Search

Protecting an unborn baby from abuse and neglect presents particular challenges for professionals due to the uncertainties about appraising future harm and functioning of family relationships. This systematic narrative review synthesises studies of professional decision making by health and social care professionals regarding child protection of an unborn baby. Five bibliographic databases (ASSIA, CINAHL Plus, Ovid MEDLINE, PsycINFO, Social Care Online) were searched using an explicit and robust search; papers identified as relevant were appraised for quality and combined using a narrative synthesis based on the main themes in the papers. Ten papers met the inclusion criteria, including qualitative studies, surveys and randomised trials of the effectiveness of decision support tools. The papers identified the following case risk factors relating to risks to an unborn baby: alcohol abuse; ante-natal care; previous children in care; domestic violence; drug abuse; lack of education; employment issues; unrealistic expectations of the baby; housing issues; learning disability; feelings about pregnancy; low socio-economic status; mental illness; mother's childhood experiences; lack of parenting capacity; physical disability. There were several papers on developing risk assessment tools. A few papers focused on risk assessment and decision processes including engagement with pregnant women. There was some discussion of psychosocial supports for risks in pregnancy. There is useful published material on the range of risk factors, and more limited material on the development of assessment tools and on decision processes. The psychosocial supports that might be provided to the pregnant woman as decision options is an area for future research.

Adoption can provide a lifetime of benefits for children. Some adoptions however, experience severe challenges resulting in disruption, with children leaving home prematurely. This qualitative study in Northern Ireland used interviews with parents from thirteen families whose adoptions had disrupted, to explore their perspective on the experience. Key findings focused on issues relating to firstly, the adopted child; secondly, adoption services; and finally, the parents and other family members. The impact of early adverse experiences on the children (developmental trauma) played out through behaviours, often violent, that their parents found extremely challenging. These increased as the children aged and had serious effects on family life. The adoptive parents thought they could have been better prepared through the adoption process to face challenging behaviours and more appropriately supported to prevent disruption. When their adopted child was admitted to state care, the parents typically felt initial relief but also guilt and loss. After the child had left home, they generally wished for more involvement with him or her despite the difficulties experienced. This study confirmed previous findings about the extent of trauma experienced by some adoptive children, and the challenges that this may present to the adoptive parents. It highlighted how the manifestation of the trauma experienced by the child may lead to adoptive parents themselves experiencing primary or secondary trauma or compassion fatigue (defined in the Discussion section below) or a combination of all three. The preparation of adoptive parents should include greater awareness of possible challenges, and how to cope with these. The development of trauma-informed approaches to practice and service delivery is required to support families with adopted children more effectively. Co-production models for service development may assist in addressing the types of issues identified in post-adoption support services. [ABSTRACT FROM AUTHOR]

As the social work profession matures, the need for robust knowledge becomes more pressing. Greater coordination is required to develop the research community and an infrastructure to support this nationally and internationally. This article discusses the foundation, in 2014, of the European Social Work Research Association and its roots in the annual European Conference for Social Work Research series since 2011. Discussion focuses on the Association's context and aims, its principles, developments, and future plans. The initial development of the Association has been very encouraging; it has attracted over 250 members in its initial months, including individuals from 19 of 28 European Union countries, and 3 of 23 European non-EU countries, as well as six countries outside Europe. Continuing efforts are required to encompass the diversity of practice, organization and research, and for the Association to be truly inclusive of social work research and researchers across the whole of Europe.

Self-harming and suicide amongst adolescents are reported to be increasing in Europe and internationally. For young people in state care, this aspect of mental well-being is of particular concern. The aim of this study was to establish the incidence of suicidal ideation and behaviour amongst young people (age 16-21 years) leaving state care in one health and social care trust in Northern Ireland, and to explore the correlation between this and client risk factors that might inform professional practice. Data were gathered from 164 case files of the total 215 (response rate 76%) in relation to all open cases as of 30 April 2012 extracted by the relevant social workers through the use of a standard data collection tool. Twenty-seven per cent of young people known to the 16+ Teams engaged in self-harm or suicidal behaviour. There was a strong correlation between the number of self-harm incidents and the number of suicide attempts. The risk factors identified were consistent with the research base: "male", "unemployed", "alcohol and drug misuse", "adverse childhood experiences", "higher number of placement moves" "placement type" and "older age when entering care". Young people in more isolated placements seemed particularly at risk. The results of this study are of particular relevance to social workers and other professionals working with young people leaving state care.

The potential human and financial costs of foster placement disruption for the children, families, professionals and agencies involved are widely accepted. This service evaluation identified and described perspectives of foster parents and social workers regarding placement disruptions in order to identify the main issues of concern and to derive lessons to inform practice. Postal questionnaires containing both quantitative and qualitative questions were sent to supervising social workers, field social workers and foster parents involved in the 36 non-kinship foster placement disruptions that occurred from 1 January 2009 to 31 December 2011 in one Health and Social Care Trust in Northern Ireland. In total, 107 questionnaires were sent out and the overall response rate was 62%. Multiple factors were involved in the disruptions, with the child's behaviour and contact with birth family being the greatest concerns, followed by attachment issues. Disruptions were more prevalent for adolescent placements, placements of less than one year duration and "new" foster parents. Views on communication between professionals and foster parents were generally encouraging. In the majority of cases the disruption was thought likely to have occurred even if any additional supports that could be envisaged could have been provided. Recommendations for practice include enhanced supervision and support for new foster parents, activity to value foster parents, the recording of disruption data, and development of a behaviour management training plan.

Contemporary "knowledge" relies increasingly on probabilistic data. A key example is the "evidence" for the effectiveness of health and social welfare interventions. Such claims to "knowing" require an epistemological underpinning. This paper explores the concept of probabilistic knowledge, evidence and "proof" which underpin claims for the effectiveness of social welfare interventions from the perspective of scholastic epistemology. It provides a framework based on contingent events, establishing different levels of certitude and ways of increasing it, thanks to intellectual virtues such as prudence and art. Knowing the value of the data that form the basis for making decisions in social processes, we can construct directions for social policies. Greater methodological precision (that philosophy in its various traditions might offer) may be of service to attempts in social work to conceptualize questions of effectiveness and measurement of outcomes, given their probabilistic nature. [ABSTRACT FROM AUTHOR]

The trend in adoption since the 1960s has been away from secrecy and towards greater openness; contact through an intermediary, and direct contact by letter, is now widely accepted. More controversial is the challenge of face-to-face contact with birth parents, and social workers involved in the decision-making process find themselves having to make recommendations to the Court that balance the rights, needs and aspirations of the various parties regarding appropriate contact. The views of four prospective adoptive couples in Northern Ireland toward post-adoption face-to-face contact with birth parents were studied using semi-structured interviews. Prospective adoptive parents saw advantages and disadvantages in face-to-face contact with a birth parent for the child and themselves. One advantage highlighted was that contact could assist the child's development of identity. However, there was an underlying discomfort about facilitating this kind of contact because of its potentially negative effects such as the confusion it could cause a child and the resultant behavioural issues that could emerge. Prospective adopters wanted professionals to give them the opportunity to express and explore their apprehensions about face-to-face contact, and to provide them with fuller information to address their concerns.