THE CONTRIBUTION OF PSYCHOANALYTICAL OBSERVATION IN CHILD PROTECTION ASSESSMENTS

In this paper I describe my role in undertaking child protection assessments for children in my work for a Family Centre managed by a national voluntary child care organisation. I explore how psychoanalytical observation provides additional knowledge informing assessments of risk for children. In an example that I discuss in some detail, I show how observation provides a means for assessing relationships between children and parents which leads to informed recommendations to court. In a second example I show how observation can be linked with a therapeutic approach to generate necessary change in parenting capacity. I conclude that observation is an important and effective training for professionals responsible for protecting children from harm.     

Independent child protection assessments: incorporating a therapeutic focus from an integrated service context

Assessment following serious child abuse is a significant activity for the social work, psychology and psychiatric professions. Notwithstanding the profound significance of the consequences for abused children and their families from recommendations made by such assessments, there is little research which examines the process and outcome of child protection assessments. This paper describes the professional practice principles of an independent assessment team and presents preliminary findings from a retrospective examination of 160 major independent assessments undertaken over a period of 11 years. The review suggests that nearly 60% of the families gained some therapeutic benefit from the assessment process and outlines the areas in which such benefits occurred. It is argued that structuring assessments in a way which maximizes the possibility of parents/carers effecting changes in problem areas is the essence of a constructive partnership relation with families. Copyright © 1999 John Wiley & Sons, Ltd.     

Assessment of Children in Need in a Post-Soviet Context: Reflections of Child Protective Workers in Estonia

Child protective worker perspectives and principles are known to affect practitioner–-client interaction. However, there is little research on the principles underpinning workers’ assessment activities in transitioning post-Soviet societies where child protection is a relatively new field. This article presents the findings of a small-scale, qualitative study that explored the perspectives and principles that Estonian child protective workers utilize to inform their assessments. The respondents (N = 20) provided examples of real-life cases that reflected their assessment perspectives. The results indicated that too often workers’ assessments demonstrate an over-reliance on an authoritarian, deficit-based approach that does not sufficiently include family or child perspectives. Such an approach may suggest the lingering influence of philosophies that informed family policy during the Soviet occupation. Workers with advanced training in social work and strength-based practices were more likely to focus on family strengths, build collaborative relationships with parents and children, and report successful outcomes in their cases. This study underscores the potential influence of previous Soviet occupation on child welfare practices in Estonia and also the need for further training of the nation’s child protective workers.     

Child-centered approach in the context of the assessment of children in need: Reflections of child protection workers in Estonia

Objective

This article describes empirical results on how practitioners understand the concept of child-centered approach and how it is applied in practice, extending knowledge of the unresearched phenomena in Estonian child protection practice.

Method

A small-scale study included twenty child protection workers from different regions in Estonia, exploring the child-centered approach in assessment practices through in-depth semi-structured interviews.

Results

Results indicate that child-centered approach in the child protection workers' practice is characterized, firstly, by doing work for the child, and less by working with the child, including the fact that some practitioners are somewhat unclear about the meaning of child-centered principle. Majority of the participants underscored the importance of child involvement and partnership in the decision-making process, nevertheless, their case reflections showed that most of them did not include the child in the assessment.

Conclusions and implication for practice

Findings highlight several challenges in Estonian child protection system and suggest a need to find ways to support child protection workers' competence and confidence to conduct comprehensive assessments based on the child-centered approach, including the child in the assessment process.     

Child protection: An unreflective practice

This paper highlights the need for social work education to focus on the ideological, cultural and organisational influences that shape practitioner perspectives and determine case careers, particularly in the area of child protection. Using the findings from a case study on the processing of child abuse referrals made to a social work team in Ireland's largest health board region, this paper illustrates the dissonance between the 'official' child protection discourse and the complexities and dilemmas of everyday practice. It also highlights practitioners' apparent lack of awareness of the dynamics that determine the way in which decisions and assessments are reached. The need to encourage and facilitate social workers' use of theory as a means of addressing these complex areas is endorsed, and implications for educational programmes are discussed.     

INTERVENTION PLANNING FOR THE FAMILY OF THE AUTISTIC CHILD: A MULTILEVEL ASSESSMENT OF THE FAMILY SYSTEM*

The clinician working with the family of an autistic child may need to assess the family at several levels. The first level requires an assessment of the behavioral deficits and excesses of the child. The next level examines the family in terms of their behavioral skills and the impediments that occur when they implement behavior change programs. The third level involves assessing the family unit to identify obstacles to change. While many well-functioning families may be stressed by the crises that arise in raising an autistic child, other families are predisposed to dysfunction regardless of the presence of the child.     

Walking the tightrope of a mental health act assessment

This article is an attempt to capture something of the atmosphere of a Mental Health Act assessment, and was inspired by a recent article by Professor Harry Ferguson on child protection (2010). Here, the focus is on adult mental health practice and, in particular, on Mental Health Act assessments which may take place in any location including police stations, hospital wards or care homes. The following article mainly concentrates on assessments that take place in the service user's home. The Mental Health Act 2007 replaced Approved Social Workers with Approved Mental Health Professionals (AMHPs) in England and Wales; prior to this change the role was, as the name stated, entirely performed by social workers and they remain the predominant profession within the ranks of AMHPs.     

Professional judgements and decisions on placement in foster care and reunification in Portugal

This study aims to analyse professional judgements and decisions made in the Portuguese child care system in face of a case vignette of child maltreatment. Using the approach proposed by Benbenishty et al. [(2015). Decision making in child protection: An international comparative study on maltreatment substantiation, risk assessment and interventions recommendations, and the role of professionals’ child welfare attitudes. Child Abuse & Neglect, 49, 63–75. doi:10.1016/j.chiabu.2015.03.015], we assessed the decisions of professionals, such as to place the child in foster care or reunify her with her family, on the basis of a series of judgements (e.g. substantiation of alleged abuse and neglect, risk assessments) that are influenced by the characteristics of the case, the decision-making context, and mother's and child's wishes. We conclude that there are different approaches to the case based on different professionals' attitudes that can be classified in two groups: one more pro-removal and the other anti-removal. These groups presented different risk assessments and intervention recommendations, and their decisions where significantly influenced by the mother's and child's wishes. Furthermore, we have done comparisons with studies made in other countries, concluding that the country context can be an important factor that leads to different outcomes. Implications for both practice and research are presented.     

Assessment in a specialist referred family centre: outcomes for children

Relatively little is known about the outcomes of assessment as an information gathering mechanism as well as a therapeutic encounter in which service users explore and share their problems. Assessment in child welfare is now a highly topical issue given the new assessment framework recently introduced to England and which is currently a matter of consultation in Wales. In contributing to a long running debate over ‘what works’ in child protection assessment and intervention, a United Kingdom national voluntary child care agency commissioned the authors to undertake a three year outcomes study of a child and family assessment service provided by their specialist referred family centre in South Wales. The paper sets out selected findings that reveal an assessment regimen which encouraged partnership, enjoyed a comparatively high level of engagement particularly from male parents/carers, and was perceived by adult users as positive. It promoted clear decision making about the placement of children. Also, children involved in these assessments appeared to be exposed to low risk of re‐abuse compared to other relevant studies. Copyright © 2001 John Wiley & Sons, Ltd.     

Legal Parenthood and Continued Parent-Child Relationships—The Moral and Experiential Aspects of Parenting

ABSTRACT

This paper presents a construct of parenting which provides criteria for differential solutions in cases of child protection, i.e., confidential adoption, adoption with contact and out-of-home placements. It is proposed that the moral aspect of parenting be central in judicial proceedings regarding the protection of the child. In addition a distinction between the moral and the experiential aspect of parenting should be made. The presentation of this construct is based on the author's assessments of parents when acting as an expert witness to the court (in Israel), in three cases in which compulsory adoption was petitioned by the state. The assessment of the moral aspect of parenting is based on the parent's own evaluation of his/her own parenthood, and the assessment of the experiential aspect is based on the parent-child relationships with a particular emphasis -on the child's responses to the parent. This construct may allow experts to tread the fine line between assessing parents and accusing them and provides a base for negotiation between parents' conceptions of their parenthood and the court's.     

Social Work Intervention in Child Abuse—An Ever-Widening Net?

This paper considers some of the issues concerning the social work response to child protection which are currently being debated by professionals involved in this field. In particular, the paper considers where there is an imbalance in the system, with too much emphasis being placed on child protection at the expense of child welfare. It describes how one authority has sought to focus its child protection investigation system. This has been achieved firstly through the use of management information to measure performance and make comparisons between different areas. This information was then used as the basis of training, encouraging staff to renew their practice and ensure that an appropriate response is made to child care referrals and that children are not drawn into the child protection net inappropriately but are dealt with within a child welfare framework. Examination of a sample of child protection investigations showed that where welfare needs were investigated, attempts were made to use available resources to meet these needs.     

Maintaining a focus on the child? First impressions of the Framework for the Assessment of Children in Need and their Families in cases of child neglect

The Framework for the Assessment of Children in Need and their Families is guidance introduced by the Department of Health in England to improve assessment practice and promote better outcomes for children and their families. This paper considers ways in which the Assessment Framework can improve assessment practice in cases of child neglect. However, as with any national guidance, its effectiveness is dependent on local approaches to implementation. The author has undertaken practice development work around implementation with senior managers and frontline staff in area child protection committees (ACPCs) and social services departments. These experiences are used to explore the local issues and tensions encountered by both practitioners and managers responsible for implementing the Assessment Framework. An argument is made that these issues and tensions if not addressed can result in distorted assessments that lose the focus on the child. Copyright © 2002 John Wiley & Sons, Ltd.     

Improving mental health assessments in child protection through audit

Existing agency records, together with questionnaires completed by social services referrers and mental health providers, were used to identify problems in current arrangements for obtaining specialist mental health assessments in child protection cases. Standards were set and implemented through a multi‐agency steering group. The practice of referrers and providers was then reaudited. Sixty‐nine social workers, six mental health specialists and 27 child protection initial case conferences (involving 31 children) were involved in the reaudit over a 4‐month period. Initially, main problems concerned communications, unclear referral and access arrangements, waiting times and disagreements over prioritization. Standards concerned consultation and decision‐making arrangements within the child mental health service, the format of referral and reply letters, the sharing of information and the attendance of mental health professionals at child protection case conferences. There appeared to be improvements in all these areas at reaudit. In conclusion, some shared views of problems, additional support funding and the audit process appear to have helped to improve inter‐agency collaboration and develop more efficient referral and care arrangements. There is a need to maintain and further develop this work, and audit would again be a useful means. Copyright © 1999 John Wiley & Sons, Ltd.     

THE EFFECTS OF A NON-RELATED ADULT FRIEND ON CHILDREN OF DIVORCE

It is intuitively appealing to think that it would help the child of divorce to have a neutral adult with whom to discuss the divorce. It would also seem to help the child by providing the parent with some time away from their child. However, although most respondents in this study were pleased with the relationship developed between the child and friend, they did not single out either of these benefits.     

AN ECONOMETRIC MODEL OF THE DEMAND FOR CHILD CARE

Child care denotes any arrangement used by a working parent for care of a child, including self-care. This paper is concerned with the factors that influence the demand for market modes of child care by two parent families with working mothers. An econometric model is specified that relates the demand for child care to price, income, and other economic variables. Because of the discrete nature of the child care decision, the multinomial logit probability model is used to analyze the data. The empirical results suggest that the demand for child care is sensitive to both prices and income.     

THE MASS MEDIA AND THE SOCIAL CONSTRUCTION OF THE MISSING CHILDREN PROBLEM

This article traces the role of the mass media in the social construction of the "missing children issue' as a social problem. The social construction explanation of social problems offered by Blumer (1971) and Spector and Kitsuse (1977) has been criticized (cf. Best and Horiuchi 1985) for lacking a conception of extra-media influences that can affect audiences beyond the initial viewing situation. Recent work in mass communication indicates that a media logic is adapted by other institutions to amplify television imagery and themes about crime, danger, and child abuse. A case study of the origins and claims and counterclaims about the nature and extent of missing children is combined with an empirical analysis of the impact of various sources of information about the missing children issue in order to demonstrate the process by which a social problem is constructed. The impact of additional information is analyzed by administering a self-report questionnaire to 96 respondents before and after viewing a two-part documentary on the complexities of the issue. The data suggest that mass-mediated imagery and formats forge an interactive informational context for social problems by sustaining what is viewed in one's living room with imagery in bulk mail, milk cartons, and posters. It is further suggested that mass media depictions of problems such as "missing children' carry over into consonant images such as child abuse. This conceptualization is capable of encompassing other accounts of social problems (e.g., "urban legends") within claims-making activity.     

Exploring the new child protection system in Mainland China: How does it work?

Child protection has become an increasingly important issue in China. Notably however, few studies have explored the Chinese child protection system itself. The purpose of this study is to explore the basic elements of China's child protection system, which was initiated as a pilot program in May 2013, in order to find out how this child protection program works. A content analysis approach was used for this study. A total of 97 related public documents and 11 supplemented interviews were analyzed. We report on the five major categories of basic elements of China's child protection, accompanied by a detailed analysis. Findings show that: (1) The child protection pilot program aims to serve more vulnerable and disadvantaged children rather than abused and neglected children; (2) Although Minors' Protection Office was established to specialize in improving child protection mechanisms and services, a number of agencies bear the primary responsibilities of children protection in practice; (3) A reporting system for reporting suspected child abuse has been advocated in the practice of child protection for the first time; (4) Domestic child protection organizations and institutions play important roles in providing alternative care services. The findings presented in this paper also indicate that although a basic framework for child protection has formed in pilot areas, there are significant barriers to developing and implementing such a system.     

Identifying abused children using assessments and observations in the classroom: a preliminary study

The paper presents two pilot studies that attempt to identify maltreated children in the classroom. The aim of pilot study 1 was to determine whether six British physically abused children performed signi?cantly worse than matched non‐abused children on a battery of tests and rating scales over an 18‐month period. The aim of pilot study 2 was to concurrently identify maltreated children from a classroom of children using standardized tests and observed negative behaviours. The method used in study 1 was a cross‐comparison design with six physically abused and 12 comparison children, all between 4 and 8 years old. They were assessed over 18 months at four time‐points on a battery of standardized tests and rating scales. Study 2 was based on a concurrent prediction of child abuse in a class of 30 children (18 male and 12 female) 10 years old. They were assessed on a battery of standardized assessments and by the direct observation of negative behaviour in order to predict those who were on the child protection register (CPR) for actual or suspected abuse and those who were not. The results of study 1 showed signi?cant differences on the teacher rating scales and on a measure of sibling dependency. Study 2 used standardized assessments and identi?ed three of ?ve abused children. Direct observations identi?ed one of ?ve abused children. These two preliminary studies suggest standardized assessments are more useful than behavioural observations in identifying abused children in the classroom setting. Further con?rmation is required using larger‐scale investigations. Copyright © 2003 John Wiley & Sons, Ltd.     

Understanding dissociation in relation to child trauma,mental health needs,and intensity of services in child welfare: A possible missing link

Abstract

While there is limited research on the role of dissociation among children and adolescents, emerging evidence links child trauma history, dissociation, risk behaviors, and other negative outcomes among youth. This study examined dissociation in relation to mental health needs and intensity of services among a large sample of youth in Illinois child welfare, upon entry into care and in residential treatment settings. The Child and Adolescent Needs and Strengths (CANS), a comprehensive, trauma-informed assessment strategy and information integration/planning tool was the primary measure. This study included two overall samples of child welfare-involved youth, ages 3–18: at entry into care (N?=?27,737) and in residential treatment (N?=?5,758). Findings indicated that rates of clinically significant dissociation were generally highest among younger youth (under age 14) and among youth with more cumulative and severe trauma. Dissociative youth were significantly more likely to exhibit several risk behaviors (e.g., fire setting and self-harm) and mental health symptoms (e.g., psychosis and somatization). Those youth with significant dissociation at entry into care were more likely to be psychiatrically hospitalized, placed into residential treatment, with greater likelihood of placement disruptions within the 2 years following entry into care. Implications of these findings are discussed in terms of the value of identifying and assessing dissociation and other trauma-related symptoms that may be less recognized but can be linked to high-risk behaviors and other negative outcomes within child welfare and across child-serving systems. Understanding dissociation may be an important component of training, service/treatment planning, and clinical care within child-serving systems.