• Texas Needs Assessment DSHS Public Health Regions

    Contact Us

    Maternal & Child Health (MCH)   
    PO Box 149347, Mail Code 1922
    Austin, TX 78714-9347

    (512) 776-7373: Phone
    (512) 776-7658: Fax
    TitleV@dshs.texas.gov

Texas Child Fatality Review

Texans can dial 2-1-1 (option 6) for information on COVID-19 and local community resources on health care, utilities, food, housing and more. Wait times are currently higher than normal. Visit Health and Human Services for more COVID-19 information.

The Texas Department of State Health Services (DSHS) is working closely with the Centers for Disease Control and Prevention (CDC) in monitoring the new coronavirus disease 2019 (COVID 19) that is causing an outbreak of respiratory illness worldwide.

DSHS COVID-19 Info



About Texas Child Fatality Review

In 1995, Texas law makers formed the State Child Fatality Review Team (SCFRT) Committee. Counties could form local and regional Child Fatality Review Teams (CFRTs) as well. Senate Bill 6, page 61 amended sections of the Family Code Chapter 264 Subchapter F. The law moved support and coordination of CFRTs from the Department of Family and Protective Services (DFPS) to the Department of State Health Services (DSHS).  

The Office of Injury Prevention facilitates the SCFRT Committee. The committee works with local CFRTs to provide recommendations about injury prevention activities such as drowning prevention and motor vehicle safety. These recommendations relate to modifying current legislation, increasing public education, and determining feasibility of strengthening systems.  

This committee reports aggregate child fatality data collected by local CFRTs and recommends strategies to prevent child fatalities and injuries. The committee provides recommendations to the Texas Legislature and the DFPS child safety review subcommittee on child protective services operations. The child safety review subcommittee is an internal DFPS committee that meets quarterly to discuss recommendations to improve DFPS practices and prevent child deaths. The report is made to the governor, lieutenant governor, and the speaker of the house of representatives no later than April 1 of each even-numbered year.  

Sudden Unexpected Infant Death Investigation Reporting Form

National Center for Fatality Review and Prevention Guidance

State Child Fatality Review Team Committee

Child Fatality Review Teams

Reports, Protocols, and Guidelines

Helpful Websites



Sudden Unexpected Infant Death Investigation Reporting Form

The Centers for Disease Control and Prevention (CDC) recently updated the Sudden Unexpected Infant Death Investigation Reporting Form (SUIDIRF). The SUIDIRF is a voluntary tool for states and jurisdictions to use and allows investigators to document their findings easily and consistently. As a result, the SUIDIRF produces information to better understand sudden unexpected infant death and inform efforts to prevent future deaths.  

In collaboration with stakeholders, CDC reduced redundancy and streamlined the form, reordered and retitled sections, and updated questions to address emerging issues. The revised SUIDIRF has been endorsed by the American Board of Medicolegal Death Investigators, the National Association of Medical Examiners, and the International Association of Coroners and Medical Examiners.

View the revised SUIDIRF on the CDC’s website.  



New National Center for Fatality Review and Prevention Guidance

The National Center for Fatality Review and Prevention (NCFRP) released a guidance document with tips and strategies for reviewing deaths either directly or indirectly related to COVID-19.

  • A directly-related death is defined as a death directly attributable to the virus.
  • Indirectly-related death occurs when unsafe or unhealthy conditions are present during any phase of a crisis.  

We acknowledge the importance of documenting the impact of the COVID-19 health emergency on fetal, infant, and child mortality. We hope that this information will help fatality review teams use their findings from review of such deaths to inform national emergency response efforts about the needs of infants, children, and families who are directly and indirectly impacted by future public health emergencies.  

COVID-19 Guidance (NCFRP.org) - https://www.ncfrp.org/wp-content/uploads/NCRPCD-Docs/COVID-19_Guidance.pdf



State Child Fatality Review Team Committee

The State Child Fatality Review Team (SCFRT) Committee is a group of experts (PDF) throughout Texas. They want to reduce the number of preventable child deaths. The committee has three goals:

  • Understand the causes and incidences of child death in Texas;
  • Identify procedures to reduce the number of preventable child deaths;
  • Promote public awareness; and
  • Make recommendations to the Texas governor and Texas Legislature for changes in law, policy, and practice to reduce the number of preventable child deaths.  

The next SCFRT meeting will take place on Monday, Nov. 8, 2021 at 10 a.m. (CST). The location of the meeting is to be determined. More information will be provided once the agenda and meeting logistics are finalized. 

Recordings of past SCFRT Committee meeting can be found on the Texas Health and Human Services website

Now Accepting New Member Applications

The Texas Department of State Health Services (DSHS) is currently accepting applications for membership on the committee for the following positions:

  • A sheriff

The SCFRT Committee permanent members will appoint members to the SCFRT Committee to serve a term of three years. Applications are due by 11:59 p.m. (CT) on Oct. 8, 2021. You may submit the application by email.

The SCFRT Committee tries to choose committee members that represent the diversity of all Texans. For that reason, the committee considers applicants' ethnicity, gender, and geographic location.

The vote for open positions will take place at the November SCFRT Committee meeting. DSHS will notify applicants by Nov. 22, 2021 if they have been selected. 


 
About the State Child Fatality Review Team Committee

The State Child Fatality Review Team (SCFRT) Committee was created by Texas Family Code 264.501. SCFRT must produce a biennial report that is available to the public. The report includes information about incidence and causes of child deaths and recommendations to the Texas governor, lieutenant governor, speaker of the house of representatives, and Texas Department of Family and Protective Services (DFPS). 

SCFRT members must attend meetings and may need take part in subcommittee activities. Committee meetings take place at least four times annually or at the call of the committee chair. Members must travel to Austin for in-person meetings unless the SCFRT Committee meets virtually. SCFRT members may receive reimbursement for travel expenses to participate on the committee.   

For more information about the committee or about applying to be on the committee, email cfrt@dshs.texas.gov.  

Child Fatality Review Teams  

Local Child Fatality Review Teams (CFRTs) are working groups of community partners. They review child deaths on a local level from a public health perspective. Reviewing a child’s death helps identify strategies to decrease preventable child deaths. Local CFRTs:

  • Provide help, direction, and coordination to investigations of child deaths;
  • Promote collaboration among agencies involved in responding to child fatalities;
  • Try to understand the causes and incidence of child deaths in their county or counties;
  • Recommend changes to policy or procedures that will reduce preventable deaths; and,
  • Suggest changes to law, policy, or practice to the State CFRT.  

Texas CFRTs (PDF) vary in size and the number of counties for which they review child deaths. Some teams review deaths for only one county while regional teams review deaths for two or more counties. The largest number of counties a single Texas team covers is 26.  

Texas seeks to have CFRTs in all parts of Texas. See the coverage on the Texas Map (PDF). If you are interested in learning more about child fatality review efforts in your area, please contact cfrt@dshs.texas.gov.  

Reports, Protocols, and Guidelines

Helpful Websites

  • National Center for Fatality Review & Prevention Case Reporting System
  • National MCH Center for Child Death Review
  • ICAN National Center on Child Fatality Review
  • National Center for Fatality Review & Prevention
    Includes web-based training modules covering various aspects of fatality review. Half of the training modules focus on process work such as FIMR 101, CDR 101 and conducting maternal interviews. The other half of the training modules cover best practices such as facilitating successful fatality review meetings, incorporating health equity into fatality review and writing recommendations.


Contact Us
Texas Department of State Health Services
Maternal & Child Health
PO Box 149347, Mail Code 1922
Austin, TX 78714-9347
(512) 776-7373: Phone
(512) 458-7658: Fax
cfrt@dshs.texas.gov


The Texas Department of State Health Services does not endorse external links to other websites. These links are informational and may not be accessible to persons with disabilities.



Last updated September 9, 2021