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This qualitative study explores social workers’ experiences of working within the Family Safeguarding Model and its implications for relationships with families and professionals. Semi-structured interviews were completed and Interpretative Phenomenological Analysis (IPA) was used. Three Group Experiential Themes (GET’s) were identified: fighting to work with families, feeling held and protected and breaking at the seams. The model enabled social workers to develop a ”secure base” to build meaningful relationships with families and consider risk in the context of parents’ early trauma. Findings suggest value in consistent in-house multi-agency support, enabling shared responsibility for complex cases. Further research is required. [ABSTRACT FROM AUTHOR]

This research aimed to explore how clinical psychologists respond to child safeguarding dilemmas, with special attention to the role of psychology in child welfare. Transcripts from 20 semi‐structured interviews with clinical psychologists working in Child and Adolescent Mental Health Services in England were analysed using a qualitative framework approach. In these interviews, two family case vignettes were used to examine how psychologists respond to child safeguarding dilemmas. We identified three overarching themes: operating within a system of stretched resources; characterising who is considered 'supportable' by psychological services; and challenges around conceptualising and responding to risk. Clinical psychologists viewed social services as responsible for family cases with safeguarding concerns and were reluctant to engage in high‐risk cases where stability in the home was not yet established. They saw their role in child welfare primarily as sense‐makers for families, by offering a contextualised explanation/formulation for the presenting difficulties. [ABSTRACT FROM AUTHOR]

This paper concerns parenting assessments which are integral to child-safeguarding professional processes in England, and which involve Deaf parents whose primary language is British Sign Language (BSL). In an under-researched area of social work, the research aim was to contribute to the existing literature by eliciting the practice wisdom of specialist professionals. Specifically, it draws upon their linguistic and cultural knowledge of the Deaf community when they are involved in parenting assessments with Deaf parents who are subject to safeguarding concerns. Data about these professionals' actual experiences of navigating Deaf cultural-competency in contemporary child protection practices were collected through seven video-recorded, semi-structured interviews conducted in BSL. Using interpretive phenomenological analysis, data were analysed in their source language (BSL). This article focusses on one key theme, termed 'Professional Recognition', which incorporates a) the identification of specialist roles and b) the impact of referral processes and protocols on assessment outcomes. The findings highlight participants' perspectives on the benefits and disadvantages of their specialist role in this context. Although their brokerage skills, cultural competence, linguistic fluency and specialist knowledge of the Deaf community are highly regarded and valued by some colleagues, there is insufficient recognition of their existence by the majority. Secondly, participants are concerned by the inefficiency and inconsistency of the referral processes and protocols which they consider have adverse effects on assessment outcomes, and consequently the parents involved. [ABSTRACT FROM AUTHOR]

This paper charts the journey from classroom-based training delivery to hybrid and virtual learning opportunities used to overcome the challenges imposed by public health restrictions introduced in response to the COVID-19 pandemic. The public health measures introduced in March 2020 had a significant effect on the ability of the Children First Information and Advice Service (CFIAS), in Tusla, Ireland's Child and Family Agency, to deliver services. One of the key tools used by the CFIAS to support understanding of responsibilities, and best practice, in child safeguarding by professionals, and within organisations, has been the provision of direct training and information sessions. The introduction of public health restrictions necessitated a complete rethink by the CFIAS on how child safeguarding training and information are delivered. The paper presents an outline of the background and context of child safeguarding in Ireland, followed by a description of some of the challenges experienced by the CFIAS in response to the pandemic public health restrictions. It includes discussion on strategies and solutions considered to overcome these challenges. There is further discussion on the tools and methods eventually used, followed by a reflection on lessons learned by the CFIAS in areas including training delivery and methodology, eLearning, and information provision. The paper provides an analysis of limited qualitative and quantitative data, as well as a reflection on the lived experience of the CFIAS team members responding to the challenges posed during this time period, rather than a preplanned research study on pedagogical approaches in adult learning. [ABSTRACT FROM AUTHOR]

Abstract Background Ethanol intoxications in newborns are generally due to false preparation of formula with alcoholics or alcohol consumption by the breastfeeding mothers. Rarely, intoxications occur in hospitalized newborns, e.g., from excessive use of alcoholic hand sanitizers. We herein report a strange case of acute ethanol intoxications in our NICU. Case presentation An extremely premature infant (23 0/7 weeks gestational age, birthweight 580 g) suffered from repeated life-threatening events with hemodynamic compromise, apnea, and lactic acidosis while being treated in our neonatal intensive care unit (NICU). Symptomatic treatment with intravenous fluids and, if necessary, intubation and catecholamine therapy led to recovery after several hours each time. The episodes eventually turned out to be severe ethanol intoxications brought about by breast milk contaminated with ethanol. The breast milk was supplied by the infant’s mother, who consumed non-trivial amounts of alcohol to build up her strength and make herself produce more milk, which was recommended to her by a family member. Additionally, she supplemented her own mother’s milk with cow’s milk because she was worried her baby was underserved with her milk. The mother admitted to this in intensive conversations with our team and a professional translator. Conclusions This unique case underlines how different cultural dynamics can attribute to life-threatening events in the care of premature infants. It is important for us to emphasize that intensive communication and building a confident relationship with the parents of patients is essential to the work on NICUs. Child safeguarding issues and possibilities of intoxications have to stay in mind even in a supposedly safe space like the NICU.

Listening, as a general psychological capacity, is a key aspect of perception, communication and experience. However, listening researchers frequently characterize it as a neglected, misunderstood and ill-defined phenomenon. This is a significant problem because questions of listening pervade social inequalities and injustices, as this paper demonstrates in the context of UK child protection practices. Exploring concepts of listening within and beyond psychology, the paper illustrates how a lack of overall theorization can contribute to inequality and injustice within applied listening practices. To address this, the paper theorizes listening in the spirit of Whiteheadian process ontology, drawing on the work of Nancy and Bonnet. Based on this, it develops the concept of 'Cultures of Listening' (CoL), which provides a tool for the critical analysis of troubled listening practices, indicating how they can be challenged and transformed. Within CoL, listening is not a mere aspect of auditory perception or communication, but each instant of listening is considered as shaped by and expressing political, social and experiential circumstances, that is, cultures. The paper demonstrates the theoretical, critical and applied value of CoL by offering a detailed analysis of the role of listening within troubled UK child protection practices. [ABSTRACT FROM AUTHOR]

In most child protection jurisdictions, a case of child death or serious injury through the actions or inaction of a parent or carer is responded to with an inquiry into the circumstances that led to the death of the child. A key objective of such inquiries is to discern what may have been done by public agencies to prevent the child's death or serious injury and this may, in turn, lead to changes in existing policies or the development of new policies. Such changes have, at times, been criticised as 'knee jerk' reactions and can lead to well-meaning but possibly counter-productive initiatives. A general observation is that, in some inquiry reports, there is little, if any, reference to research and theory about child protection practice and policy. In this article, an anonymised case study of a child death inquiry is used to analyse the decision-making processes of child protection practitioners using a range of theory and research. The aim is to demonstrate how the use of insights from theory and research can lead to an enhanced understanding of the circumstances that led to a child death or serious injury, one which is grounded in current knowledge and evidence. [ABSTRACT FROM AUTHOR]

This paper charts the journey from classroom-based training delivery to hybrid and virtual learning opportunities used to overcome the challenges imposed by public health restrictions introduced in response to the COVID-19 pandemic. The public health measures introduced in March 2020 had a significant effect on the ability of the Children First Information and Advice Service (CFIAS), in Tusla, Ireland’s Child and Family Agency, to deliver services. One of the key tools used by the CFIAS to support understanding of responsibilities, and best practice, in child safeguarding by professionals, and within organisations, has been the provision of direct training and information sessions. The introduction of public health restrictions necessitated a complete rethink by the CFIAS on how child safeguarding training and information are delivered. The paper presents an outline of the background and context of child safeguarding in Ireland, followed by a description of some of the challenges experienced by the CFIAS in response to the pandemic public health restrictions. It includes discussion on strategies and solutions considered to overcome these challenges. There is further discussion on the tools and methods eventually used, followed by a reflection on lessons learned by the CFIAS in areas including training delivery and methodology, eLearning, and information provision. The paper provides an analysis of limited qualitative and quantitative data, as well as a reflection on the lived experience of the CFIAS team members responding to the challenges posed during this time period, rather than a preplanned research study on pedagogical approaches in adult learning.

Background: Ethanol intoxications in newborns are generally due to false preparation of formula with alcoholics or alcohol consumption by the breastfeeding mothers. Rarely, intoxications occur in hospitalized newborns, e.g., from excessive use of alcoholic hand sanitizers. We herein report a strange case of acute ethanol intoxications in our NICU.Case Presentation: An extremely premature infant (23 0/7 weeks gestational age, birthweight 580 g) suffered from repeated life-threatening events with hemodynamic compromise, apnea, and lactic acidosis while being treated in our neonatal intensive care unit (NICU). Symptomatic treatment with intravenous fluids and, if necessary, intubation and catecholamine therapy led to recovery after several hours each time. The episodes eventually turned out to be severe ethanol intoxications brought about by breast milk contaminated with ethanol. The breast milk was supplied by the infant's mother, who consumed non-trivial amounts of alcohol to build up her strength and make herself produce more milk, which was recommended to her by a family member. Additionally, she supplemented her own mother's milk with cow's milk because she was worried her baby was underserved with her milk. The mother admitted to this in intensive conversations with our team and a professional translator.Conclusions: This unique case underlines how different cultural dynamics can attribute to life-threatening events in the care of premature infants. It is important for us to emphasize that intensive communication and building a confident relationship with the parents of patients is essential to the work on NICUs. Child safeguarding issues and possibilities of intoxications have to stay in mind even in a supposedly safe space like the NICU. [ABSTRACT FROM AUTHOR]

Many children and young people experience recurrent pain, and a minority of these experience substantial disability and distress. Some have pain that is intrusive and that does not come from an obvious medical cause, such as chronic abdominal pain, headache or widespread musculoskeletal pain. Historically, such persisting pain has been a contested category, with labels such as 'psychosomatic' or 'medically unexplained' pain being used. Social Workers are not always able to access unequivocal medical advice about treatment and prognosis in these conditions and will benefit from being aware of the current literature. Happily, contemporary research helps to explain the physiological origin of such chronic pain states, and the personal and systemic contributors to pain-related distress and disability. This paper reviews epidemiology, cause, presenting features and treatment of these conditions, as well as issues of stigma. Successful investigation of child safeguarding concerns in this context, and of suspected fabricated and induced illness, will benefit from an understanding of the typical presentation of these conditions, as they are not well understood in mainstream medical practice. We explore how parental attitudes and actions may sometimes come from legitimate concerns, yet may also in some situations come to constitute cause for safeguarding concern. [ABSTRACT FROM AUTHOR]

This paper aims to extend the small but growing body of global literature on the topic of child safeguarding (CSG) policy in sport and related educational contexts. The authors, all male coaches/educators, offer 'snapshots' of the moments in time they each realised their previously unquestioned practices must change in light of shifting societal attitudes to CSG and resulting legislation. Our contributions in this space are two-fold. Firstly, we present an autoethnographic methodology that provides a lens into the challenges confronting pedagogues in sport and related educational contexts. Through this methodology, we broaden the scope of discourse that we deem necessary for future CSG policy direction and operationalisation. Secondly, we explore and include an addition to the dominant 'duality (dichotomy) of danger' narrative discourse currently reflected in the literature. We do this by proposing a trichotomy of danger framework for leaders and managers of sport and related educational contexts to consider when plotting this future landscape. Research surrounding the possible implications of CSG policy on practice is critical if educators are to navigate the 'risks' of their professions. Although there is a small and emerging body of research on this topic, we, the authors seek to redress the scarcity of research observable in the Aotearoa New Zealand context. [ABSTRACT FROM AUTHOR]

Many social work decisions are the outcome of collaborative working with other professionals and organisations, although there is little study of these decision-making processes. In this qualitative study conducted in Poland, the frame of reference was social work practice experience rather than a theoretical model. A vignette was presented to five respondents from each of nine groups of workers who have roles in child welfare decision making: counsellors, family assistants, family judges, family mediators, police officers, probation officers, school teachers, social workers, and voluntary probation officers. Qualitative data were gathered through interviewing respondents about the vignette. Two themes from the study related primarily to the assessment process and individual judgement prior to actual partnership engagement: "Reaching beyond the presenting problem", and "Framing the decision through problem identification". Two other themes related to early stages of engaging with another organisation: "Clarifying responsibilities with other organisations", and "Using the diagnosis of another organization". The fifth and final theme related to work required to help the family: "Identification of 'the one big problem'". There seemed to be some reluctance to own responsibility for addressing a problem faced by the family. The themes were analysed using elements of risk communication and collaboration theory. The study highlights the need for leadership in partnership working built on an understanding of the realities of the practice environment and the specific responsibilities of each profession and organisation. [ABSTRACT FROM AUTHOR]

Protecting an unborn baby from abuse and neglect presents particular challenges for professionals due to the uncertainties about appraising future harm and functioning of family relationships. This systematic narrative review synthesises studies of professional decision making by health and social care professionals regarding child protection of an unborn baby. Five bibliographic databases (ASSIA, CINAHL Plus, Ovid MEDLINE, PsycINFO, Social Care Online) were searched using an explicit and robust search; papers identified as relevant were appraised for quality and combined using a narrative synthesis based on the main themes in the papers. Ten papers met the inclusion criteria, including qualitative studies, surveys and randomised trials of the effectiveness of decision support tools. The papers identified the following case risk factors relating to risks to an unborn baby: alcohol abuse; ante-natal care; previous children in care; domestic violence; drug abuse; lack of education; employment issues; unrealistic expectations of the baby; housing issues; learning disability; feelings about pregnancy; low socio-economic status; mental illness; mother's childhood experiences; lack of parenting capacity; physical disability. There were several papers on developing risk assessment tools. A few papers focused on risk assessment and decision processes including engagement with pregnant women. There was some discussion of psychosocial supports for risks in pregnancy. There is useful published material on the range of risk factors, and more limited material on the development of assessment tools and on decision processes. The psychosocial supports that might be provided to the pregnant woman as decision options is an area for future research. [ABSTRACT FROM AUTHOR]

Parental engagement with British child-rearing normative practices and policies has been a source of conflict between Black African parents and professionals involved in child-safeguarding in Britain. These professionals include teachers, police, healthcare practitioners such as health visitors, nurses and doctors, and most importantly, social workers, because Children Act 1989 , section 47 legally tasks social workers to investigate child-safeguarding concerns. Child-rearing norms and practices across all four UK countries are largely similar, although substantive legislative differences necessitate the application of only child welfare laws/policies of England and Wales in this study. This article focuses on Nigerian parents' experiences of British child welfare system, tensions ensuing from those interactions and how parents mitigate them. Insights are drawn from 25 in-depth semi-structured interviews and two focus group discussions with Nigerian parents living in Greater London. Honneth's recognition theory and Fraser's participatory parity undergird the conceptual framework. The findings reveal an interplay of the structural forces of race, power and cultural differentials on participants' thinking processes and actions. Thus, suggesting that social workers perpetuate the British public's misrecognition of Nigerian parents through uncritical social work practices, which are implicated in further disempowerment of Black African parents, to the detriment of the families' well-being. [ABSTRACT FROM AUTHOR]

Burns are common causes of paediatric emergency care attendance; approximately ten per cent result from maltreatment. Following emergency department (ED) attendance with a burn by 232 under five‐year‐olds, 11 risk factors for maltreatment were collected via health visitor (HV) telephone surveys. Three of these risk factors (domestic violence, social care involvement and developmental impairment) were also available in ED records, and information collected was compared between the two. Non‐parametric Fisher's exact tests were applied. Fifty‐nine per cent of children lived in families with risk factors for maltreatment. Prominent risk factors known by HVs included: prior injuries (n = 55, 23.7%), carer/parent mental health problems (n = 48, 20.7%), domestic violence (n = 47, 20.3%) and social care involvement (n = 45, 19.4%). A total of 158 cases had complete data for all 11 risk factors: 49 (31.0%) lived in households with one factor, 22 (13.9%) with two factors and 27 (17.1%) with three or more risk factors. In cases where HVs recorded the following risk factors as present, EDs recorded five of 47 (10.6%) for domestic violence, ten of 45 (22.2%) with social care involvement and four of 23 (17.4%) with developmental impairment. Many risk factors that were known to HVs were not identified by EDs staff despite being part of a standardised proforma. Maltreatment risk assessment could be improved if EDs staff had access to HV information. Key Practitioner Messages: Fifty‐nine per cent of pre‐school children who attended an ED with a burn live in a family with one or more maltreatment risk factors, as identified by HV records.ED staff should be able to access a child's HV record electronically at the time of presentation, to identify known maltreatment risk factors.The lack of integration of community and acute setting health records is a barrier to comprehensive assessment and treatment decisions for children in EDs, especially in relation to safeguarding risks. [ABSTRACT FROM AUTHOR]

This paper reports on an empirical study of child protection services in a local authority where rates of investigations and interventions rose to unprecedented levels during the course of a single year. The aim of the research was to explore explanations for this rise in demand among the providers of children's social care in the area. Using an interpretative qualitative design, a series of focus groups and interviews were carried out with practitioners and managers (n = 25) from statutory services and Early Help. The findings identified a combination of long‐term and short‐term drivers of demand. Long‐term factors emphasized the impact of rising levels of deprivation combined with cuts to community‐based services for children and young people. Short‐term factors ranged from a more proactive approach to child neglect to more effective multi‐agency partnerships and joint decision making. The interaction between these factors was found to be accentuating an underlying shift to "late intervention" across the sector. The findings are contextualized in relation to contemporary debates about the crisis of demand for children's social care and the complex relationship between prevention and protection. [ABSTRACT FROM AUTHOR]

Background: Virtual reality technology is a rapidly developing tool which has been shown to have exciting prospects in the field of medical education (1). In a recent, subsequent study, Pan et al. consider the potential of the same technology in the realm of child protection training and safeguarding issues (2). To build upon the Pan et al. (2) study, a panel discussion was held at The Centre for Behavior Change Annual Conference 2018 to discuss the question “Can a virtual reality communication scenario be used to teach General Practitioners and trainees how to recognize and manage child protection issues?.”Methodology: The above study comprised an immersive virtual reality consultation, in which the ability of 63 doctors to pick up covert safeguarding cues was tested in the context of a consultation with an adult patient, where the patient's child happened to be present as well. The study and its findings were discussed at the Centre for Behavior Change 4th Annual Conference, and this paper summarizes the opinions of both the panel and the audience.Viewpoint: Safeguarding is a challenging area of practice where we must listen to the child, and tackle difficult conversations with parents. Within medical training, role play is the gold standard for teaching how to communicate in difficult scenarios. Given the ethical questions surrounding children being asked to role play such abuse, the use of virtual reality characters could have a key role in upgrading current practices in medical education on safeguarding.

In the wake of reported scandals of child sexual abuse by Roman catholic priests in mainstream media in the 1980s/1990s and conviction of Catholic priests on similar charges in England and Wales, Lord Nolan was invited by the Archbishop of Westminster in 2000 to undertake a review of child safeguarding policies of the Catholic Church of England and Wales since 1994, known as the Nolan Report. The Nolan Report led to the establishment of the first Catholic Office for protection of children (COPCA) which remained operative from 2001–2007 before being later modified in light of the Cumberlege Review (2007) as the National Child Safeguarding Commission (NCSC) and the Catholic Safeguarding Advisory service (CSAS) since 2008 which continue to operate till today. This article conducts a hermeneutical analysis of the Nolan Report, the Cumberlege Report, the annual reports of COPCA and the National Catholic Safeguarding Commission from 2007 till 2017. Wider academic literature on the subject is included in order to critically examine the performance of these child safeguarding structures developed to prevent and control clerical sexual abuse and to evaluate the utility of the child protection measures in place within the Catholic Church of England and Wales, since 2001. [ABSTRACT FROM AUTHOR]

Agile working (flexibility around practitioners' roles and the location and time of work) is increasingly common across local authority social work in the UK but there is little evidence about the practices it entails, with the small amount of existing research concerned largely with its impact on office environments. This article presents findings from a qualitative exploratory study of eleven social workers' practices and experiences when engaged in agile working away from office spaces. Data were generated through practitioner diaries, photographs elicited from practitioners and semi-structured interviews, and were analysed using a grounded theory approach. The study found practitioners engaged in agile working in a wide range of domestic, leisure and formal work environments across the public–private continuum. This gave them superficial control over how they worked, in particular the freedom to work in solitude and establish distance between themselves and perceived demands from service users and other practitioners. However, agile working also involved a wider range of material practices and affective experiences for practitioners. These changes provoke questions about data security, increased visibility and unanticipated encounters in public spaces, and the shifting relationship between information-management work and elements of practice involving face-to-face interaction with others. [ABSTRACT FROM AUTHOR]

In England and Wales, Domestic Homicide Reviews (DHRs) are completed following domestic homicides. They provide multi-agency accounts of families living with domestic violence and abuse (DVA) and their interactions with services. This study addressed children's involvement in domestic homicide. We analysed all DHRs where there were children under eighteen among those published in 2011–16. This yielded a sub-sample of fifty-five DHRs from a total of 142 reports. The extent of children's exposure to homicide varied, with some directly witnessing the homicide, viewing the aftermath or calling for help. DHRs provided limited information on children's needs or their future care and children were only rarely involved in the review process itself. Nearly a third of reports identified that children had previous experience of DVA and contact emerged as a means of sustaining control and intimidation. There was evidence of blinkered vision among professionals who missed indicators of DVA and failed to engage with perpetrators or listen to children. Practitioners need training and assessment tools that direct their attention onto children and knowledge of resources that enables identification of need and appropriate referrals. Law and practice should address children's involvement in the DHR process and the risks embedded in child contact. [ABSTRACT FROM AUTHOR]

The art of picking up signs that a child may be suffering from abuse at home is one of those skills that cannot easily be taught, given its dependence on a range of non-cognitive abilities. It is also difficult to study, given the number of factors that may interfere with this skill in a real-life, professional setting. An immersive virtual reality environment provides a way round these difficulties. In this study, we recruited 64 general practitioners (GPs), with different levels of experience. Would this level of experience have any impact on general practitioners' ability to pick up child-safeguarding concerns? Would more experienced GPs find it easier to pick up subtle (rather than obvious) signs of child-safeguarding concerns? Our main measurement was the quality of the note left by the GP at the end of the virtual consultation: we had a panel of 10 (all experienced in safeguarding) rate the note according to the extent to which they were able to identify and take the necessary steps required in relation to the child safeguarding concerns. While the level of professional experience was not shown to make any difference to a GP's ability to pick up those concerns, the parent's level of aggressive behavior toward the child did. We also manipulated the level of cognitive load (reflected in a complex presentation of the patient's medical condition): while cognitive load did have some impact upon GPs in the “obvious cue” condition (parent behaving particularly aggressively), this effect fell short of significance. Furthermore, our results also suggest that GPs who are less stressed, less neurotic, more agreeable and extroverted tend to be better at raising potential child abuse issues in their notes. These results not only point at the considerable potential of virtual reality as a training tool, they also highlight fruitful avenues for further research, as well as potential strategies to support GP's in their dealing with highly sensitive, emotionally charged situations.

• Learning the lessons from serious child abuse cases can prevent harm in future. • Lack of 'professional curiosity' and 'challenge' are inadequate explanations. • More productive understandings for practice would be communication and courage. • Awareness of the ambiguous policy context is also essential. • Well supported staff and properly resourced services are vital. Learning lessons from cases where children have been killed or seriously harmed from abuse or neglect is important for child protection policy and practice around the world. In England there is a long-established system of locally based, multi-agency reviews. Three recurrent themes over the years have been the poor quality of assessments, shortcomings in inter-agency working and information sharing, and not knowing the children and understanding their experiences. The reviews often identify a lack of 'professional curiosity' and insufficient 'challenge' on the part of child protection practitioners as the cause of these problems. This paper analyses these concepts, drawing on four recent studies of child safeguarding reviews conducted by the authors and their research team. It uses qualitative data from the reports and the views of local professionals in online focus groups. The reviews tend to use the perceived lack of curiosity and challenge as the explanation for poor practice without interrogating why, when and in what circumstances it becomes more difficult for professionals to remain curious and appropriately challenging. Professional curiosity and challenge are complex, multifaceted concepts, and applying them in practice is difficult and skilled work. The paper argues for a more nuanced and grounded understanding of the concepts and their application in practice. It sets them in wider frames of communication and courage, and the ambiguous policy context of a preference for cooperative engagement with families but high expectations about protecting children. It offers recommendations for future research into the review process, authorship style, practice in local agencies and national government policy. [ABSTRACT FROM AUTHOR]

• Preparing teachers for child protection and safeguarding must begin in initial teacher education. • We included 31 studies in a systematic scoping review. • In future, course developers should draw from models of rigorously evaluated courses. • Underpinning courses with trauma-informed approaches is strongly indicated. To improve educational outcomes for maltreated children, there is an urgent need to strengthen the capacity of the education workforce to respond appropriately to their needs. We conducted a systematic scoping review to synthesize current evidence about child protection and safeguarding in initial (pre-registration) teacher education with the aim of developing a knowledge base, and understanding what we — as researchers, teacher educators, and professional accreditation bodies — can and should be doing better. Thirty-one studies (reported in 38 papers) met the inclusion criteria. Studies were coded inductively against standardised criteria and critically appraised. Coding of study aims yielded three themes forming a descriptive map of research in the field: (i) studies investigating student teachers' perceptions of their preparedness to deal with child protection and safeguarding (n = 15); (ii) studies investigating preparation for child protection and safeguarding in initial teacher education courses (n = 14); and (iii) studies investigating student teachers' preferences for future training (n = 2). We identified key contents or topics covered, teaching methods and delivery modes, time allocations, and personnel involved in course delivery. Findings show that child protection and safeguarding are seldom investigated in initial teacher education, averaging only one published study per year over a 32-year search period with most studies having been conducted in Australia and the UK. Time allocated to child protection and safeguarding in initial teacher education courses varied from 1 to 16 h. Content covered was limited to several core topics with primacy given to child maltreatment subtypes, indicators, and reporting duties. Delivery methods were dominated by lectures, workshops, and discussions. Few studies had investigated the efficacy of innovative and interactive teaching strategies or online learning. We conclude that child protection and safeguarding in initial teacher education may be improved by leveraging off existing well-designed, rigorously evaluated programs, which have been found to be feasibly delivered and acceptable to future professionals. [ABSTRACT FROM AUTHOR]

This study uses observations of team meetings and interviews with 17 primary care professionals in four GP practices in England to generate hypotheses about how “vulnerable family” team meetings might support responses by GPs to maltreatment-related concerns and joint working with other professionals. These meetings are also called “safeguarding meetings”. The study found that vulnerable family meetings were used as a way of monitoring children or young people and their families and supporting risk assessment by information gathering. Four factors facilitated the meetings: meaningful information flow into the meetings from other agencies, systematic ways of identifying cases for discussion, limiting attendance to core members of the primary care team and locating the meeting as part of routine clinical practice. Our results generate hypotheses about a model of care that can be tested for effectiveness in terms of service measures, child and family outcomes, and as a potential mechanism for other professionals to engage and support GPs in their everyday responses to vulnerable and maltreated children. The potential for adverse as well as beneficial effects should be considered from involving professionals outside the core primary care team (e.g., police, children’s social care, education and mental health services).

We describe the development of an evidence-based training intervention on domestic violence and child safeguarding for general practice teams. We aimed - in the context of a pilot study - to improve knowledge, skills, attitudes and self-efficacy of general practice clinicians caring for families affected by domestic violence. Our evidence sources included: a systematic review of training interventions aiming to improve professional responses to children affected by domestic violence; content mapping of relevant current training in England; qualitative assessment of general practice professionals' responses to domestic violence in families; and a two-stage consensus process with a multi-professional stakeholder group. Data were collected between January and December 2013. This paper reports key research findings and their implications for practice and policy; describes how the research findings informed the training development and outlines the principal features of the training intervention. We found lack of cohesion and co-ordination in the approach to domestic violence and child safeguarding. General practice clinicians have insufficient understanding of multi-agency work, a limited competence in gauging thresholds for child protection referral to children's services and little understanding of outcomes for children. While prioritising children's safety, they are more inclined to engage directly with abusive parents than with affected children. Our research reveals uncertainty and confusion surrounding the recording of domestic violence cases in families' medical records. These findings informed the design of the RESPONDS training, which was developed in 2014 to encourage general practice clinicians to overcome barriers and engage more extensively with adults experiencing abuse, as well as responding directly to the needs of children. We conclude that general practice clinicians need more support in managing the complexity of this area of practice. We need to integrate and further evaluate responses to the needs of children exposed to domestic violence into general practice-based domestic violence training. [ABSTRACT FROM AUTHOR]

Research in the late 1990s and early 2000s raised concerns that the safeguarding implications of domestic abuse (DA) were not being sufficiently accounted for in child contact cases in England. Since that time, reforms have been introduced, which sought to emphasise the importance of safety in this context. Despite these developments, there is concern that problematic management of DA cases may have persisted. This article presents findings on the management of DA in supported child contact centres in England. The findings suggest that supported contact services continue to facilitate DA cases, although the service is not designed for this purpose. Using the systems thinking concepts of 'local rationalities' and 'goal conflicts', the article explores how problematic safeguarding practices made sense to those on the ground. The findings suggest that supported services are inappropriate for cases involving DA concerns, not just because they lack the resources to safely manage these cases, but because their perceived organisational goals can present a conflict for staff and volunteers in safely managing them. Ultimately, the article asserts the potential for perceived organisational goals to impact on practice and thus the importance of considering them in the design, commissioning or use of services. Copyright © 2015 John Wiley & Sons, Ltd. Key Practitioner Messages Supported child contact centres are inappropriate for cases involving DA concerns but continue to be used to facilitate such cases., Perceived organisational goals can impact on practice. It is therefore important to consider them in the design, commissioning or use of services., Systems thinking concepts, including 'local rationalities' and 'goal conflicts', can provide a useful framework for investigating the root causes of problematic practice. [ABSTRACT FROM AUTHOR]

This article discusses family work with young people, parents and carers affected by child sexual exploitation (CSE). It seeks to address a key gap in child protection responses to CSE, namely family support which addresses the needs both of young people and of parents and carers. The paper presents learning from the evaluation of an early-intervention project with young people at risk of or affected by CSE and their families (D'Arcy et al., 2015). It links this empirical evidence to existing research and recent debates in the social work literature about what constitutes effective practice with families and young people. While acknowledging the need for CSE specialist services, it argues that separation between mainstream social work and CSE prevention work with families and young people is not always helpful. The research presented, based on interviews, roundtable discussions and a literature review, highlights the ways of working needed in this field. By connecting family support, work with young people and CSE prevention, we seek to contribute to a broader agenda for social work. This agenda calls for a twenty-first-century reconfiguration of social work using holistic family support practices that work with families' strengths and apply a participatory approach, providing services which emphasise 'relationships' and 'support'. [ABSTRACT FROM AUTHOR]

Peer-led approaches hold unique and innovative potential as a response to child sexual exploitation (CSE), yet little is known about such approaches in this field. This study aims to increase understanding by listening to young people using one such service. Qualitative methods were adopted in an attempt to understand how young people make sense of peer mentoring, data were collected through self-completion booklets, interviews and a focus group, and analysed using thematic analysis and Gilligan's listening guide (see Kiegelmann, 2009). Given the small and local sample, the findings presented are not representative; rather they provide a snapshot, which enables us to consider the approach with this client group and the broader implications for peer-led practices. Peer mentoring emerges here as a method which may have emotional, practical and inter-personal benefits for young people facing multiple vulnerabilities. It also, importantly, reaches young women from hidden populations, who are often missing from, or missed by, support services. The article concludes by reflecting on the dilemmas associated with peer-led work and by outlining suggestions made by young people themselves, in the hope that inherent strengths in the approach can be recognised and embedded. [ABSTRACT FROM AUTHOR]

The Catholic Church, Archdiocese of Cape Town, has recently released its policy to safeguard children and has trained lay members and clergy in terms of their responsibilities. In addition, the Catholic Church in Southern Africa has a Protocol for the Investigation of Complaints against Clerics and Religious [sic] regarding Sexual Abuse of Minors. This article contains a review of both the Child Safeguarding Policy and the Protocol for the Investigation of Complaints against Clerics and Religious [sic] Regarding Sexual Abuse of Minors in which the international, regional and national legal framework that relates to the protection of children against sexual abuse is examined in order to evaluate whether the substance of the Child Safeguarding Policy and procedures and the protocol are compliant with international, regional and national responsibilities. In addition, the lessons learnt from Catholic Church reports from other jurisdictions and a review undertaken of the Church of England Child Safeguarding Policy are highlighted in the article. The researcher attempts to provide recommendations on how the Archdiocese of Cape Town could improve the Child Safeguarding Policy and procedures and the Protocol for the Investigation of Complaints against Clerics and Religious [sic] Regarding Sexual Abuse of Minors within the Archdiocese. [ABSTRACT FROM AUTHOR]

Background: Domestic violence and abuse (DVA) and child safeguarding are interlinked problems, impacting on all family members. Documenting in electronic patient records (EPRs) is an important part of managing these families. Current evidence and guidance, however, treats DVA and child safeguarding separately. This does not reflect the complexity clinicians face when documenting both issues in one family.Aim: To explore how and why general practice clinicians document DVA in families with children.Design and Setting: A qualitative interview study using vignettes with GPs and practice nurses (PNs) in England.Method: Semi-structured telephone interviews with 54 clinicians (42 GPs and 12 PNs) were conducted across six sites in England. Data were analysed thematically using a coding frame incorporating concepts from the literature and emerging themes.Results: Most clinicians recognised DVA and its impact on child safeguarding, but struggled to work out the best way to document it. They described tensions among the different roles of the EPR: a legal document; providing continuity of care; information sharing to improve safety; and a patient-owned record. This led to strategies to hide information, so that it was only available to other clinicians.Conclusion: Managing DVA in families with children is complex and challenging for general practice clinicians. National integrated guidance is urgently needed regarding how clinicians should manage the competing roles of the EPR, while maintaining safety of the whole family, especially in the context of online EPRs and patient access. [ABSTRACT FROM AUTHOR]

Background: Children's exposure to domestic violence is a type of child maltreatment, yet many general practice clinicians remain uncertain of their child safeguarding responsibilities in the context of domestic violence. We developed an evidence-based pilot training on domestic violence and child safeguarding for general practice teams. The aim of this study was to test and evaluate its feasibility, acceptability and the direction of change in short-term outcome measures. Methods: We used a mixed method design which included a pre-post questionnaire survey, qualitative analysis of free-text comments, training observations, and post-training interviews with trainers and participants. The questionnaire survey used a validated scale to measure participants' knowledge, confidence/self-efficacy, and beliefs/attitudes towards domestic violence and child safeguarding in the context of domestic violence. Results: Eleven UK general practices were recruited (response rate 55%) and 88 clinicians attended the pilot training. Thirty-seven participants (42%) completed all pre-post questionnaires and nine were interviewed. All training sessions were observed. All six trainers were interviewed. General practice clinicians valued the training materials and teaching styles, opportunities for reflection and delivery by local trainers from both health and children's social services. The training elicited positive changes in total outcome score and knowledge and confidence/ self-efficacy sub scores which remained at 3-month follow up. However, the mean sub score of beliefs and attitudes did not change and the qualitative results were mixed. Two interviewees described changes in their clinical practice. Participants' suggestions for improving the training included incorporating more ethnic and class diversity in the material, using cases with multiple socio economic disadvantages, and addressing multi-agency collaboration in the context of changing and under-resourced services for children. Conclusions: The pilot training for general practice on child safeguarding in the context of domestic violence was feasible and acceptable. It elicited positive changes in clinicians' knowledge and confidence/ self-esteem. The extent to which clinical behaviour changed is unclear, but there are indications of changes in practice by some clinicians. The pilot training requires further refinement and evaluation before implementation. [ABSTRACT FROM AUTHOR]

Failure Modes and Effects Analysis ( FMEA) is a prospective quality assurance methodology increasingly used in healthcare, which identifies potential vulnerabilities in complex, high-risk processes and generates remedial actions. We aimed, for the first time, to apply FMEA in a social care context to evaluate the process for recognising and referring children exposed to domestic abuse within one Midlands city safeguarding area in England. A multidisciplinary, multi-agency team of 10 front-line professionals undertook the FMEA, using a modified methodology, over seven group meetings. The FMEA included mapping out the process under evaluation to identify its component steps, identifying failure modes (potential errors) and possible causes for each step and generating corrective actions. In this article, we report the output from the FMEA, including illustrative examples of the failure modes and corrective actions generated. We also present an analysis of feedback from the FMEA team and provide future recommendations for the use of FMEA in appraising social care processes and practice. Although challenging, the FMEA was unequivocally valuable for team members and generated a significant number of corrective actions locally for the safeguarding board to consider in its response to children exposed to domestic abuse. [ABSTRACT FROM AUTHOR]

Exposure of children to domestic violence and abuse (DVA) is a form of child maltreatment with short- and long-term behavioural and mental health impact. Health care professionals are generally uncertain about how to respond to domestic violence and are particularly unclear about best practice with regards to children's exposure and their role in a multiagency response. In this systematic review, we report educational and structural or whole-system interventions that aim to improve professionals' understanding of, and response to, DVA survivors and their children. We searched 22 bibliographic databases and contacted topic experts for studies reporting quantitative outcomes for any type of intervention aiming to improve professional responses to disclosure of DVA with child involvement. We included interventions for physicians, nurses, social workers and teachers. Twenty-one studies met the inclusion criteria: three randomised controlled trials (RCTs), 18 pre-post intervention surveys. There were 18 training and three system-level interventions. Training interventions generally had positive effects on participants' knowledge, attitudes towards DVA and clinical competence. The results from the RCTs were consistent with the before-after surveys. Results from system-level interventions aimed to change organisational practice and inter-organisational collaboration demonstrates the benefit of coordinating system change in child welfare agencies with primary health care and other organisations. Implications for policy and research are discussed. © 2015 The Authors. Child Abuse Review published by John Wiley & Sons Ltd. Key Practitioner Messages We reviewed published evidence on interventions aimed at improving professionals' practice with domestic violence survivors and their children., Training programmes were found to improve participants' knowledge, attitudes and clinical competence up to a year after delivery., Key elements of successful training include interactive discussion, booster sessions and involving specialist domestic violence practitioners., Whole-system approaches aiming to promote coordination and collaboration across agencies appear promising but require funding and high levels of commitment from partners. [ABSTRACT FROM AUTHOR]

In England, the problem of excessive delay in court proceedings about children is longstanding, and there have been numerous initiatives over the years to tackle it. Under the 2014 Children and Families Act, there is now a statutory limit of twenty-six weeks for care proceedings (with provision for longer where justified). If this is to be achieved, the quality of the work that local authorities undertake with children and families before proceedings are started will be more important than ever, and the courts will have to take due account of it. This paper draws on research into the formal 'pre-proceedings process' in England and Wales, to assess the prospects for the new approach. The research was undertaken in 2010-12, and involved a file survey, observation of pre-proceedings meetings, interviews with key participants (including social workers, lawyers and parents) and a group discussion with judges. The paper considers the implications of the new approach for relationships between the courts and local authorities, in particular how pre-proceedings work should be conducted. The danger is that pre-court practice may become less about family support, more about evidence and timescales, less about prevention of proceedings, and more about preparation for court. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to consider possible implications of recent policy initiatives in schools and local government for child safeguarding practice in education settings in the state sector in England. Design/methodology/approach – Recent policy changes to promote devolution of decision-making to school and local government level are analysed in the light of the literature on multi-agency working for the protection of children. Findings – The paper highlights the complexity of the current context in which local arrangements for the safeguarding of children are operating. This includes efforts at integration of funding and structures, coupled with rapid changes in policy in both education and children’s social care and greater decision-making powers at local level. Together this makes it difficult to evaluate the current strengths of safeguarding arrangements between schools and other local agencies to help ensure that arrangements for the safeguarding of children in “independent” state schools are robust and effective. Research limitations/implications – Researchers and policy-makers need to consider the efficacy of safeguarding arrangements under new local government and integrated structures in England. Practical implications – There is relatively little research addressing inter-organisational information exchange in relation to education professionals involved in safeguarding. This paper sets out some directions for inquiry, including specific priorities that may be useful to the research and practice communities in the context of integration. Originality/value – The paper provides a summary of key policies and strategies that inform child protection in state school settings in England. [ABSTRACT FROM AUTHOR]

Background Consideration of child safeguarding is routine within maternity services but less common in other health services for adults. We audited notifications for child safeguarding from an acute general hospital where the policy includes questioning adults presenting with violence, mental health problems or drug or alcohol misuse to any department within the hospital about children at home and notifying to the local authority children's social care services if there are safeguarding concerns. Methods Cross-sectional audit of notifications for child safeguarding, including abuse, neglect or victimization, from all departments in one hospital to the local authority children's social care department during 12 months (2010/11). Results Of 681 notifications (57 per month), 40% (270/681) were triggered by parents' presentation to acute hospital services. Of these, 37% (100/270; 12 teenage mothers) presented for maternity care and 60% (162/270; 8 teenage parents) presented to the emergency department ( ED). Of the 60% (411/681) of notifications prompted by children presenting for healthcare, most originated from the ED (358/411; 87%): two-thirds of these presented with injury (250/358; 70%). Conclusion Given a policy to ask adults about children at home, a substantial proportion of children notified for child safeguarding were recognized through presentations to acute healthcare by their parents. Further research and development of this policy needs to ensure that questioning results in effective interventions for the children and their parents. [ABSTRACT FROM AUTHOR]

Infant crying is distressing for parents, evoking a range of difficult feelings. Infants who cry often may be perceived as difficult by their parents, with negative effects on bonding and attachment. Infant crying as a stimulus for child-abuse is also highlighted, as parents' feelings of frustration may provoke harmful responses towards the child. A non-exhaustive literature review was conducted, exploring the impact of infant crying on parents, using CASP tools to support the analysis of twenty qualitative and quantitative studies, published between 2003 and 2013. This paper reports the findings of the review, with a specific focus on the effects of infant crying on the parent-infant relationship. The findings suggest parents may experience anxiety, depression, helplessness, anger and frustration in response to infant crying. Negative effects on bonding and parental perception of the baby are identified. Parents may also experience thoughts of harming their baby, and subsequent feelings of guilt and shame. Universal interventions to help parents prepare for parenthood, and to respond positively to crying are strongly recommended. Opportunities for parents to discuss their feelings towards their infant should be maximised, reducing the impact of infant crying on bonding and attachment. Parents should be empowered to develop strategies and sources of support to help them cope. Early identification of parents experiencing difficulties in coping with infant crying is essential, and risk in relation to potential abuse must be assessed. Health visitors have a key role in providing such support. [ABSTRACT FROM AUTHOR]