Child Death Review Committee Case Review


The Child Death Review Committee has made public recommendations relating to relevant protocols, policies and procedures; standards and legislation; linkages and coordination of services; and improvements to services affecting children and pregnant women.

The Child Death Review Committee forwarded three reports to the Minister of Justice and Public Safety on April 26, 2018 that included recommendations. The reports examine the facts and circumstances surrounding deaths of children and youth in Newfoundland and Labrador that occurred in 2016 and 2017.

Case number one involved a child that died of unknown causes while in bed. Recommendations are that sleep and safety practices be consistently reinforced throughout the first year of life by health care providers including public health nurses and family doctors; and a Public Health Nurse is required to make phone contact with all mothers within the first 24 hours. The mother can choose not to have the nurse visit but teaching at this time could still be reinforced regarding best infant sleep practice.

Case number two is where a youth died by suicide. Recommendations include that the Department of Education and Early Childhood Development create continued awareness of emergency contact numbers to be made available to youth – ex: Kids Help Phone, Mental Health Crisis Line; and liaison structure be developed by the Department of Education and Early Childhood Development and Memorial University to transition students with known mental health issues from secondary to post-secondary.

Case number three are also when a youth died by suicide. Recommendations are that the Department of Education and Early Childhood Development create continued awareness of emergency contact numbers to be made available to youth – ex: Kids Help Phone, Mental Health Crisis Line; and liaison structure be developed by the Department of Education and Early Childhood Development and Memorial University to transition students with known mental health issues from secondary to post-secondary.

These reports have been forwarded to the Child and Youth Advocate.


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