Contextual Risk,Individualised Responses: An Assessment of Safeguarding Responses to Nine Cases of Peer‐on‐Peer Abuse

Practitioners, academics and policymakers are increasingly questioning the sufficiency of safeguarding practice in protecting young people from peer‐on‐peer abuse in England. Using the findings from an in‐depth analysis of nine cases where young people either raped or murdered their peers, this article explores approaches to assessing and intervening with those affected by peer‐on‐peer abuse. Building upon international calls for a contextual account of abuse between young people, the article identifies a professional struggle to address the interplay between young people's homes and the public and social spaces in which peer‐on‐peer abuse often manifests. Findings from this study are used to illuminate wider research into peer‐on‐peer abuse which has indicated a professional inability to: assess young people's behaviours with reference to the contexts in which they occur; change the environmental factors that influence abusive behaviours; and recognise the vulnerability of those who abuse their peers. The article concludes that to effectively respond to peer‐on‐peer abuse, multiagency partnerships are required which can identify, assess and intervene with the harmful norms in peer groups, schools and public spaces that can facilitate peer‐on‐peer abuse and undermine parental capacity to keep young people safe – thereby adopting a more contextual approach to safeguarding adolescents. Copyright © 2017 John Wiley & Sons, Ltd.

‘Explores approaches to assessing and intervening with those affected by peer‐on‐peer abuse’

Key Practitioner Messages

• Social contexts such as peer groups, schools and neighbourhoods can make young people vulnerable to peer‐on‐peer abuse.
• Assessing and intervening with young people and families affected by peer‐on‐peer abuse will not impact upon the social contexts associated with the phenomenon.
• Multiagency partnerships need to intervene with social contexts that, albeit beyond the traditional remit of child protection, facilitate peer‐on‐peer abuse and undermine the capacity of parents to keep young people safe.

‘Social contexts such as peer groups, schools and neighbourhoods can make young people vulnerable to peer‐on‐peer abuse’

     

Infant Trafficking and Baby Factories: A New Tale of Child Abuse in Nigeria

Baby factories are new systematic abuse structures that are promoting infant trafficking, neo‐slavery and the exploitation of young women with unwanted pregnancies in Nigeria. Since this practice was first described in 2006, it has been growing rather than abating. This paper reviews the scientific literature, along with media reports, and critiques this phenomenon from a children's rights' perspective. Children born into baby factories are denied various civil rights. They also suffer abuse in the baby factories and as a consequence of being born in such places. This abuse can be classified into immediate and long term. Immediate abuse includes inadequate care and its repercussions, denial of birth registration, illegal adoption and murder. Long‐term or delayed abuse that they may be exposed to includes health‐related consequences, neglect, death, child labour, prostitution and other sexual abuse, organ trafficking and recruitment as child soldiers. Various factors are thought to drive the baby factory phenomenon which include poverty, high infertility rates and the profitability of local and inter‐country adoptions. Programmes directed at addressing the root cause of the problem are needed in order to eliminate infant trafficking. Also, clear laws that delineate inter‐country adoption and infant trafficking need to be enacted. Most importantly, baby factories need to be recognised as child trafficking routes. Copyright © 2015 John Wiley & Sons, Ltd.

‘New systematic abuse structures that are promoting infant trafficking, neo‐slavery and the exploitation of young women’

Key Practitioner Messages:

• A new type of child abuse and human trafficking that targets infants has emerged in Nigeria in what are described as ‘baby factories’.
• Baby factories are criminal entities that exploit young girls with unwanted pregnancies and the practice is growing.
• Children born in baby factories suffer a range of immediate abuses and are exposed to long-term abuses.
• Baby factories violate several articles in the Convention on the Rights of a Child.

‘Criminal entities that exploit young girls with unwanted pregnancies’

Citing Literature

Number of times cited: 5

• Olga B. A. van den Akker , Cross-Border Surrogacy , Surrogate Motherhood Families , 10.1007/978-3-319-60453-4_8 , (199-230) , (2017) . Crossref
• Olusesan Ayodeji Makinde, Clifford Obby Odimegwu and Stella O. Babalola , Reasons for Infertile Couples Not to Patronize Baby Factories , Health & Social Work , 42 , 1 , (57) , (2017) . Crossref
• Peter Sidebotham , Kneeling on Mung Beans , Child Abuse Review , 25 , 6 , (405-409) , (2017) . Wiley Online Library
• Olusesan Ayodeji Makinde, Olufunmbi Olukemi Makinde, Olalekan Olaleye, Brandon Brown and Clifford O. Odimegwu , Baby factories taint surrogacy in Nigeria , Reproductive BioMedicine Online , 32 , 1 , (6) , (2016) . Crossref
• Olusesan Makinde, Bolanle Olapeju, Osondu Ogbuoji and Stella Babalola , Trends in the completeness of birth registration in Nigeria: 2002-2010 , Demographic Research , 35 , (315) , (2016) . Crossref

Volume 25 , Issue 6 November/December 2016

Pages 433-443     

Reporting Child Sexual Abuse within Religious Settings: Challenges and Future Directions

The sexual abuse of children within religious settings is an issue that has gained increased popular and professional attention over the past two decades. Various reports have highlighted the scale of such abuse, along with shortcomings in reporting practices. In this article, we outline some contemporary research that sought to understand the psychology that underpins variable reporting practices. In line with this research, we set out two conceptual frameworks that have some potential to help to explain such practices: system justification theory and moral foundations theory. Further, we describe how these frameworks could be adopted in research moving forward in order to make sense of the ways in which members of religious groups respond to allegations of child sexual abuse within their institutions. We close the article by arguing that by gaining a deeper understanding of the psychology underlying reporting practices, it may be possible to communicate more effectively about child sexual abuse within religious institutions, and therefore encourage more widespread reporting of allegations before more children are harmed.

‘We outline some contemporary research that sought to understand the psychology that underpins variable reporting practices’

Key Practitioner Messages

• Those most likely to observe or suspect child abuse in religious settings are themselves likely to participate in such settings.
• The challenge for these ‘onlookers’ is to overcome the psychological dynamics that push against the recognition and reporting of child abuse in religious settings.
• These dynamics can be understood via established psychological theories and frameworks.
• Practitioners concerned with improving reporting practice in these contexts can draw on this work to inform training and intervention strategies.

     

On the Road to Resilience: The Help‐Seeking Experiences of Irish Emigrant Survivors of Institutional Abuse

Understanding how survivors of complex trauma navigate towards resources can inform the design of interventions and health promotion strategies. However, there are little data on the resilience and help‐seeking experiences of this group or others who have experienced institutional abuse in childhood. This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse (ICA). Twenty‐two survivors of ICA were purposefully recruited from community organisations in the UK and data were collected via semi‐structured interviews. As a result of negative initial help‐seeking experiences in Ireland, most participants engaged in long periods of self‐management and disclosed information about their childhood as part of a redress scheme in later life. Outside of this scheme, turning points, such as illness or family problems, and the needs of children were influential in seeking help. Peer support networks played an important role as a trusted signposting pathway towards formal interventions. Participants identified interpersonal barriers to formal help‐seeking as helping professionals' failure to share control, insensitivity to identity loss and literacy issues, and the lack of explicit boundaries. The paper concludes with a discussion about the implications for research and future practice.

‘This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse’

Key Practitioner Messages:

• Turning points, such as illness and bereavement, and the desire to provide for children, influence the help‐seeking of survivors of ICA.
• Irish emigrant survivors of ICA cite failure to share control, insensitivity to identity loss, literacy issues and the lack of explicit boundaries as barriers to help‐seeking.
• General awareness of ICA can help practitioners in low‐threshold services prevent against culturally insensitive practice.
• Peer support networks can provide uniquely trusted signposting towards formal interventions.

     

Peer Exploitation: Findings from a Romanian National Representative Sample of Children Living in Long‐Term Residential Centres

This study emphasises different facets of peer exploitation awareness and experience identified in closed‐type institutions, including a couple of abusive behaviours that have not been previously identified in long‐term residential centres.

‘Emphasises different facets of peer exploitation awareness and experience identified in closed‐type institutions’

A national representative sample of 1391 children (743 boys and 648 girls) seven to 20 years of age living in 44 long‐term residential centres was analysed to identify the prevalence of awareness and experience of peer exploitation. Multilevel logistic regression models were used to identify the predictors of peer exploitation experience. In total, 40.1 per cent of children reported that they were aware of peer exploitation, and 28.5 per cent that they were victims of such exploitation. Additionally, it was shown that (a) children who reported past abuse by a staff member were more likely to be victims of exploitation than those who did not; and (b) an increased number of children in a dorm room predicted a decrease in the odds of peer exploitation experience. This study provides a picture of the developmental environment for children in Romanian orphanages in the late 1990s, prior to subsequent child protection reforms, and underlines the prevalence of exploitation and the risk factors for peer exploitation in closed institutional systems. Copyright © 2017 John Wiley & Sons, Ltd.

Key Practitioner Messages

• Four in ten (40%) institutionalised children reported that they were aware of at least one form of peer exploitation, and nearly three in ten (28.5%) reported experiencing at least some of these types of exploitation practices by their older peers.
• This study highlights the importance of understanding the complex milieu that comprised the daily lives of institutionalised children in Romania, including an environment that consisted of physical abuse by institution staff and awareness and experiences of exploitation.

     

Childhood Sexual Abuse and Brain Development: A Discussion of Associated Structural Changes and Negative Psychological Outcomes

The effects of traumatic exposure have been researched for many years and studies have shown that the parts of the brain affected by sexually traumatic experiences in childhood are also linked to many physical and psychological problems, such as depression, posttraumatic stress disorder, somatic complaints and suicide. Neuroimaging studies have provided a breadth of evidence that childhood sexual abuse is related to structural changes in the brain. Taken together, childhood sexual abuse affects brain development, leading to differences in brain anatomy and functioning that have lifelong consequences for mental health. Several limitations of neuroimaging research on childhood sexual abuse are discussed, including a lack of refined and sensitive neuroimaging measures and problems interpreting results of structural imaged subjects with associated psychiatric conditions. Future, large‐scale studies are warranted to examine the type and severity of the sexual abuse and how each of the levels of childhood sexual abuse contributes to structural and functional changes. Furthermore, future studies are needed to control for comorbid psychiatric conditions in order to disentangle the effects of childhood sexual abuse from psychiatric conditions that damage brain development. © 2018 John Wiley & Sons, Ltd.

‘Childhood sexual abuse affects brain development, leading to differences in brain anatomy and functioning that have lifelong consequences for mental health’

Key Practitioner Messages

• Childhood sexual abuse is linked to observable structural changes in the brain.
• These structural changes in the brain are associated with a myriad number of negative psychological effects.
• Research is limited in elucidating the role of childhood sexual abuse on brain development, as the bulk of the research has focused only broadly on child maltreatment.

     

Making Decisions about Parental Mental Health: An Exploratory Study of Community Mental Health Team Staff

Adult mental health problems can impact on parents, and research highlights that their children are at higher risk of developing mental health problems. In extreme cases, mental health problems are associated with a risk of fatal child abuse. Despite this, there are few studies exploring clinical decision‐making by adult mental health professionals.

‘In extreme cases, mental health problems are associated with a risk of fatal child abuse’

This study used qualitative methods to explore Community Mental Health Team (CMHT) workers' experiences of decision‐making in the interface between mental health and child welfare. Workers were interviewed about their experiences of clinical decision‐making regarding child welfare. Interviews and accounts were analysed using Interpretative Phenomenological Analysis. Influences on decision‐making were explored and triangulated with the accounts of Named Nurses for Child Protection. The findings revealed that CMHT participants were aware of their responsibilities towards children, but a complex synthesis of factors impacted on their sense‐making about risk and welfare. Three superordinate themes emerged: the tensions of working across systems; trying to balance the perceptions and feelings involved in sense‐making; and the role that interpersonal dynamics play in the understanding and management of risk. This paper focuses in particular on perceptions and feelings. Copyright © 2011 John Wiley & Sons, Ltd.

‘A complex synthesis of factors impacted on their sense‐making about risk and welfare’

Citing Literature

Number of times cited according to CrossRef: 8

• Natalie Elizabeth Anderson, Julia Slark, Merryn Gott, Unlocking intuition and expertise: using interpretative phenomenological analysis to explore clinical decision making, Journal of Research in Nursing, 10.1177/1744987118809528, 24 , 1-2, (88-101), (2019). Crossref
• Phillip Tchernegovski, Andrea E. Reupert, Darryl J. Maybery, How do Australian adult mental health clinicians manage the challenges of working with parental mental illness? A phenomenological study, Child & Family Social Work, 10.1111/cfs.12426, 23 , 3, (381-389), (2017). Wiley Online Library
• Maria Afzelius, Lars Plantin, Margareta Östman, Children of Parents With Serious Mental Illness: The Perspective of Social Workers, Practice, 10.1080/09503153.2016.1260705, 29 , 4, (293-310), (2016). Crossref
• Louise Everitt, Caroline Homer, Jennifer Fenwick, Working with Vulnerable Pregnant Women Who Are At Risk of Having their Babies Removed by the Child Protection Agency in New South Wales, Australia, Child Abuse Review, 10.1002/car.2432, 26 , 5, (351-363), (2016). Wiley Online Library
• Joe Duffy, Gavin Davidson, Damien Kavanagh, Applying the recovery approach to the interface between mental health and child protection services, Child Care in Practice, 10.1080/13575279.2015.1064358, 22 , 1, (35-49), (2015). Crossref
• Peter Sidebotham, What did you do at Work Today, Daddy?, Child Abuse Review, 10.1002/car.2357, 23 , 5, (307-310), (2014). Wiley Online Library
• Peter Sidebotham, Rethinking Filicide, Child Abuse Review, 10.1002/car.2303, 22 , 5, (305-310), (2013). Wiley Online Library
• Jane V. Appleton, Peter Sidebotham, Child Protection and Mental Health, Child Abuse Review, 10.1002/car.2220, 21 , 3, (153-156), (2012). Wiley Online Library

Volume 21 , Issue 3 May/June 2012

Pages 173-189     

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

Pre‐birth risk assessment is a process by which circumstances affecting an unborn child can be identified and support for mother and infant embedded. This mixed methods study describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme to assess parenting capacity and provide support pre‐ and post‐birth for ‘at risk’ women. Sixty‐eight pregnant women referred to children's social care services were allocated to the pre‐birth assessment and care pathway (n = 35) or to routine care (n = 33). Standardised measures of psychological distress, social support and alcohol measured change for the women in the assessment and care pathway. Twenty women who provided pre‐ and post‐data reported significant improvements on all measures except alcohol use. Safeguarding outcomes at 12 months were obtained for both groups using administrative data. Forty‐two per cent of the infants whose mothers received the pre‐birth assessment and care pathway showed an improvement in child protection status compared to 14 per cent of the routine care infants. Safeguarding status deteriorated or stayed the same in 52 per cent of the routine cases compared to 26 per cent of those receiving the pathway. Qualitative data revealed that the pathway was acceptable and helpful to service users and service providers. Copyright © 2017 John Wiley & Sons, Ltd.

‘Describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme’

Key Practitioner Messages

• The current project found that a community‐based pre‐birth assessment and care pathway with high‐risk pregnant women was feasible and acceptable for practitioners and service users.
• The pathway began mid‐pregnancy and support was provided following the birth of the infant for up to 12 months.
• Over 40 per cent of infants whose mothers were allocated to the pre‐birth risk assessment pathway showed improvements in child safeguarding status at 12 months.

     

What is Really Wrong with Serious Case Reviews?

Concern about the effectiveness of Serious Case Reviews for generating improvements in child protection in England led to proposals in the Wood review to replace the current system with rapid local learning inquiries and a national system of learning from significant incidents. This article challenges both the analysis in the Wood review and the proposals themselves. Whilst not uncritical of Serious Case Reviews, this article addresses five criticisms of the current review system. It explores how systemic the focus of reviews has been, and argues that findings and recommendations have become repetitive and lessons not fully appreciated because of an overly simplistic approach to change management. It suggests that there are methodologies that can effectively engage practitioners and managers in case reviews and that criticism of the review process itself can be addressed with refinements rather than wholesale change. The article concludes by questioning the assumptions upon which proposals for changing the current Serious Case Review are based. Copyright © 2017 John Wiley & Sons, Ltd.

‘Challenges both the analysis in the Wood review and the proposals themselves’

Key Practitioner Messages

• A systemic approach to Serious Case Reviews must engage legislative, social policy and societal systems as well as local policy and practice.
• A linear approach to learning and service development, often reflected in recommendations for training and policy refinements, is a less effective change management approach than engaging with single and multiagency contexts.
• Safeguarding children involves practice which is inherently social and relational, full of complexity and complicated truths; so too is the practice of reviewing cases.

     

Are our Frontline Clinicians Equipped with the Ability and Confidence to Address Child Abuse and Neglect?

Previous studies have suggested that child abuse and neglect (CAN) is under recognised and under reported. Our aims were to examine and compare child protection (CP) knowledge, confidence and practice of frontline clinicians in general practice and hospital settings in South Western Sydney (SWS). We surveyed doctors and nurses in general practice and in the emergency department (ED) in a district in SWS using a validated questionnaire. Of the 113 responses, 62 were general practitioners (GPs), 9 practice nurses, 26 ED nurses and 16 ED doctors. The confidence level with identifying CAN was moderate, with a significant difference between groups. The majority (59%) had made previous CP reports, few suspected but decided not to report; reporting rates differed significantly. A majority (80%) reported some CP training; of the 22 with no training, 21 were GPs and practice nurses. Of those reporting some training, more than 70 per cent of ED nurses, GPs and practice nurses felt their training was inadequate, compared with 19 per cent of ED doctors. There are significant differences in confidence and practice between frontline clinicians in primary care and ED. Targeted CP training should be provided for all frontline clinicians with particular emphasis on primary care GPs. Copyright © 2011 John Wiley & Sons, Ltd.

‘We surveyed doctors and nurses in general practice and in the emergency department’

‘There are significant differences in confidence and practice between front‐line clinicians in primary care and ED’

Citing Literature

Number of times cited: 12

• Lauren E. Lines, Alison E. Hutton and Julian Grant , Integrative review: nurses' roles and experiences in keeping children safe , Journal of Advanced Nursing , 73 , 2 , (302-322) , (2016) . Wiley Online Library
• Emma Barrett, Suzanne Denieffe, Michael Bergin and Martina Gooney , An exploration of paediatric nurses’ views of caring for infants who have suffered nonaccidental injury , Journal of Clinical Nursing , 26 , 15-16 , (2274-2285) , (2017) . Wiley Online Library
• Louise Everitt, Caroline Homer and Jennifer Fenwick , Working with Vulnerable Pregnant Women Who Are At Risk of Having their Babies Removed by the Child Protection Agency in New South Wales, Australia , Child Abuse Review , 26 , 5 , (351-363) , (2016) . Wiley Online Library
• Stephanie Zielinski, Heather A. Paradis, Pamela Herendeen and Paula Barbel , The Identification of Psychosocial Risk Factors Associated With Child Neglect Using the WE-CARE Screening Tool in a High-Risk Population , Journal of Pediatric Health Care , 31 , 4 , (470) , (2017) . Crossref
• Rick Hood, Jayne Price, Daniele Sartori, Daryl Maisey, Jessica Johnson and Zoe Clark , Collaborating across the threshold: The development of interprofessional expertise in child safeguarding , Journal of Interprofessional Care , 31 , 6 , (705) , (2017) . Crossref
• Tara Flemington, Cathrine Fowler, Quang Nhat Tran and Jennifer Fraser , Clinician Response to Child Abuse Presentations in the Vietnamese Hospital Emergency Setting , Journal of Interpersonal Violence , (088626051771322) , (2017) . Crossref
• Simeon J.A. Visscher and Henk F. van Stel , Variation in prevention of child maltreatment by Dutch child healthcare professionals , Child Abuse & Neglect , 70 , (264) , (2017) . Crossref
• Tara Flemington and Jennifer Fraser , Building workforce capacity to detect and respond to child abuse and neglect cases: A training intervention for staff working in emergency settings in Vietnam , International Emergency Nursing , 34 , (29) , (2017) . Crossref
• Annerley Bates , The Impact of Limited Organisational and Community Resources on Novice Child Protection Workers: A Queensland Example , Child Abuse Review , 24 , 6 , (452-462) , (2013) . Wiley Online Library
• Shanti Raman, Michelle Maiese, Katrina Hurley and David Greenfield , Addressing the Clinical Burden of Child Physical Abuse and Neglect in a Large Metropolitan Region: Improving the Evidence-Base , Social Sciences , 3 , 4 , (771) , (2014) . Crossref
• Peter Sidebotham , Culpability, Vulnerability, Agency and Potential: Exploring our Attitudes to Victims and Perpetrators of Abuse , Child Abuse Review , 22 , 3 , (151-154) , (2013) . Wiley Online Library
• , Perspectives of Neglect , Child Abuse Review , 21 , 2 , (77-80) , (2012) . Wiley Online Library

Volume 21 , Issue 2 March/April 2012

Pages 114-130     

Developing key capabilities in child care and protection

Over the last 20 years, research has questioned how well equipped newly qualified social workers are in relation to child care and protection. Recent inquiries have highlighted that some social workers have not recognised their responsibilities towards children and young people when they encounter them in the course of their duties. In England, Lord Laming's (2009) report The Protection of Children in England, following the death of Peter Connelly in Haringey, recommended a specialist child protection route as part of the social work degree and re‐opened the debate about the benefits of specialism versus genericism. In Scotland, when faced with similar challenges, Key Capabilities in Child Care and Protection were introduced to ensure that all social workers at the point of qualifying can evidence their knowledge and skills in relation to child care and protection. This paper describes their development. Copyright © 2010 John Wiley & Sons, Ltd.

‘Introduced to ensure that all social workers at the point of qualifying can evidence their knowledge and skills’

Citing Literature

Number of times cited according to CrossRef: 2

• Margaret Bruce, The Voice of the Child in Child Protection: Whose Voice?, Social Sciences, 10.3390/socsci3030514, 3 , 3, (514-526), (2014). Crossref
• Jane V. Appleton, Peter Sidebotham, Child Protection and Mental Health, Child Abuse Review, 10.1002/car.2220, 21 , 3, (153-156), (2012). Wiley Online Library

Volume 21 , Issue 3 May/June 2012

Pages 190-202     

Culpability Attributions towards Juvenile Female Prostitutes

This study addresses a gap in the research literature concerning predictors of culpability attributions towards juvenile female prostitutes (JFPs). Three hundred undergraduate participants read a vignette describing a JFP and responded to a series of measures. Results supported a causal pathway whereby stronger perceiver sexism predicted stronger negative affective evaluations of, and weaker empathic reactions toward, the JFP. Stronger negative affective evaluations and weaker empathic reactions, in turn, predicted stronger culpability attributions toward the JFP. Also, participants who were provided information about the JFP's extensive victimisation history and coercion into the trade, relative to participants who were not provided this information, attributed lesser culpability to the JFP. Finally, stronger culpability attributions toward the JFP related to weaker recommendations of restorative justice (i.e. counselling/mental health services for the JFP) and stronger recommendations of retributive justice (i.e. incarceration for the JFP). Study implications, limitations, and directions for future research are discussed. Copyright © 2013 John Wiley & Sons, Ltd.

Key Practitioner Message

• Stronger perceiver sexism predicts stronger negative evaluations of, and weaker empathic reactions towards a juvenile female “prostitute.”
• Stronger negative evaluations of, and weaker empathic reactions towards a girl in the sex trade in turn predict stronger culpability attributions towards her.
• Provision of information about a prostituted youth's victimisation history and coercion into prostitution mitigates culpability attributions toward her.
• Public education that highlights juvenile prostitution as a form of child sexual exploitation may be critically important to minimising punitive social cognitions about survivors of the commercial sex trade.

     

Violence Experiences in Care: Some Methodological Remarks based on the Finnish Child Victim Survey

The article examines violence experienced by children in substitute care and at home based on the survey results of the Finnish Child Victim Survey carried out in schools in 2008. The focus is on physical and psychological violence in conflict situations. Of the 13 459 respondents, pupils between 12 and 16 years of age, 233 children reported living in care or having lived in care. Children living in care were asked the same questions as children living at home about violence experienced by their care‐taking adults. The analysis compares the answers between those two groups and examines them in relation to information about children's psychosocial problems and measures of emotional wellbeing.

‘The focus is on physical and psychological violence in conflict situations’

According to the study, children report more physical and psychological violence by adults in their homes than children do in residential homes or foster homes. Substitute care is not, however, free of violence. Children with psychosocial problems experienced more violence at home than in substitute care. The article suggests a more thorough conceptual and methodological analysis of abuse in care. The conceptual and methodological tools employed should be sensitive to the particular nature of abuse in care and the studies should pay attention to a variety of forms and practices of violence. Copyright © 2011 John Wiley & Sons, Ltd.     

The Use of the Child Abuse Potential Inventory in the Assessment of Parents involved in Care Proceedings

Assessing for potential physical abuse is a fundamental task for those professionals undertaking assessments of parents involved in care proceedings. One tool developed to help assist in this endeavour is the Child Abuse Potential (CAP) Inventory (Milner, 1980 , 1986 ). The CAP Inventory provides an estimate of parental risk of child abuse and is one of the most widely used psychometric tools by psychologists in child protection settings. This review evaluates the psychometric properties of this measure and provides an overview of its potential uses, as well as its limitations. It concludes that there is evidence to support the validity and reliability of the CAP Inventory for use in care proceedings. Specifically, the review indicates that the CAP Inventory has good levels of reliability and validity (construct, content and concurrent). The only aspect of validity for which there is a lack of evidence is that of predictive validity and this is due to a dearth of prospective studies. Given the above, the practical, clinical and ethical implications for the use of the CAP Inventory in the assessment of parents involved in care proceedings are discussed. Copyright © 2013 John Wiley & Sons, Ltd.

Citing Literature

Number of times cited according to CrossRef: 3

• Amanda H. Costello, Natalie J. Shook, Nancy M. Wallace, Cheryl B. McNeil, Examining factors associated with elevated Lie Scale responding on the Child Abuse Potential Inventory, Child Abuse & Neglect, 10.1016/j.chiabu.2017.10.009, 76 , (56-64), (2018). Crossref
• Jane V. Appleton, Peter Sidebotham, Physical Abuse of Children, Child Abuse Review, 10.1002/car.2505, 26 , 6, (405-410), (2017). Wiley Online Library
• Jane V. Appleton, Working Alongside One Another…, Child Abuse Review, 10.1002/car.2416, 24 , 5, (313-316), (2015). Wiley Online Library

Volume 24 , Issue 5 September/October 2015

Pages 332-345     

Investing to Protect Our Children: Using Economics to Derive an Evidence‐based Strategy

Child abuse and neglect are global problems that affect over 25 per cent of children and have serious health, social and economic consequences. Government and other agencies are heavily committed to the provision of services to address the consequences of abuse and neglect. In a climate of scarce resources, there is increasing interest in developing cost‐effective strategies to prevent child maltreatment. Economic evaluation in the context of formal ‘priority setting’ can contribute to the development of an efficient child protection strategy and at the same time develop the arguments to support an increased investment in the prevention of child maltreatment. Key challenges arise from incompleteness of the evidence base of effective interventions and the considerable complexity of the cross‐portfolio effects. The latter has resulted in the widespread failure to capture the full range of impacts, most notably intergenerational effects, quality of life and mortality. This means the benefits of investing in effective preventive strategies to address child maltreatment will be underestimated and too few resources allocated to this important task. Adoption of the proposed priority‐setting framework and translation into action are likely to reduce child maltreatment and associated harms for children at risk now and in the future. Copyright © 2011 John Wiley & Sons, Ltd.

Citing Literature

Number of times cited: 7

• Inga Wagenknecht, Uta Meier-Gräwe and Ute Ziegenhain , Kosten und Nutzen Früher Hilfen - aktuelle Erkenntnisse und zukünftiger Forschungsbedarf/ Economic efficiency of early intervention – current findings and future need for research , Kindesmisshandlung und -vernachlässigung , 18 , 1 , (10) , (2015) . Crossref
• Nicole RS Boyer, Kathleen A Boyd, Fiona Turner-Halliday, Nicholas Watson and Helen Minnis , Examining the feasibility of an economic analysis of dyadic developmental psychotherapy for children with maltreatment associated psychiatric problems in the United Kingdom , BMC Psychiatry , 14 , 1 , (2014) . Crossref
• Madeleine Stevens, Lucy Harris, Megan Ellis, Crispin Day and Jennifer Beecham , Investigating changes in use of services by high‐need families following the Helping Families Programme, an innovative parenting intervention for children with severe and persistent conduct problems , Child and Adolescent Mental Health , 19 , 3 , (185-191) , (2013) . Wiley Online Library
• Madeleine Stevens , The cost-effectiveness of UK parenting programmes for preventing children's behaviour problems - a review of the evidence , Child & Family Social Work , 19 , 1 , (109) , (2014) . Crossref
• Sarah Skeen and Mark Tomlinson , A public health approach to preventing child abuse in low- and middle-income countries: A call for action , International Journal of Psychology , 48 , 2 , (108) , (2013) . Crossref
• Peter Sidebotham , Safeguarding in an Age of Austerity , Child Abuse Review , 21 , 5 , (313-317) , (2012) . Wiley Online Library
• , Public Health Approaches to Safeguarding Children , Child Abuse Review , 20 , 4 , (231-237) , (2011) . Wiley Online Library

Volume 20 , Issue 4 July/August 2011

Pages 274-289     

Assessment and intervention in cases of suspected ritual child sexual abuse

Agency workers have been heavily criticized over their handling of alleged ritual child sexual abuse cases, particularly in respect of their assessments and interventions. However, a study of referrals to police and social service departments revealed that agency workers raised suspicions of ritual abuse in respect of both child ‘victims’ and adult ‘survivors’ very rarely. Furthermore, they did this only after an assessment which showed the cases to possess a number of ‘troubling’ features. While agency workers believed that all the child ‘victims’ had been subject to serious sexual abuse, virtually all of them were circumspect as to whether this had occurred in a ‘ritual’ context. Initially, agency workers were generally open-minded as to the experiences of adult ‘survivors’, but by the end of their assessments, they tended to be more concerned about their mental health and less concerned about issues of ritual abuse. Finally, agency workers appeared to act appropriately in terms of the types of intervention they used and the way in which they applied these. These results suggest that there should be more confidence in the ability of agency workers to respond to cases of alleged ritual abuse. Copyright © 2001 John Wiley & Sons, Ltd.