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Background: Universal health visiting has been a cornerstone of preventative healthcare for children in the United Kingdom (UK) for over 100 years. In 2016, Scotland introduced a new Universal Health Visiting Pathway (UHVP), involving a greater number of contacts with a particular emphasis on the first year, visits within the home setting, and rigorous developmental assessment conducted by a qualified Health Visitor. To evaluate the UHVP, an outcome indicator framework was developed using routine administrative data. This paper sets out the development of these indicators. Methods: A logic model was produced with stakeholders to define the group of outcomes, before further refining and aligning of the measures through discussions with stakeholders and inspection of data. Power calculations were carried out and initial data described for the chosen indicators. Results: Eighteen indicators were selected across eight outcome areas: parental smoking, breastfeeding, immunisations, dental health, developmental concerns, obesity, accidents and injuries, and child protection interventions. Data quality was mixed. Coverage of reviews was high; over 90% of children received key reviews. Individual item completion was more variable: 92.2% had breastfeeding data at 6–8 weeks, whilst 63.2% had BMI recorded at 27–30 months. Prevalence also varied greatly, from 1.3% of children's names being on the Child Protection register for over six months by age three, to 93.6% having received all immunisations by age two. Conclusions: Home visiting services play a key role in ensuring children and families have the right support to enable the best start in life. As these programmes evolve, it is crucial to understand whether changes lead to improvements in child outcomes. This paper describes a set of indicators using routinely-collected data, lessening additional burden on participants, and reducing response bias which may be apparent in other forms of evaluation. Further research is needed to explore the transferability of this indicator framework to other settings. [ABSTRACT FROM AUTHOR]

Social workers are constantly predicting the future. In England and Wales there is a legal duty on them to do so, as the 1989 Children Act requires workers to assess not only whether children "have" suffered significant harm, but also whether they are "likely" to do so. Similarly, in Northern Ireland social workers are required by The Children (Northern Ireland) Order 1995 to do the same. On a more mundane level, social workers are constantly making predictions about whether a parent might use and benefit from a particular service, whether there will be a further incident of domestic violence or even whether a family will be in (or not) for a home visit. Yet predicting the future is hard and doing so with complete accuracy is impossible. Social work is not the only area where prediction is necessary. In the "Good Judgment Project," forecasts made by experts were found, over relatively long timeframes, to be no better than chance. On the other hand, some forecasters were able to outperform not only chance but also highly trained intelligence analysts with access to classified data. Clearly, human judgment is often highly fallible but, in the right conditions, can be incredibly helpful. Might it be possible to improve social work forecasts about the future? This paper considers key issues in theorising prediction in social work, including conceptions of risk, free will and self-determination. It then turns to practical issues, such as the relationship between forecasting and decision-making, and considers some possible research methods and issues associated with them. To illustrate the potential of this approach we describe how we have started to explore the face-validity value of this approach with social workers and how we have measured the accuracy of forecasting in social work.

Through a Critical Interpretive Synthesis (CIS), this systematic literature review explores the role of the Educational Psychologist (EP) in relation to child protection and safeguarding as it has been conceptualised within the research base over time. Key databases were searched and a conceptual map, informed by experienced EPs, guided further purposive searching with a focus on conceptual saturation. 24 papers across multiple areas of child protection and safeguarding work were included. Drawing on wider debates, it is suggested that changing legislative and socio-political climates have resulted in a shift within the research base from 'thinking about doing' towards 'thinking about thinking', where a safeguarding agenda is prioritised and there is less focus on child protection. Implications for EPs' practice with children and families are considered, and further opportunities for research suggested.

This paper presents a protocol for a funded study of technical assistance strategies used to support the use of evidence, and, in particular, how participatory processes contribute to the use of evidence to improve outcomes for populations. Findings from the study will increase understanding of the relationships between technical assistance, stakeholder participation and evidence use in child and family services. The authors argue that publishing such a protocol can increase transparency between researchers and practitioners and raise awareness of the need for research on how stakeholder participation can strengthen evidence use in child welfare service settings. The authors also reflect on the potential value and limitations of published protocols. This study will systematically gather input from stakeholders with expertise in technical assistance to develop a compilation of strategies that can be used to support the use of evidence. The study will identify strategies that include stakeholder involvement and assess which strategies under what conditions facilitated the use of research evidence. The study will address four research questions: What technical assistance strategies are used to support the use of research evidence? What are the consensus-driven terms and definitions of identified strategies? To what extent do technical assistance strategies involve stakeholders and for what purpose?

Purpose: This paper aims to argue that contextual safeguarding complements existing theoretical models and approaches. Its successful integration with dominant thinking and practice in safeguarding potentially offers new insights to improve system-wide practice. Design/methodology/approach: A theory synthesis design was used to purposively identify, summarise and compare selected safeguarding theoretical models and approaches to establish both convergence and divergence. Findings: The arguments provided in this paper suggest that synthesising theory offers a confluence of perspectives that promise to develop a more eclectic and holistic approach to safeguarding practice. The paper demonstrates how contextual safeguarding can be integrated with existing theoretical models and approaches. Research limitations/implications: This is a conceptual paper and therefore is not based on empirical data. Practical implications: This paper's conceptual insights include that integrating contextual safeguarding with existing theoretical models and approaches can broaden the knowledge base to whole system-wide safeguarding practice in the UK. The paper also confirms that the methodology used is feasible, although more work is required to test its efficacy on a larger scale. The conceptual paper argues for synthesis of contextual safeguarding and commonly used child safeguarding theoretical models and approaches to deal with both intra and extra familial forms of risk of harm to children effectively. Social implications: The neglect and abuse of children is a topical issue; hence, this paper has social implications regarding understanding of how the issue child abuse and neglect in the UK and globally should be dealt with. Originality/value: There is a dearth of studies that have gone beyond binary comparisons of contextual safeguarding and other theoretical models and approaches, which leaves a significant knowledge gap that has prompted the purpose of this paper. [ABSTRACT FROM AUTHOR]

In May 2012, nine men from Rochdale were convicted and jailed for grooming girls with alcohol, drugs and gifts before forcing them to have sex with multiple men. Following the case in Rochdale similar cases of grooming and sexual abuse/exploitation of young girls came to light in various towns and cities across the UK. In 2017, the BBC aired the drama "Three Girls" which featured the story of three of the victims whose abusers were ultimately jailed in May 2012, including one whose story of abuse was not listened to and whose abusers were ultimately not charged with abusing her (although they were charged with abusing other young girls). In this paper, I draw parallels between the experiences of these three girls and another victim of childhood sexual abuse (interviewed as part of an ESRC funded research project) to show how the central features of this story (childhood sexual innocence and victims' lack of agency) are deeply problematic not only for victims and child protection services, but also for how teachers and other education professionals understand children and young people's sexuality and CSA (a term I use to include child sexual exploitation or CSE) and ultimately how they respond to victims.

PRACTICE IMPACT STATEMENTChild sexual exploitation perpetrated by organised networks has been a major child protection concern in the UK. This paper uses police investigation files and interviews with police officers to reconstruct and explore the structures and mechanisms underlying offender and victim networks in five cases of network-based CSE perpetrated within UK communities between 2010 and 2021. Using social network analysis and content analysis this paper finds that, while structures vary, most offender networks are loosely connected, lack centres of power and lack structural sophistication. Additionally, examination of the corresponding victim cohorts demonstrates that victims often come from interconnected peer groups intrinsically involved in introducing each other to offender networks. Specific roles in network activity could be identified and matched to both offenders and victims. Statistical analysis shows that an offender’s structural position in the network is related to the specific roles they perform, with different roles showing distinct structural profiles.The study suggests that identifying and targeting offenders with specific roles within CSE networks could aid strategic network disruption. However, it is also implied that when it comes to dismantling networks, taking an offender-centred approach may not be the most effective strategy, as they are structured in a way that is resilient to these tactics. Instead, the study proposes that engaging with victim networks could serve as a more effective alternative. [ABSTRACT FROM AUTHOR]

This paper reports on the findings from a systematic review of parenting interventions used by social workers to support vulnerable children in the United Kingdom. The study focused on children from birth to 11 years and 11 months based on Munro's rationale for early intervention. From the 423 papers initially identified, twelve met the inclusion criteria for this review. Four common themes were identified: developing relationships, the effectiveness of parenting interventions, societal impact on families and health and psychological concerns. The importance of effective relationships between parents and social workers was identified as key to effective parental interventions but there was limited evidence of improved outcomes for children despite this. A common factor in the studies was the level of parental deprivation which in many cases was associated with a range of mental health issues frequently seen in association with drug and alcohol abuse and domestic violence. The review identified a number of successful outcomes across a range of parenting interventions. However, what was surprising was the limited input from the children themselves within this review. Applying our findings to practice, the authors recommend a number of ways to contribute to the development of parenting interventions. [ABSTRACT FROM AUTHOR]

This paper reports on the evaluation of an integrated violence and abuse prevention programme for children aged 5–11, focusing on children with special educational needs and disabilities (SEND). The Speak Out Stay Safe (SOSS) programme was delivered in mainstream primary schools across the UK. A small‐scale study of children with SEND nested within the larger evaluation captured their understandings of abuse and harm and readiness to seek help. A specially adapted survey was completed by 76 children with SEND (aged 6–7 and 9–10) at baseline (31 intervention; 45 comparison schools), 12 in intervention schools post‐programme and 37 (four intervention; 33 comparison schools) six months post‐baseline. Qualitative data was captured through 16 teacher interviews. Whilst this nested study was compromised by the COVID‐19 pandemic, it provides important evidence that with appropriate adaptations, a survey approach to investigating the learning of children with SEND can be effective. Findings indicate that awareness of abuse and help seeking strategies may improve over time, whilst interview data suggests that adapting the programme to be inclusive of those children may have a better effect. However, a much larger sample of children with SEND is required to confidently measure the effects of such programmes for this population. [ABSTRACT FROM AUTHOR]

Communicating and engaging with children is a foundational component of child care social work practice, but all too frequently, in the wake of serious incidents, it is the focus of criticism. Drawing on findings from a large‐scale ESRC‐funded research project conducted in the four U.K. nations, this paper explores, through a psychosocial analytic lens, how social workers anticipate, enact and reflect on their encounters with both children and their families. Close analysis of what social workers said about their practice alongside what they were observed to do in practice revealed perceptions, patterns and processes of communication that, first, minimize emotions and the complexity of the professional task and second, overly privilege verbal interaction. Drawing on Sennett's (2012) ideas this paper offers a reconceptualisation of this professional task, from a communicative to a co‐operative one. It affords and creates a space in which social workers can develop more attuned communicative practices that include rituals, gestures and the minimal use of force. The theoretical insights and evidence‐informed practice recommendations arising from this research have conceptual significance for the social work discipline and practical significance for the child care social work profession, across national and international contexts. [ABSTRACT FROM AUTHOR]

The Department of Education and Science, led by then Secretary of State Margaret Thatcher, published a White Paper in December 1972 calling for a dramatic expansion of public nursery education, so that it might be available within a decade to all families with 3- and 4-year-old children who chose to utilize it. While this failed policy is seldom remembered today, and Thatcher's efforts to promote the care and education of young children are not considered part of her considerable legacy, the White Paper's policy propositions challenge understandings about the formation and consistency of both Britain's child care policy and 'Thatcherism'. During this period, Thatcher believed that extending the frontiers of the state was appropriate to promote child welfare during the crucial first years of life. She conceived of nursery education as serving a developmental and educational purpose for all children, quite separate from welfare provisions for poor families or work supports for women. It is this crucial, albeit arbitrary, distinction which explains how nursery education was envisaged as an exception to her advocacy of cutting welfare spending. [ABSTRACT FROM AUTHOR]

Family group conferences (FGCs) in child welfare share decision-making with family members by bringing the immediate and wider family together to make a plan to meet a child's needs. This paper reports survey findings on FGC provision in the UK in 2022 and explores whether in England the presence of an FGC service and the rate of FGC provision is associated with the rate of children in care, entering care, in kinship foster care and leaving care. Seventy-nine per cent (n  = 167) of local authorities in the UK provided FGCs to families, and 14 per cent (n  = 29) did not. Services that were more established offered a more diverse range of FGCs. The introduction of FGCs in English local authorities was associated with a higher rate of children in care, but also higher rates of kinship foster care, a key goal of FGCs where it is not possible for children to stay with their parents. Higher rates of FGCs were associated with more children leaving care, possibly due to reunification with birth families. To understand in more detail, the circumstances of children in and leaving care in local authorities with FGCs, individual data linkage studies are needed. [ABSTRACT FROM AUTHOR]

In 2023, the UK Government published its long-awaited reform strategy for England's children's social care system. Whilst the strategy set out planned reforms for several aspects of the wider system, an area requiring particular 'priority' was the purported workforce instability seen within child protection social work. However, the strategy has subsequently faced criticism on the basis that the suggested reforms were not satisfactorily informed by the testimonies of practicing social workers. This paper draws from a mixed-method study to report on the lived experiences of a sample of 201 child protection social workers practicing across England, in the context of better understanding the factors which they believed were impacting on workforce stability within England's child protection system. Implications that emerge are the need for an increase in the monetary commitment offered by the UK Government (especially in the context of tackling high caseloads, and improving local authority pay scales to reduce the allure of agency work); a targeted emphasis on challenging local cultures preoccupied with evidencing compliance over time spent with children; and the Government taking a more assertive role in tackling the often-counterproductive commentary perpetuated by politicians and media. [ABSTRACT FROM AUTHOR]

This paper aims to consolidate existing literature on the psychological impact of sending children away to boarding schools in Britain. A scarcity of literature pertaining specifically to independent boarding schools leads the author to examine child developmental theory, peer victimization in the British Army, trauma within captivity and adaptive behaviours. In conclusion, it is clear from this research that more time and effort is needed to understand the psychological impact of sending children away from home to be schooled, socialized and parented institutionally. In particular, the ethos and traditions associated with British and colonial schools, and the way in which these things are preserved warrants further study as it appears to be a significant source of the attitude toward children in boarding schools. The psychoanalytic community may be best placed to understand, and make understood, the positive or negative impact on children attending boarding schools in Britain. [ABSTRACT FROM AUTHOR]

This paper illustrates the development, value and outcome of co-working with a 'child research advisory group' (CRAG) within healthcare research. The UK qualitative study completed as part of a Doctorate in Education (EdD) primarily explored the child's experience of hospital in Northern Ireland from the perspective of the child (and children's nurse). Essentially the role of the CRAG was to co-develop simple research questions and a data collection tool which was child centered, rather than adult centered – the research tool would be used with the main study child participants aged six to 12 years old in 2017. Five primary school children, with experience of hospital from year six and seven agreed to act as a CRAG in 2016. The outcome being an innovative data collection tool which is an App featuring the choice of two talking cartoon characters who asked the co-designed research questions via an iPad. The characters are Sprinkle Cupcake and Ronaldo Football. [ABSTRACT FROM AUTHOR]

Child protection continues to be a pressing social problem. Robust and relevant research is essential in order to ensure that the scale and nature of child maltreatment are understood and that preventative and protective measures are effective. This paper reports selected results from a mapping review of research conducted in the UK and published between January 2010 and December 2014. The purpose of the review was twofold: to develop a typology of child protection research; and to use this typology to describe the features and patterns of empirical research undertaken recently in the UK in order to inform a future research agenda. The paper reports the maltreatment types, substantive topics and research designs used within empirical research published in academic journals. It identifies a number of challenges for the field including the need for conceptual clarity regarding types of abuse, greater methodological diversity and a shift of focus from response to prevention of child maltreatment. The importance of a national strategic agenda is also emphasised. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioner Messages A substantial proportion of empirical research focuses on child maltreatment generally and less is known about some specific types of maltreatment such as exposure to domestic abuse and child trafficking., More robust evidence is particularly needed concerning the effectiveness of interventions and choice of preventative approaches., Research-minded practitioners have an important contribution to make to the development of a practice-relevant research agenda. [ABSTRACT FROM AUTHOR]

The gathering of 'wishes and feelings' in UK child protection proceedings (s.53 Children Act 2004) should highlight the child's opinion of social work intervention and services provided. However, with no statutory social work guidance on participation currently in place, children frequently miss opportunities to be involved in their own child protection planning. This paper is drawn from a 3‐year study into participation in child protection social work. It includes findings from qualitative interviews, and one focus group, with social workers, parents, children and participation workers, from three local authorities in the United Kingdom. The findings revealed some examples of significant gaps in service provision, particularly from the perspective and understanding of the child. The skewed translation of wishes and feelings legislation, along with its subsequent (and often inadequate) application to practice, prevents children from understanding and responding to social work intervention and can lead to idiosyncratic practice. This paper provides recommendations for a practical response to practitioner dilemmas regarding wishes and feelings and bridges the gap between research and practice. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to describe a youth work model of participatory research practice which utilises a range of methods within non-traditional research settings, highlighting the importance of trust, risk-taking and the creation of mutually respectful and non-hierarchical relationships. The paper suggests that such methods enable the development of new insights into previously intractable challenges when working with adolescents needing a safeguarding response from professionals. Design/methodology/approach: The paper reflects on the challenges and successes of a project which brought police officers and young people together to develop solutions to improving safeguarding responses to young people affected by sexual violence and related forms of harm in adolescence. In particular, this paper focuses on a residential held in October 2016 in the Lake District involving 7 officers and 15 young people. Findings: Despite a number of ethical challenges throughout the project, this paper makes the case that potentially high-risk participatory research projects can be supported and managed by university research centres. However, for these to be successful, staff need to work in trauma-informed ways, and possess high-level expertise in group work facilitation. Transparency, honesty, constancy and a range of different and creative activities, including mental and physical challenges, all contributed to the success of the project. Originality/value: By detailing the empirical steps taken to develop, support and realise this project, this paper advances a youth work model of participatory research practice, filling an important gap within the methodological literature on participatory work with young people affected by sexual violence. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Family Therapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

It is an accepted principle of domestic and international law and policy that the welfare or best interests of the child must be the primary or paramount consideration in any decision made with regard to that child's upbringing. While this 'best interests standard' has become a core principle of welfare law, what might constitute a child or young person's best interests is given very little formal shape or content. This has provoked sustained criticism from practitioners, academics and the judiciary. In response, this paper argues that the capabilities approach can give best interests assessments much needed normative content, thereby addressing many of the criticisms directed towards the standard. The approach provides a theoretically nuanced framework for theorising about basic social justice and for evaluation, deliberation, and policy development across social welfare sectors. In arguing for a capabilities approach to best interests assessments, the paper sets out an agenda for change. It addresses the conceptual and methodological justifications for this change, and explores the empirical work that would be required. It identifies the steps and underlying principles necessary for a best interests process aligned with the capabilities approach, providing the necessary foundations for a radical reconceptualisation of best interests processes. [ABSTRACT FROM AUTHOR]

Copyright of Sociedad e Infancias is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper revisits core family support messages for social work practice in working with children and families, linking to findings from high-profile child protection cases in the UK and the Republic of Ireland. Drawing on a comparative study where these identified practice messages were explored through the lens of testimony of family support workers in the UK and Ireland, these core messages are examined. Operating with hard-to-engage children and parents, we hear how families and family support worker colleagues now view the core functions of child and family work across both jurisdictions (Ireland and England). The authors argue that by naming a more detailed set of practices that are deemed as most useful by families, based on the benefits and challenges of intensive family support work, key messages arise that have major resonance for social work and multiagency practice into the future. A basic message from this study is that valuable lessons on engagement and intervention with families can be drawn for professionals by examining the practice elements of this group of paraprofessionals in the child and family arena. This paper adds to debates on the role of support and intervention in social work and family support work. [ABSTRACT FROM AUTHOR]

Abstract: This paper introduces a systemic methodology for reviewing professional responses to abuse between young people. The approach, “contextual case reviewing,” draws upon constructivist structuralism to assess the extent to which safeguarding practices engage with the social and public contexts of abuse. The paper conceptually compares the methodologies of contextual case review and other serious case review methods before drawing upon findings from 2 studies, which used the contextual case review methodology to explore the extrafamilial nature of peer‐on‐peer abuse and the ability of child protection practices to engage with this dynamic. Thematic findings from these studies regarding the practical interpretation of “significant harm” and “capacity to safeguard,” as well as their use within child protection assessments, are used to challenge conclusions of other case reviews, which imply that child protection procedures are sufficient for safeguarding young people. Contextual case reviews suggest that safeguarding practices, and the legislation that underpins them, are culturally, procedurally, and organisationally wedded to the context of the home, whereas insufficiently engaged with extrafamilial contexts of significant harm. The application of these issues require interrogation if social work systems are to provide sufficient mechanisms for safeguarding young people and families at risk of significant harm. [ABSTRACT FROM AUTHOR]

As in many European states, a shortage of housing in England has resulted in some families who are 'waiting for' adequate and secure housing in England while also having the 'weight of' their children being placed outside their care hanging over them. This paper reports on the development of a practice guidance document that included an online survey with 38 children's social services practitioners in England regarding their practice experiences of responding to family homelessness. Findings suggest the complexity of the issue of family homelessness and implicitly highlight its neglect within contemporary research and policy in the UK. Homeless families are caught between the constraints of housing shortages and the complexity of the needs underpinning their homelessness. Despite these constraints, social work practice has an important role to play in providing, or facilitating families' pathway to, housing advocacy and advice. Most importantly of all, social work practice can maximise families' access to statutory family support provision so that families can be helped to remain together wherever this is safely possible. Suggestions for practice, policy, and research development are outlined. [ABSTRACT FROM AUTHOR]

Social work in the United Kingdom is preoccupied with what social workers cannot do due to having limited time to spend with service users. Yet remarkably little research has examined what social workers actually do, especially in long‐term relationships. This paper draws from an ethnographic study of two social work departments in England that spent 15 months observing practice and organizational life. Our findings show that social work some of the time has a significant amount of involvement with some service users and the dominant view that relationship‐based practice is rarely achieved is in need of some revision. However, families at one research site received a much more substantial, reliable overall service due to the additional input of family support workers and having a stable workforce who had their own desks and were co‐located with managers in small team offices. This generated a much more supportive, reflective culture for social workers and service users than at the second site, a large open plan "hot‐desking" office. Drawing on relational, systemic, and complexity theories, the paper shows how the nature of what social workers do and culture of practice are shaped by the interaction between available services, office designs, and practitioners', managers', and service users' experiences of relating together. [ABSTRACT FROM AUTHOR]

This paper reviews 26 reports into deaths and serious abuse of children in families who were subject to the No Recourse to Public Funds (NRPF) rule. Our analysis illustrates vulnerabilities caused by exclusionary policies, exacerbating social deprivation and isolation experienced by the children and families and making it more difficult for professionals to respond in ways which safeguarded children's welfare. Drawing upon a social model for protecting children that requires recognition of the social determinants of harm and the economic, social and cultural barriers faced by families, we examine the experiences of children and families with NRPF who were the subject of a serious case review, and the responses of agencies responsible for safeguarding child welfare. We conclude with recommendations for practices aimed at promoting the rights and well‐being of children and families subject to NRPF rules. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to reflect on development in children’s social work over 35 years from the perspective of someone who has worked in the field as a practitioner and director.Design/methodology/approach Interview.Findings The paper provides insights into implementing the Reclaiming Social Work model and how systems can better support social work practice with children and families.Originality/value The paper offers a unique perspective on developments in the field and implications for the future of children’s social work. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to explore the aspects of social work for children, primarily in England.Design/methodology/approach It is based on reflections on research undertaken by the author prior to 1995 and after 2015.Findings The paper explores the interaction between people – effective leaders and practitioners – and systems.Research limitations/implications It is an opinion piece, and does not present findings from a single study.Practical implications It urges systems that do not restrict the capability of practitioners.Social implications The value of social work services at times of significant social disadvantage demands strong public policy attention.Originality/value The study draws on several research and case studies in over 20 English local authorities [ABSTRACT FROM AUTHOR]

Purpose There are often calls for more focus on outcomes in Children’s Social Care yet there is little consensus on what these outcomes should be. Key challenges include who should decide what outcomes should be measured and the sheer range of issues that social workers deal with. The purpose of this paper is to provide a reflective account of approaches to measuring outcomes that the author has used in recent studies in order to illustrate the complexity involved in understanding what the purpose of Children’s Social Care is and therefore how outcomes might be measured.Design/methodology/approach A review of and reflection on lessons from recent research studies carried out by the author and colleagues.Findings The results are used to illustrate and support an argument that Children’s Social Care performs multiple functions and that this has implications for thinking about outcomes. Helping children and parents is one element of the work, but assessing risk across large numbers of referrals and identifying those that require involvement is equally important. Furthermore, the social work role requires complex considerations around liberty and the rights of parents and children. One consequence of this is that the quality of the service provided is important in its own right.Research limitations/implications It is suggested that the evaluation of Children’s Social Care involves four types of outcomes: measures of the quality of the service provided; assessment of whether the “right” families are being worked with; client-defined measures of change; and the development of appropriate standardised instruments. Examples of approaches in each area are discussed.Practical implications The theoretical considerations suggest that we need to have a multi-dimensional approach to evaluating, inspecting and leading Children’s Social Care services. In particular, the importance of the quality of delivery and appropriate targeting of the service are emphasised, as well as considering various approaches to measuring outcomes.Originality/value The paper proposes a combination of qualitative and quantitative measures of process, assessment and outcomes for evaluating outcomes in Children’s Social Care. [ABSTRACT FROM AUTHOR]

This paper draws on UK data from an international, comparative project involving eight countries. The study examined how social workers' conceptions and definitions of family impact on the way they engage with complex families, and how social policies that frame social work context impact on the way social workers engage with families. Focus groups were held in which social workers from four service areas (child welfare, addictions, mental health and migration) were asked to discuss a case vignette. Several factors were embedded in the vignette to represent a realistic situation a social worker may come across in their day-to-day work. Social workers clearly identified the complexity of the family's situation in terms of the range of issues identified and candidate 'causes'. However, typical first responses were institutional, looking for triggers that would signify certainty about their, or other agencies' involvement. This resulted in a complicated story, through which the family was disaggregated into individual problem-service categories. This paper argues that understanding these processes and their consequences is critical for exploring the ways in which we might develop alternative, supportive professional responses with families with complex needs. It also demonstrates how organisational systems manifest themselves in everyday reasoning. [ABSTRACT FROM AUTHOR]

This paper describes a paradigmatic shift in child protection practice within the UK, arguing that there is a move away from the risk paradigm but that its replacement is not yet defined. The paper draws upon the critical literature to elucidate this shift and to give examples and arguments for why the risk paradigm is unsustainable and how this has created an essential tension within the profession. While the case against the risk perspective is strongly argued there is not yet a coherent perspective to replace it which is problematic as practitioners are left with a toolkit of technical interventions to guide their practice but what is missing is the capacity to develop an ethic of practice due to a failure of social work in the UK to engage with philosophical questions about its remit. The conclusion is drawn that social work needs to focus more on ethical fluency rather than being stuck on statistical understandings of practice and policy in order to achieve a shift in paradigm from 'risk' to 'ethics'. [ABSTRACT FROM AUTHOR]

An introduction is presented in which editor discusses articles in the issue on topics including systemic assessment format in a fieldwork team; use of an anticipatory dialogue approach in a social care setting; and how a model developed in a clinical setting for use in child protection services.

Background: Many women in prison are mothers and an increasing number are pregnant. These women face the harsh reality of potentially being separated from their babies or children, which can have detrimental effects on both the mother and the child. Aims: To review the literature surrounding the impact of mothers and children staying together in a prison environment. Method: The review focused on papers from the past 9 years and included mothers whose children resided with them in prison, and mothers who had been separated from their babies after giving birth in prison. Three articles were identified: two qualitative studies based on interviews with imprisoned mothers, and one quantitative study into re-offending rates of women who had been released from a prison nursery programme. Findings: Keeping their babies and mother together in a prison environment resulted in a positive outcome, particularly for the mothers. However, when thinking about the welfare of the child, there need to be sufficient opportunities to allow for their physical, social and emotional development. The common themes that emerged during this literature review were: low re-offending rates, motherhood producing motivation for change, and the effect of staying together on maternal and child wellbeing. Conclusions: This review highlighted the need for further studies, especially focusing on prisons in the UK. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor refers to articles in the first issue of the periodical, such as Continuing Professional Development (CPD) on preventing child abuse and promoting wellbeing of children, vulnerability of children with albinism in Africa, and domestic violence.

Although media influence has long been recognised within adoption, there has been relatively little research into the nature of coverage. This article focuses on press articles from five UK national daily newspapers and their Sunday sister papers in the years 2010‒2014. This broadly coincides with the period of Coalition Government in the UK and its focus on adoption reform. Findings reveal strong support for the Government's reform programme, its rationale within child welfare and many of its specific measures, but with some contrasts between individual newspapers and critical comment found almost entirely within one pairing. Particular themes concern excessive bureaucracy and politically motivated opposition to adoption. Race and ethnicity emerge as the most frequently covered issues, dominated by critique of barriers to transracial adoption. Principal themes are often developed with inaccurate, misleading or exaggerated reporting, which in turn raises the question of how adoption agencies might respond to this. [ABSTRACT FROM AUTHOR]

At present, there are no reliable data to identify the number of patients who present for infertility investigations and who are current users of illicit drugs. Therefore, the full extent of this problem remains hidden. Estimates can be made on the basis of population use, although this lacks rigour. The use of illicit drugs can impact on infertility investigations, treatment, welfare of the child and parenting. Furthermore, it can result in serious legal sanctions, including imprisonment. There does not appear to be consistent practice across HFEA licenced clinics in either requiring: (i) the addicted patient to have a specified drug-free period before commencing investigations; or (ii) all patients to be routinely screened. As well as describing the extent of illicit drug use in the UK population, and therefore in those who present in clinic, this paper will discuss screening and encourages debate across clinics regarding a mandatory drug-free period and the development of an appropriate Standard Operating Procedure. [ABSTRACT FROM AUTHOR]

There is a growing interest in English-speaking jurisdictions, including Australia, North America, Canada, the United Kingdom and New Zealand, about the prevention of sexual abuse perpetrated by children against other children. The aim of this review was to identify opportunities for research, policy and practice which could enhance the prevention agenda relating to the perpetration of sexual abuse by children through conducting a Critical Interpretive Synthesis. Eleven electronic databases were searched in the period from 22 April to 23 May 2013 and included: SocINDEX, Social Services Abstracts, Applied Social Sciences Index and Abstracts, Family and Society Studies Worldwide, Project Muse, PsychINFO, Family and Society Plus, Jstor, Expanded Academic ASAP, Web of Science and Google Scholar. Key individual journals were also searched, including Child Abuse and Neglect and the Journal of Interpersonal Violence, as well as the grey literature. The search was guided by the research question: How could the prevention agenda relating to sexual abuse perpetrated by children be enhanced? The systematic literature search yielded 3323 titles, and 34 of these papers were included in the final synthesis. The authors identified five domains operating in the evidence base: characteristics, causes, communications, interventions and treatments. A synthesising construct emerged from the review: prevention-enhancing interactions. This construct referred to the potential for enhancing the prevention agenda which exists as the evidence domains interact with one another, and with the public health model of prevention. The authors consider this review to be a timely contribution to the current agenda pertaining to sexual abuse perpetrated by children. It provides researchers, policy makers and practitioners in the field with an evidence-informed conceptualisation of opportunities for enhancing prevention work. [ABSTRACT FROM AUTHOR]

Background: Up to 20% of UK children experience socio-emotional difficulties which can have serious implications for themselves, their families and society. Stark socioeconomic and ethnic inequalities in children's well-being exist. Supporting parents to develop effective parenting skills is an important preventive strategy in reducing inequalities. Parenting interventions have been developed, which aim to reduce the severity and impact of these difficulties. However, most parenting interventions in the UK focus on early childhood (0-10 years) and often fail to engage families from ethnic minority groups and those living in poverty. Strengthening Families, Strengthening Communities (SFSC) is a parenting programme designed by the Race Equality Foundation, which aims to address this gap. Evidence from preliminary studies is encouraging, but no randomised controlled trials have been undertaken so far.Methods/design: The TOGETHER study is a multi-centre, waiting list controlled, randomised trial, which aims to test the effectiveness of SFSC in families with children aged 3-18 across seven urban areas in England with ethnically and socially diverse populations. The primary outcome is parental mental well-being (assessed by the Warwick-Edinburgh Mental Well-Being Scale). Secondary outcomes include child socio-emotional well-being, parenting practices, family relationships, self-efficacy, quality of life, and community engagement. Outcomes are assessed at baseline, post intervention, three- and six-months post intervention. Cost effectiveness will be estimated using a cost-utility analysis and cost-consequences analysis. The study is conducted in two stages. Stage 1 comprised a 6-month internal pilot to determine the feasibility of the trial. A set of progression criteria were developed to determine whether the stage 2 main trial should proceed. An embedded process evaluation will assess the fidelity and acceptability of the intervention.Discussion: In this paper we provide details of the study protocol for this trial. We also describe challenges to implementing the protocol and how these were addressed. Once completed, if beneficial effects on both parental and child outcomes are found, the impact, both immediate and longer term, are potentially significant. As the intervention focuses on supporting families living in poverty and those from minority ethnic communities, the intervention should also ultimately have a beneficial impact on reducing health inequalities.Trial Registration: Prospectively registered Randomised Controlled Trial ISRCTN15194500 . [ABSTRACT FROM AUTHOR]

This paper offers a commentary regarding the centrality of critical reflection in social work before discussing a research project drawing on a sample of ten social work students as they approached the end of their social work training in one English university. The original intention of the research was to focus solely on students' perceptions of critical reflection, but when using a more reflexive approach, we identified that participants utilised the focus groups as an opportunity to discuss their practice learning experiences per se before considering and discussing critical reflection. Most students were placed in child protection social work teams and discussed how they felt unprepared for such a fast-paced and stressful environment. Participants felt that the expectations some practitioners had of students were unrealistic, and not always commensurate with the Professional Capabilities Framework. Students highlighted the use of practice scenarios in developing their knowledge and skills particularly when considering their application of critical reflection. This study highlights the significance of adequate preparation for practice and argues for a more focussed agenda for future research exploring the culture of learning, including those factors that inhibit students sharing their concerns as well as the training needs of educators. [ABSTRACT FROM AUTHOR]

Purpose: Young people who are looked after by the state face challenges as they make the transition from care to adulthood, with variation in support available. In the past decade, funding has been directed towards organisations to pilot innovations to support transition, with accompanying evaluations often conducted with a single disciplinary focus, in a context of short timescales and small budgets. Recognising the value and weight of the challenge involved in evaluation of innovations that aim to support the transitions of young people leaving care, this paper aims to provide a review of evaluation approaches and suggestions regarding how these might be developed. Design/methodology/approach: As part of a wider research programme to improve understanding of the innovation process for young people leaving care, the authors conducted a scoping review of grey literature (publications which are not peer reviewed) focusing on evaluation of innovations in the UK over the past 10 years. The authors critiqued the evaluation approaches in each of the 22 reports they identified with an inter-disciplinary perspective, representing social care, public health and organisation science. Findings: The authors identified challenges and opportunities for the development of evaluation approaches in three areas. Firstly, informed by social care, the authors suggest increased priority should be granted to participatory approaches to evaluation, within which involvement of young people leaving care should be central. Secondly, drawing on public health, there is potential for developing a common outcomes' framework, including methods of data collection, analysis and reporting, which aid comparative analysis. Thirdly, application of theoretical frameworks from organisation science regarding the process of innovation can drive transferable lessons from local innovations to aid its spread. Originality/value: By adopting the unique perspective of their multiple positions, the authors' goal is to contribute to the development of evaluation approaches. Further, the authors hope to help identify innovations that work, enhance their spread, leverage resources and influence policy to support care leavers in their transitions to adulthood. [ABSTRACT FROM AUTHOR]

This discussion paper will examine the lessons from the Munro Review relevant for looked after children. Although the Munro Review focuses on child protection, we will argue that some of its key principles have relevance for understanding looked after childhoods. The Munro Review provides an analysis of the current state of the child protection system, challenging bureaucratised practice and arguing for a reclaiming of professional social work identity, knowledge and understanding. There are three key principles of the Munro Review that this paper will focus upon. The first two are the recognition that risk cannot be eradicated and the bureaucratisation of practice is an inadequate response to the demand for public accountability. The third principle is that ethical integrity lies at the heart of services for children in public care. The key message of this paper is that a Munro approach can transform looked after childhoods. However, the current ‘child protection’ model of social work in England may prevent this shift in social work practice. [ABSTRACT FROM PUBLISHER]

The publication of the fourth edition of Health for All Children (Hall 4) in 2003 marked a shift in health visiting towards a more targeted service. This paper aims to explore, through the accounts of health visitors, the impacts of this changed policy context for health visiting practice and for the health visiting profession. The study, upon which this paper is based, was a qualitative exploration carried out in one NHS locality with broad socio-economic diversity. Semi-structured interviews were undertaken with 16 health visitors. The data was analysed using thematic and narrative techniques. In the study health visitors expressed concerns about the impacts of Hall 4 on health visiting practice, particularly in relation to health visiting expertise and the increase focus on child protection work shaping health visiting practice. In conjunction, health visitors' accounts suggest low morale as a profession. The paper concludes that the impacts of future policy change on health visiting practice must be fully considered; and, measures taken to prepare and support health visitors through periods of policy change. [ABSTRACT FROM AUTHOR]

In the health and social care sector, tiered services have become an increasingly influential way of organising professional expertise to address the needs of vulnerable people. Drawing on its application to UK child welfare services, this paper discusses the merits of the tiered model from a socio-technical perspective - an approach that has emerged from the fields of accident analysis and systems design. The main elements of a socio-technical critique are outlined and used to explore how tiered services provide support to families and prevent harm to children. Attention is drawn to the distribution of expertise and resources in a tiered system, and to the role of referral and gate-keeping procedures in dispersing accountability for outcomes. An argument is made for designing systems 'against demand', and the paper concludes by discussing some alternative models of multi-agency provision. [ABSTRACT FROM AUTHOR]