Munchausen by Proxy (MBP),
a.k.a. Factitious Disorder by Proxy,
Munchausen by Proxy Syndrome, and Munchausen Syndrome by Proxy
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Munchausen by Proxy (MBP) Maltreatment:
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 | Workshop is 7 hours of instructional time and utilizes mini lecture, videos, and experiential exercises. |
| A second day may be added. Day 2 focuses upon applying information and building skills introduced during Day 1. |
| Optional: Ms. Lasher will be available following the training program to consult with professionals involved in a suspected or confirmed MBP case. There is no charge for this initial consultation, and first or false names may be used in order to preserve confidentiality. This opportunity is extended only to participants who complete the training. |
Depending on the needs, keynote presentations and workshops of other time lengths are available.
Munchausen by Proxy (MBP), also known as Factitious Disorder by Proxy, is a label for a pattern of behavior in which caretakers deliberately exaggerate and/or fabricate and/or induce physical and/or psychological-behavioral-mental health "problems" in others. Children or adults can be victims, and MBP presents in both inpatient and outpatient settings. No longer considered rare, MBP manifests as physical abuse, sexual abuse, emotional abuse, neglect - or a combination. Few professionals, regardless of discipline, have the specialized knowledge and experience necessary for involvement in suspected or confirmed MBP cases.
MBP identification, intervention, case planning, and case management - very different from other kinds of abuse/neglect - will be overviewed in this workshop. Targeted audience includes state/county child welfare agency staff, law enforcement, public and private physical and mental healthcare professionals, hospital staff, school personnel, pre- school and day care providers, emergency responders, attorneys, judges - any professional who might have reason to suspect or work with suspected or confirmed MBP cases.
8:30 - 9:00 Registration
Opening Remarks and Workshop Preview
| Definitions and differences among Factitious Disorder (including the subtype, Munchausen Syndrome), MBP maltreatment (also known as Factitious Disorder by Proxy), Hypochondria, Malingering, and Malingering by Proxy. |
| Misuse of DSM-IV regarding MBP maltreatment (Factitious Disorder by Proxy) |
| Common MBP perpetrator characteristics - and why they do not constitute a "profile" |
| Common MBP suspicion indicators |
| Policies and procedures that, if followed, will heighten victim risk |
| Victims, spouse/partners, relatives, and others. |
Video and Discussion
The Formula for MBP Case Success
| Correct, basic, skills based MBP maltreatment education for case involved professionals. |
| Multiagency-multidisciplinary team (MMT) |
| MBP maltreatment expert consultant |
| MBP maltreatment expert witness |
| Attorney who has received basic and advanced MBP, is willing to work as a team with the MBP expert, and who is prepared for involved legal activities during all case phases. |
The MBP Maltreatment Confirmation-Disconfirmation Process
| Information gathering |
| Information evaluation |
| Information organization |
| The confirmation-disconfirmation decision |
MBP Initial Intervention
| Removal from the care, custody, control, and influence of the perpetrator - and anyone who might be influenced by him/her. |
| Out of home placement guideline - dangers in placing with relatives, specialized relative placement assessment, foster home selection and guidelines. |
| The initial post confirmation interview (confrontation) with the perpetrator. |
| Contact guidelines (between victim and perpetrator - and others) |
MBP Maltreatment Case Plan Elements and Victim Risk Assessment Tool
| MBP Maltreatment Case Plan Elements (activities to be completed prior to consideration of unsupervised contact or reunification). |
| MBP Maltreatment Initial and Continuing Victim Risk Reduction Assessment |
| Selection and role of mental health professionals. |
| Role and importance of continuing multiagency-multidisciplinary team. |
Legal Activities/Issues - addressed throughout the day.
Wrap-up and Workshop Evaluation
copyright 2000-2006 Louisa J. Lasher | louisalasher@mindspring.com | web design by Cyber Studios |
