Parents' Views on Social Work Interventions in Child Welfare Cases

Correspondence to Trevor Spratt, Lecturer in Social Work, School of Social Work, The Queen's University Belfast, 7 Lennoxvale, Belfast BT9 5BY, Northern Ireland. E-mail: T.Spratt{at}qub.ac.uk Summary This article reports findings from the third part of a three-partresearch project examining the potential for social workersto shift from a child protection to a child welfare orientationin their practice. Whilst social workers in the UK have beenencouraged to make such changes, they have been hampered byconcerns to manage risk. Findings reported from the earlierparts of the project, indicated that there was potential fora substantial proportion of child protection work to be redesignatedas child welfare work, but that where this was achieved in practice,there was evidence of the continued influence of child protectionprocesses as social workers sought to manage the risks inherentin child welfare cases. The study reported here sets out toascertain the views of parents who were subject to child welfareinterventions. The findings indicate that while parents feelapprehension with regard to contact with social workers, inthe majority of cases successful relationships are formed. Itis argued that social workers display considerable skill inmonitoring potential risks whilst engaging with families andthat the subtleties involved in such activity are not capturedby official measures of governance which concentrate on moreabstract indicators of performance.     

The Witch-Hunt Metaphor (And Accusations against Residential Care Workers)

Correspondence to Mr Chris Beckett, Anglia Polytechnic University, School of Community Health and Social Studies, Cambridge CB1 1PT, UK. Summary This Critical Commentary examines the widespread use of themetaphor of the witchhunt in relation to child sexual abuseinvestigations when they are perceived as being unjustified.The use of this metaphor can be seen to be part of a backlash,part of a widespread desire to discredit the evidence that sexualabuse is widespread. However, it is argued here that the metaphoris actually quite apt in the case of the recent wave of convictionsof residential care workers, where the methods used have beenquite suspect—and genuinely reminiscent in some respectsof those used in historic witch hunts. It is suggested thatlegitimate child protection will ultimately be the loser ifthis is not addressed.     

Decision making in Child Protection: The Use of Theoretical, Empirical and Procedural Knowledge by Novices and Experts and Implications for Fieldwork Placement

Correspondence to Dr Julie Hudson, 89 Yorktown Road, Elizabeth Park, South Australia 5113 Summary This paper is concerned with the process of decision makingin child protection, particularly as it relates to the decisionwhether or not to remove a child from home. The study compareda group of novice social workers with expert practitioners,placing a particular focus on the types of knowledge that novicesdraw upon when making such decisions. A three-stage, qualitative methodology was employed to investigatechild protection decision making. All parts of the study utilizeda case vignette of a neglect scenario. This paper reports onsome of the findings in respect of the use of theoretical, empiricaland procedural knowledge. The findings suggest that novices tend to lack a clear understandingof the factors that are associated with child maltreatment.While they have a superficial awareness of the concept of riskassessment, they have an inability to weigh factors appropriatelyand to apply this to their practice. The implications of these findings are discussed in relationto field education.     

The Significance of Past Abuse to Current Intervention Strategies with Depressed Mothers in Child and Family Care

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon, PL6 7EW, UK. Summary There is now considerable evidence that a high proportion offamilies subject to child and family care social work interventioncontain depressed mothers. There is also evidence that the presenceof clinical depression is associated, amongst these clients,with child abuse. Vulnerability to both depression and childabuse have been traced back to the early child-care experiencesof those who are currently parents, expressed in child abusein terms of intergenerational transmission, although it is alsoclear for both that further factors also contribute to thisvulnerability. Despite the link between maternal depressionand child abuse, we have little evidence about the processesand mechanisms, based on social workers judgements about thesituation, by which families with depressed mothers are morelikely than other clients to be involved with intervention forchild abuse. This paper seeks to ‘map’ the pathwaysand the intermediate mechanisms which provide the link betweenthe experience of past abuse and social workers interventionstrategies. Drawing on theoretically significant factors, itfocuses on the following variables: the experience of past abuse,the mother's attributed character, attachment and bonding, childbehavioural problems and intervention strategy. The paper demonstratesa number of significant ‘paths’ through which familiesbecome subject to one or other intervention strategy. It showsthat, while an emphasis on needs assessment is to be welcomed(Department of Health, 1999), they need to be considered (i)within a theoretical framework which helps social workers makesense of, and respond to situations and (ii) through an understandingof longitudinal dimensions (key factors in mothers' earlierlife) which are aspects of this theoretical understanding.     

Assessing Child Protection Risk

Correspondence to Lorraine Waterhouse, Lecturer, Edinburgh Centre for Social Welfare Research, 23 Buccleuch Place, Edinburgh EH8 9LN. Summary The article outlines a set of child protection criteria usedby social workers for the evaluation of risk in sexual abusecases. The criteria were distilled from research findings basedon a sample of 51 child sexual abuse cases drawn from ChildProtection Registers in Scotland in 1987/89. Criteria dividebetween two types: primary (child care) criteria which concentrateon assessing circumstances prevailing within the family home;and secondary (disclosure) criteria which serve to either substantiateor refute disclosure. Primary criteria include attitude of non-abusingparent to alleged perpetrator; access between referred childand alleged perpetrator; type of abuse; age of child or youngperson; attitude of alleged perpetrator to allegations; andparental attitude to social work investigation. Secondary criteriainclude belief or disbelief of child; psychological symptomsin child; physical signs of abuse; children's attitudes towardsremaining at home; and criminal or psychiatric history includingalcohol or drug abuse. In practice the criteria tend to be usedlike a set of building blocks: tall towers represent higherrisk; low towers lesser risk. Given the enormous stakes involvedin child protection decisions, front-line practitioners wereunder considerable pressure to ‘play it safe’.     

Child Abuse, Social Anxiety and Welfare

Summary This article attempts to locate the ‘moral panic’concerning child abuse within the context of broader changesin the material conditions and ideological forces in Britainin the early 1970s. It argues that the development of a senseof social anxiety amongst certain sections of the populationand the appeal of the New Right were crucial in the processof establishing the problem as the major issue for social workers.As a consequence social workers have been constrained into amore punitive and interventive relationship with children andfamilies, particularly the poor. The analysis illustrates thatthe way social workers experience role conflict and tensionin this area of their work reflects much wider historical andcultural confusions and contradictions.     

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.     

A Qualitative Study of Social Work Assessment in Cases of Alleged Child Abuse

Correspondence to Dr Dorothy Scott, School of Social Work, University of Melbourne, Parkville, Victoria, Australia 3052. Summary While there has been considerable theorizing about how socialworkers think and act, there has been relatively little researchin this area. In the study reported in this paper, in-depthinterviews and observations of practice were used to explorethe process of assessment undertaken by Australian social workersin a hospital specialist service and in a statutory child protectionservice. Using a semi-longitudinal approach which ‘shadowed’10 families (17 allegedly abused children), highly detaileddata were collected from 42 observations of practice and 123interviews with 12 hospital social workers and 15 child protectionworkers on how their assessments evolved over the life of thesecases. While there were some individual differences betweenpractitioners within each organization, of greater significancewere the marked differences between the two groups in the variablesto which they attended. Both groups tended to adopt a proceduralizedmodel of practice which narrowed the range of factorsconsideredin assessment.     

The Influence of Child Protection Orientation on Child Welfare Practice

Summary This article reports the findings of the second part of a two-partresearch project examining the potential for social workersto make changes in their work with families and children. Whilstsocial workers in the United Kingdom have been encouraged toshift from a child protection to a child welfare orientationin their practice, such changes have been hampered by professionaland organizational concern to manage risk. The research exploresthe influence of a child protection orientation on practicein child welfare cases. The findings, from two file analysesand interviews with 26 social workers, indicate that such aninfluence is indeed apparent. This is evidenced in two ways;first patterns of practice in child welfare cases are similarto those in child protection cases. Secondly, while the majorityof social workers express an attitudinal desire to move towardsa child welfare orientation, they still prioritize the managementof risk in their practice. It is argued that social workersneed permission from their employing organizations to make changesin their practice. This, in turn, requires such organizationsto state clear goals in line with a child welfare orientationand develop holistic strategies to achieve these.     

Children in Secure Accommodation

Correspondence to Professor Robert Harris, Pro-Vice-Chancellor, Department of Social Policy and Professional Studies, The University of Hull, Hull HU6 7RX. Summary This paper describes the characteristics of a sample of children(N = 399) being held in secure accommodation in eleven localauthorities prior to the implementation of the Children Act1989. It is argued that secure accommodation cannot be divorcedfrom other aspects of child care policy and practice; that anyconfidence that problems of excessive or variable usage canbe removed by more restrictive legislation is largely misplaced;that when social workers resort to secure accommodation it isoften through a combination of ‘worry’ about anunpredictable child and uncertainty as to what else to do; andthat since not all children in secure accommodation wish toleave it (and the more secure accommodation constitutes goodquality child care the more children are likely to want to stay)a ‘rights’ framework, though necessary, is not asufficient moral or conceptual basis for developing secure accommodationpolicy and practice.     

Decision Making in Child Protection

Correspondence to Dr Ray Jones, Director of Social Services, Wiltshire County Council, County Hall, Bythesea Road, Trowbridge, Wilts BA14 8LE Summary A survey was undertaken of 701 decisions in ‘child protection’;and ‘child-care’ cases within one local authority.Decision making at four filter points in case career was analysed.Filter 1 was when the case was initially referred to socialservices, Filter 2 was when consideration was given to holdinga case conference, Filter 3 was when a case conference was held,and Filter 4 was the review case conference following the initialcase conference. The major risk factors which determined decisionswere highlighted, and these were different at each filter level.The percentage of children who remained within the ‘childprotection system’ after decisions were taken at eachfilter level was analysed and recorded. The research found that,based on the risk factor weightings given by the independentauditors, workers were appropriately discriminating between‘child protection’ and ‘child-care’cases.     

Avoidable and Unavoidable Mistakes in Child Protection Work

Summary This article argues that social workers and the general publicneed a clear understanding of the distinction between avoidableand unavoidable mistakes in child protection work. The publicis understandably distressed when a child dies and is rightto demand an inquiry to check the quality of help provided.But a child's death is not proof that any professional was incompetent.Our limited knowledge and the complexity of assessing risk meanthat professionals can only make the best judgement on the availableevidence. Analysis of forty-five inquiry reports shows thatinquiries appreciate this; in 42 per cent of them social workerswere not criticized. The analysis however also reveals one persistenterror: social workers are slow to revise their judgements. Psychologyresearch indicates that this error is widespread and by no meanspeculiar to social workers but it means that misjudgements aboutclients that may have been unavoidable on the limited knowledgeavailable when they were made continue to be accepted despitea growing body of evidence against them. Social workers needa greater acceptance of their fallibility and a willingnessto consider that their judgements and decisions are wrong. Tochange your mind in the light of new information is a sign ofgood practice, a sign of strength not weakness.     

An Evaluation of Social Support Intervention with Depressed Mothers in Child and Family Care

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon PL4 8AA, UK. Summary The significance of maternal depression to social work practicein child and family care has become increasingly apparent inrecent years. Social support, furthermore, is a concept (aswell as a reality) which provides a major focus for social workpractice. Indeed, social support, it is also clear, is of considerableimportance in helping prevent depression. This paper seeks toexamine social support work carried out by social workers inrelation to depressed mothers in child and family care. In particularit seeks to evaluate the quality of that intervention in thelight of key problem areas associated with high levels of supportneeds, the extent to which social workers target support needsthrough direct, indirect and informal supports, and the extentto which particular interventions are associated with a higheradequacy of support experienced by these depressed women. Thepaper finds a certain degree of haphazardness in social workers’targeting of support needs, although in some areas of indirectsupport, in particular, their targeting is reasonably accurate.There is little evidence of any one form of intervention beingassociated with more adequate support with one significant exception,relief care of children. The paper concludes that social workersneed to develop a keener awareness of support deficits so thatthey are targeted better; they need to monitor more carefullyinterventions carried out by other agencies and professionals;and they should look to relief care of children as a major formof intervention to support these women.     

The Influence of Performance Measurement on Child Welfare Policy and Practice

Correspondence to Clare Tilbury, School of Social Work and Applied Human Sciences, University of Queensland Q 4072, Australia. E-mail: c.tilbury{at}social.uq.edu.au Summary The increasing use of performance measurement in child welfarepromises to have significant consequences. Performance indicatorsare not neutral or merely technical—they represent viewpointsand values that may influence policy and practice. This three-partarticle examines how this may occur. The first part outlinesa theoretical approach to understanding the policy significanceof performance indicators. As they become part of the frameworkwithin which policy debates occur, indicators may frame policyissues, create boundaries around options for solutions, definestandards for evaluating results, and set the terms of publicdiscourse. The second part discusses the background to the developmentof performance measurement in child welfare in Britain, theUSA and Australia, locating it as integral to contemporary approachesto public sector management. The third part examines the performanceindicators used in these jurisdictions-aspects of performancemeasured, underlying assumptions about ‘good’ performance,and how they construct child welfare. Existing indicators narrowlyconstruct child welfare in terms of investigations and out-of-homecare, whereas the child welfare literature suggests a broaderapproach with more attention to family support. The articleargues that there is space to negotiate on the new managerialistterrain, developing an approach to performance measurement thatcontributes to better services and outcomes for children andfamilies.     

Social Work with Single Parent Families: Consumer Views

Summary The article describes a research project undertaken to determinethe satisfaction of a particular client group—single parents—withthe service they were given. The research examines five kindsof problems—legal, accommodation, financial, child care,and emotional-and concludes that problems were likely to arisein all these areas, and that, whatever the problem, the socialworker's ability to help solve it depended to a large extenton the quality of the relationship with the client.     

Social Workers and Child Welfare

Correspondence to Dr Gunvor Andersson, Lund University, School of Social Work, Box 23, 22100 Lund, Sweden. Summary What problems do social workers at social services offices haveto face in their child welfare work? How do they handle theproblems, and how important is the relation between the socialworker and the child's parents? The research project includes189 child welfare cases with 0–3-year-old children inten local communities in Sweden. The article shows that thesocial work can be categorized into four different types ofwork, where the work done, as well as the relation between thesocial worker and the child's parents, differ. (1) The socialworker is mediating help and support and has a positive contactwith the child's parents. (2) The social worker is exercisingcontrol and authority and has a negative contact with the child'sparents. (3) The social worker is doing treatment-oriented workand has a personal involvement and a relation to the parentsthat is important for the family and not exchangeable. (4) Thesocial worker is solely engaged in investigatory work with norelation to the child's parents, rather a neutral contact. Inthe categorization the concepts contact and relation are differentiated.Only in the treatment-oriented category, encompassing aboutone-fifth of the children, can one speak of a relation. In allcategories there are elements of both help and control, butdifferent ways of handling this doubleness.     

Communication in Care and Coercion: Institutional Interactions between Family Supervisors and Parents

Summary In this study the interaction of 51 videotaped professionalcommunications between Dutch family supervisors and parentsof children under family supervision were analysed. Family supervisionlies at the interface of care and control. This is evident inthe communication of professional child welfare workers withtheir clients for whom they have to clarify their rights. Theanalysis shows some of the strategies used by Dutch family supervisorsin cases of formal decisions and other interactions where theyanticipate confrontation with the client. In this way, familysupervisors separate their caring from their repressive functions.Nevertheless care and control were found to be successfullyintegrated in some communications.     

Narrating Love and Abuse in Intimate Relationships

via email: heather.fraser{at}rmit.edu.au Summary In this article, I use discourse analysis to explore the relationshipbetween love and abuse. I argue that Anglo-American social workhas been reticent to theorize love; and that when it does, theborders separating love from abuse are usually assumed to berelatively stable and readily apparent. After nominating someof the reasons for and repercussions of dichotomizing love andabuse, I suggest that knowledge about intimate abuse will expandif more attention is given to the study of love. I promote theuse of feminist discourses because they provide valuable insightsabout the operations of power in love relationships. Drawingideas from both structural feminism and post-structural feminism,I encourage social workers to move their analytical attentionback and forth between the micro-politics of intimate relationshipsto the wider cultural contexts within which they are staged.I conclude with the assertion that social workers will be betterplaced to understand the dilemmas that many ‘ordinary’women confront in their everyday lives, if they critically analysethe intersections of love and abuse.     

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.     

Comparative Hypothesis Assessment and Quasi Triangulation as Process Knowledge Assessment Strategies in Social Work Practice

Summary Despite a debate lasting some decades, there has been littleor no clear resolution about the way knowledge may be relatedto practice. To a considerable degree this is because of anassumption that knowledge is ‘knowledge as product’:given knowledge, researched and applied to practice. In recentyears, the concept of ‘knowledge as process’ hasemerged, focusing on knowledge of rigorous ways to think aboutpractice situations. This has generated a focus on hypothesisgeneration, testing and falsification, as well as lessons tobe learned from rigorous methods of qualitative analysis insocial research. Rigorous social workers, it has been suggested,would behave like ‘practical qualitative researchers ofthe individual instant’. However, there is little empiricalresearch on the matter. This paper evaluates process knowledgeforms used by social workers. It presents findings that socialworkers vary considerably in the extent to which they develophypotheses about the whole case, or aspects of it, in the depthwith which they analyse cases, and the systematic way they pursuean information gathering strategy. The paper concludes thatthere is clear evidence of social workers behaving as practicalqualitative researchers, but the rigour with which they do sovaries, with fundamental implications for the training process,and the extent to which rigorous strategies, along the linesof research methodology, should be taught.