The race dimension in child protection: Some prompts for practice

Abstract

This paper attempts to collect some experience and some research concerning racial dimensions in current social work practice. It also grapples with the problem of fear. It is written from the perspective of social services workers, who distinguish themselves from other professional colleagues concerned with child abuse in two important respects. Firstly, they carry specific statutory responsiblity for the welfare of children, and therefore have extensive powers over the lives of family members. Secondly, as part of local government, Social Services Departments are at the forefront of conveying societal and political as well as professional attitudes and values into their work with some of the most disadvantaged people in the communities they serve. In urban areas these communitities contain many people with little or no clout, or people who do not realize that they could have a say in how services are delivered.     

Determining the skills for child protection practice: emerging from the quagmire!

This paper, the second in a series of two, presents and analyses the results of an extended literature review undertaken for a Master's dissertation, the purpose of which was to establish the evidence base for the learning and teaching of skills for child protection practice. The review, discussed in the previous paper, was carried out in two stages. An initial search yielded a very small number of studies of direct relevance but they provided the trigger and the key words for a second search. Many potentially useful areas had to be omitted from the second stage because of limited resources, but the two stages in the search generated large amounts of material, much of which was indirectly relevant to child protection practice. The review did not achieve the original aim of determining skills that are identified through research and other evidence as being essential for child protection practice, but it was possible to draw some conclusions. For example, evidence was found of the importance of a range of communication skills, whether these be child focused, carer focused or inter‐professional. Skills in managing conflict and challenge were found to be crucial, with the importance of role clarification being acknowledged. There was some evidence of the use of decision‐making skills and problem‐solving skills, but little research that explored procedural skills. This paper reports on gaps in the literature identified by the review, and indicates where further research would be beneficial. Copyright © 2009 John Wiley & Sons, Ltd.     

Local realities: a frontier perspective on child protection team practice

This article presents a case study of a child protection team in a frontier county in Montana. Narratives from individual and group interviews highlight team members' experiences and the structuring of team practice in their frontier community, the power and challenge of community culture and history, and the interplay of constructions of children and child abuse as key elements that influence and shape team practice. This exploration suggests a framework for rethinking child protection team practice in diverse locations.     

Beyond the rhetoric: A 'working' version of child protection practice

This paper discusses a study of child protection practice in an Irish health board. By its use of a qualitative research paradigm, it seeks to fill an identified gap in the existing knowledge base by illustrating what social workers in child protection really 'do'. The normative framework employed by practitioners, through which they endorse or invalidate 'abuse' referrals, and adjudicate on their seriousness, is illustrated. The gulf between the official discourse portrayed in procedural guidance and the day-to-day reality of child protection practice becomes clear, and the way in which this creates space for, on the one hand, the application of moral reasoning, and, on the other, professional ambivalence, is analysed.     

Partners for protection: a future direction for child protection?

The development of an innovative group working with female, non‐abusing carers is described. Part educational and part therapeutic, it sits squarely within child protection procedures and forms part of an interagency approach to protecting children from sexual abuse. Group processes are described and difficulties are explored, including those experienced by the women themselves in relation to child protection procedures. Current service approaches and attitudes may have potentially adverse consequences for the ultimate aim of child protection and these are considered together with a discussion of the value of alternative approaches. Copyright © 2005 John Wiley & Sons, Ltd.     

Defining and strengthening child well-being in child protection

Although the goals of safety and permanency for children continue as critically important mandates in child protection, the field has witnessed an increased focus on child well-being in recent years. Whereas safety and permanency have been well operationalized, child well-being appears to be a much more complex and daunting concept to define and measure. Current federal guidelines require child protective agencies to improve outcomes in the area of child well-being, and although federal regulations offer some direction on interpreting this concept, the definition and operationalization remain vague. As leaders in the field have attempted to provide language by which to talk about and measure child well-being, a number of key frameworks have emerged. In this paper, we present a conceptual map that provides a visual overlay of these existing frameworks that can help guide child protection policy-makers, administrators, and practitioners toward a fuller understanding of the complexities of child well-being. While this conversation on child well-being is not new, this paper aims to add to the national discussion and deepen the understanding and conceptualization of child wellbeing within the context of child protection.     

Clinical supervision in child protection for community nurses

Community nurses have been recognized as having a key role in the protection and care of children, particularly in relation to the identification and detection of child abuse. In order to fulfill this role in a competent manner, they need to have access to appropriate supervision. The aim of this paper is to explore community nurses' and health care managers' understanding and experience of clinical supervision in child protection. The findings presented here were collected as part of a larger study commissioned by the Greater Glasgow Primary Health Care National Health Service (NHS) Trust. Ninety‐nine nurses and nursing managers were interviewed, either individually or in groups, about their professional involvement in child protection issues and support for their involvement in child protection work, as well as their current knowledge and perceived training needs. The interview data was subjected to a thematic analysis. A lack of consensus was found among nurses and managers in Glasgow as to what constitutes clinical supervision and a good deal of variation in nurses' experiences of clinical supervision in the field of child protection. The historical difficulties with regard to supervision were attributed to several aspects of nursing culture. However, both nurses and managers emphasized the need for formal, regular, systematic supervision for all nurses regardless of their specific role with regard to child protection. Copyright © 2005 John Wiley & Sons, Ltd.     

Performance measurement in child protection

Abstract

The increasing use of performance measurement by government means that child protection services are under pressure to demonstrate effectiveness in protecting children from harm and efficiency in the use of public funds to help children and families. From a policy perspective, the way performance measurement is conceptualised and implemented can have major consequences for service delivery. This paper examines key issues raised in the literature about performance measurement, the context for its introduction in child protection, how the concepts of effectiveness and efficiency are dealt with, how client outcomes are defined, and assumptions about ‘good performance’. An overview of performance measurement in child protection in Australia is provided. The paper argues that a critical approach to performance measurement in child protection can contribute to improved service delivery to clients.     

Family participation in child protection

The paper summarizes a Department of Health funded research study of the extent to which parents and children were involved in the child protection work of seven English social services departments. The child protection process and the social work practice with a cohort of 220 consecutive cases is described for the period before the initial conference and the 6 months following it. The authors draw on interview data from parents, young people and social workers and on social work records to assess whether the process and practice were participatory and the extent to which family members were actually involved in the decisions and the work. They concluded that there was benefit for parents and children in attempts to involve them, even thought only 3% of 378 family members were rated as partners in the protection process and a further 13% were rated as participating to a considerable extent. There was a statistically significant association between the participation of family members and the interim outcomes for the parents and children being rated by the researchers as good or moderately good.     

Paediatric intervention in child protection

Since BASPCAN was founded 12 years ago an enormous amount has been achieved in both understanding and responding to the problems of child maltreatment. Paediatricians have played their part along with others, although the traditional view of medicine was that this was a social problem outside medical responsibility. Attitudes are changing and there is an increasing appreciation of the importance of maltreatment in many child health problems. It is also now accepted that doctors can only be effective if they work together in teams with other professionals. The consequences of child maltreatment present to paediatricians in many ways and symptoms and signs linked to abuse are common in clinical practice. Today the role of the paediatrician is much clearer and there is more guidance and information available about the diagnosis of sexual abuse. 1991 was the beginning of a new era in child protection where it will be seen whether the new insights acquired over the past decade can be applied for the welfare of children and families.     

A call for field-relevant research about child forensic interviewing for child protection

This article reviews some sensitivity versus specificity imbalances in forensic investigations of child sexual abuse. It then proposes the development or further testing of additional approaches for those children who do not respond to the current, single-interview National Institute of Child Health and Human Development (NICHD) protocol. Although there are other interview protocols based on similar principles, the NICHD protocol has the strongest evidence base in both field and laboratory studies to elicit detailed and accurate information from children. Adaptations of the NICHD protocol or additional approaches need to be developed and tested for nondisclosing, partially disclosing, or recanting children, very young children, children with developmental disabilities, and children whose sexual abuse allegations are evaluated in the context of custody or visitation disputes.     

Subsequent child protection contact for a cohort of children reported to child protection prenatally in one Australian jurisdiction

Repeated reporting to child protection is common. One approach to early intervention is for jurisdictions to receive and respond to child protection concerns raised before children are born. Despite this, little research has comprehensively examined subsequent child protection contact for those first reported prenatally. This study aimed to examine the subsequent child protection contact for up to a two-year period for a cohort of children who were reported about prebirth. Child protection administrative data were extracted for 640 children reported for a concern about an unborn child in a single jurisdiction during 2014. Data about child protection contacts included reports, investigations, substantiations and out-of-home placements for children reported prenatally. Of the 640 children, 79% reported about prenatally also had contact with child protection between birth and age two. From birth and up to age two, children reported prenatally had between zero and 21 reports. Twenty-two per cent of the children reported prenatally were removed from their birth parents and placed in out-of-home care prior to age two. These findings highlight the importance of intervening and supporting families prior to and during pregnancy to reduce harm to children and reduce the need for contact with child protection.