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ODHS Child Fatality Review

Critical Incident Review Teams

The Oregon Department of Human Services (ODHS) conducts extensive reviews any time a child dies as the result of abuse or neglect when the child was in ODHS custody, or the child, siblings or other children in the household had contact with ODHS Child Welfare within 12 months of the fatality. Reviews are conducted by a Critical Incident Review Team (CIRT). The team focuses on identifying whether any systemic issues contributed to the fatality, and if so, how they can be corrected to prevent future fatalities.

The CIRT process is defined in Oregon law (ORS 418.806 to 418.816), as amended in 2019 under Senate Bill 832. The 2019 amendment directs ODHS to publish certain information online immediately after assigning a Critical Incident Review Team. You can find that information in the CIRT dashboard. In addition, below you can find all CIRT final reports since the process was created in 2004.

CIRT dashboardCIRT final reportsPrevention efforts

CIRT final reports


More information

For more information about child fatality prevention, visit the Oregon Health Authority website: Oregon Child Death Review and Prevention.