“Wow. I can’t believe anyone would suggest that lice is a reason to contact CPS. Or that lice is a reason not to help someone. Really? You do realize that most people deal with lice at some point in their lives, right? You can help someone with lice over the phone. You can help them get it cleared up. You can help them beyond that. Are CPS reps immune from lice? Why can they help but not us?”
The problem is that to do a complete delousing, each of the 5 children’s hair (and probably the parents’, too) needs to be gone through thoroughly with a nit comb at least several times, there needs to be chemical treatment to kill the live lice, and all of the bedding in the house needs to be washed in HOT water. This is a big deal. A mother who can’t keep dry diapers on her babies and finds occasional baths for the kids a big deal is not going to be up to this job (and particularly not with just phone consultations). Furthermore, if the extended family helps with this project, they would need buy-in from the family. The extended family would need to visit and basically take over for hours at a time to beat the lice. There’s no point in kinda sorta doing lice treatments. It has to be complete eradication to prevent recurrence. It’s certainly worth asking the parents for permission to start the process, but if the parents won’t allow the extended family to interfere to this degree, yes, it is necessary to call CPS. Having untreated lice will turn these children into pariahs. And no, as a head lice survivor myself (I got it from my sister who got it from her best friend, etc.), I would not socialize with a family with untreated lice or that was in the middle of the eradication process.