Challenges in cases of fabricated or induced illness

Helen Compton 7BR

Susannah Johnson and Helen Compton (7BR) in a comprehensive article explore the challenges facing practitioners instructed in cases involving allegations of fabricated or induced illness (‘FII’). FII is a rare form of child abuse and presents unique difficulties. The cases are often highly complex with extensive medical evidence. The article aims to highlight to practitioners the key issues which arise in such cases and strategies to manage and present the evidence. Helen and Susannah address the development and understanding of FII including the approach of medical and social work professionals. The article considers in detail the guidance developed by The Royal College of Paediatrics and Child Health and the approach taken by the courts. Susannah and Helen offer guidance to practitioners in overcoming the common difficulties at both the fact finding and welfare stages. They consider the challenges faced by medical experts in particular those engaged in psychiatric assessment of alleged perpetrators. At the welfare stage they address the potential for reunification with the family and the types of assessments which may be required.