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System reviews after a child death

System reviews after a child death

We have led several systemic reviews in response to the death or serious harm of children known to the child protection system. These reviews were requested by the responsible minister.

We acknowledge the tragic deaths and harm of these children, and the grief experienced by their families, friends, communities and the professionals who worked with them. Their experiences raised concerns around the gaps in a system designed to protect vulnerable children and opportunities for strengthened responses.

The Commission makes recommendations to government to improve the child protection system in response to the findings from its reviews. Many of these have already been implemented or are underway. We continue to work with agencies to monitor the implementation of recommendations.

The following reports outline our findings and recommendations.

Showing 1 - 10 of 10
Thumbnail for Reviewing the child protection system’s response to violence within families
Report
Reviewing the child protection system’s response to violence within families
This report outlines the findings from a review to analyse system responses to children and families in the year prior to the child’s death.
  • Child protection
Thumbnail for Risks for children caused by methamphetamine use by parents
Report
Risks for children caused by methamphetamine use by parents
This report contains a particular focus on very young children.
  • Child protection
  • Child death prevention
Thumbnail for Lessons from the life-story timelines of 30 Queensland children who have died
Report
Lessons from life-story timelines of 30 children who have died
We have taken a fresh look into the deaths of 30 children who were known to the child protection system.
  • Child protection
Thumbnail for Seeking safety: Summary
Report
Seeking safety: Summary
This report summarises our findings from a review into how the system meets the protection and care needs of children on Intervention with Parental Agreements (IPA).
  • Child protection
Thumbnail for Taking lives: A Queensland study on parents who kill their children
Report
Taking lives: A Queensland study on parents who kill their children
This paper summarises the data underpinning the study and the findings about filicide risk factors.
  • Child death prevention
Thumbnail for Keeping school-aged children with disability safe: Summary
Report
Keeping school-aged children with disability safe
This report summarises the Commission's findings from a review into how the system meets the protection and disability support needs of children at risk of harm.
  • Disability
Thumbnail for Keeping Queensland’s children more than safe: Review of the foster care system
Report
Review of the foster care system report
The Review of the foster care system report makes 42 recommendations that will introduce a number of changes to the foster care system.
  • Child protection
  • Foster and kinship care
Thumbnail for Keeping Queensland’s children more than safe: Review of the blue card system
Report
Review of the blue card system
Following the death of Tiahleigh Palmer, the Premier requested a comprehensive examination of the blue card system in Queensland.
  • Child protection
  • Foster and kinship care
  • Blue card
Thumbnail for A system review of individual agency findings following the death of a child
Report
Review into the death of a child known to Child Safety
A system review of individual agency findings following the death of a child.
  • Child protection
Thumbnail for When a child is missing
Report
When a child is missing from out-of-home-care
Following the disappearance and subsequent death of Tiahleigh Palmer in November 2015, the Commission was asked to conduct a whole-of-government systems review.
  • Child protection
Last reviewed date:
Last updated date:

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