1. Achieving agreement on service needs in child protection. Comparing children's, mothers' and practitioners' views over time and between approaches.
- Author
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Aaltio, Elina and Kannasoja, Sirpa
- Subjects
MEDICAL quality control ,EXPERIMENTAL design ,ATTITUDES of mothers ,PATIENT participation ,SAMPLE size (Statistics) ,ATTITUDES of medical personnel ,RESEARCH methodology ,CHILD abuse ,HEALTH outcome assessment ,CONSUMER attitudes ,MANN Whitney U Test ,T-test (Statistics) ,COMPARATIVE studies ,CHILD welfare ,REPEATED measures design ,QUESTIONNAIRES ,CHI-squared test ,SOCIODEMOGRAPHIC factors ,MEDICAL needs assessment ,MOTHER-child relationship - Abstract
Purpose: While studies on service users' participation and their perceptions on the quality of services exist, agreement between family members' and practitioners' assessments of the family's situation has received less interest. The purpose of this paper is to investigate agreement and its effect on outcomes by comparing the viewpoints of three groups of informants (children, mothers and practitioners) in the context of statutory child protection in two study groups – one applying a systemic approach (SPM) and a service-as-usual control group (SAU). Design/methodology/approach: A quasi-experimental repeated-measures study design was applied. Outcome data comprised 112 cases (SPM cases n = 56 and SAU cases n = 56) at three sites. Data was collected from all participants at baseline and six months later. Findings: First, practitioners' analyses of a child's need for protection did not meet family members' expressed need for help. Second, child–mother agreement on the need for service intervention at T1 predicted a decrease in practitioner-assessed abuse or neglect from T1 to T2. In this sample, no differences were found between the two groups. Originality/value: This study highlights the importance of making explicit the viewpoints of children, parents and practitioners in casework and research to improve understanding of how their perspectives differ over the course of the process and how possible initial disagreements affect outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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