From Prevention through to Therapy: Supporting Evidence‐Informed Practice across the Spectrum of Child Maltreatment

Supporting EvidenceInformed Practice

In a helpful review article in the British Journal of Social Work some years ago, Nevo and Slonim‐Nevo[1] emphasised the importance of practitioners using findings from research ‘in an integrative manner, taking into consideration clinical experience and judgement, clients’ preferences and values, and context of intervention’ (p. 1193). Drawing on Sackett’s original definition of evidence‐based medicine[2], we could thus define evidence‐informed practice as

the conscientious, explicit and judicious use of current best evidence, integrated with relevant expertise and an understanding of the context and clients’ views, to guide decisionmaking in relation to individual cases.

Such an approach takes us away from a very rigid and narrow concept of evidence‐based practice which does not sit well with the complexity of the world of child protection[3].

 

From Prevention through to Therapy

The papers in our latest issue of Child Abuse Review, now available online, explore some of the nuances of evidence‐informed practice across the spectrum of child maltreatment and safeguarding encompassing: issues of preventive work, recognition and intervention, through to therapy and rehabilitation; different forms of maltreatment, from infancy to adolescence, including neglect, physical abuse and complex issues such as trafficking; and the challenges for professionals within a range of agencies.

In my accompanying editorial, I review some of these issues and the content of the various papers. We include a reanalysis of a systematic review of parenting interventions to reduce physical child abuse recurrence; a literature review on the trafficking of children in the Greater Mekong Region; a qualitative study with focus groups of teachers and family support workers to explore their experiences of working with neglect; and an evidence‐informed approach to develop and implement a therapeutic service for children who have experienced abuse and neglect in Victoria, Australia. We have a CPD article looking at issues around adolescent neglect, a training update and two book reviews. The full contents are listed below and all are freely available to members of the Association of Child Protection Professionals, or those who have library access to Child Abuse Review.

Some key messages from this issue:

  • teaching concrete parenting strategies such as alternatives to physical punishment is important in reducing recurrence of physical abuse

  • child trafficking needs to be treated as a public health issue, recognising the huge adverse impacts on these children

  • while professionals may recognise neglect quite early on, and want to intervene, they typically felt the need to gather evidence of multiple examples of neglectful behaviour and actual harm to the child in order for the maltreatment to be considered serious enough to cross a threshold for statutory intervention

  • successful interventions in adolescent neglect require a sustained focus on the young person within the family and an agreed plan for improvements in parental care

 

Table of contents

EditorialPeter Sidebotham. From Prevention through to Therapy: Supporting Evidence‐Informed Practice across the Spectrum of Child Maltreatment

Original Articles

J. Melendez‐Torres, Patty Leijten, Frances Gardner. What are the Optimal Combinations of Parenting Intervention Components to Reduce Physical Child Abuse Recurrence? Reanalysis of a Systematic Review using Qualitative Comparative Analysis

Carmelle Tsai, Melissa E. Dichter. The Trafficking of Children in the Greater Mekong Region: A Review of Recent Literature

Lydia Bullock, Miriam Stanyon, Danya Glaser, Shihning Chou. Identifying and Responding to Child Neglect: Exploring the Professional Experiences of Primary School Teachers and Family Support Workers

Margarita Frederico, Annette Jackson, Carlina Black, Ric Pawsey, Allison Cox. Take Two – Implementing a Therapeutic Service for Children who have Experienced Abuse and Neglect: Beyond Evidence‐Informed Practice

Continuing Professional Development

Phil Raws. Adolescent Neglect: Messages from Research for Policy and Practice

Training Update

Lynn Davies. Signs of Radicalisation: Gamer Zak and Zak at University (online simulation resources) by The Centre for Child Protection, University of Kent, 2018, 2014, £199 including the training and teaching pack. Available: https://www.kent.ac.uk/sspssr/ccp/simulationsindex.html

Book Reviews

Qays Stetkevych. Responding to Domestic Violence: Emerging Challenges for Policy, Practice and Research in Europe edited by Stephanie Holt, Carolina Øverlien and John Devaney,. Jessica Kingsley Publishers, London and Philadelphia, 2018. 368pp. ISBN 978‐1‐78592‐261‐9 (Pbk). £30.00

Goodman Maddocks. The Short Guide to Social Policy (second edition) by John Hudson, Stefan Kühner and Stuart Lowe, Policy Press, Bristol, 2015. 216 pp. ISBN 978–1–44732‐568‐0 (Pbk). £12.99

 

[1] Nevo I, Slonim‐Nevo V. 2011. The myth of evidence‐based practice: Towards evidence‐informed practice. The British Journal of Social Work 41( 6): 1176– 1197. https://doi.org/10.1093/bjsw/bcq149

[2] Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. 1996. Evidence based medicine: what it is and what it isn’t. BMJ 312( 7023): 71– 72. Available: http://www.ncbi.nlm.nih.gov/pubmed/8555924

[3] Stevens I, Hassett P. 2007. Applying complexity theory to risk in child protection practice. Childhood 14( 1): 128– 144. https://doi.org/10.1177/0907568207072535

Evidence-informed Practice, Practice-informed Research

This Friday, 18th November, we are celebrating 25 years of the journal Child Abuse Review with a special anniversary conference in Birmingham.

To mark the occasion, we have launched a virtual issue of Child Abuse Review which is freely available to download from the journal website:

Child Abuse Review

Evidence-informed Practice, Practice-informed Research

In this virtual issue we have pulled together a selection of papers from across the 25 years of the journal’s publication within the four conference themes of neglect, child sexual exploitation, domestic violence, and research into practice. We include papers by each of our four keynote speakers, as well as papers by several of the other free-paper authors who are speaking at the conference.

Over the 25 years of the journal, we have seen an increasing emphasis on evidence-informed practice: ‘the application of appropriate evidence, combined with the experience of the practitioner and their responsiveness to the current context’ (Sidebotham, 2013). Equally important is the emphasis on research being informed by and relevant to practice.

 

Neglect

Neglect is one of the most prevalent and most challenging forms of child maltreatment. Our keynote speaker, Marian Brandon, is well known for her work on Serious Case Reviews, and has given a lot of thought to the role of neglect in child fatality and serious injury (Brandon, Bailey, Belderson, & Larsson, 2014). She points out that while neglect is rarely the direct cause of a child maltreatment fatality, it is a contributory factor in a much larger proportion of cases, and we need a more nuanced understanding of the different forms of neglect and their potential impact on the child. Given all that we know about the prevalence and impact of neglect, it is perhaps surprising that this topic is relatively under-represented in published research. One of our other conference speakers, Katherine Kloppen, undertook a systematic review of prevalence studies of child maltreatment in Nordic countries and found only one study reporting on the prevalence of neglect (Kloppen, Mæhle, Kvello, Haugland, & Breivik, 2015). Within Child Abuse Review, we have been able to publish a number of original research articles focusing specifically on neglect, including our 2014 special issue, from which we would particularly highlight the papers by Elaine Farmer, another conference speaker: (Farmer & Lutman, 2014).

 

Child Sexual Exploitation

Child sexual exploitation (CSE) has come to prominence more recently, although it is clearly not a new phenomenon, as was pointed out by Nina Biehal, another conference speaker, in her 1999 paper on the risks associated with going missing from substitute care (Biehal & Wade, 1999) and in a highly cited review of CSE by Elaine Chase and June Statham (Chase & Statham, 2005). Our conference keynote speaker on this theme, Jenny Pearce, has been a leading advocate for appropriate responses to dealing with the issues raised by sexual exploitation, as highlighted in an early discussion paper (J. Pearce, 2006) and a more recent review of how Safeguarding Children Boards work to protect children from sexual exploitation (J. J. Pearce, 2014).

 

Domestic Violence

Our awareness of the impact of domestic violence on children has similarly grown over the years, and it is now much more clearly recognised as always being harmful to children. Part of this has involved the recognition that children are harmed even if they are not directly involved in the violence, and that the ongoing context of coercive control may be as damaging to children (if not more so) as any physical incidents. In a landmark paper published earlier this year, Emma Katz explores these issues and considers how we as practitioners can respond more appropriately (Katz, 2016). Preventing and responding to domestic violence presents huge challenges to practitioners, particularly where children are involved. In a systematic review available online through our Early View function, William Turner and colleagues searched for evidence on the effectiveness of interventions to improve the response of professionals (Turner et al., 2015). They found good evidence of training interventions improving knowledge, attitudes and clinical competence, but less evidence around system level interventions. One of the biggest challenges in this area is how to work with fathers, and this is an issue which Stephanie Holt, our keynote conference speaker, has specifically explored in her research (Holt, 2015).

 

Research into Practice

Our fourth topic of research into practice is addressed by one of the former editors of Child Abuse Review, Kevin Browne. Kevin has been a leading advocate for child protection services, particularly in Eastern Europe, and his paper comparing institutional care and international adoption between Romania and Lithuania is published online through Early View (Chou & Browne, 2016). Translating research into practice isn’t always easy and the paper by Helen Buckley and colleagues exploring the factors that may influence practitioner uptake of research is well worth reading (Buckley, Tonmyr, Lewig, & Jack, 2013). They highlight particular ways in which practitioners can both access and use research evidence to inform their practice, and get involved in further study and research, thus promoting the full circle of evidence-informed practice and practice-informed research.

 

You can access all the papers from the 25th anniversary virtual issue by clicking on the link below:

Child Abuse Review 25th anniversary virtual issue

 

Content of the Child Abuse Review 25th Anniversary Virtual Issue

Neglect

The Role of Neglect in Child Fatality and Serious Injury
(Volume 23, Issue 4, 2014)
Marian Brandon, Sue Bailey, Pippa Belderson and Birgit Larsson

Prevalence of Intrafamilial Child Maltreatment in the Nordic countries: A Review
(Volume 24, Issue 1, 2015)
Kathrine Kloppen, Magne Mæhle, Øyvind Kvello, Siren Haugland and Kyrre Breivik

Working Effectively with Neglected Children and Their Families – What Needs To Change?
(Volume 23, Issue 4, 2014)
Elaine Farmer and Eleanor Lutman


Child Sexual Exploitation

Taking a Chance? The Risks Associated with Going Missing from Substitute Care
(Volume 8, Issue 6, 1999)
Nina Biehal and Jim Wade

Commercial and sexual exploitation of children and young people in the UK—a review
(Volume 14, Issue 1, 2005)
Elaine Chase and June Statham

Who needs to be involved in safeguarding sexually exploited young people?
(Volume 15, Issue 5, 2006)
Jenny Pearce

‘What’s Going On’ to Safeguard Children and Young People from Child Sexual Exploitation: A Review of Local Safeguarding Children Boards’ Work to Protect Children from Sexual Exploitation
(Volume 23, Issue 3, 2014)
Jenny J. Pearce


Domestic Violence

Beyond the Physical Incident Model: How Children Living with Domestic Violence are Harmed By and Resist Regimes of Coercive Control
(Volume 25, Issue 1, 2016)
Emma Katz

Interventions to Improve the Response of Professionals to Children Exposed to Domestic Violence and Abuse: A Systematic Review
Early View: First Published 29 June 2015
William Turner, Jonathan Broad, Jessica Drinkwater, Adam Firth, Marianne Hester, Nicky Stanley, Eszter Szilassy and Gene Feder

Post-separation Fathering and Domestic Abuse: Challenges and Contradictions
(Volume 24, Issue 3, 2015)
Stephanie Holt


Research into Practice

The Relationship over Time between International Adoption and Institutional Care in Romania and Lithuania
Early View: First Published 14 July 2015
Shihning Chou and Kevin D. Browne

Factors Influencing the Uptake of Research Evidence in Child Welfare: A Synthesis of Findings from Australia, Canada and Ireland
(Volume 23, Issue 1, 2014)
Helen Buckley, Lil Tonmyr, Kerry Lewig and Susan Jack

 

 

 

Evidence-Informed Practice, Practice-informed Research

Every day in the UK, thousands of children are living with the reality of child abuse or neglect. A huge amount of positive work goes on throughout the country, with professionals working alongside children and their parents to offer support and protection, and to mitigate against the devastating short- and long-term impact of abuse.

 

All too often, however, professionals get blamed when things go wrong: on the one hand, being criticised for failing to act to protect vulnerable children; while on the other, being accused of interfering unnecessarily in family life. It is essential, therefore, that the work we do to protect children and support families is informed by high-quality research, and applied by skilled professionals working within appropriate guidelines.

 

Evidence-informed practice is one of the hallmarks of authoritative child protection, a concept I have explored in an editorial for Child Abuse Review.

 

Evidence-informed practice is the conscientious, explicit and judicious use of current best evidence, integrated with relevant expertise and an understanding of the context, to guide decision making in relation to individual cases.

Sidebotham, 2009, based on Sackett, 1996

 

 

Equally important, the research we undertake into child maltreatment and child protection needs to be informed and driven by practice: by the needs of children and families and through listening carefully to them and to practitioners.

 

Child Abuse Review 25th Anniversary Conference

So, with that in mind, I am particularly excited about a conference we are holding in Birmingham later this year.

We have five exceptional key-note speakers, and are anticipating a wide range of high-quality free papers.

The deadline for abstract submission is 30th June, so get your abstract in quickly.

Further details and an abstract submission form can be found on the BASPCAN home page.

 

  

Friday 18 November 2016

Royal Angus Hotel, Birmingham

 

Join authors and editors past and present for this special one-day conference to celebrate the 25th anniversary of Child Abuse Review

 

The day will include:

  • Optional pre-conference breakfast meeting for delegates on how to get published in Child Abuse Review
  • Opening plenary session setting the theme
  • Two parallel sessions in the morning and two in the afternoon on the following themes:
    • Child Sexual Exploitation
    • Neglect
    • Domestic violence
    • Translating research into practice
    • Each parallel session will include one invited keynote lecture, a number of short presentations from submitted abstracts, and a plenary discussion.
  • A closing plenary and celebration of 25 years of Child Abuse Review.

Keynote Speakers:

Professor Nicky Stanley, University of Central Lancashire

Professor Marian Brandon, University of East Anglia

Professor Jenny Pearce, University of Bedfordshire

Dr Stephanie Holt, Trinity College, Dublin

Professor Kevin Browne, Nottingham University

 

Find out more:

Visit the BASPCAN website for the full programme, speaker updates and booking information – www.baspcan.org.uk

 

BASPCAN, 17 PRIORY STREET, YORK, YO1 6ET – TEL: 01904 613605 – conferences@baspcan.org.uk

Book online at http://www.baspcan.org.uk/booking.php

Registered Charity No. 279119

 

You can sign up for free contents alerts for Child Abuse Review at the journal home page