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TFA Case Review1983 to 2002
Review of F case - Confidential
Contents
Reference -Executive Summary 3 Recommendations 10 T - Background information on her life 14 Psychological and Psychiatric issues regarding T 29 B and B accommodation provided forT 35 Sherrard House 38 Parkview 40 Supported Lodgings 42 Lefroy House 43 An Griar.an 45 490 NCRd 47 Eglington House 49 Sacred Heart Adoption Society Residential Service - Cork 51 Orchard View 52 Child Care Worker 52 The Green Door 54 Youthreach 55 St Vincent's Trust 56Personal Tuition 57Claidhe MorFocus Ireland services 59The Out
High Support and Secure Care services in the care of T 63Drugs and alcohol as an issue in T's life 6d Assaults by T 66Assaults on T 68Physical Abuse ofT 69Sexual Abuse/Behavioural Issues ofT 71Missing from services 73Guardian Ad Litem "4Issues in the case management and planning aspects of T's care ~6Conclusions 92
Review of F case - Confidential
Terms
of
Reference
The terms
of
reference for this review are as follows: -1. To review the care provided to TF from the time she came into contact of the HSE and itspredecessor2. Review how the case was handled in the different parts of the health system such ascommunity services, addiction services, out of hours service, including the period of timeafter Ms F achieved her majority3. To make recommendations from the findings4. To submit a report to Mr Pat Dunne, Local Health Manager. Dublin North, of the reviewfindings and recommendationsThis review was established on a non statutory basis. The review was conducted entirely on thebasis
of
the documentation provided covering the Health Services involvement with T from 1983 to2002. In addition, the relevant statutory provisions concerning child care as well as the publications
of
the Dept
of
Health and Children. Dept
of
Education and Science, the Social
Serv
ices Inspectorate,the Residential Services Board, the EHB. NAHB. ERHA and the HSE were reviewed. A wide rangeof investigations into childcare and specific child abuse cases that were conducted in Ireland werealso incorporated into the review process. A similar process was undertaken in relation to thepublications and statutory provisions from the UK and the Isle of Man. It is noted that the EasternHealth Board was replaced on l'
:
March 2000 by the Northern Area Health Board.In attempting to understand the totality
of
the interaction between T and the range of services sheengaged with a chronology
of
all such interactions was tabulated for each da> for which there werewritten records. Thus information from the social workers. OOH service, her residential placements,the Gardai. the UK social services, community welfare sen-ices with whom there was contact, theGuardians Ad Litem involved with T and each of her children, the legal teams representing T andthe then Health Board, the
staff
supervising access visits between T and her children together willany further contact with an> other person or organisation was chronicled. From this, emerged aseries
of
themes and focal points for detaiied review. In conjunction with this analytical framework,an episodic overview of T's interactions with the then health board was undertaken from a casemanagement perspective. The information and insights were then integrated into a compositeoverview. There is thus some overlap in the content which is unavoidable
for
the completeness.
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