Children's Homicide as an Indicator of Effective Child Protection: A Comparative Study of Western European Statistics

Correspondence to Colin Pritchard, Professor of Social Work Studies, University of Southampton, Highfield, Southampton SO9 5NH. Summary It is known that the extreme consequence of child abuse is adead child. Attempts to determine the success of services toprevent child abuse and subsequent deaths confront the problemsinherent in trying to prove a negative. The use of an epidemiologicalapproach resolves some of the methodological problems by measuring‘failure’ to protect in an examination of children'shomicides rates over time. Between 1973 and 1988 it was found that there was a substantialreduction in baby homicides in England and Wales, equivalentto a fall of 61 per cent and a 57 per cent reduction in Scotland.In a comparison with the other fifteen Western European countries,England and Wales topped the league of improvements in children'shomicide, and Scotland was fourth. Such improvements suggestadvances by the child protection services. Explanations forthe positive British results are considered.     

A Consumer Study of Young People's Views on their Educational Social Worker: Engagement as a Measure of an Effective Relationship

Correspondence to Colin Pritchard, Mental Health Group, University of Southampton, Royal South Hants Hospital, Brintons Terrace, Southampton, SO14 0YG, UK. Summary This, the first ever consumer study of education social workers(ESWs), uses qualitative material and quantitative analysisby examining the views of 110 users of a county ESW service.Most pupils belonged to families with long-standing disadvantage;e.g. 53 per cent had unemployed fathers; over 70 per cent hadparents with disturbed personal and social relationships, 39per cent had a single parent; 30 per cent plus had mental healthproblems; and 10 per cent of parents had been in care as children,i.e. more than ten times the national average. The young people also had considerable disruption in their lives:for example 78 per cent frequently missed school; over 50 percent had school and peer difficulties; 30 per cent offended;over 30 per cent experienced bullying; 5 per cent were the subjectof child protection enquiries, 10 per cent had previously beenin care and 2 per cent had had an incident of ‘attemptedsuicide’ (50 times the national rate). They averaged sixmajor difficulties each. Despite these antecedents, 91 per cent of the young people demonstratedan ‘engaged’ relationship with their social worktrained ESW, with many examples of practical psychosocial helpbeing received. The concept of ‘engaged’ was statisticallyvalidated in the comparison of views between the ‘engaged’and ‘non-engaged’ research participants. The resultsindicate the value and effectiveness of a supportive rapport/relationshipas a vehicle to reach and to be of practical assistance to disturbedand disturbing young people.     

Children's Homicide and Road Deaths in England and Wales and the USA: An International Comparison 1974-1997

Correspondence to Professor Colin Pritchard, Department of Mental Health, University of Southampton, Southampton SO14 OYG, UK. Summary Child murder often leads to demands for new legislation. Todetermine relative risks and the need for such change, children's(0–14) homicide and road deaths were compared internationally.All data were extrapolated from WHO standardized mortality statisticsand ratios of change were calculated. Five-year summed actualnumbers and rates for 1974–78 and 1993–97 were usedfor comparison. The findings indicate that children's road deathsfell substantially everywhere across the two periods; Englandand Wales had the lowest rate, and the fifth biggest reduction.In addition, in every country, the figures for children's homicidewere substantially lower than road deaths. England and Waleshad been fourth highest but by the later period were the thirdlowest. While children's homicide rose substantially in Franceand the USA, the biggest reductions were found in Japan andin England and Wales. For every country considered, road deathsfell proportionately more than deaths by homicide, althoughthe latter remained considerably lower than road deaths. Thestatistics led to the clear interpretation that the averagechild is substantially more at risk of being killed on the roadthan being murdered.     

A Comparison of Child-sex-abuse-related and Mental-disorder-related Suicide in a Six-year Cohort of Regional Suicides: The Importance of the Child Protection-Psychiatric Interface

Correspondence to: Professor Colin Pritchard, Department of Mental Health, School of Medicine, Southampton University, Royal South Hants Hospital, Southampton SO14 0YG, UK. E-mail: cp1{at}soton.ac.uk Summary The study compares Mental-Disorder-Related (MDR) suicide rateswith Child-Sex-Abuse-Related (CSAR) suicide of ‘Victims’and ‘Perpetrators’ of child sex abuse, based uponan examination of all Coroners’ inquest files over a six-yearperiod (n = 1,017). Census data, psychiatric case register andpolice records were used to calculate the potential MDR andCSAR populations. There were five main findings: (i) male andfemale CSAR victim suicide rates were 2.2. and 2.5 times theGeneral Population Suicide Rate (GPSR), respectively; (ii) everyfemale, and 80 per cent of male CSAR victim suicides, also hada mental disorder but none of the CSAR perpetrator suicides;(iii) male and female MDR suicide rates were 5 and 6 times theCSAR Victim rates; (iv) the sex abuser perpetrators’ suiciderate was more than 3 times the male MDR rate; (v) the intra-and extra-familial perpetrator suicide rates, were 25 and 78times the GPSR, respectively. Possible explanations for thesesurprising results are briefly discussed. They confirm the overrepresentationof people with mental disorder amongst suicides, and identifyan overrepresentation of CSAR suicides, particularly perpetrators.The results have implications for suicide prevention programmes,whilst highlighting the importance of the child protection-psychiatricinterface, and indicates the futility of simple explanationsin an area of practical and moral complexity.     

Prior Agency Contact and Physical Abuse in Cases of Child Homicide

Correspondence to Ania Wilczynski: Faculty of Law, University of Sydney, 173–175 Phillip St, Sydney, NSW 2000, Australia Summary This article describes the features of child homicide offenders'previous contact with professional agencies and the incidenceof prior physical violence towards their victims. This is basedon an examination of 48 cases notified to the Director of PublicProsecutions in 1984 in which children had been killed by parentsor parent-substitutes in England and Wales. Professional agencieshad been involved with two-thirds of the offenders. Women'scontacts were usually with medical agencies, and men's withsocial agencies. Of those cases with prior agency contact, whilstalmost two-thirds involved a history of violence towards thechild, in only a third of the cases had the reason for agencycontact explicitly included concern about physical abuse. Infact, the most frequent reason for agency contact was concernabout the offender's mental health. Agencies had taken actionin two-thirds of the cases seen by them; this tended to be psychiatrictreatment for women and child protection measures for men. Aquarter of the offenders seen by professionals had been hostileto this intervention. The above findings run counter to thepopular stereotype (fostered by the child death inquiries) thatchild-killers will have had extensive contact with social agenciesand explicitly concerning physical abuse. Professionals needto be aware of more ‘subtle’ warning signals inidentifying potentially filicidal parents.     

New Labour, Social Justice and Children: Political Calculation and the Deserving-Undeserving Schism

Correspondence to: Barry Goldson, Department of Sociology, Social Policy and Social Work Studies, The University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool L69 7ZA, UK. E-mail: b.goldson{at}liv.ac.uk Summary Within a context of national prosperity and relative economicstrength, poverty and inequality is rife in the UK. This paperconsiders the broad contours of such social injustice, beforesharpening the focus to examine the specificities of child poverty.The New Labour government has made an ‘historic pledge’to end child poverty within a generation. The paper traces thekey policy initiatives that are being directed to this end and,by drawing on the latest research evidence, it attempts to assesstheir early impact. Whilst it is acknowledged that the government'ssocial justice agenda has made some progress in ‘tackling’child poverty, it is further proposed that a more rigorous redistributiveapproach is required if substantial and sustainable improvementsare to be made. Furthermore, it is argued that the social justiceagenda is conditioned by wider political calculations, whichlimit its scope. In this way the imperative to be seen to be‘tough on crime’ has meant that policy responsesto children in trouble have taken a distinctive and increasinglypunitive form. By developing the argument that New Labour'selectoral ambitions have led it to re-engage with a specious‘deserving’ ‘undeserving’ conceptualdichotomy, the paper assesses the implications for the treatmentof child ‘offenders’ in particular, and the broadersocial justice project more generally.     

Swimming with Dolphins: The Assessment Framework, New Labour and New Tools for Social Work with Children and Families

Correspondence to Dr Paul Michael Garrett, School of Sociology and Social Policy, University of Nottingham, University Park, Nottingham NG7 2RD, UK. E-mail: paul.garrett{at}nottingham.ac.uk Summary Local authorities, in England, implemented the Framework forthe Assessment of Children in Need and their Families in April2001. The Framework is the first ‘official’ standardassessment model intended for use in the initial assessmentof all ‘children in need’ under Part 111, section17 of the 1989 Children Act. This new ‘conceptual map’needs to be understood in terms of previous policy documentsand earlier technologies of intervention related to child protectionand, more broadly, child welfare. However, it also needs tobe more expansively perceived, fixed and located as it relatesto other elements in New Labour's political ‘project’.The Framework's preoccupation with an ecological approach toassessments and with questionnaires and scales are likely tohave major implications for social work practice and for micro-engagementswith children and families.     

Search for an Indicator of Effective Child Protection in a Re-analysis of Child Homicide in the Major Western Countries 1973-1992: A Response to Lindsey and Trocme and Macdonald

Correspondence to Professor Cohn Pritchard, Department of Social Work Studies, University of Southampton, Southampton, SO17 1 BJ England Summary An analysis of child homicides published in the British Journalof Social Work, demonstrated major falls in child deaths inEngland and Wales between 1973 and 1988. The results were seenas one indicator of improved child protection (Pritchard, 1992a).That study, and a reply to a critique by Creighton (1993), werechallenged by Lindsey and Trocmé (1994) and Macdonald(1995). This paper is a response, and takes advantage of thecriticisms and new data to present evidence which confirms thatthere have been reductions in child homicide in England andWales between 1973 and 1992 and that the Anglo-Welsh improvementswere the best of all the major Western countries.     

Cool Pose: Black Male Homicide and the Social Implications of Manhood

ABSTRACT

Black male homicide has reached crisis proportions. This study investigated homicidal incidents to assess associations of Cool Pose with Black male homicides. Cool Pose is a tradition of manhood originating in Africa. The relationship of Cool Pose and homicide was examined by analyzing with multivariate statistical techniques 721 homicide incidents that occurred in the city of Newark, New Jersey. Findings suggest that Cool Pose is linked to homicides involving Black males. Society is not irrelevant to Cool Pose homicides and therefore relevant to their resolution. Social services may contribute to said resolution by informing the social work profession.     

Direct Payments and Disabled People in the UK: Supply, Demand and Devolution

Direct payments have brought new opportunities for self-determinationand independent living to disabled people in the UK, featuringprominently in government strategy and the 2006 White Paper,‘Our Health, Our Care, Our Say’. However, ten yearsafter direct payments legislation, take-up remains low and implementationvaries greatly. Rates of take-up in England remain more thandouble those in other parts of the UK, raising questions aboutdevolution and equity. This paper presents data from a nationalstudy to examine some of the mechanisms underlying uneven outcomesfor disabled people in different parts of the United Kingdom,with particular reference to the politics of devolved governance.The analysis focuses on scope for interpretations of policy;resources for information and training; the impact of mandatoryduties and targets; extensions to new user groups; and the roleof support organizations and disability activism. The evidencesuggests that local variations have been produced not only by‘local’ factors, but also by different opportunitystructures for policy development in England, Scotland, Walesand Northern Ireland. This raises questions about the impactof devolution on equity and opportunity for disabled peoplein the UK.     

Legalized Abortion and the Homicide of Young Children: An Empirical Investigation

Recent research has drawn a link, sometimes a causal link, between the legalization of abortion in the late 1960s and early 1970s and the precipitous decline in crime in the 1990s. Abortion is posited to have reduced the number of potential victims and potential perpetrators, and the potential effect is examined when these individuals would be reaching their high-crime years. We examined a more proximal potential association between legalized abortion and homicide, specifically, the homicide of young children. Assuming that abortions occurred when the family had insufficient resources for the birth, one could hypothesize that children would have been at higher risk of homicide if born into these circumstances. We examined 1960-1998 U.S. mortality data for children under 5 years of age using an interrupted time series design. The legalization of abortion was not associated with a sudden change in child homicide trends. It was, however, associated with a steady decrease in the homicides of toddlers (i.e., 1- to 4-year-olds) in subsequent years. Although in the predicted direction, the decrease in homicides of children under 1 year of age was not statistically significant. Competing explanations that could be examined in the data (e.g., changes in mortality classification) do not account for the findings.     

The Treatment of Enuresis amongst Child Clients of a Social Services Department

Summary The adoption of an ‘outpatient’ model of supervisingthe treatment of bedwetting amongst child clients of a socialservices department is described. The treatment technique usedwas the generally effective ‘enuresis alarm’, or‘bell-and-pad’. Fifteen out of a total of 25 concludedcourses of treatment were successful, with an average treatmentduration of 14.9 weeks. Both this outcome, and the rate of drop-outbefore completion of treatment (ten cases) are comparable withthose obtained with non social services clients, and the useof the enuresis alarm with children in care (including thosein residential establishments) was found to be quite practicable.A high relapse rate (43%) was, however, found for social servicesclients, relapse usually following a placement change or othermajor stress.     

Distress among Children whose Separated or Divorced Parents cannot Agree Arrangements for Them

Correspondence to Ann Buchanan, Department of Social Policy and Social Work, University of Oxford, Barnett House, Wellington Square, Oxford OX1 2ER, UK. E-mail: ann.buchanan{at}socres.ox.ac.uk Summary This paper, based on a larger study of children and their parentswho were subjects of a welfare report for the court followingparental separation and divorce, highlights the very high levelsof distress amongst the children involved. As measured by theStrength and Difficulties Questionnaire (SDQ), 52 per cent ofboys and 48 per cent of girls had significant adjustment problemsimmediately after the proceedings and a year later, 62 per centof boys and 32 per cent of girls were still maladjusted. Childrenwere more likely to have problems where parents were also distressedand where there was domestic violence. These findings suggestthat these children should be considered ‘children inneed’ under the 1989 Children Act. and that preventiveservices need to be developed to help parents resolve the arrangementsfor the children without going to court.     

The Legalization of Abortion and Subsequent Youth Homicide: A Time Series Analysis

In this article, we examine the association between the legalization of abortion with the 1973 Roe v. Wade decision and youth homicide in the 1980s and 1990s. An interrupted time series design was used to examine the deaths of all U.S. 15- to 24-year-olds that were classified as homicides according to the International Classification of Diseases (codes E960-969) from 1970 to 1998. The legalization of abortion is associated over a decade later with a gradual reduction in the homicides of White and non-White young men. The effect on the homicides of young women is minimal. We conclude that the 1990s decline in the homicide of young men is statistically associated with the legalization of abortion. Findings are not consistent with several alternative explanations, such as changes in the crack cocaine drug market. It is almost inconceivable that in the United States of today, policies affecting the choice to have children would be justified as a means to control crime. Yet, if the legalization of abortion had this unintended effect, the full range of policy implications needs to be discussed.     

The Supervision of Child Protection Work

Correspondence to Alan Rushton, Course Director, M.Sc. in Mental Health Social Work, Social Work Department, The Maudsley Hospital, 101 Denmark Hill, London, SE5 8AZ, UK Summary It has frequently been recommended that statutory child protectionservices in Great Britain need greater provision of specialistsupervision to support front line social workers. This qualitativestudy, based in social services departments in London, usedthe focus group method to explore the provision of supervisionby team managers in a very pressurized work environment. Thestudy highlights the difficulty of protecting adequate supervisiontime but shows how supervisors can use their skills to conductcase related discussion concerned with developing professionalskills. ‘Inquisitorial’ and ‘empathic-containing’functions are identified and an approach is proposed for combiningthem in training courses for child protection supervisors. Thepaper recommends that supervision training needs to be expanded,to be more precisely targeted, and that outcomes need to berigorously and appropriately assessed.     

'Lifeworld', 'System' and Family Group Conferences: Habermas's Contribution to Discourse in Child Protection

Habermas’s critical social theory has been challengedon a range of fronts. However, the authors see merit in hismediation thesis as set out in the seminal text, Between Factsand Norms (1996). Adopting a pragmatist defence of the thesis,we review and demonstrate the effectiveness of what we believeis a coincidental expression of some of its main tenets—TheFamily Group Conference in Child Protection. Drawing furtheron Habermas’s work, we then proceed to re-work aspectsof the conference’s core processes, thereby accentuatingthe possibility of empowering dialogue between its key participants:the families (who embody the ‘lifeworld’) and thesocial work professionals (who represent the ‘system’).In the final section, we argue that moral practice in childprotection must be safeguarded by communicational proceduresthat explicitly address issues relating to the use of powerand the need for ‘recognition’ between subjects.     

Helping Older People in Residential Care Remain Full Citizens

New Labour’s project of modernization has involved thepromotion of interlocking ideas about active citizenship andnew modes of democratic engagement combining to produce whathas described as ‘participative governance’. Concernsabout legitimacy, a ‘democratic deficit’ and theneed to shift power and responsibility to the ‘citizen’have led to the emergence of a range of new deliberative foraand democratic processes. This has led to debates about howto ensure that social diversity can be represented in the decision-makingprocess. A challenge has been how to engage with the issuesof an ageing population and represent older people in all theirdiversity. In recent years, there have been growing calls toextend advocacy rights to older people living in residentialcare. Mostly, this has been to ensure that as consumers, theyhave a fuller say in how their service is run. Older care homeresidents are service users but, as persons, should not be reducedto this role only; they are also citizens in the broadest senseand should not be cut adrift from debates at the national, localand community levels on issues that concern them. This paperexamines how the moves to bring older people into deliberativedemocratic processes have tended to focus on those in their‘Third Age’. Those in institutional settings, beingin the ‘Fourth Age’, occupy a much more marginalposition. This effective disenfranchisement is yet another reasonwhy, for many, the move into residential care—a difficulttransition for a variety of reasons—becomes regarded asthe ‘last refuge’. It contributes to the sense ofloss of identity, lowering of self-esteem and a reduced senseof personhood. This article accepts that there should be moreeffective involvement of care home residents in decision makingabout their personal care. However, there are dangers in adoptinga too narrowly consumerist approach. This can reinforce a reductionistview of care home residents simply as ‘service users’—aform of ‘othering’ in itself. As citizens and membersof a wider community, they should be included in consultationsabout any community and wider political debates that affectthem. Such a proposal implies a widening and deepening of advocacyservices available to this group. As most older people in residentialcare are there following the intervention of a social care professional,then ensuring that they have access to advocacy must surelybe a key task. This paper argues that this is frustrated bythe lack of suitable services. Without a significant investmentby the Government in independent advocacy services, not onlyis the social work task with one of social care’s coreclient groups rendered impossible, but the Government cannotdeliver on its own agenda of empowerment, active citizenshipand inclusion.     

Liquid Social Work: Welfare Interventions as Mobile Practices

This paper re-examines the nature of social work from the perspectiveof movement and ‘mobilities’. It shows that socialwork is at all times ‘on the move’, yet theory andanalyses of policy and practice largely depict it as static,solid and sedentarist. The paper draws on the ‘new mobilitiesparadigm’ (Sheller and Urry, 2006), through which a concernwith flows and movements of people, objects, information, practices,speed and rhythm, with complexity, fluid images and liquid metaphors,is moving to the centre of social theory. An understanding ofthe ‘liquid’, mobile character of social work meansproducing accounts which are much closer to what its practicesare, how and where they are performed and experienced by serviceusers and professionals, and the opportunities and risks inherentto them. Three key domains of practice—the home visit,the car journey and the office/organization—are examinedin terms of the movements that go on in them. Viewed throughsystemic and complexity theories, it is shown that social workinterventions in late-modernity are best understood in termsof a flow of mobile practices between public and private worlds,organizations and the home, at the heart of which is the sensualbody of the practitioner on the move.     

Yes Minister: Reviewing the 'Looking After Children' Experience and Identifying the Messages for Social Work Research

Correspondence to Paul Michael Garrett, Centre for Social Work, School of Sociology and Social Policy, University Park, Nottingham NG7 2RD, UK. E-mail: paul.garrett{at}nottingham.ac.uk Summary The heavily promoted Looking After Children: Good Parenting,Good Outcomes (LAC) project continues to exert a powerful influenceon social work in the UK and elsewhere. Despite the repeatedassertions that the documentation associated with LAC is embeddedin ‘objective’ research, this not sustainable onaccount of the failure of the researchers to interrogate theirown normative assumptions and judgements. Specific criticismscan also be levelled at the ‘community study’ connectedto the evolution of the Action and Assessment Records (AARs)which are the key part of the scheme. The system should alsobe viewed in the context of wider pre-occupations about ‘outcomes’.In addition, the project needs to be politically situated andthe researchers' relationship with the Department of Healthshould be more fully explored. In conclusion, it is suggestedthat the LAC experience contains important ‘messages’for the future of social work research.