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Safeguarding and FII

We know that many UK families with children who have PANS and PANDAS are currently subject to safeguarding referrals or allegations of Fabricated or Induced Illness (FII).


The factors behind why this is happening are multiple and complex, but the impact on families is simple; families who are already struggling to support a medically complex child are being further traumatised by being blamed for their child’s illness. We have worked with social work and education professionals to create the following resources:

For parents and caregivers

Kelly Jarvis

Head of consultancy – Sunshine Support

Families dealing with complex medical conditions like PANS and PANDAS often face scepticism or misunderstanding from professionals. In rare cases, this can lead to serious allegations, including professional confusion regarding Fabricated or Induced Illness (FII). Kelly’s webinar explores ways to advocate for your child, how to communicate clearly and safely with professionals, and how to navigate FII investigations.

Previously the Head of a highly specialist residential school for Autistic children, Kelly has valuable experience in fulfilling EHCPs in order to ensure the best possible outcome. Kelly also trains school leaders and advocates in representing their educational establishments at SENDIST tribunals, and has been powerfully advocating for families at Sunshine Support since 2021.

For social work, healthcare and education professionals

PANS, PANDAS and FII; a guide for social work, healthcare and education professionals.

In collaboration with Cathleen Long (independent social worker and co-author of the recent British Association of Social Work’s practice guidance on FII and Perplexing Presentations), PANS PANDAS UK have written a guide for social work, healthcare and education professionals.

What does the guide cover?

  • This guide sets out the reasons why so many PANS and PANDAS families are unfairly being accused of harming their children.
  • It explores what professionals can do differently to ensure that all children are kept safe without unnecessarily targeting families of children with medical conditions.
  • It makes recommendations about how professionals can work collaboratively and in a trauma-informed way to assess any children presenting with symptoms of these post-infectious disorders.
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Glossary

  • ADHD
    Attention Deficit Hyperactivity Disorder
  • AE
    Auto-immune Encephalitis
  • ARFID
    Avoidant Restrictive Food Intake Disorder
  • ASD
    Autism Spectrum Disorder
  • CAMHS
    Child and Adolescent Mental Health Service
  • CBT
    Cognitive Behavioural Therapy
  • Dysgraphia
    difficulty writing by hand
  • EHCP
    Education, Health and Care Plan
  • Emotional Lability
    Rapid, and dramatic changes in mood (for example uncontrollable laughter to crying)
  • Enuresis
    wetting
  • GAS
    Group A Streptococcal infection
  • NHSE
    NHS England
  • NICE
    National Institute for Health and Care Excellence
  • OCD
    Obsessive Compulsive Disorder
  • PP
    PANS PANDAS
  • PPUK
    PANS PANDAS UK
  • PPN
    PANS Physicians Network
  • PPSG
    PANS PANDAS Steering Group
  • SENCo
    Special Educational Needs Coordinator
  • SIGN
    Scottish Intercollegiate Guidelines Network to the glossary
  • Tic
    Sudden repetitive movement (motor tic) or sound (vocal tic) which is difficult or impossible to control