A Public Health Approach to Safeguarding in the 21st Century

Recent government policy has focused on the provision of a safe environment for all children. Parenting support is increasingly being recognised as a core method of safeguarding children, and this is of particular importance, given the widespread prevalence of maltreatment and poor parenting practices, the overwhelming number of child protection referrals and the inherent flaws in risk assessment. Until recently, there was no formulation of an overall model of practice based on these changes. In this paper, we present compelling reasons for believing that a public health approach to safeguarding is the only way of ensuring that all children are protected within a population, including children at high risk. The rationale for the delivery of such a model is presented alongside the application of one such evidence‐based population‐level strategy, which has been demonstrated to reduce population‐level indicators of maltreatment. Novel approaches to the delivery of parenting interventions including media‐based strategies are discussed in terms of their potential for reaching families who may be missed by traditional services. The economic aspects of a public health model are discussed, and their relevance for middle‐ and low‐income countries. Copyright © 2011 John Wiley & Sons, Ltd.

Citing Literature

Number of times cited: 23

• Angelo P. Giardino, Michelle A. Lyn and Eileen R. Giardino , Introduction: Child Abuse and Neglect , A Practical Guide to the Evaluation of Child Physical Abuse and Neglect , 10.1007/978-3-030-00635-8_1 , (3-26) , (2018) . Crossref
• Christina M. Rodriguez and Shannon M.O. Wittig , Predicting child problem behavior and maternal/paternal parent-child aggression: Identifying early prevention targets , Journal of Applied Developmental Psychology , 10.1016/j.appdev.2018.11.001 , 60 , (76-86) , (2019) . Crossref
• Barry Luckock, Jane Barlow and Chris Brown , Developing innovative models of practice at the interface between the NHS and child and family social work where children living at home are at risk of abuse and neglect: a scoping review , Child & Family Social Work , 22 , S4 , (62-69) , (2015) . Wiley Online Library
• Shilpa Boppana and Christina M. Rodriguez , Mediators between Parenting History and Expected At-Risk Parenting: Role of Conformity, Coping, and Attitudes , Journal of Child and Family Studies , 26 , 11 , (3237) , (2017) . Crossref
• Peter Sidebotham , Fatal Child Maltreatment , The Wiley Handbook of What Works in Child Maltreatment , (48-70) , (2017) . Wiley Online Library
• Nick Axford and Vashti Berry , Perfect Bedfellows: Why Early Intervention Can Play a Critical Role in Protecting Children—A Response to Featherstone et al. (2014) ‘A Marriage Made in Hell: Child Protection Meets Early Intervention’ , The British Journal of Social Work , (2017) . Crossref
• Wendy Nicholson and Gillian Turner , School Nursing: Making a Difference in Adolescent Health and Well-Being , International Handbook on Adolescent Health and Development , 10.1007/978-3-319-40743-2_26 , (489-510) , (2016) . Crossref
• Tanya S. Hinds and Angelo P. Giardino , Policy Direction: Focus on Prevention , Child Physical Abuse: Current Evidence, Clinical Practice, and Policy Directions , 10.1007/978-3-319-61103-7_4 , (113-147) , (2017) . Crossref
• Christina M. Rodriguez, Tamika L. Smith and Paul J. Silvia , Parent–Child Aggression Risk in Expectant Mothers and Fathers: A Multimethod Theoretical Approach , Journal of Child and Family Studies , 25 , 11 , (3220) , (2016) . Crossref
• Christina M. Rodriguez, Tamika L. Smith and Paul J. Silvia , Multimethod prediction of physical parent–child aggression risk in expectant mothers and fathers with Social Information Processing theory , Child Abuse & Neglect , 51 , (106) , (2016) . Crossref
• Susan J. White and David G. Wastell , Epigenetics Prematurely Born(e): Social Work and the Malleable Gene , British Journal of Social Work , (bcw157) , (2016) . Crossref
• Christina M. Rodriguez, Enrique Gracia and Marisol Lila , Multimethod prediction of child abuse risk in an at-risk sample of male intimate partner violence offenders , Child Abuse & Neglect , 60 , (27) , (2016) . Crossref
• A. Gonzalez‐Izquierdo, A. Ward, P. Smith, C. Walford, J. Begent, Y. Ioannou and R. Gilbert , Notifications for child safeguarding from an acute hospital in response to presentations to healthcare by parents , "Child: Care, Health and Development" , 41 , 2 , (186-193) , (2014) . Wiley Online Library
• Adele D. Jones, Ena Trotman Jemmott, Priya E. Maharaj and Hazel Da Breo , Collective Complacency and Engendering Community Action , An Integrated Systems Model for Preventing Child Sexual Abuse , 10.1057/9781137377661_6 , (198-223) , (2014) . Crossref
• Madeleine Stevens , The cost‐effectiveness of UK parenting programmes for preventing children's behaviour problems – a review of the evidence , Child & Family Social Work , 19 , 1 , (109-118) , (2012) . Wiley Online Library
• Karen Whittaker , Supporting parents and parenting practices: The health visiting context , Journal of Health Visiting , 2 , 5 , (250) , (2014) . Crossref
• Matthias Albrecht , Prävention von Gewalt gegen Kinder und von Kinderunfällen - Plädoyer für eine integrierende Betrachtungsweise , Kindesmisshandlung und -vernachlässigung , 17 , 2 , (112) , (2014) . Crossref
• Matthew Mullen , Getting serious about the human right to play , Asia Pacific Journal of Sport and Social Science , 3 , 2 , (130) , (2014) . Crossref
• Sarah Skeen and Mark Tomlinson , A public health approach to preventing child abuse in low‐ and middle‐income countries: A call for action , International Journal of Psychology , 48 , 2 , (108-116) , (2013) . Wiley Online Library
• Peter Sidebotham , Rethinking Filicide , Child Abuse Review , 22 , 5 , (305-310) , (2013) . Wiley Online Library
• Stuart Logan, Ruth Gilbert and Jenny Woodman , Developing services for a public health approach to child maltreatment , The International Journal of Children's Rights , 20 , 3 , (323) , (2012) . Crossref
• , Public Health Approaches to Safeguarding Children , Child Abuse Review , 20 , 4 , (231-237) , (2011) . Wiley Online Library
• MISSING-VALUE MISSING-VALUE , Influence of legal/professional context on parental and professional activity , Therapeutic Assessment and Intervention in Childcare Legal Proceedings , 10.4324/9781315719429-6 , (114-130) , (2015) . Crossref

Volume 20 , Issue 4 July/August 2011

Pages 238-255     

Sexual Orientation Moderates the Effect of Gender on Body Satisfaction: Results From a National Probability Sample

Body image concerns typically affect women more so than men, but there is reason to believe that this pattern may depend on sexual orientation. The present study examined differences in levels of body satisfaction among men and women who identified as heterosexual, plurisexual (bisexual and pansexual), gay, and lesbian, using data from a large-scale national probability sample from New Zealand (N = 17,005). As expected, heterosexual men reported higher body satisfaction than heterosexual women. Gay and plurisexual men reported lower body satisfaction than heterosexual men. Gay men also reported lower body satisfaction than lesbian women, and did not differ significantly from heterosexual and plurisexual women. Ratings of heterosexual, plurisexual, and lesbian women’s body satisfaction did not differ significantly. Results held when adjusting for a range of demographic covariates (including age and BMI), and highlight the importance of examining the psychological and health outcomes associated with poor body image among gay men. These findings emphasize the relevance of sexual orientation in understanding men’s body image-related issues.     

Effectiveness of student assistance programs in Nebraska schools.

BACKGROUND: This study investigated whether Nebraska schools with Student Assistance Programs (SAP) are associated with reduced adolescent alcohol use and a higher level of academic achievement than students from schools without a SAP. METHODS: In 1992, the Toward a Drug Free Nebraska (TDFN) survey was administered to 3,454 students in grades seven to twelve at eighty-three Nebraska schools. A second survey, the TDFN "team activity report" collected from each school's team, the presence of a SAP (n = 34 schools) or absence of a SAP (n = 49 schools). Student responses for alcohol use and academic achievements were linked with the presence of a SAP through use of a school identification number on both surveys. RESULTS: Students from schools with a SAP reported a lower use of alcohol in the last thirty days, compared with students from schools without a SAP program (p < 0.05), and they also reported a significant difference in academic achievement (p < 0.05). CONCLUSIONS: While this study used post hoc analysis of data, the results suggest lower alcohol use and higher academic achievement among students from SAP schools. Given SAPs' popularity, these trends suggest that further research should be conducted to demonstrate the effectiveness of student assistance programs.     

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

Pre‐birth risk assessment is a process by which circumstances affecting an unborn child can be identified and support for mother and infant embedded. This mixed methods study describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme to assess parenting capacity and provide support pre‐ and post‐birth for ‘at risk’ women. Sixty‐eight pregnant women referred to children's social care services were allocated to the pre‐birth assessment and care pathway (n = 35) or to routine care (n = 33). Standardised measures of psychological distress, social support and alcohol measured change for the women in the assessment and care pathway. Twenty women who provided pre‐ and post‐data reported significant improvements on all measures except alcohol use. Safeguarding outcomes at 12 months were obtained for both groups using administrative data. Forty‐two per cent of the infants whose mothers received the pre‐birth assessment and care pathway showed an improvement in child protection status compared to 14 per cent of the routine care infants. Safeguarding status deteriorated or stayed the same in 52 per cent of the routine cases compared to 26 per cent of those receiving the pathway. Qualitative data revealed that the pathway was acceptable and helpful to service users and service providers. Copyright © 2017 John Wiley & Sons, Ltd.

‘Describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme’

Key Practitioner Messages

• The current project found that a community‐based pre‐birth assessment and care pathway with high‐risk pregnant women was feasible and acceptable for practitioners and service users.
• The pathway began mid‐pregnancy and support was provided following the birth of the infant for up to 12 months.
• Over 40 per cent of infants whose mothers were allocated to the pre‐birth risk assessment pathway showed improvements in child safeguarding status at 12 months.

     

An intensive perinatal mentalisation-based intervention for women at risk of child removal and the role of restorative relationships

Pregnant women with a history of child removal are at greater risk of being found unsuitable to care for their new babies. Neglect, showing a lack of capacity to provide for the child's physical and/or emotional needs, is the most frequent reason why infants are removed from their parents' care. Parents with a history of child removal have often been themselves subject to maltreatment as children and suffer the sequelae of relational trauma which then becomes a barrier to establishing nurturing relationships with their own children. Attachment, and particularly mentalisation-based, parenting interventions focus on restoring relationships by developing parents' capacity to reflect upon their own internal mental experiences as well as those of the child, helping them to better understand themselves and their children. The DAISY programme is an intensive perinatal attachment and mentalisation-based intervention for pregnant women with a history of child removal, aiming to improve mothers' mentalising capacities and care proceeding outcomes. This article uses a case study to describe the programme's model and mechanisms of change. Additionally, we present preliminary observations about the programme's delivery and impact from the perspective of one of its practitioners.     

Fifty Shades Flipped: Effects of Reading Erotica Depicting a Sexually Dominant Woman Compared to a Sexually Dominant Man

The present study examined the effects of reading submission- and dominance-themed erotica on attitudes toward women and rape, ideal partner preferences, and subjective sexual arousal. Heterosexual male (n = 241) and female (n = 240) participants read one of three erotic stories depicting male dominance, female dominance, or no dominance, or a fourth nonerotic control story. First, we found that after reading about a sexually dominant man, women reported increased benevolent sexism compared to men, and men reported increased rape myth acceptance compared to women. Second, men and women showed a similar level of preference for partner dominance after reading about a sexually dominant woman. This was in contrast to the typical pattern revealed in all other conditions, whereby women were more likely to favor dominant partners relative to men. Finally, we found no evidence to support the hypothesis that the story describing male dominance would be the most arousing. Rather, all three erotic stories were equally sexually arousing compared to the control condition, and men and women did not differ in the extent to which the erotic stories aroused them. Theoretical and practical implications are discussed.     

Employment relations and dismissal regulations: Does employment legislation protect the health of workers?

Sociologists have long acknowledged that being in a precarious labour market position, whether employed or unemployed, can harm peoples' health. However, scholars have yet to fully investigate the possible contextual, institutional determinants of this relationship. Two institutions that were overlooked in previous empirical studies are the regulations that set minimum compensation for dismissal, severance payments, and entitlements to a period of notice before dismissal, notice periods. These institutions may be important for workers' health as they influence the degree of insecurity that workers are exposed to. Here, we test this hypothesis by examining whether longer notice periods and greater severance payments protect the health of labour market participants, both employed and unemployed. We constructed two cohorts of panel data before and during the European recession using data from 22 countries in the European Union Statistics on Income and Living Conditions (person years = 338,000). We find more generous severance payments significantly reduce the probability that labour market participants, especially the unemployed, will experience declines in self‐reported health, with a slightly weaker relationship for longer notice periods.     

Challenges Faced by Young Mothers with a Care History and Views of Stakeholders About the Potential for Group Family Nurse Partnership to Support Their Needs

Women with experience of being ‘looked after’ are more likely than their peers to become young mothers. There has been limited research investigating support for their needs. This study, embedded in a randomised trial of Group Family Nurse Partnership (gFNP), involved interviews with young mothers with care experience, Family Nurses delivering group gFNP, and health and social care professionals. This first qualitative study to explore the views of these varied stakeholders found consensus regarding young mothers’ social isolation and lack of trusting relationships but diversity in views about the potential of gFNP to meet their needs.     

A comparison of male heterosexual and male homosexual patterns of sexual arousal

We examined both self‐reported and physiologically measured sexual arousal of male heterosexual and homosexual subjects to explore various parameters of sexual response in these two groups. Results clearly support previous work with these groups, demonstrating that films produce more arousal than either slides or audiotaped stimuli and that arousal to lesbian and male homosexual stimuli content were best able to discriminate heterosexual and homosexual arousal patterns for well matched groups of subjects. The previous finding that the correlation between the subjective and physiological measures is lower for male homosexual subjects than for male heterosexual subjects was replicated, but it was demonstrated that this result is a confound of the stimulus content employed. When the level of arousal, pleasantness of the stimulus, or quantity of partner preference cues was controlled, the group differences in correlation were no longer present. Finally, decreased sexual experience and information were found to predict, in both groups, lower concordance between self‐reported and physiological arousal. These results may clarify previous work which has indicated a relationship between the inaccurate tracking of physiological response and sexual dysfunction