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

Kneeling on Mung Beans

 

Imagine a world where each child has the right to live in a happy family that is full of hope, where children can play in clean playgrounds, where no child is beaten or hit with a piece of wood, belt or hanger, or is cursed, pinched, slapped, or made to kneel on mung beans.

That was the dream of a non-violent and non-discriminatory family and community expressed by a group of street youth in Manila (1).

Such a dream is something we strive for in our work to combat child maltreatment worldwide. It is not something that will be easily achieved, but we need to do all we can to promote it through education, family support and early intervention, services for abused children, legislation, and research. It is fitting, therefore, that our final issue in the 25th anniversary volume of Child Abuse Review, now available online, should focus on research from different countries, bringing a global perspective on different aspects of safeguarding children.

 

The research being reported by Daniel Wartenweiler and Roseann Mansukhani in this issue is a powerful example of what can be achieved through participatory work with young people in a resource-poor setting. The 11 young people who took part in the research reported often quite disturbing examples of both physical and verbal abuse within the guise of discipline. The young people reported feelings of rejection, anger and resentment, rifts in the parent-child relationship, and defiant behaviours as a result. However, their participation in the research project truly empowered them and enabled them to effect change in their relationships and their community.

onesimo bulilit drama‘From the safety of their storytelling, [the young people] had made the transition to the bigger world, and from being hidden and disempowered, they had become actors on social transformation. Because they had been empowered themselves, they now wanted other children to become empowered too.’

 

 

 

As part of the research project, the young people themselves decided to produce a short video, communicating what they wanted to say about corporal punishment, and to show the video to parents from their community. An abbreviated version of the video with English subtitles is available online (https://youtu.be/dP5nFhj_9O4) and is well worth watching.

 

Most impressive, however, were the reported changes following the parents’ meeting, with most participants reporting changes in parental discipline and parent-child relationships, summed up in the experience of one young person who had previously reported that:

Sometimes [] she [mother] shamed me in front of my friends and she took my clothes off in front of many people. Sometimes she tied me to a pedicab with a chain. Sometimes she beat me and she banged my head on the steel bars.

Following the project, this young person reported that she had returned to live with her mother, and that their relationship had improved:

I am not scared anymore because I know my mother is now listening to my problems and to my feelings

 

As well as Wartenweiler and Mansukhani’s inspiring work from the Philippines, this issue of Child Abuse Review also features research from Kenya, Nigeria, Ukraine, Romania, Lithuania and the USA.

Olusesan Ayodeji Makinde’s paper on infant trafficking and baby factories in Nigeria makes disturbing reading, but brings to light a crucial issue and presents a challenge to the international community in relation to infant trafficking for adoption and exploitation.

There are some equally challenging issues in relation to institutional care and international adoption flagged up in papers by Lavinia Barone and her colleagues, and by Shihning Chou and Kevin Browne.

 

You can read my editorial (free open access) and see the other papers (BASPCAN members and subscription only – sorry) by clicking on the links below. I hope you will take the time to read these, and that you, like me, will be both challenged and inspired.

 

Child Abuse Review Volume 25, Issue 6

Table of Contents

Editorial

Peter Sidebotham Kneeling on Mung Beans (pages 405–409)

 

Original Papers

Daniel Wartenweiler and Roseann Mansukhani Participatory Action Research with Filipino Street Youth: Their Voice and Action against Corporal Punishment (pages 410–423)

Toby Candler, Hannah Gannon and John Wachira Child Protection in a Low-Resource Setting: Experiences From Paediatric Professionals in Kenya (pages 424–432)

Olusesan Ayodeji Makinde Infant Trafficking and Baby Factories: A New Tale of Child Abuse in Nigeria (pages 433–443)

Shihning Chou and Kevin D. Browne The Relationship over Time between International Adoption and Institutional Care in Romania and Lithuania (pages 444–453)

Lavinia Barone, Antonio Dellagiulia and Francesca Lionetti When the Primary Caregiver is Missing: Investigating Proximal and Distal Variables Involved in Institutionalised Children’s Adjustment (pages 454–468)

Marina Lalayants and Jonathan D. Prince Child Neglect and Onset of Substance Use Disorders among Child Welfare-Involved Adolescents (pages 469–478)

 

Training Update

Female Genital Mutilation Programme (e-FGM): E-Learning to Improve Awareness and Understanding of FGM by e-Learning for Healthcare.

 

Book Reviews

Comparative Study of Child Soldiering on Myanmar-China Border: Evolution, Challenges and Countermeasures by K. Chen, Springer Science and Business Media, Singapore, 2014.

Redressing Institutional Abuse of Children by Kathleen Daly, Palgrave Macmillan, Basingstoke, 2014.  

 

 

 

  1. Wartenweiler D, Mansukhani R. Participatory Action Research with Filipino Street Youth: Their Voice and Action against Corporal Punishment. Child Abuse Review. 2016;25(6):n/a-n/a.