Concerns about using and interpreting covert video surveillance   Commentary: Covert video surveillance is acceptable---but only with a rigorous protocol

Abstract

# Concerns about using and interpreting covert video surveillance {#article-title-2} I have been an expert witness in seven cases in which covert video surveillance has been used. Using such surveillance and interpreting the videos are associated with problems that may not be apparent to those considering referring patients or setting up such surveillance. Covert video surveillance is an infringement of the liberty of the parent and child and should be undertaken only as a last resort—when a group of people has assessed the case and no other way exists to diagnose the child's problem. Surveillance is undertaken when healthcare professionals strongly suspect that a parent is harming a child.1 The parent and child are admitted to a cubicle equipped with secret video cameras and observed closely, often over several days. The monitors are viewed secretly and continuously by observers trained to be suspicious of the parent's actions. If they think the child is being harmed they sound an alarm and someone intervenes. #### Summary points Covert video surveillance can be difficult to interpret; innocent actions taken out of context may be interpreted as harmful The child and parent may be anxious and not behave normally in the circumstances; this may be interpreted as poor parenting The technique of covert video surveillance lacks objective and independent scientific evaluation If videos are used in court the whole recording should be exhibited to show the parents' action over time, and not just the “bad bits” A parent falsely accused may find it difficult to defend himself or herself The observers cannot allow the child to be harmed. If they see something that may lead to an assault they wait only about 25 seconds before intervening. They do this on the assumption that if the action continued, the child would be harmed. This is open to interpretation and speculation. Actions that appeared to me to be … Correspondence to: Professor Craft