Internal Child Death and Serious Incident Review Process - Alberta Human Services - Government of Alberta

Internal Child Death and Serious Incident Review Process

The Internal Child Death and Serious Incident Review Process (Internal Review Process) is a consistent and comprehensive approach following a death or serious incident involving a child receiving child intervention services. It supports the Government of Alberta’s commitment to accountability, transparency and continuously improving the child intervention system.

This improved quality assurance process helps provide answers on what is working in the child intervention system and what can be improved, and makes that information available publicly.

The Internal Review Process:

  • Is a transparent, public process
  • Examines all deaths and serious incidents of children receiving child intervention services
  • Identifies factors to be considered when making a determination/decision to conduct a statutory review
  • Evaluates case information and context to make recommendations for quality improvements to child intervention services and professional practice
  • Identifies roles and responsibilities for each step of the process
  • Reports findings and recommendations annually
  • Shares key policy and practice learnings with Human Services’ staff and stakeholders to support continuous improvement of the child intervention system

Internal Review Process

Diagram of Process Map for Internal Child Death and Serious Injury Review

The Statutory Director will decide when a review is needed. The Statutory Director:

  • is responsible for ensuring that delegations of authority under the Child, Youth and Family Enhancement Act and other related legislation are properly exercised in accordance with policies and standards;
  • receives reports of serious injury and death and ensures all appropriate bodies are notified, including the Office of the Chief Medical Examiner, the Child and Youth Advocate and the Child and Family Services Council for Quality Assurance;
  • examines all serious injuries and deaths of children receiving intervention services; and
  • must report annually to the public on findings and recommendations arising from statutory reviews.

Show Answer Notification

Show Answer Initial Examination

  • Details of the death or incident are gathered and reviewed.
  • A summary of this information is prepared for the Statutory Director's review.
  • The Child and Family Services Division will also follow-up with service delivery staff to ensure family, caregivers and frontline workers are being supported.

Show Answer Determination/Decision to Conduct a Statutory Review

The Statutory Director works closely with a support team to carefully review the initial summary to determine whether a statutory review is needed.

The Statutory Director considers a number of factors, including:

  • Prevention: Information gathered during a review may contribute to improving policies and practices with the goal of improving the health and safety of children receiving child intervention services.
  • Type and manner of event: The unique circumstances surrounding the child’s death or serious incident may shed light on learnings to be gained from a review.
  • Degree of involvement with the child and family: This considers the services provided, including type, frequency and intensity.
  • Reviews by other external and internal bodies: If other review processes take place at the same time, consideration will be given to opportunities to avoid duplication or allow for collaboration.

The Statutory Director may revisit an earlier decision not to review an incident if additional information becomes available.

Show Answer Statutory Review

The statutory review will evaluate case information and context to make recommendations for quality improvements to child intervention services and professional practice.

If a review is determined to be necessary:

  • The Statutory Director will identify a team to lead and develop a detailed plan for a review.
  • Child and Family Services Division staff will follow-up with service delivery staff again to ensure the proper supports are in place for family, caregivers and frontline workers.
  • The review team will gather detailed information using a structured, consistent approach to develop a report with recommendations and identification of key learnings for internal policy and practice.  After the Statutory Director receives and accepts the report, service delivery staff will follow-up with the family, caregivers and frontline staff to bring closure.
  • Any findings and recommendations from the Statutory Director’s reviews will be released publicly every year.
  • Where appropriate, new information gathered during a Statutory Review will be shared with service delivery staff and may be incorporated into changes in practice, legislation and policy.
Created:
Modified: 2014-12-10
PID: 17698