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Competing Interests: We declare no competing interests.

Child maltreatment is a global problem affecting millions of children and is associated with an array of cumulative negative outcomes later in life, including unemployment and financial difficulties. Although establishing child maltreatment as a causal mechanism for adult economic outcomes is fraught with difficulty, understanding the relationship between the two is essential to reducing such inequality. This paper presents findings from a systematic review of longitudinal research examining experiences of child maltreatment and economic outcomes in adulthood. A systematic search of seven databases found twelve eligible retrospective and prospective cohort studies. From the available evidence, there was a relatively clear relationship between 'child maltreatment' and poorer economic outcomes such as reduced income, unemployment, lower level of job skill and fewer assets, over and above the influence of family of origin socio-economic status. Despite an extremely limited evidence base, neglect had a consistent relationship with a number of long-term economic outcomes, while physical abuse has a more consistent relationship with income and employment. Studies examining sexual abuse found less of an association with income and employment, although they did find a relationship other outcomes such as sickness absence, assets, welfare receipt and financial insecurity. Nonetheless, all twelve studies showed some association between at least one maltreatment type and at least one economic measure. The task for future research is to clarify the relationship between specific maltreatment types and specific economic outcomes, taking account of how this may be influenced by gender and life course stage., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

An up‐to‐date and accurate picture of the evidence on the impact of poverty is a necessary element of the debate about the future direction of children's social care services internationally. The purpose of this paper is to update evidence about the relationship between poverty and child abuse and neglect (CAN) published since a previous report in 2016 (Bywaters et al., 2016). A systematic search was conducted, identifying seven reviews. Poverty was found to be consistently and strongly associated with maltreatment, be that in terms of familial or community‐level poverty, or in terms of economic security. Findings demonstrated that both the type and the quantity of economic insecurities impacted child maltreatment. Certain economic insecurities – income losses, cumulative material hardship and housing hardship – reliably predicted future child maltreatment. Likewise, as families experienced more material hardship, the risk for maltreatment intensified. In some studies, the relationship between poverty and maltreatment differed by abuse type. Future reviews need to investigate individual papers and their findings across different CAN measures, definitions, samples, abuse types and conceptualisations of poverty to provide a comprehensive understanding of the current research base and the directions which need to be taken to further understand and prevent CAN. Key Practitioner Messages: Poverty should be a central theme in work with families, and visible in assessments, case conferences and court reports.Research indicates that child protection practices need to move away from a narrow focus on parental risk to harmful contexts and ways of addressing these in which society, communities and families can provide environments where harm is minimised, and children are enabled to flourish.Further research is needed to better understand the relationship between poverty and CAN. [ABSTRACT FROM AUTHOR]

Having a secure, safe and affordable home is an essential element in the experience of a 'good enough' childhood. This is not available to a large and growing number of children and parents in the UK because of a structural housing crisis affecting the availability, quality, affordability and regulation of accommodation. There is a clear body of evidence which demonstrates the negative effects of poor housing and homelessness on children's health and development. A much smaller body of work implicates housing policies and conditions in child abuse and neglect, but there is a profound lack of good quality data or research about the role which housing and homelessness play in shaping demand for social care in the UK. This article reviews the available evidence, identifying limitations and gaps. Its aim is to open up policy and practice conversations about the increasing significance of housing and homelessness as a critical issue for children's social care in the UK whilst making the case for an urgent research agenda. [ABSTRACT FROM AUTHOR]

Demand for children's social care is often conflated with rates of intervention and associated with a limited constellation of parental risk factors. This article reports on a more comprehensive picture of demand obtained through a quantitative study of child welfare interventions in England. Longitudinal child-level data were combined from children's social care services in six English local authorities over a four-year period (2015–2018). Latent class analysis was undertaken for a random sample of child episodes where an assessment was undertaken (n  = 15,000). The results were tested for consistency across LAs and to identify the most appropriate number of classes. Conditional probabilities were used to interpret the demand represented by each class, and to explore the relationship between typologies and child characteristics such as age, gender and ethnicity. The analysis found seven classes, or typologies of demand, to be present in factors at assessment across all the LAs, which were linked to certain child characteristics and intervention pathways. The findings go beyond the 'toxic trio' terminology often used to profile risks to children and support the innovative use of administrative data to provide insight into patterns of demand. Implications are discussed for strategic responses to child welfare problems and the multi-agency context of prevention. [ABSTRACT FROM AUTHOR]

Flying Start is an enhanced early years programme in Wales which is targeted at areas where a high proportion of households with children are recipients of income‐related benefits or tax credits. Child protection interventions are known to be concentrated in more deprived areas. Flying Start could have the effect of reducing risk to children or, conversely, it could result in more children coming to the attention of social services. Administrative data were used to identify children in public care and on child protection registers in Wales on 31 March 2015 and to identify lower super output areas covered by Flying Start services. Child welfare intervention rates were examined, and a comparison was made between areas within deprivation quintiles where Flying Start was operating and areas where it was not. In areas where Flying Start services are provided, child welfare intervention rates are higher than in areas where they are not, after controlling for multiple deprivation. Further work is needed to establish why child welfare intervention rates are higher in Flying Start areas and what effect there might be longer term. 'Child welfare intervention rates were examined, and a comparison was made between areas... where Flying Start was operating and areas where it was not' Key Practitioner Messages: In Wales there is a 'social gradient' in the rates at which local authorities intervene by placing children in statutory care or making them subject to child protection procedures. For each increase in relative deprivation, there is a corresponding increase in intervention rates.In areas where Flying Start enhanced early years services are provided, child welfare intervention rates are higher than in areas where they are not, after controlling for area‐level deprivation.The link between poverty and risk to children needs to be more clearly acknowledged in the child protection process. [ABSTRACT FROM AUTHOR]

Inequalities in the proportion of children experiencing abuse and neglect or a children's social care intervention have become a research focus in the last decade. One almost unexplored factor of growth in rates of children in out-of-home care is local party politics. We assessed whether growth in rates of out-of-home care in England varied by local authority party political control. We collated administrative data on the 152 local authorities in England between 2015 and 2021. We used Bayesian parallel process latent growth models to assess whether growth in rates of children in care in English local authorities has been equal across Labour, Conservative, No Overall Control, and no political majority councils before and after adjusting for trends in child poverty, household income from employment, and expenditure on preventative services. Prior to adjusting for trends in child poverty, average household income, and expenditure, we find little evidence for differences in trends; once adjusted, we find that trends in Labour authorities were lower (−1.125 children looked after per 10,000 per year) than in Conservative authorities. Had growth in family and local authority economic factors remained constant, our findings suggested out-of-home care rates would have, on average, been stable or decreasing in Labour local authorities but would have continued to rise elsewhere. The contribution of local party politics to growing rates of out-of-home care remains under-theorised and under-researched, but there are potentially substantial differences along party lines that are masked by unequal exposure to changes in poverty. • Rates of children in out-of-home care in England have grown dramatically. • Research has focused on socioeconomic drivers, but little on local politics. • After controlling for socioeconomic factors, party politics appears to matter. • Labour council care rates would have likely decreased were poverty rates stable. • Conservative & no overall control rates would have likely continued to increase. [ABSTRACT FROM AUTHOR]

• A small and limited number of good quality studies have focused on the association between fathers' mental health and child maltreatment. • Of the few studies on this topic, most have focused on common mood disorders such as depression and anxiety. • There is some evidence suggest that there's a significant association between depression and physical abuse, yet the magnitude of this association remains unclear. • Overall the available evidence is not sufficient to make strong conclusions about the association between fathers' mental health and child maltreatment. Parental mental ill-health is often described as a risk factor for child maltreatment. Yet the literature commonly foregrounds maternal mental ill-health. To obtain a more complete picture, it is crucial to also understand the associations between fathers' mental health and child maltreatment. To provide a narrative synthesis of evidence about the relationship between fathers' mental health and child maltreatment. Four electronic databases were searched, identifying 5479 citations. 151 studies were brought to full-text review. 37 were included in the study. Studies revealed mixed evidence for associations between forms of paternal mental ill health and child maltreatment, with stronger evidence for paternal depression and weak or no evidence for PTSD and anxiety. Many confounding factors were identified across the papers. The small number and limited range of good quality studies indicate the need to correct the relative invisibility of fathers within research about mental health and child maltreatment. At present, the available evidence is not sufficient to draw firm conclusions about the association between fathers' mental health and child maltreatment or appropriate policy and practice responses. [ABSTRACT FROM AUTHOR]

Highlights • Most minority ethnic groups in England and USA experience socio-economic (SEC) disadvantage. • Controlling for SEC, wide disparities in child protection rates found between ethnic categories. • Indian rates lower than Pakistani, Bangladeshi, White British. • Black African rates lower than Black Caribbean. • More research is needed to build understanding and underpin policy and practice attention. [ABSTRACT FROM AUTHOR]

Abstract: The relationship between children's material circumstances and child abuse and neglect raises a series of questions for policy, practice, and practitioners. Children and families in poverty are significantly more likely to be the subject of state intervention. This article, based on a unique mixed‐methods study of social work interventions and the influence of poverty, highlights a narrative from practitioners that argues that, as many poor families do not harm their children, it is stigmatizing to discuss a link between poverty and child abuse and neglect. The data reveal that poverty has become invisible in practice, in part justified by avoiding stigma but also because of a lack of up‐to‐date research knowledge and investment by some social workers in an “underclass” discourse. We argue, in light of the evidence that poverty is a contributory factor in the risk of harm, that it is vital that social work engages with the evidence and in critical reflection about intervening in the context of poverty. We identify the need for fresh approaches to the harms children and families face in order to support practices that engage confidently with the consequences of poverty and deprivation. [ABSTRACT FROM AUTHOR]

Although numerous international studies point to large variations in child welfare interventions, comparative analysis has tended to focus either solely on England or the UK as a whole, discounting differences across the four UK countries. This paper compares trends in national statistics relating to the operation of child protection systems across England, Scotland, Wales and Northern Ireland between 2004/05 and 2013/14. Despite a number of legislative, operational and definitional differences between nations, a number of trends are apparent. All systems show an increasing orientation towards child protection as evidenced by rising rates of child protection investigation and children subject to child protection planning. Increasingly, this relates to emotional abuse and involves younger children aged from birth to four years. However, the way cases are processed can differ, with only one in ten referrals resulting in a child protection investigation in Northern Ireland compared to one in five in England. Potential reasons for these differences are discussed and questions raised as to why, more than a quarter-century after the introduction of the 1989 Children Act, we still have no clear picture of the circumstances of families who come into contact with social services or the services provided to support them. [ABSTRACT FROM AUTHOR]

Comparative child welfare administrative data from each of the four jurisdictions of the UK (Scotland, England, Northern Ireland (NI) and Wales) were analysed over a ten-year period to examine rates and patterns of public care. Scotland followed by Wales has the highest rates of children in out-of-home care, followed by England and NI with similar lower proportions. Despite strong links between deprivation and higher chances of becoming looked after, this national variation appears more a reflection of differing legal and operational practice than higher levels of need for public care. Notwithstanding differing devolution settlements, a convergence in the direction of policy across the UK towards early intervention, extensive use of kinship care and adoption as an exit route from public care is apparent. This convergence is most apparent in the increased entry of very young children to public care in Scotland, NI and Wales. The lack of any systematic collection of data by governments on the social and economic conditions of children reflects a missed opportunity to examine separately their influence on rates of children in public care. [ABSTRACT FROM AUTHOR]

In recent years, the political context of children's social care in England has shifted from doubts about the efficacy of out-of-home care to the view that more children should be separated from their birth parents, earlier and more speedily. Brown and Ward's (2014) article ‘Cumulative jeopardy’ reflects this transition, making the case that there is a ‘gross mismatch between timeframes for early childhood development and professional responses to evidence of abuse and neglect in the early years’ (p. 6). This analysis of the research on which their argument is based, ‘Infants suffering, or likely to suffer, significant harm’, raises questions about whether the evidence presented adequately supports the conclusions drawn. Four aspects of the study are addressed: methodological, empirical, conceptual and ethical. It is argued that it is premature to reach a judgement about the balance of evidence for more widespread and early separation of infants from birth parents on the basis of the study. [ABSTRACT FROM AUTHOR]

• Risk of maltreatment from combined toxic trio factors a dominant concept in UK child protection. • Systematic review found 20 papers. • Evidence base lacks definition of key measures, intersectionality analysis or theoretical basis. • Other key risk factors, especially family socio-economic circumstances, excluded. • Need to rebuild the evidence base and rethink the focus of policy and practice. The term 'toxic trio' was coined to describe the risk of child abuse and neglect stemming from a combination of domestic violence, parental mental health issues and/or learning disability, and parental alcohol and/or drug misuse (Brandon, 2009). Although concerns about the language have been raised in some quarters, it has become a dominant reference point in children's social care in England and, to an extent, internationally over the past two decades. It has become embedded in the family justice system, child protection assessment processes and national data collection. There is evidence that each factor in isolation can lead to worse child outcomes, although this is of mixed quality and far from comprehensive. This article reports the results of a systematic review of evidence relevant to the relationship between the 'toxic trio' factors in combination and child maltreatment, identifying 20 papers. Despite the term's currency, we found little quality evidence of the incidence of the 'trio' factors in child maltreatment, little consideration of intersectionality and almost no theoretical examination of the supposed relationships. Such studies as have been conducted have too rarely taken into account, or controlled for, contextual factors, such as the socioeconomic circumstances or the ethnicity of the families, or children's ages. The discrepancy between the priority given to the 'toxic trio' and the paucity of the evidence-base makes a case for a shift away from over-simplified attributions of parental risk in policy and practice, and towards greater attention being given to other significant factors for child protection. [ABSTRACT FROM AUTHOR]

• The application of multilevel structural equation modeling was used to examine structural neighborhood factors associated with neglect. • Localized disparities in socioeconomic vulnerabilities are a good predictor of differential child protection involvement for reasons of neglect. • Socioeconomic factors had the greatest association with child protection involvement for neglect in the lowest density small area geographies. This paper explores the use of social geographic data and multilevel latent modeling to make initial predictions on geographic variation in child protection involvement for reasons of neglect, resulting in novel findings regarding the relationship between poverty and neglect in low-density geographies in the province of Quebec, Canada. This study used multilevel structural equation modeling, which combines both structural equation modeling and multilevel modeling, to test how a latent construct of socioeconomic vulnerability – across 10,650 small area geographies and 166 community health and social service regions in Quebec – is connected to child protection intervention for neglect in child population density quintiles across these geographies. Small area geographies and health and social service regions in this study are defined and discretely organized using full six digit postal codes and larger community regions provincially defined according to the public social and health services administered by the province. Full alphanumeric postal codes allow for more granular analysis than studies using only the first three digits. The rate of substantiated neglect cases is calculated per 1000 children aged 0–9 years, for the years 2006 to 2016, inclusively. The socioeconomic data for each of the small area geographies and health and social service regions was drawn from the 2011 Canadian National Household Survey and then matched to provincial administrative child protection data using full alphanumeric postal codes allowing for more granular analysis than studies using only the first three digits. Model fit evaluations (comparative fit index and Tucker-Lewis index) were conducted and results suggested acceptable model fit. Overall results suggest a consistent association between socioeconomic vulnerability and the increased likelihood of child protection involvement for reasons of neglect. However, latent socioeconomic factors were most associated with neglect cases in the lowest density small area geographies, suggesting that increased vulnerability to investigation for neglect is related to a sparse geographic spread of the child population. The association between socioeconomic vulnerability and neglect is not surprising, but the fact that this relationship varies in strength according to child population density is a novel finding. The finding of greatest association between socioeconomic vulnerability and neglect in the lowest density small area geographies suggests that more research should be done to explore the ways that population density may relate to the likelihood of exceptional involvement by child protection authorities for neglect. Implications of this study for policymaking intended to prevent neglect, particularly related to chronic need, include the importance of taking a tailored approach to preventative service provision in small area geographies with lower child population densities, considering the challenges families face in more remote areas in accessing appropriate supports. [ABSTRACT FROM AUTHOR]