The Dangers of Congregate for Children with Diabetes or Other Life-Threatening Medical Conditions
Dennis Michael Styne, Donna M. Petre

TL;DR
This paper highlights the risks of placing children with diabetes in congregate care and suggests legal and training improvements to prevent harm.
Contribution
The paper introduces legal and training recommendations to protect children with diabetes in congregate care settings.
Findings
Two children with diabetes died in congregate care due to staff training deficiencies.
Legal safeguards exist but are ineffective without proper staff training.
Alternative pathways and programs are proposed to ensure child safety.
Abstract
Background: Children can be removed from their home if allegations of abuse or neglect are substantiated. The preference is to place them with family members. In the most extreme cases, a child may be placed in a congregate care setting. A child with diabetes should only be placed in such a facility if the staff have been appropriately trained. Otherwise, the consequences can be devastating. In 2022 and 2024, two children were placed into congregate care facilities in Arizona and died of diabetic ketoacidosis due to a lack of appropriate employee training. Study Objective: We aim to inform providers of the legal processes and laws that can result in a child being placed into a congregate care setting. We analyze what went wrong in the care of these two children. We present alternative pathways that might ensure the safety of children before they are placed in such facilities.…
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Taxonomy
TopicsEthics and Legal Issues in Pediatric Healthcare · Pediatric Pain Management Techniques · Child Abuse and Trauma
