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Morbid obesity in childhood grounds for protective custody for children – When does severe childhood obesity become a child protection issue?

Prosecution would stigmatize those who are morbidly obese. This principle should be applied for any health professionals responsible for primary care, such as school nurses or health visitors, to ensure that the paediatrician maintains a holistic overview of the risks.

David Stewart
Tuesday, November 13, 2018
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  • Parental neglect may be a causative factor in both circumstances. Maternal concern and perceptions of overweight in Australian preschool-aged children.

  • Discussion This child and her family were referred to state child protection services because the child had severe health problems related to her obesity, on a background of continuing weight gain while receiving maximised therapy and support from hospital weight management services.

  • Last Name.

  • As safeguarding leads, they should ensure that all aspects of non-compliance with the CP Plan are communicated to all core group members as and when this occurs, and not wait until reporting the incidences at the next core group. Cory's father was placed on probation for three years.

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Social determinants of health. Case law in the area of sexually transmitted diseases, for example, makes it clear that doctors can be liable for failing to protect patients who are in a sexual relationship with a person whom the doctor knows, or should know, is infected with HIV. For example, it may remain difficult for a physician to provide ongoing care for the child without active collaboration with the parents. Article type.

Ultimately, sound reflection and reasoning about when it ovesity that severe childhood obesity should become a child protection issue must be oriented to the particular child in his or her particular circumstances. In prosecuting this crime, the state must show that:. Post a Comment. As you can imagine, in the last 24 hours, numerous commentators have responded, and the ensuing debate touches on the causes of obesity and the difficulty of treating such a pervasive, devastating problem. Obesity can be a result of an eating disorder that requires management through child and adolescent mental health services.

ALSO READ: Interview Kamel Ben Arfa Overweight

Whilst not prescriptive, the below should be considered as the ofr to police involvement. Childhood obesity can become a child protection concern if parents fail to provide their child adequate treatment or when parents behave in a way that actively promotes treatment failure, as with any chronic illness in a child. Childhood overweight and obesity are common, with prevalence rates doubling or tripling in many countries in recent years. Although many factors contribute to the development of childhood obesity at a societal level, parental responsibility is also an essential element in the prevention and treatment of obesity in children — an idea with which the food and beverage industries, government organisations and medical opinion concur. Yes Competing interests. Ethnicity and socio-economic level are tied to risk of obesity: Low-income, black or Hispanic children have especially high rates. Do you have any competing interests to declare?

Russell Viner in an article published in the British Medical Journal To that end any neglect or ill-treatment of a child would ordinarily be considered under Section 1 1 of the Children and Young Childhood grounds Act which states:. KJ Dell Antonia at Slate has a more nuanced take on the subject; commentators like Caplan gloss over the fact that this would only happen if parents had already failed to make changes, and so miss the point that what's needed is a strategy of case-by-case attention that acknowledges the complexity of the obesity crisis:. The number of kids involved — an estimated 2 million children with body-mass index above the 99th percentile — would quickly swamp already overwhelmed social service departments. Notification to child protection services may not necessarily resolve all problems.

Notification to child protection services may not necessarily resolve all problems. Whilst not prescriptive, the below should be considered as the threshold to police involvement. Child Sexual Exploitation Resources. Wherever possible, it is important to work with families to understand potential risks and signs of safety. All of this stems directly from the child being morbidly obese.

When suspicion of parental neglect arises, health care professionals may have both chilhdood ethical obligation and a statutory duty to notify child protection services. Legal duties In cases of failure to thrive and in cases of severe obesity, clinicians may observe immediate health risks as well as longer-term risks, including psychological harm. When does obesity become a safeguarding issue? This may require some education and wider consultation to be undertaken by the practitioner when working with culturally diverse groups thus ensuring a parity of approach and assessment of risk. Obesity does not pass these requirements.

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Volume Issue 3. Obesity, law and personal responsibility. In the meantime, we must ensure that we protect any child whose health is at serious risk through medical neglect, including where this is the result of severe and untreated obesity. In neither situation is demonstration of weight loss or gain in a hospital environment a prerequisite morbid obesity in childhood grounds for protective custody for children notification, but it does lend credence to the concerns that are being raised. Identifying Children where there are Safeguarding Concerns There are number of warning signs and indicators that will support practitioners working with children and young people to identify safeguarding concerns for children who are visibly overweight. KJ Dell Antonia at Slate has a more nuanced take on the subject; commentators like Caplan gloss over the fact that this would only happen if parents had already failed to make changes, and so miss the point that what's needed is a strategy of case-by-case attention that acknowledges the complexity of the obesity crisis:. If so, is this non-compliance, whether deliberate or unintentional, a form of medical neglect?

Child Abuse Neglect ; Appendix 4: An intervention scale to assist the decision makers in agreeing actions. Russell Viner in an article published in the British Medical Journal Broad social programs, like those advocated by Caplan, are great, but getting the nation to "go on a diet together" isn't enough to target specific at-risk children

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Grounsd Name. It seems unlikely that a parent could be criminally prosecuted in this situation. The number of kids involved — an estimated 2 million children with body-mass index above the 99th percentile — would quickly swamp already overwhelmed social service departments. However, admission removes a child from his or her wider familiar environment as well as from parents so weight loss in a controlled environment needs to be evaluated carefully and although on its own is not evidence of neglect or abuse does indicate the potential for the child to be able to avoid gaining weight. Issues by year.

Maternal concern and perceptions of overweight in Australian preschool-aged children. Guidelines and statements. Wang G, Dietz Morbid obesity in childhood grounds for protective custody for children. In reflecting on this question, it is useful to distinguish between two kinds of requirements that morality makes of us: that we do not violate its negative precepts against things that are truly wrong in and of themselves killing, torture, cruelty, etc ; and that we live up to its positive exhortations to take proper care of the things that are truly good in themselves such as health, safety, respect for family, care for children, etc. However, there may be concerns about parenting skills such as lack of parental limit-setting or parental supervision. The role of family and maternal factors in childhood obesity. Author's surname.

It is this group of children in whom obesity most commonly becomes a safeguarding concern. Email me when people comment on this article. From treatment with steroids or other treatment known to increase risk of obesity. Obes Res ;

Please refer to our instructions for authors page for more information. Morbid obesity may have serious health implications for the child Complications of obesity see Appendix 1 below. We argue that in a sufficiently extreme case, notification to child protection services may be an appropriate professional response. From treatment with steroids or other treatment known to increase risk of obesity.

Clin Pediatr ; Middle Name. Childhood obesity can become a child protection concern if parents fail to provide their child adequate treatment or when parents behave in a way that actively promotes treatment failure, as with any chronic illness in a child.

  • Though guidelines could never determine a particular case, they would be helpful not only for medical practitioners, but also for child protection services and any other health professional working with children, given the rising prevalence of childhood obesity.

  • Perhaps guidelines preferably by a professional society whose members have day-to-day experiences of the challenges of caring for severely obese children could usefully inform the careful consideration of these questions.

  • Case law in the area of sexually transmitted diseases, for example, makes it clear that doctors can be liable for failing to protect patients who are in a sexual relationship with a person whom the doctor knows, or should know, is infected with HIV.

  • Topics Pediatric medicine. On the other hand, the benefit to the child of taking his or her care out of the hands of the parents may come at too great a cost to the child.

  • Parental neglect may be a causative factor in both circumstances.

The role of family and maternal factors in childhood obesity. Christoffel K, Forsyth B. Patel D. Where a specific medical procedure or intervention is required, parental consent will normally be required, although parents must give or refuse such consent in the best interests of the child. But while some advocate for more national exercise programs and others for better health care, there's no one-size-fits all answer. There are three, if not more, situations in which childhood obesity could occur.

Super-sized kids: using the law to combat morbid protextive in children. We present a case of severe childhood obesity where child protection services were involved Boxand discuss its medical, legal and ethical implications. Brockway J. Clin Pediatr ; When suspicion of parental neglect arises, health care professionals may have both an ethical obligation and a statutory duty to notify child protection services.

Notification to child protection services may not necessarily resolve all problems. You will be notified by email within protectiive working days should your response be accepted. Jade led a very sedentary lifestyle, watching television up to 6 hours a day, and there were issues about food, with Jade having temper tantrums if not allowed whatever she wanted to eat. Yet, the authors stress, having adequate evidence of this negligence is key.

Russell Viner in an article published in the British Medical Journal It is this group of children in whom obesity most commonly becomes a safeguarding concern. Case law in the area of sexually transmitted diseases, for example, makes it clear that doctors can be liable for failing to protect patients who are in a sexual relationship with a person whom the doctor knows, or should know, is infected with HIV. When does severe childhood obesity become a child protection issue? In the Indiana case, Cory Andis' parents plead guilty to criminal child neglect.

  • Lee T, Oliver J. We present a case of severe childhood obesity where child protection services were involved Boxand discuss its medical, legal and ethical implications.

  • Middle Name.

  • First Name. Most parents of children with a weight problem fail to recognise it, and the initial presentation of an obese or overweight child to a physician is usually not because of weight concerns.

  • On the other hand, knowing that referral to child protection services may occur could result in fewer parents seeking medical help to treat their severely overweight child. How can a Social Worker help you?

Body contains. Guidelines and statements. If so, is this non-compliance, whether deliberate or unintentional, a form of medical neglect? Childhood overweight and obesity are common, with prevalence rates doubling or tripling in many countries in recent years.

However, in the case described in foor Box, was referral to state child protection services a wise thing to do? As you can imagine, in morbid obesity in childhood grounds for protective custody for children last 24 hours, numerous commentators have responded, and the ensuing debate touches on the causes of obesity and the difficulty of treating such a pervasive, devastating problem. Such cases should be notified even though there is a risk that parents could lose custody of their child or be liable to criminal prosecution, as has occurred in the United States. The Child and Family Obesity is the most common nutritional disorder affecting children, and is much more common in families living in poverty and those from some ethnic minorities National obesity observatory.

The authors suggest that similar standards to other types of disease-related neglect be applied. When parents reject interventions to reduce postnatal human immunodeficiency virus transmission. Jade came from a family with a strong history of obesity and obesity-related disorders. Obesity, law and personal responsibility. What are the likely benefits and harms of notifying the state protection authorities about Jade?

Send to Kindle. Clearly not all obese children are neglected — indeed, parents of obese children may be very devoted to their child. Ultimately, sound reflection and reasoning about when it is that cor childhood obesity should become a child protection issue must be oriented to the particular child in his or her particular circumstances. Sydney: Lawbook Co, Clin Pediatr ; Discussion This child and her family were referred to state child protection services because the child had severe health problems related to her obesity, on a background of continuing weight gain while receiving maximised therapy and support from hospital weight management services. Solutions to obesity: perspectives from the food industry.

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Childhood obesity is a larger problem with extreme individual implications. Moreover, once severe, obesity is very difficult to obesihy effectively. Criminal Neglect: Endangering the Welfare of a Child. At what point does non-compliance constitute a danger to the child? Murtagh and Ludwig [the authors] appear to be suggesting that states use that power more often and wield it as a threat more effectively, not that obese children be removed from their parent's custody from the moment they come to the state's attention

  • Twelve-month effectiveness of a parent-led, family focused weight-management program for prepubertal children: a randomized controlled trial.

  • It is imperative to use professional judgement when considering each case.

  • What options do clinicians have when treating severely obese children under such circumstances?

  • In cases of failure to thrive and in cases of severe obesity, clinicians may observe immediate health risks as well as longer-term risks, including psychological harm.

Extreme childhood obesity may be viewed as a mirror image of severe non-organic failure to thrive. Protecive in children and young people: a crisis in public health. Health care and the law. Overweight eight-year-old to stay with mother. We present a case of severe childhood obesity where child protection services were involved Boxand discuss its medical, legal and ethical implications.

Online responses are no longer available. Twelve-month effectiveness of a parent-led, family focused weight-management program for prepubertal children: a randomized controlled trial. Child protective services should certainly try to chi,dren the problem with parental counseling and training and other intermediate measures, they write. If concerns are expressed, a multi-agency meeting is appropriate. In a two-page commentarythe scientists make the case that severe childhood obesitybeing in the 99th percentile in terms of weight, and usually eating over calories more per day than recommendedcan be considered the result of neglect and an immediate danger to a child. It seems unlikely that a parent could be criminally prosecuted in this situation. Ethnicity and socio-economic level are tied to risk of obesity: Low-income, black or Hispanic children have especially high rates.

Childhoo guidelines could never determine a particular case, they would be helpful morbid obesity in childhood grounds for protective custody for children only for medical practitioners, but also for child protection services and any other health professional working with children, given the rising prevalence of childhood obesity. Int J Pediatr Obes ; 1: Schools should be ckstody to challenge any barriers presented by parents in addressing lifestyle changes such as not allowing the child to participate in physical activities. Severe childhood obesity and its associated comorbidities are increasing in prevalence. In reflecting on this question, it is useful to distinguish between two kinds of requirements that morality makes of us: that we do not violate its negative precepts against things that are truly wrong in and of themselves killing, torture, cruelty, etc ; and that we live up to its positive exhortations to take proper care of the things that are truly good in themselves such as health, safety, respect for family, care for children, etc.

However, the role of the police within the Child Safeguarding Partnership is to investigate and prosecute criminal offences. Middle Name. She had acanthosis nigricans, hyperinsulinaemia, fatty liver identified obeslty ultrasound, and abnormal sleep study results indicative of moderate obstructive sleep apnoea. Now, scientists writing in the July 13 issue of the Journal of American Medical Association argue that much as feeding kids too little is considered child neglect, so should be feeding them too much. Obesity in children and young people: a crisis in public health.

Childhood obesity can affect kids for the rest of their childhood grounds in addition to having trouble breathing, high blood pressure, depression, and liver disease as kids, they may develop type 2 diabetes and are more likely to be severely ckstody adults, which comes with its own cluster of related ills, including heart disease and some cancers. Overweight eight-year-old to stay with mother. In reflecting on this question, it is useful to distinguish between two kinds of requirements that morality makes of us: that we do not violate its negative precepts against things that are truly wrong in and of themselves killing, torture, cruelty, etc ; and that we live up to its positive exhortations to take proper care of the things that are truly good in themselves such as health, safety, respect for family, care for children, etc. Last Name. Could someone be punished for allowing this to happen?

It is important to consider these cases under Management of Complex Health Issues policy. Our laws give enormous authority to parents and rightly so. This is not unlike the multidisciplinary approach to assessing and managing families with undernourished children. A parent must exert himself to take and maintain a place of importance in the child's life, and must exercise reasonable firmness in declining to yield to obstacles. See also: Appendix 1: Childhood overweight and obesity is a critical risk factor for a range of health and social consequences summarised.

Date range to. Duty of Pennsylvanian Parents to Care for frounds Children. Discussion This child and her family were referred to state child protection services because the child had severe health problems related to her obesity, on a background of continuing weight gain while receiving maximised therapy and support from hospital weight management services.

The role of family and maternal factors in childhood obesity. Please refer to our instructions for authors page for more information. Guidelines on the point at which medical practitioners should seek state assistance in cases of severe childhood obesity would be helpful, not only for medical practitioners, but also for child protection services. Obes Res ; The authors suggest that similar standards to other types of disease-related neglect be applied. Her mother had a history of gestational diabetes and postnatal depression, and her father had a history of abuse as a child. Yes Competing interests.

Severe childhood obesity is a common problem, also often multifactorial in origin, and may result in both acute and chronic life-threatening complications. Lee T, Oliver J. F ailure to thrive in infancy and childhood is a well recognised problem, often multifactorial in origin, and may occur as a result of parental neglect. Maternal concern and perceptions of overweight in Australian preschool-aged children. Additionally, her ability to lose weight by means of simple dietary measures, increased activity and reduced sedentary behaviour while in hospital had been demonstrated.

Prtective neither situation is demonstration of weight loss or gain in a hospital environment a prerequisite to notification, but it does lend credence to the concerns that are being raised. Research letters. Health care and the law. The Consensus: Everyone agrees that childhood obesity is a serious problem, and that parents, as well as food marketers, genetics, and even the US government, have a role in its genesis. More From Discover. First, the parent is clearly aware of their duty to protect their child.

In cases of failure to thrive and in cases of severe obesity, clinicians may observe immediate health risks as well as longer-term risks, including psychological harm. Med J Aust ; Clin Pediatr ; As they sum up:.

Stay Curious. Her mother had a history of gestational diabetes and postnatal depression, and her father had a history of abuse as a child. Let's put all the fat kids in health care. Health care and the law.

Notification to child protection services may not necessarily resolve all problems. In a child with autism or learning difficulties. Wang G, Dietz W. Article type. Examples include obesity: In a child with a genetic condition, such as Prader-Willi Syndrome. Though guidelines could never determine a particular case, they would be helpful not only for medical practitioners, but also for child protection services and any other health professional working with children, given the rising prevalence of childhood obesity. For example, it may remain difficult for a physician to provide ongoing care for the child without active collaboration with the parents.

When does severe childhood obesity become a child protection issue? Obesity in childhood is a significant public health issue. Pediatrics ; However, there are currently no specific guidelines for possible referral of severely obese children. Ultimately, sound reflection and reasoning about when it is that severe childhood obesity should become a child protection issue must be oriented to the particular child in his or her particular circumstances. If concerns are expressed, a multi-agency meeting is appropriate. Childhood obesity is a larger problem with extreme individual implications.

Pediatrics ; e On the other hand, the benefit to the child of taking his or her care out of the hands of the parents may come at too great a cost to the child. Sydney Morning Herald ; 27 Feb.

In severe cases, the answer would childhood grounds for to be yes. For example, the child might become alienated protetive parents and family over the longer term: there are few harms to a child that are worth that cost. To begin with, the authors stress that obesity on its own should not necessarily ring child abuse alarms, nor should failure to help obese children shed excess weight. Ultimately, sound reflection and reasoning about when it is that severe childhood obesity should become a child protection issue must be oriented to the particular child in his or her particular circumstances. Social determinants of health. Basic Search Advanced search search. Notification led to hospital admission, during which Jade underwent an adenotonsillectomy.

Matter of Kayla T. If so, is this non-compliance, whether deliberate or unintentional, a form of medical neglect? Jade led a very sedentary lifestyle, watching television up to 6 hours a day, and there were issues about food, with Jade having temper tantrums if not allowed whatever she wanted to eat. Volume Issue 3. Lee T, Oliver J. On the other hand, the benefit to the child of taking his or her care out of the hands of the parents may come at too great a cost to the child. For example, the child might become alienated from parents and family over the longer term: there are few harms to a child that are worth that cost.

Imagine a child comes to you with 1 a liver so enlarged that it is seen as a precursor to cirrhosis of the liver; 2 hypertension; 3 respiratory problems to the extent that she requires oxygen at night; 4 insulin morbid obesity in childhood grounds for protective custody for children that places her at a high risk for diabetes; 5 sleep apnea; 6 knee pain; 7 a depressive disorder stemming from social isolation; and 8 she spends more than nine 9 hours a day in front of a television or computer screen. What are the likely benefits and harms of notifying the state protection authorities about Jade? And, no matter what you do with overweight children, sooner or later they are going back home where their often overweight parents will still be. Consideration must be given to cultural and ethnic influences when considering obesity as a potential harm in safeguarding children. This will require a multi-agency collaborative assessment, including psychology or other mental health assessment. Should this be a Crime? A single offense under this statute is a misdemeanor; however, when there is a course of conduct of endangering the welfare of a child, the offense is a felony.

Child Sexual Abuse Resources. Now, scientists writing in the July 13 issue of the Journal of American Medical Association argue that much as feeding kids grunds little is considered child neglect, so should be feeding them too much. Common sense and the following picture should be sufficient to detail the risks of morbid obesity:. Parental behaviours of concern include: Consistently failing to attend appointments; Refusing to engage with various professionals or with weight management initiatives; or Actively not follow weight management initiatives. Newer Post Older Post Home.

Discussion This child and her family were referred to state child protection services obdsity the child had severe health problems related to her obesity, on a background of continuing weight gain while receiving maximised therapy and support from hospital weight management services. Online responses are no longer available. Author's surname. Wang G, Dietz W. Super-sized kids: using the law to combat morbid obesity in children. Medical education. Health care and the law.

Title contains. Clin Pediatr ; Wang Y, Lobstein T. Med J Aust ;

Notification under those circumstances would rarely be questioned; in fact, questions would arise if such cases were not referred. How childuood a Social Worker help you? In the Indiana case, Cory Andis' parents plead guilty to criminal child neglect. This will require a multi-agency collaborative assessment, including psychology or other mental health assessment. What is Morbid Childhood Obesity? First page. Obese children are more often ill, experience more day-to-day health issues e.

Were such guidelines to be developed, aspects such as length of time of maximised health support interventions, family circumstances, and even the relative amount of excess weight gain over a period of time would have to be considered. We present a case of severe childhood obesity where child protection services were involved Boxand discuss its medical, legal and ethical implications. Additionally, her ability to lose weight by means of simple dietary measures, increased activity and reduced sedentary behaviour while in hospital had been demonstrated. At what point does non-compliance constitute a danger to the child?

At her most recent clinic visit, Jade had reduced a dress size, and her mother now feels much more confident in making healthy food and lifestyle choices. When does severe childhood obesity become a child protection issue? What is child abuse and neglect? First page.

First Name. Grounds for protective J Aust ; This child and her family were referred to state child protection services because the child had severe health problems related to her obesity, on a background of continuing weight gain while receiving maximised therapy and support from hospital weight management services. Guidelines on the point at which medical practitioners should seek state assistance in cases of severe childhood obesity would be helpful, not only for medical practitioners, but also for child protection services. As media reports illustrate, obesity has already become a child protection issue in Britain and the US. Med J Aust ; 3 : Yet, the authors stress, having adequate evidence of this negligence is key.

Register or Log In. The arguments for prosecution:. Community-based support was established, visits to the father were supervised, and Jade continued to lose weight as an outpatient. That's triple the rate in Though guidelines could never determine a particular case, they would be helpful not only for medical practitioners, but also for child protection services and any other health professional working with children, given the rising prevalence of childhood obesity.

Discussion This child and her family were chidlren to state child protection services because the child had severe health problems related to her obesity, on a background of continuing weight gain while receiving maximised therapy and support from hospital weight management services. Severe childhood obesity is a common problem, also often multifactorial in origin, and may result in both acute and chronic life-threatening complications. Christoffel K, Forsyth B. In severe cases, the answer would seem to be yes.

Pediatrics ; Obesity, law and personal responsibility. At her most recent clinic visit, Jade had reduced a dress size, and her mother now feels much more confident in making healthy food and lifestyle choices. When parents reject interventions to reduce postnatal human immunodeficiency virus transmission. We present a case of severe childhood obesity where child protection services were involved Boxand discuss its medical, legal and ethical implications. The role of family and maternal factors in childhood obesity. At what point does non-compliance constitute a danger to the child?

Where a specific medical procedure or intervention is required, parental for protective custody will normally be required, although parents must give or refuse such consent in the best interests of the child. For example, it may remain difficult for a physician to provide ongoing care for the child without active collaboration with the parents. Family Court, Chemung County. Obesity in childhood is often the harbinger of adult obesity. In severe cases, the answer would seem to be yes. Childhood obesity can become a child protection concern if parents fail to provide their child adequate treatment or when parents behave in a way that actively promotes treatment failure, as with any chronic illness in a child. Login Register Stay Curious Subscribe.

Health care and the law. Pediatrics ; e However, in the case described in the Box, was referral to state child protection services a wise thing to do? With the institution of simple weight-management interventions of reduced dietary intake and a daily program of physical activity, Jade lost 3 kg in 2 weeks. Sydney Morning Herald ; 27 Feb. Twelve-month effectiveness of a parent-led, family focused weight-management program for prepubertal children: a randomized controlled trial.

Use the Advanced search for more specific terms. View this article on Wiley Online Library. Already a subscriber?

Third, liability would seem to swing on what steps the parent has taken to prevent the morbid obesity: anything less than reasonable attempts to help them lose weight would result in criminality. Such cases should be notified even though there is a risk that parents custody for lose custody of their child or be liable to criminal prosecution, as has occurred in the United States. In extreme cases of severe obesity, where parents seem unable or unwilling to adhere to management programs aimed at weight loss for their affected child, the question arises: Is this a form of medical neglect? Correspondence: shirleya chw. Broad social programs, like those advocated by Caplan, are great, but getting the nation to "go on a diet together" isn't enough to target specific at-risk children Reporting a child to be at risk of harm will trigger an assessment of whether the concern is reasonably based and how the risks to the safety, welfare and wellbeing of the child can be mitigated. Child Abuse Neglect ;

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First Name. Chiildren Court Rev ; Final comments As media reports illustrate, obesity has already become a child protection issue in Britain and the US. Although many factors contribute to the development of childhood obesity at a societal level, parental responsibility is also an essential element in the prevention and treatment of obesity in children — an idea with which the food and beverage industries, government organisations and medical opinion concur. Her mother had a history of gestational diabetes and postnatal depression, and her father had a history of abuse as a child. Were such guidelines to be developed, aspects such as length of time of maximised health support interventions, family circumstances, and even the relative amount of excess weight gain over a period of time would have to be considered.

However, there may be concerns about parenting skills such as lack of parental limit-setting or parental supervision. F ailure to thrive in infancy and childhood is a well recognised problem, often multifactorial in origin, and may occur as a result of parental neglect. Do you have any competing interests to declare? Perhaps guidelines preferably by a professional society whose members have day-to-day experiences of the challenges of caring for severely obese children could usefully inform the careful consideration of these questions. Volume Issue 3. Please refer to our instructions for authors page for more information.

Where a i medical procedure or intervention is required, parental consent will normally be required, although parents must give or refuse such consent in the best interests of the child. Associated with other health problems, such as blindness or arthritis which hamper mobility. It is likely that professionals will have attempted to engage families over a period of time. This is on a background of a modern lifestyle with diets high in processed food and sugar, availability of sugary drinks, food advertising and sedentary activities resulting in reduced physical activity. Obesity, law and personal responsibility.

Pediatrics ; First, the parent is clearly aware of their duty to protect their child. J Clin Endocrinol Metab ; And, no matter what you do with overweight children, sooner or later they are going back home where their often overweight parents will still be.

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Use the Advanced search for more specific terms. Worldwide trends childre childhood overweight and obesity. In cases of failure to thrive and in cases of severe obesity, clinicians may observe immediate health risks as well as longer-term risks, including psychological harm. When suspicion of neglect as the cause of failure to thrive arises, particularly in extreme cases, child protection services are notified. Arch Pediatr Adolesc Med ; Twelve-month effectiveness of a parent-led, family focused weight-management program for prepubertal children: a randomized controlled trial.

  • Wang G, Dietz W.

  • Web design and build by Fat Media.

  • Controlled study of critical parent and family factors in the obesigenic environment.

  • Patel D.

  • Wang G, Dietz W. Notification to child protection services may not necessarily resolve all problems.

Twelve-month effectiveness of a parent-led, family focused weight-management program for prepubertal children: a randomized controlled trial. Social grojnds of health. At her most recent clinic visit, Jade had reduced a dress size, and her mother now feels much more confident in making healthy food and lifestyle choices. What, then, should be done in situations when parents of severely obese children seem unwilling or unable to adhere to weight-loss programs?

What is child abuse and neglect? Jade led a very sedentary lifestyle, watching television up to 6 hours a day, and there were issues about food, with Jade having temper tantrums if not allowed whatever she wanted to eat. Child Abuse Neglect ; J Clin Endocrinol Metab ; On the other hand, the benefit to the child of taking his or her care out of the hands of the parents may come at too great a cost to the child. Obes Rev ; 5 Suppl 1:

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