Mothering and child protection practice: rethinking risk assessment

In recent years, across North America and the UK, child protective service agencies have increasingly begun to rely on bureaucratic, technocratic, and regulatory mechanisms for detecting and managing abuse and neglect. Coupled with a shift from concern for the general social welfare of children to a heightened preoccupation with risk or dangerousness to children, risk assessment systems are becoming integral to child protection practice.
Though risk assessment systems aim to enhance the effectiveness of child protection investigations and service provision, as well as filter out high risk cases from the rest, such systems may foster and reproduce often concealed relations of gender, race, and class. This paper presents a review of the risk assessment trend in child welfare, its general objectives, and some criticisms raised to date. Through a feminist analysis of the social construction of mothering, we re-examine risk assessment. We argue that the risk assessment trend has the potential to entrench oppressive relations of gender, race, and class in child welfare practice with mothers. We suggest that an approach to risk assessment which incorporates a 'mothering narrative' might offer a more thorough evaluation of the conditions that shape the context within which risk to children emerges.     

Transcending the fissure in risk theory: critical realism and child welfare

Within risk theory a key fissure has emerged. On the one hand, objectivist theories continue to treat risk as a measurable entity, while on the other, subjectivist accounts approach risk as a socially constructed phenomenon. Arguably, we need to transcend this false opposition and harmonize important insights from both approaches. Building on an earlier paper in this journal, the author tries to achieve this synthesis by applying Bhaskar's critical realist perspective to this contested area. The reconciliation of objectivism and subjectivism within critical realism, it is argued, redirects our attention to the deep‐seated causes of harm or the underlying mechanisms that, when activated, give rise to situations involving risk. The paper concludes by reviewing the implications of these ideas for child and family social work. It is here that connections are made with attachment theory and the recent interest in childhood resilience.     

Transforming child and family services in urban communities in South Africa: lessons from the South

Post‐apartheid, South African agencies have been required to shift their services in fundamental ways, including offering services in previously un‐resourced areas, honouring the rights of children and families, ensuring that users, staff and governing bodies are representative of the population and providing developmental social welfare services in place of child protection‐oriented interventions only. A study of urban South African child welfare agencies provides insight into the complex task of managing and leading change. In view of overloaded change agenda and resource constraints, managers focused on effecting incremental change and prioritized the most ‘rewarding’ change efforts. Transforming practice towards a developmental approach was less successful. Structural interventions were also not prioritized. Child welfare agencies internationally face demands to transform in response to the effects of local change and globalization. The study's insights might resonate with agencies working for change in other societal contexts.     

Underpinning knowledge for child care practice: reconsidering child development theory

Child development theory has come to be regarded as essential underpinning knowledge for social work practice, a view reinforced by the current research‐minded agenda. Practitioners are enjoined to acquire a more in‐depth knowledge of child development but in this paper it is argued that this agenda requires more scrutiny if social workers are going to engage more meaningfully with the child development literature and use it in a critical and reflexive way in their practice. To this end some key messages drawn from critical approaches to developmental psychology, a literature to date largely unrecognized by social work, are examined for their relevance to practice.     

Cognitive-behavioural interventions for adolescents in residential child care in Scotland: an examination of practice and lessons from research

This paper sets out to examine the basis and use of cognitive‐behavioural interventions with adolescents in residential child care. The paper outlines the results of a survey of the use of cognitive‐behavioural interventions in Scotland. The survey indicates that such interventions are used widely in residential schools and secure units in Scotland. The paper then reviews some of the studies relating to cognitive‐behavioural interventions, which appear to be most relevant to residential child care. The review revealed many of the positive outcomes of cognitive‐behavioural interventions. However, there are some cautionary notes highlighted by the survey and the review. These relate to issues about generalization of learning and the meaning of the intervention for the young person and for the staff. The paper discusses the importance of other factors in determining the success of cognitive‐behavioural interventions. These factors include the importance of accurate assessment, the role of staff training and the need to ensure that interventions are always in the best interests of the child.     

Social work and social problems: A contribution from systems theory and constructionism

Social work builds its identity on social problems. The goal is to generate knowledge about causes, consequences and solutions. However, there is a lack of theory of social problems. We suggest that research on social problems can benefit by ‘bringing the observer in’: Loseke's constructionist framework and Luhmann's systems theory. According to Loseke, social problems appear differently when constructed by different observers. Constructions vary in terms of morality, conditions, victims/villains and solutions. From Luhmann we learn that modern society consists of a multitude of social systems (e.g. politics, science, economy etc.), each operating with their own communicative codes. Combining both approaches, we hypothesise that any social system constructs its own (version of) social problems. Illustrating with the empirical case ‘suicide among mentally ill people’, we examine how a phenomenon is constructed differently as a social problem by four different social systems: the disability movement, politics, medicine and social work.     

Use of a single page elder abuse assessment and management tool: a practical clinician's approach to identifying elder mistreatment

Elder abuse is a growing, alarming public health issue. As health care professionals, our challenge is to balance our duty to protect the safety of the vulnerable elder with the elder's right to self-determination. Clinicians in busy practice settings across the continuum of care as well as community-based social workers, emergency medical system, police, and banking personnel are collaborative partners needing tools that focus on early recognition, assessment, intervention, and management of elder abuse. A simple one-page tool that provides principles of assessment and management, best practice guidelines and screening questions will hopefully serve to raise awareness of this important public health issue and maintain a high index of suspicion for elder abuse, neglect and financial exploitation.     

Social development needs assessment in China: lessons from an international collaborative field school in Guangxi Zhuang autonomous region

We explore the potential for rural and urban community needs assessment research in China, particularly in response to increasing rural to urban internal migration. Models for migration and community development are presented. We identify various methods that can inform social development planning, intervention, and evaluation. A collaborative community development field school in Guangxi Zhuang autonomous region was conducted with US and Chinese students and faculty. Plans for, and initial results of, a qualitative rural needs assessment are described. A semi‐structured urban resident needs assessment survey and the results of a small pilot study are presented. Challenges of international collaboration and implications and suggestions are reviewed.

本文探索了在中国农村和城市社区进行需求评估研究的潜力,特别是在回应不断增加的城乡人口流动。作者描述了各种移民和社会发展模式,并确定了几项可用于社会发展规划,干预和评估的方法。作者在广西壮族自治区建立了一所由美国和中国的学生和教员合作的社会发展田野考察学校,并描述了计划的内容和初步结果。作者在文中描述了一个评估城市居民需求的半组织性调查和一个小型试验研究的结果,并探讨国际合作所面对的挑战,影响和建议。     

Protecting children in new times: child protection and the risk society

This paper examines the nature of late-modern child protection by placing it in the context of the paradigm of `risk society'. It traces out a structural transformation in the relationship between expertise and lay people that has occurred since the 1970s which resulted in the emergence of child abuse inquiries and new public disclosures of professional 'failures'. The dynamic and empowering features of social developments are identified in how institutions, professionals and lay people re-appropriate power, knowledge and reskill themselves. Traditionally repressed problems like child sexual abuse have gained recognition in a context where abused women and children – like all late-modern citizens – are reflexively engaged in constructing their own biographies and using expertise in the planning of their life projects. A radically new professional risk consciousness in child protection is traced to late-modern existential crises associated with death and sexuality and the emergence of manufactured risk, which is known and experienced by social workers as risk in the context of radically uncertain futures for children. Drawing on the work of sociologists of 'reflexive modernity', the paper aims to advance our understandings of social work and child protection beyond the one-dimensional focus of post-modernist critics on power, control and bureaucracy to recognize the new opportunities, as well as the dangers, involved in child protection in risk society.     

Social process theory of emotion: A dynamic systems approach

In this paper we apply a dynamic systems perspective to infant emotional development. We propose that emotions are not states but self-organizing dynamic processes intimately tied to the flow of an individual's activity in a context. We review data on the relationship between emotional actions and the social context, in particular the development of smiling and laughter. These data are more adequately explained by our perspective than by other theories of emotional development. We provide a model for how emotional processes in early infancy become embedded into sociocultural systems, and suggest new avenues of research on emotional development.     

A preliminary review of the parenting assessment and skill development service: A 10-day residential service for families at risk of child maltreatment

Tweddle's Parenting Assessment and Skill Development Service (PASDS) is a 10-day residential programme for families at risk of child maltreatment. The service aims to conduct a comprehensive parenting capacity assessment to inform case management and improve parenting practices. The aims of the study were to (1) describe the psychosocial functioning of parents taking part in PASDS, (2) describe the key parenting assessment outcomes, and (3) explore parents' experiences of participation in PASDS including (a) perceived barriers and enablers of participation and (b) perceived outcomes for their family. Participants were 18 parents who participated in Tweddle's PASDS in Melbourne, Australia. A mixed methods study comprising a case file review and qualitative interviews was conducted. Parents accessing PASDS had experienced adverse childhood events, and many were experiencing mental health difficulties. Interviews with parents revealed perceived benefits of PASDS in improving parenting knowledge and skills, family relationships, and parenting confidence. At the time of discharge, 33% of families were assessed as unable to provide independent care for their child. The current findings have important implications for the further evaluation of evidenced-based services which can improve the accuracy of parenting capacity assessments, aiding in child protection decision-making related to child placement and safety.     

Caregivers' perspectives on the SafeCare® programme: Implementing an evidence‐based intervention for child neglect

This qualitative study examined caregivers' experiences with SafeCare®, an evidence‐based programme that focuses on child neglect through modules on health, safety, and parenting. Shortly after completing SafeCare, 30 caregivers participated in a semi‐structured interview about their experiences with the programme. Overall, caregivers indicated that the programme helped with improvements in their parenting skills. Among the factors that contributed to a positive experience were the simplicity of language, the skills‐based approach, and the quality of the relationship with the SafeCare provider. Caregivers also noted several factors that made it difficult to fully benefit from the programme, including financial constraints, removal of their child from the home, and general distrust towards the child welfare system. Findings provide relevant information for SafeCare providers in terms of identifying areas that work well for caregivers completing the programme, as well as areas that might serve as impediments. Implications for contemporary child welfare practice are also considered.     

Domestic violence and child protection: exploring the role of perpetrator risk assessments

This article explores the issue of severity in relation to domestic violence and provides a number of reasons for the necessary engagement by workers with such a contentious issue. The specific role that the assessment of the risks posed by the perpetrator which has now developed in some police forces in the United Kingdom is examined, and its relevance to child welfare intervention discussed. A range of factors are identified that heighten the risks of increased violence. These include prior sexual assault; stalking and controlling behaviour; substance misuse and mental‐health problems; separation and child contact disputes; pregnancy; escalation including the use of weapons and psychological abuse; attempts and threats to kill; child abuse; isolation and barriers to help‐seeking. The ways in which perpetrator risk assessment can be used to inform the filtering of referrals to the statutory child care agency, enhance multi‐agency working, provide a structure for the assessment of the perpetrator, enhance partnership‐working with survivors (usually women) and inform the protection strategies for workers are explored.     

'Polyphonic' welfare: Luhmann's systems theory applied to modern social work

This article applies a series of concepts from Niklas Luhmann's systems theory in an analysis of modern welfare organisations. The point of departure is that social help in late modern welfare states has become 'polycentric' in that 'help' is today being defined by various different agents: public, voluntary and private care providers. Empirically, this article investigates re-housing work with homeless people, a kind of social work which involves several different welfare organisations. The case study shows how these organisations define themselves by making internal constructions of their surroundings, and how their self-enclosed nature creates a certain 'insensitivity' towards one another. How to coordinate and translate within this 'polyphony' of incomparable observations and values represents a major managerial challenge for present-day social workers.     

The assessment relationship: interactions between social workers and parents in child protection assessments

Summary This paper is concerned with a relatively unresearched areaof child protection practice: the comprehensive assessment.The study comprises qualitative research of social workers conductingthese assessments. Sixteen assessments are analysed in detail.It is noted that these assessments, like many other in-depthsocial work assessments, are mainly based on verbal interactions.Some of the core evidence cited by social workers as formingthe basis of their assessment decisions is based on verbal interactionbetween social workers and parents. Such verbal interactionsare viewed as being inextricably intertwined with the socialworker-client relationship. A particular aspect of the relationship,the ability to agree a plausible explanation for the familysituation, is highlighted as particularly important in determiningthe outcome of the assessment. The possible implications ofthese findings for assessment practices are outlined.     

Developing critical social work in theory and in practice: child protection and communicative reason

This paper argues that a critical analysis of the ideologies that inform contemporary child care has been missing from the 're-focusing debate'. Such an analysis points up the necessity of reasserting a critical social work position in order to provide a basis for reconstructing practice and engaging with other social actors and their ideologies in an open and creative fashion compatible with Habermas' aspiration of 'communicative reason'.     

Unconventional monetary policies from conventional theories: Modern lessons for central bankers

The aim of this paper is to provide a critical review of some recent developments in macroeconomics. We discuss the introduction of financial frictions in New Keynesian models, which is said to account for the increasing influence of financial markets, institutions and products in real-world economies. For this purpose, we compare the macro dynamics of a benchmark NCM-DSGE model with the behaviour of the same model augmented with a financial accelerator mechanism. Our simulation exercises show that the financial accelerator mechanism can be regarded as an effective, though indirect, way to account for hysteresis in potential output. A fundamental policy corollary follows that central banks should pursue financial stability, rather than price stability, and target current output growth, rather than output gap. Such an unconventional result is obtained by a simple macroeconomic amendment to an otherwise conventional NCM-DSGE model.     

Understanding child,family, environmental and agency risk factors: findings from an analysis of significant case reviews in Scotland

This paper presents the findings from an analysis of 56 significant case reviews (SCRs) in Scotland. In contrast to England and Wales where national analyses have been undertaken for many years, until this study was undertaken, the findings from SCRs had not previously been collated nationally. The paper discusses child, parent, environmental and agency factors that were identified in the SCRs and, whilst noting that the pathways to death or harm will be unique in individual cases, tries to further our understanding of the ways in which these different factors may interact to result in death or harm. A significant finding was the high number of SCRs that relate to the care and protection of children living in families whose lives are dominated by drug use and the associated issues this brings, including criminality and neighbourhood problems. Another challenging finding was the lack of suitable resources for the placement and support of troubled teenagers. Finally, a number of SCRs involved long‐term neglect and/or sexual abuse of school or nursery age children who had been known to statutory services for many years.     

Implementing Community Social Work from a Social Services Department: Some Issues

Summary The proposal in the Barclay Report on the role and tasks ofsocial workers for ‘community social work’ as astrategy for social services departments is assessed The writerargues that the voluntary sector has significant roles and prioritiesoutside the social services, that government priorities forencouraging the voluntary sector emphasise other areas of workand that involving voluntary groups in official initiativesmay be seen as going against the independence of some groups.The motivation of groups and individuals in the voluntary sectorwill be important, but various research and practice shows thatindividuals, informal groups and mutual aid groups may be difficultto involve in a substantial programme. The climate of opinionin the field of volunteering and the social background of clients'neighbours may provoke hostility. Experience of community worksuggests that official initiatives may lead to resistance andconflict rather than involvement, and there may be ethical problemswith compulsion.