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Two reports published today highlight deficiencies in the care of children
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known to the child protection services. The reports were carried out by the
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National Review Panel and focus on a teenager called Sophie who died by suicide
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and another teenager called Alana who was raped by a male carer.
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Among the problems identified are a lack of proper supervision,
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a shortage of staff and poor communications between agencies.
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In a statement this afternoon, the Child and Family Agency
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Tussler said it had worked to ensure that the necessary changes were made
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and that young people are better protected. Joining me on the line is Dr Helen
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Buckley who's the chair of the National Review Panel.
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Good afternoon. Good afternoon, Rachel. Tell us first of all if you would
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about Alana who was known to Tussler and was placed in the care of
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I think extended family. What happened to her?
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Well, Alana was placed with relatives under what was originally a private
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arrangement which was an agreement between her family and Tussler and the
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relatives that they would take care of her. And there are always good options
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for young people because they're in a familiar setting with people that they
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know and trust. But they do need to be regulated in the same way as any other
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placement does. Now that placement was eventually
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formalized and the carers became foster carers. But what we found in the review
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was that I think a light touch was applied during the assessment and
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the male foster carer had a history of alcohol abuse which
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they assured social workers at the time was in the past and was well under control.
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But in fact the event that happened, the sexual assault was carried out
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in a context where the male carer was intoxicated. And so that's, you know,
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drew our attention to that immediately. We did find overall that
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because of the nature of the placement and I think also because the context at the
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time was one of very straight and circumstances within Tussler.
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You know where there were very short, short of staff and resources meant that
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the compliance sets required under the child in care regulations wasn't really
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adhered to and that there just wasn't sufficient attention paid to
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potential difficulties that might arise in that placement.
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As far as you were concerned was there also an issue about when the review panel was
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informed of what had happened to Alana?
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Yes, that's correct actually. If what happened was we spotted the court case
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in the paper and in the media and we then made inquiries
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and eventually the case was deferred to us. It's quite difficult to identify
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what's a serious incident really I suppose because, you know,
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unfortunately most of our cases involved children who have died.
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When a serious incident involves a child who's still living
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and it's up to Tussler staff and Tussler individual managers to identify whether
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this case is of sufficient gravity to refer to us and the guidance does say
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an incident happens to a child that has a lifelong effect on them
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then it should be referred to us for investigation.
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So we eventually got it but it was the events in the case occurred over 10 years ago
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but Rachel I also have to say that when there's when there are criminal proceedings
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ongoing, you know, it's difficult for us to carry out a review at the same time.
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So that's part of the reason for for being so late.
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The other report today is about a girl who you call Sophie.
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Now she was only 14 when she died. Tell us about her.
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It's a very sad situation like the rest of them.
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Sophie was a lovely young woman who came from a very good family with very competent and caring
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parents. She became troubled in her friend. She started in secondary school. She became extremely
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troubled and started to sell harm. So in this case, comes was involved primarily. Comes,
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you know, responded quickly. They provided a service. She became acutely ill and she was admitted
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to a comes in patient unit who then wanted Tussler involved to provide community supports.
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So in theory, that all sounds fine and a good plan but in practice, it actually didn't work
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particularly well because our impression was that each service had a fixed idea of what
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should happen and who should take the lead and there just wasn't agreement between them.
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And in the meantime, Sophie's parents were left floundering. Really, they were completely overwhelmed
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with trying to protect her and trying to stop her from harming herself, which which was very,
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very challenging and ultimately they weren't able to do that. So our recommendations in that case
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were that the Department of Health and the Department of Children and Tussler and the HSC
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need to seriously address cases. We've published reports before of very similar issues where
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the there is no real understanding between the two agencies as to what the issues are and who
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needs to take the lead. And there is a joint protocol between Tussler and the HSC but we believe
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that it needs to be revised to clarify when a child is at risk, whose responsibility it is
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and who needs to lead on the provision of services. Just briefly on this, reading the report
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this morning, it sounds as though you had some difficulty getting the cooperation of the child
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in adolescent mental health service or CAMS. Staff didn't take part in the review and it took
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you a while to get Sophie's mental health records. Well, there were two CAMS services involved
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and in one service, yes, we had no difficulty at all in speaking to the psychiatrists there.
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The other service was a community-based service and while they continually assured us that they
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be available for interview they never made themselves available but they did send us their records.
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So we were able to get a very full picture of what was going on in the case and what service they
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were providing. Dr Helen Buckley, Chair of the National Review Panel, thank you for talking
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to us this afternoon and if you've been affected by anything you heard there, you can find help
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and support by logging on to rte.ie slash helplines, that's rte.ie forward slash helplines.