Maternal & Child Health (MCH) - Texas Child Fatality Review

 

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The Texas Department of State Health Services (DSHS) is working closely with the Centers for Disease Control and Prevention (CDC) in monitoring the new coronavirus disease 2019 (COVID‑19) that is causing an outbreak of respiratory illness worldwide. Visit our website to learn more.

CDC recently updated the Sudden Unexpected Infant Death Investigation Reporting Form (SUIDIRF). The SUIDIRF is a voluntary tool for states and jurisdictions to use and allows investigators to document their findings easily and consistently. As a result, the SUIDIRF produces information to better understand SUID and inform efforts to prevent future deaths.  

In collaboration with stakeholders, CDC reduced redundancy and streamlined the form, reordered and retitled sections, and updated questions to address emerging issues. The revised SUIDIRF has been endorsed by the American Board of Medicolegal Death Investigators, the National Association of Medical Examiners, and the International Association of Coroners and Medical Examiners.

View the revised SUIDIRF.

New NCFRP Guidance: 

The National Center for Fatality Review and Prevention is releasing a guidance document with tips and strategies for reviewing deaths either directly or indirectly related to COVID-19. A directly-related death is defined as a death directly attributable to the virus. Indirectly-related death occurs when unsafe or unhealthy conditions are present during any phase of a crisis. 

We acknowledge the importance of documenting the impact of the COVID-19 health emergency on fetal, infant, and child mortality. We hope that this information will help fatality review teams use their findings from review of such deaths to inform national emergency response efforts about the needs of infants, children, and families who are directly and indirectly impacted by future public health emergencies.  

A brief webinar has been recorded to highlight the strategies and to walk teams through this new resource.  The recorded webinar and guidance can be found here:  https://www.ncfrp.org/tools_and_resources/archived-webinars-presentations/ 

Maternal and Child Health’s Office of Injury Prevention (OIP) - Texas Child Fatality Review CFRT_pic_2019

In 1995, Texas law makers formed the State Child Fatality Review Team Committee (SCFRT Committee). Counties could form local and regional Child Fatality Review Teams (CFRTs) as well. Senate Bill 6, page 61 amended sections of the Family Code Chapter 264. The law moved support and coordination of CFRTs from the Department of Family and Protective Services to the Department of State Health Services.

State Child Fatality Review Team Committee

The State Committee is a group of experts throughout Texas. They want to reduce the number of preventable child deaths. The Committee has 3 goals:

  • Understand the causes and incidence of child deaths in Texas;
  • Identify procedures for agencies to reduce the number of preventable child deaths; and,
  • Promote public awareness and make recommendations to the governor and the legislature. Changes in law, policy, and practice can reduce the number of preventable child deaths. 

Child Fatality Review Teams (CFRTs)

Local and regional CFRTs are working groups of community partners. They review child deaths on a local level from a public health perspective. Reviewing a child’s death helps identify strategies to decrease preventable child deaths. Local CFRTs:

  • Provide help, direction, and coordination to investigations of child deaths;
  • Promote collaboration among agencies involved in responding to child fatalities;
  • Try to understand the causes and incidence of child deaths in their county or counties;
  • Recommend changes to policy or procedures that will reduce preventable deaths; and,
  • Suggest changes to law, policy, or practice to the State CFRT.

Texas CFRTs vary in size and the number of counties for which they review child deaths. Some teams review deaths for only one county while others review deaths for two or more. The largest number of counties a single Texas team covers is 26.

Texas seeks to have Child Fatality Review Teams in all parts of Texas. See the coverage on the Texas Map

Reports, Protocols, and Guidelines

Texas Child Fatality Data and Recommendations - April 2020

Texas Child Fatality Data and Recommendations 2018 
(2.15MB, PDF, Viewing Information)

Texas Child Fatality Review Team Biennial Report 2014-2015
(7MB, PDF, Viewing Information)

Texas Child Fatality Review Team Annual Report 2013
(2MB, PDF, Viewing Information)

Child Fatality Review Team Operating Procedures
(875Kb, PDF, Viewing Information)

Sudden Unexplained Infant Death Investigation Reporting Form
(186Kb, PDF, Viewing Information)

How to Use the SUIDI Reporting Form
(278Kb, PDF, Viewing Information)

State Child Fatality Review Team Committee Position Statements

Preventable Child Abuse and Neglect - 2012
(152 Kb, PDF, Viewing Information)

Substance Abuse Dependence Position Statement - 2013
(49 Kb, PDF, Viewing Information)

Fire Burn - 2014
(288 Kb, PDF, Viewing Information)

Child Suicide - 2017
(50 Kb, PDF, Viewing Information)

Water Safety - 2012
(274 Kb, PDF, Viewing Information)

Motor Vehicle Safety - 2012
(163 Kb, PDF, Viewing Information)

Safe Sleep - 2015
(36 Kb, PDF, Viewing Information)      

Helpful Websites

National MCH Center for Child Death Review
ICAN National Center on Child Fatality Review

National Center for Fatality Review & Prevention that includes 13 web-based training modules covering various aspects of fatality review. Half of the training modules focus on process work such as FIMR 101, CDR 101 and conducting maternal interviews. The other half of the training modules cover best practices such as facilitating successful meetings, incorporating health equity into fatality review and writing recommendations.

CDC - Sudden, Unexplained Infant Death (SUID) and Sudden Infant Death Syndrome (SIDS) (Includes Sudden Unexpected Infant Death Investigations (SUIDI), the SUIDI data collection form and SUIDI training materials.)

National Clearinghouse of Child Abuse and Neglect
Department of Family and Protective Services, Child Protective Services (CPS)
Shaken Baby Alliance
SIDS Network

For more information on Texas Child Fatality Review contact:

Office of Injury Prevention
Child Fatality Review Coordinator
Texas Department of State Health Services

Injury.web@dshs.texas.gov 
Titlev@dshs.texas.gov  

PO Box 149347, Mail Code 1914
Austin, TX 78714-9347
512-776-7373

 

External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These external links may not be accessible to persons with disabilities. For more information about Child Fatality Review Teams or information regarding injury prevention in Texas, please email injury.web@dshs.texas.gov or call (512) 776-7373.

   

Last updated September 18, 2020