Reviewing child deaths—learning from the American experience

Current systems for investigating child deaths in England, Wales and Northern Ireland have come under intense scrutiny in recent years and questions have been raised about the accuracy of child death investigations and resulting statistics. Research has highlighted the ways in which multidisciplinary input can contribute to investigative and review processes, a perspective which is further supported by recent UK policy developments. The experience of creating multidisciplinary child death review teams (CDRTs) in America highlights the potential benefits the introduction of a similar system might have. These benefits include improved multi‐agency working and communication, more effective identification of suspicious cases, a decrease in inadequate death certification and a broader and more in‐depth understanding of the causes of child deaths through the systematic collection and analysis of data. While a lack of funding, regional coordination and evaluation limit the impact of American CDRTs, the positive aspects of this process make it worthwhile, and timely, to consider how such a model might fit within our own context. Current policy developments such as the Home Office review of coroner services, the Children Bill and related Department for Education and Skills (DfES) work on developing screening groups demonstrate that strides have been made in respect of introducing a multidisciplinary process. Similarly, the development of local protocols for the investigation and[sol ]or review of child deaths in England, Wales and Northern Ireland highlights an increased focus on multidisciplinary processes. However, key issues from the American experience, such as the remit of CDRTs[sol ]screening panels, the need for national coordination and the importance of rigorous evaluation, can inform the development of a similar process in the UK. Copyright © 2005 John Wiley & Sons, Ltd.     

Does Child‐Care Quality Mediate Associations Between Type of Care and Development?

Studies document that, on average, children cared for in centers, as compared to homes, have higher cognitive test scores but worse socioemotional and health outcomes. The authors assessed whether the quality of care received explains these associations. They considered multiple domains of child development—cognitive, socioemotional, and health—and examined whether mediation is greater when quality measures are better aligned with outcome domains. Using the Early Childhood Longitudinal Study Birth Cohort, they found that children in centers have better cognitive skills and behavioral regulation than children in homes, but worse social competence and generally equivalent health (N = 1,550). They found little evidence that quality of child care, as measured by standard instruments (e.g., the Early Childhood Environment Rating Scale—Revised), accounts for associations between type of care and child developmental outcomes.     

Child Support Obligations and Low‐Income Fathers

Using the 1994–1998 waves of the Current Population Survey—Child Support Supplement (N =5,387), the aims of this study are to document child support obligation rates of nonresident fathers, to examine the effect of the obligation rate on child support compliance, and to calculate the trade‐off between fathers’ financial responsibility and children's well‐being, paying particular attention to low‐income fathers. The results indicate that low‐income fathers have high child support obligation rates, which significantly reduce their child support compliance. Although lowering the obligation rate for these fathers may improve their compliance, it does not fully offset the lowered obligation amounts and leads to a 30% net payment loss for welfare mothers and a 43% loss for nonwelfare mothers. Policy implications are discussed.     

‘Like a fish in a bowl’: parents' perceptions of child protection services

This research involved a small qualitative study focused on family experiences of child protection practice, commissioned as part of a Best Value review of child protection services in a large rural Midlands local authority. Qualitative interviews were undertaken with 18 families who had received child protection services. Findings were mixed in relation to perceived helpfulness of the processes of child protection interventions, with 50% of families reporting some positive bene?t and 22% reporting that such interventions had caused them harm. From the families' perspectives, factors that are associated with positive and negative outcomes are outlined. These include the availability of preventive services, crisis support, respite care, actual provision of services speci?ed in protection plans and an engaging style of practitioners. Conclusions emphasize the value of research focused on family perceptions of services as an important contribution to quality control and service development in child protection service provision. Copyright © 2004 John Wiley & Sons, Ltd.     

Children's work and children's well‐being: Implications for policy

This article argues for holistic consideration of children's work. Dominant discourse on “child labour” attends only to dangers of children's work, leading to policies that damage some children's chances for development. Far from being universally negative in children's lives, appropriate work contributes to their well‐being and development, and to transitions to adulthood. Children's work can convey benefits for sustenance and quality of life, provide learning to complement and support school, offer psycho‐social benefits, particularly in building self‐esteem, and help develop social relations and responsibility. These benefits are especially critical for marginalized children. Common policies of abolishing child labour based on age of employment rather than potential harm deny such benefits to younger children.     

Child Protection in Voluntary Sports Clubs in Germany — Factors Fostering Engagement in the Prevention of Sexual Violence

Based on the theoretical framework of organisational capacity and using data from an online survey of 8571 sports clubs in Germany, this study investigates clubs’ engagement towards child protection and the prevention of sexual violence. Only half of the clubs indicate that the prevention of sexual violence is a relevant topic for them, and on average, the clubs have implemented between two and three prevention measures. Pertaining to organisational capacity, human resource capacity (e.g. share of volunteers, share of women on the board) and structural capacity (e.g. club culture) exhibit significant effects on clubs’ activation towards child protection.     

Parental After‐School Stress and Psychological Well‐Being

The mismatch between employed parents’ work schedules and their children's school schedules creates the structural underpinning for an as‐yet‐unstudied stressor, namely, parental after‐school stress, or the degree of parents’ concern about their children's welfare after school. We estimate the relationship between parental after‐school stress and psychological well‐being in a sample of 243 employed parents of children in grades K–12. Parental after‐school stress is related to psychological well‐being. This relationship did not differ by parent gender or child age but was significantly stronger for parents of girls versus boys. Our results suggest that parental after‐school stress is an important stressor that affects the well‐being of a large segment of the work force and warrants further research.     

Obstacles for child participation in care and protection cases—why Norwegian social workers find it difficult

Although some attempts are being made to increase children's participation in Norwegian child protection cases, much needs to be done in order to comply with the participation principle in the United Nations Convention on the Rights of the Child. This paper reports on a study of factors that are likely to predict if social workers will attempt to give children an effective voice in decision making processes. 53 child protection case managers and 33 social work students participated in a questionnaire survey in which they were asked to agree or disagree with 20 statements about child participation. Statistical factor analysis was used in order to identify underlying factors in the dataset. The results suggest three main reasons for children not being allowed to participate: communication difficulties (communication factor); because child participation was not deemed necessary (participation advocacy factor); or that participation was considered inappropriate because it might be harmful (protectionism factor). This research suggests that, if we are to improve participation within the child protection system, formal regulations and guidelines need to be accompanied by a greater attention to development of social work skills in working with children through participatory processes. Copyright © 2010 John Wiley & Sons, Ltd.     

Child‐Care Usage and Mother‐Infant “Quality Time”

Mothers' time‐use patterns were compared in families in which infants spent more than 30 hours per week in child care (In‐Care group; n= 143) versus 0 hours per week (At‐Home group; n= 183) from birth to 6 months of age. In‐Care group mothers spent about 12 fewer hours per week interacting with their infants, for about 32% less time; fathers of these infants were more involved in caregiving. The groups did not differ in the quality of mother‐infant interaction. In the In‐Care group, quantity of interaction was related to greater separation anxiety and concerns about effects of maternal employment. Time‐use data were not related to child outcomes at 15 months of age. Results suggest that the effect of extensive time spent apart on the quantity and quality of mother‐infant interaction may be smaller than anticipated.     

How Much In‐Kind Support Do Low‐Income Nonresident Fathers Provide? A Mixed‐Method Analysis

Past child support research has largely focused on cash payments made through the courts (formal support) or given directly to the mother (informal support) almost to the exclusion of a third type: non‐cash goods (in‐kind support). Drawing on repeated, semistructured interviews with nearly 400 low‐income noncustodial fathers, the authors found that in‐kind support constitutes about one quarter of total support. Children in receipt of some in‐kind support receive, on average, $60 per month worth of goods. Multilevel regression analyses demonstrated that children who are younger and have more hours of visitation as well as those whose father has a high school education and no current substance abuse problem receive in‐kind support of greater value. Yet children whose fathers lack stable employment or are Black receive a greater proportion of their total support in kind. A subsequent qualitative analysis revealed that fathers' logic for providing in‐kind support is primarily relational and not financial.     

‘Violent’ deaths of children in England and Wales and the major developed countries 1974–2002: possible evidence of improving child protection?

Child protection services are criticised for failing to prevent abuse but demonstrating successful prevention is impossible as it is trying to prove a ‘negative’. The alternative is to examine ‘failures’, i.e. the ‘violent’ deaths of children (0–14 years) to indicate whether matters are improving or deteriorating. This paper uses the latest World Health Organisation data to compare children's ‘violent’ deaths in England and Wales with those in other major developed countries. To account for possible ‘hidden’ under‐reported abuse deaths, undetermined, i.e. ‘other external causes of death’ (OECD) and fatal accidents and adverse events (AAE), deaths are also analysed along with homicides, to compare all ‘violence‐related’ deaths between 1974–76 and 2000–02. England and Wales infant (<1 year) homicide rates were annually 57 per million but fell to 17 per million, a 74% fall. Infant AAE deaths fell in every country with England and Wales falling from 341 per million to 71 per million, a 76% reduction. Both these results were significantly better than those of eight other major developed countries, although England and Wales infant OECD at 26 per million, were high compared to the major developed countries. In the 1970s, combined ‘violent’ deaths of all children (0–14 years) (homicide, OECD and AAE) in England and Wales were 203 per million, they are now 61 per million, a 70% decline with only Italy having lower rates. The worst rates were in the USA which had the highest combined ‘violent’ death rate. These overall results in the major reductions of ‘violence‐related’ deaths in England and Wales can be a boost to the morale of front‐line staff and provide the public with an indication of the progress being made. Copyright © 2008 John Wiley & Sons, Ltd.     

The joint paediatric–forensic examination in child abuse

The investigation of alleged child abuse should be multi-professional and coordinated to minimize distress to the child and family. Much attention has focused on the joint interview process, with less prominence being given to the medical component of the initial investigation. No standard practice exists in the United Kingdom regarding the conduct of the medical examination or in the training requirements of the doctors who perform the examination. We present a model of practice which has evolved in Edinburgh and the Lothians, drawing on the combined expertise and experience of paediatricians and police surgeons, which has operated for over 2 years; and propose a formal accreditation process for doctors who wish to specialize in the field of child abuse. © 1998 John Wiley & Sons, Ltd.     

‘From awareness to practice’: children,domestic violence and child welfare

This paper traces the development of social care practice in relation to child witnesses of domestic violence. It suggests that this development has been dominated by subsuming the needs of these children into a child protection process. The paper outlines how this has led to significant (but often unclear) legal and policy initiatives which have failed, as yet, to be translated into practice. The paper argues that there are a number of important reasons why child witnesses of domestic violence should not always be assumed to need the response of a child protection system and that a future practice, legal and policy response should be based on a wider understanding of their needs. Copyright © 2006 John Wiley & Sons, Ltd.     

Resident Fathers’ Pregnancy Intentions,Prenatal Behaviors,and Links to Involvement With Infants

Using data from the Early Childhood Longitudinal Study‐Birth Cohort, 9‐month resident father surveys (N= 6,816), this paper examines the association between male pregnancy intentions, prenatal behaviors, and postbirth father involvement. Findings indicate that prenatal behaviors are associated with five domains of father involvement. Men who did not want the pregnancy are less likely to exhibit paternal warmth following the birth, whereas men who wanted the pregnancy sooner than it occurred are more likely to exhibit nurturing behaviors. The influence of fathers’ pregnancy intentions and prenatal behaviors on postbirth involvement is for the most part not dependent on child gender. Findings suggest that prenatal programs that encourage fathers to actively participate in the pregnancy may be beneficial to later child well‐being.