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Munchausen by Proxy Maltreatment:
Identifcation, Intervention and Case Management

by Louisa Lasher & Mary S. Sheridan

A distressing look into how far will some people go to get attention. Through detailed case studies and analysis, the authors take readers into the lives and minds of people whose obsessive craving for attention compels them to fake illness, sometimes to the point of death.

red-block.gif (827 bytes)In Munchausen by Proxy: Identification, Intervention, and Case Management, the authors provide a unique perspective into many [MBP] case accounts, bringing the reader deep into this disturbing disorder, offering clear and practical methods for identifying, reporting and intervening.

A valuable resource for anyone working with [MBP] cases, Munchausen by Proxy: Identification, Intervention, and Case Management is a must-read for clinical professionals and anyone with a suspicion of MBP in their own families.

Munchausen by Proxy: Identification, Intervention, and Case Management is easily the leading resource available today for MBP identification and intervention.

Order a copy today


Editorial Reviews
Book Description
This step-by-step guide will help you identify and manage cases of this unique form of child maltreatment!

Munchausen by proxy (MBP) is a dangerous kind of maltreatment in which a caretaker deliberately and repeatedly exaggerates, fabricates, and/or induces a health problem or problems in someone under his or her care. Munchausen by Proxy: Identification, Intervention, and Case Management is the first book to walk you step-by-step through a suspected MBP maltreatment case from suspicion onward. This skills-based, practical book contains a thorough, up-to-date overview of MBP and includes suggestions for identifying and reporting to child protection agencies, investigating and gathering evidence, and legal and court procedures. Its easy readability and immediate applicability make this text a valuable tool in identifying and preventing this form of child abuse.

Munchausen by Proxy is divided into three parts. The first covers the definition of MBP, the role of the perpetrator and victim, and the ethical issues affecting professionals, patients, and family. Part two addresses case work from initial suspicions through the investigative and confirmation/disconfirmation process. The third section is dedicated to case planning and case management once MBP has been confirmed, including intervention, immediate child protection, and legal activities.

Those involved in a suspected or confirmed MBP case will learn about:

  • the limits of the DSM-IV as applied to MBP perpetrator-consistent characteristics
  • the MBP situational suspicion indicators
  • the inappropriateness of risk assessment tools developed for other forms of maltreatment
  • the danger when MBP perpetrators realize they are under suspicion and more!

This volume is generously enhanced with case examples, sample forms, figures, and representative management plans. In Munchausen by Proxy, authors Lasher and Sheridan—experts in MBP and child protection—have come together to fill the gap in the libraries of anyone who may become involved with a MBP case. This includes child welfare professionals and staff, law enforcement, school personnel, health care practitioners, judges and lawyers, and social workers.


About the Author

Louisa J. Lasher was employed by the Georgia Division of Family and Children Services (DFCS) for approximately ten years. She left her position in August 1997 to devote herself full time to MBP maltreatment multiagency-multidisciplinary training, case consultation, technical assistance, expert witness services, and writing projects. A unique aspect she brings to the MBP maltreatment field is a combination of extensive MBP knowledge and experience - expertise in investigating the other kinds of abuse/neglect - child protection case planning and case management, and knowledge and experience related to other state/county child welfare activities and issues.

During her last four years with Georgia DFCS, Ms. Lasher served as a State Office consultant and as State Office Medical Liaison - providing child maltreatment training, consultation, and technical assistance to various agencies and organizations throughout Georgia. During her last two years with the State Office, Ms. Lasher focused on MBP maltreatment training, case consultation, technical assistance, and expert witness testimony. Ms. Lasher has had extensive investigative experience.

Ms. Lasher's involvement with Georgia DFCS, prior to promotion to the State Office, included experience in "treatment" and "placement" as well as four years as a Child Protective Services Investigator in urban, rural, and suburban counties. As a CPS investigator, Ms. Lasher was involved in a wide variety of child maltreatment cases. As a part of her child sexual abuse investigative activities, Ms. Lasher conducted child and adult investigative interviews, including videotaping.

Ms. Lasher received a B.A. from Purdue University and an M.A. from the Georgia School of Professional Psychology. She is a member of the American College of Forensic Examiners.

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