

Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting

Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting

Forensic Assessment of Illness Falsification, Munchausen by Proxy, and Factitious Disorder, NOS

Munchausen by Proxy and Pediatric Factitious Disorder Imposed on Self

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