"Invisible" is what murdered five-year-old Malachi Subecz had become, to the government agencies supposed to protect him.
That's one of the findings of an independent review into his care and protection - it also makes 14 recommendations, including mandatory reporting of suspected child abuse and vettting of caregivers for the children of inmates.
The five-year-old was tortured and murdered by Michaela Barriball, the woman Malachi's mother trusted to look after him when she was jailed.
Whānau reported his alleged abuse to Oranga Tamariki - but their concerns were dismissed. That was in June 2021. By November, Malachi was dead.
Ruth Money is a victim's advocate and has been working alongside the family. She talks to Lisa Owen.