The Preoccupation with Thresholds in Cases of Child Death or Serious Injury through Abuse and Neglect

被引:23
作者
Brandon, Marian [1 ]
Belderson, Pippa [1 ]
Warren, Catherine [1 ]
Gardner, Ruth [1 ]
Howe, David [1 ]
Dodsworth, Jane [1 ]
Black, Jane [2 ]
机构
[1] Univ E Anglia, Sch Social Work & Psychol, Norwich NR4 7TJ, Norfolk, England
[2] NHS Norfolk, Safeguarding Children, Norwich, Norfolk, England
关键词
thresholds; fatal child maltreatment; neglect; hostility and non cooperation;
D O I
10.1002/car.1043
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Thresholds into and between services emerged as a significant theme in the biennial analysis of cases of child death and serious injury through abuse and neglect 'serious case reviews' carried out in England for the (then) Department for Education and Skills between 2003-05. The preoccupation with thresholds was one of a number of interacting risk factors and many children's cases were on the boundary of services and levels of intervention. In most cases child protection did not come 'labelled as such' which reinforces the need for all practitioners, including those working with adults to be alert to the risks of significant harm. Policy makers should acknowledge that staff working in early intervention are working within the safeguarding continuum and not in a separate sphere of activity. The emotional impact of working with hostility from violent parents and working with resistance from older adolescents impeded engagement, judgement and safeguarding action. In the long term neglect cases that were reviewed, the threshold for formal child protection services was rarely met and some agencies and practitioners coped with feelings of helplessness by adopting the 'start again syndrome'. Adequate resources are essential but not sufficient to redress the problems. Effective and accessible supervision is crucial to help staff to put into practice the critical thinking required to understand cases holistically, complete analytical assessments, and weigh up interacting risk and protective factors. Copyright (C) 2008 John Wiley & Sons, Ltd.
引用
收藏
页码:313 / 330
页数:18
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