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Local Child Fatality Review Team:
Role of the Coroner

Child Fatality Review (CFR) is a multidisciplinary process to help us better understand why children in our community die and to help us identify how we can prevent future deaths.

Local Child Fatality Review Teams will meet with varying frequency to review sudden, unexpected, and unexplained deaths, deaths investigated by DCS, and those deaths classified as undetermined, homicide, suicide, or accident, for all children under the age of eighteen. Team members will share case information on child deaths that occur in their region with the goal of preventing future deaths. In order for this team to be successful, all agencies involved in the safety, health, and protection of children must be involved.

The death of a child is a tragic event. Reviewing the circumstances involved in every death is part of our job as professionals and requires our time and commitment. Only then can we truly understand how to better protect our children and prevent future deaths from occurring.

  • The coroner can provide the team with information on:
    • The status and results of the office’s investigation and explanation of the cause and manner death determination
    • The autopsy report and other records such as toxicology reports, scene investigation information, and medical history records
  • The coroner can provide the team with expertise on coroner practices such as:
    • Educating the team on policies and procedures followed by the coroner’s office
    • Educating the team on causes of child death and the nature of child injuries to aid investigators
  • The coroner can support the team with assistance by:
    • Providing the team with records, such as the child’s medical records accessed by the coroner’s office
    • Providing access to and information from other coroner’s offices
  • The coroner can help build bridges by:
    • Learning about the policies and practices of other agencies through team participation
    • Acting as liaison between the CFR team and the jurisdiction’s other coroner’s offices
    • Explaining to the team how to improve coordination with coroner’s offices