The fabrication or induction of illness (FII) is a relatively rare situation which can lead to serious physical and/or emotional harm to a child. FII is often difficult for professionals to identify and manage. In this study the views of representatives from the 147 Local Safeguarding Children Boards in England were sought on the challenges to safeguarding children from FII, and how these might be overcome. Despite a low response rate of only eighteen from the 147 LSCBs, seventeen challenges were identified. The most reported were inadequate training and resources, poor multi-agency collaboration, uncertainties and anxiety among professionals tasked with identifying FII, issues inherent in the relative rarity of FII and the variety of ways in which it can present. To overcome these challenges, LSCB respondents suggested that more training, specific to particular professions and using video case studies where possible, should be conducted on a wider scale, and consideration should be given to ensuring that professionals are familiar with relevant guidance. KEY PRACTITIONER MESSAGES: Professional uncertainty and anxiety are key challenges to safeguarding children from FII. More training would help overcome professionals’ uncertainty and anxiety. Finding ways to ensure that existing guidance is read, understood, and applied, across all relevant professions would support the development of greater knowledge about how best to respond to FII cases. The inclusion of FII within broader safeguarding training, using video case studies, and conducting profession-specific training, may constitute ways to improve training and promote knowledge of the guidance.

中文翻译：

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在怀疑或证实人为或诱发疾病时保护儿童：回顾英格兰当地儿童保护委员会的经验

制造或诱发疾病 (FII) 是一种相对罕见的情况，可能会对儿童造成严重的身体和/或情感伤害。FII 通常很难被专业人员识别和管理。在这项研究中，英格兰 147 个地方保护儿童委员会的代表就保护儿童免受 FII 的挑战以及如何克服这些挑战征求了他们的意见。尽管 147 个 LSCB 的响应率很低，只有 18 个，但确定了 17 个挑战。报告最多的是培训和资源不足、多机构合作不佳、负责识别 FII 的专业人员之间的不确定性和焦虑、FII 相对稀有所固有的问题以及它可以呈现的各种方式。为了克服这些挑战，LSCB 受访者建议进行更多培训，针对特定专业并在可能的情况下使用视频案例研究，应在更广泛的范围内进行，并应考虑确保专业人士熟悉相关指南。主要从业者信息：职业不确定性和焦虑是保护儿童免受 FII 的主要挑战。更多的培训将有助于克服专业人士的不确定性和焦虑。寻找确保所有相关专业阅读、理解和应用现有指南的方法将有助于发展关于如何最好地应对 FII 案件的更多知识。将 FII 纳入更广泛的保护培训、使用视频案例研究和进行特定专业培训，可能构成改进培训和促进指南知识的方法。