Orange County NC Website
10 <br /> replaced by up to five (5) individuals that the Local Team Chair can invite to serve as ad hoc <br /> members for a specific child fatality review to enhance the effectiveness of the review. <br /> The legislation makes the following changes to required reviews: <br /> • Local Teams are no longer required to do active child protective services case reviews <br /> (formally a CCPT objective), but may elect to do such reviews at the request of the Director <br /> of the county department of social services. <br /> • Local Teams are no longer required to review every death of a resident child. Instead, <br /> Local Teams shall review all deaths of resident children under age 18 that fall into one of <br /> the following categories below (and may elect to review additional deaths that fall outside <br /> these categories). <br /> 1. Undetermined causes <br /> 2. Unintentional injury <br /> 3. Violence <br /> 4. Motor vehicle incidents <br /> 5. Sudden unexpected infant death <br /> 6. Suicide <br /> 7. Deaths not expected in the next six months* <br /> 8. Deaths related to child maltreatment or child deaths involving a child or child's family <br /> who was reported to or known to child protective services* <br /> 9. A subset of additional infant deaths that fall outside of the above categories, <br /> according to guidelines set by NCDHHS* <br /> *Criteria and guidelines will be established by NCDHHS to further define these <br /> categories. <br /> The new legislation also requires local teams to prepare to participate in the National Fatality <br /> Review - Case Reporting System (NFR-CRS). <br /> • Local Teams are legislatively required to begin using the NFR-CRS on July 1, 2025. <br /> • Appropriate data use agreements are being developed and will have to be in place prior <br /> to implementation. <br /> The Office of Child Fatality Prevention will provide training to Local Teams on the use of <br /> the NFR-CRS prior to July 2025. <br /> • The Office of Child Fatality Prevention will also provide guidance and ongoing technical <br /> assistance related to use of the NFR-CRS. <br /> • Once enough data is collected in the NRF-CRS, the Office of Child Fatality Prevention will <br /> analyze and report on aggregate data from the NFR-CRS. <br /> Quintana Stewart, Health Director, introduced the item and briefed the Board on updates. <br /> Commissioner Portie-Ascott asked what the review looks like, for example if parents have <br /> lost a child to suicide. <br /> Quintana Stewart said they receive the case one year after the incident. She said the <br /> receive a copy of the ME report and they look to see if there was an open case with CPS, the <br /> health department reviews to see if they were working with them, they work with the school district <br /> and the hospitals. She said they look into the services that the child was in receipt of and try to <br /> figure out how to prevent future occurrences. She said they review team looks over all of the <br /> information with the goal to prevent future occurrences. <br />