The Experts below are selected from a list of 2400 Experts worldwide ranked by ideXlab platform
Daryl Higgins - One of the best experts on this subject based on the ideXlab platform.
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Safeguarding Capabilities in Preventing Child Sexual Abuse: Exploratory Factor Analysis of a Scale Measuring Safeguarding Capabilities in Youth-Serving Organizations Workers.
Child maltreatment, 2019Co-Authors: Douglas Russell, Daryl HigginsAbstract:Media reports and government enquiries have shone a spotlight on institutional Child sexual abuse (CSA) globally. With youth-serving organizations seeking to identify how to improve policies and procedures developed to protect Children, a gap exists in research and organizational quality assurance procedures. A new tool is needed to measure the capability of workers to implement and support effective Child-Safeguarding policies and practices. To address this, our aim was to develop the Safeguarding Capabilities in Preventing Child Sexual Abuse Scale. Participants (n = 345) from a range of youth-serving sectors in Australia answered 128 questions. Using exploratory factor analysis to assess the underlying factor structure and refine the item pool, items loaded onto four factors. Reliability coefficients ranged from .68 to .95. Results showed that knowledge, attitudes, self-efficacy to take action, and awareness are all key capabilities related to creating conditions of safety for Children and young people and preventing CSA in youth-serving organizations.
Kayleigh Samantha Jane Rivett - One of the best experts on this subject based on the ideXlab platform.
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Child Safeguarding practices in light of the deserving undeserving paradigm a historical contemporary analysis
Child Abuse & Neglect, 2019Co-Authors: Wendy Simsschouten, A. Skinner, Kayleigh Samantha Jane RivettAbstract:Abstract Background Contemporary Child protection systems in the UK need to be seen in light of the late nineteenth century Child rescue movement, at a time of curbs in public spending, shifts in attitudes towards Children’s welfare and the development of social work. There are similarities in the social, institutional and legal contexts, between the nineteenth century and today, centralising ‘deservedness’, that determined and determines Children’s access to services. Objective The current article compares historical data and practices of Children in care in the UK, encompassing 1881–1918, with contemporary data and practices, through the lens of the deserving/undeserving paradigm, inherited from the Poor Law of 1834. Participants and Setting Drawing on two data sets, namely historic Children’s case files (N = 108), 1881–1918 from the Children’s Society (a philanthropic institution) highlighting the perception of custodians, doctors, professionals, as well as Children and parents, and current data from interviews with young care leavers and Safeguarding practitioners (N = 42), our research focuses on the most disadvantaged Children with complex needs and damaging (pre)care experiences. Methods Data is analysed using thematic content analysis, framed within critical realist ontology, taking account of stratified non-linear dynamics of processes at different levels. Results and Conclusion In both data sets the inability to support certain Children is justified by referring to their complex needs and mental health and behavioural problems., Here, the Child is held accountable and placed in the ‘undeserving’ category and consequently misses out on help and support, highlighting a need for awareness, and reflective and reflexive practice among practitioners/professionals.
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Child Safeguarding practices in light of the Deserving/Undeserving paradigm: A historical & contemporary analysis.
Child abuse & neglect, 2019Co-Authors: Wendy Sims-schouten, A. Skinner, Kayleigh Samantha Jane RivettAbstract:Abstract Background Contemporary Child protection systems in the UK need to be seen in light of the late nineteenth century Child rescue movement, at a time of curbs in public spending, shifts in attitudes towards Children’s welfare and the development of social work. There are similarities in the social, institutional and legal contexts, between the nineteenth century and today, centralising ‘deservedness’, that determined and determines Children’s access to services. Objective The current article compares historical data and practices of Children in care in the UK, encompassing 1881–1918, with contemporary data and practices, through the lens of the deserving/undeserving paradigm, inherited from the Poor Law of 1834. Participants and Setting Drawing on two data sets, namely historic Children’s case files (N = 108), 1881–1918 from the Children’s Society (a philanthropic institution) highlighting the perception of custodians, doctors, professionals, as well as Children and parents, and current data from interviews with young care leavers and Safeguarding practitioners (N = 42), our research focuses on the most disadvantaged Children with complex needs and damaging (pre)care experiences. Methods Data is analysed using thematic content analysis, framed within critical realist ontology, taking account of stratified non-linear dynamics of processes at different levels. Results and Conclusion In both data sets the inability to support certain Children is justified by referring to their complex needs and mental health and behavioural problems., Here, the Child is held accountable and placed in the ‘undeserving’ category and consequently misses out on help and support, highlighting a need for awareness, and reflective and reflexive practice among practitioners/professionals.
M Ganesh - One of the best experts on this subject based on the ideXlab platform.
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G73(P) Good practice recommendations in the Child Safeguarding peer reviews – a long way to go!
Child Protection Special Interest Group, 2017Co-Authors: S Saran, J Nuthall, A Hulme, M GaneshAbstract:Background Peer review, if used effectively can aid both reflective learning and personal development. It reduces clinical isolation and leads to sharing of good practice, complex cases and ensures clinicians working to an agreed standard. In May 2012, RCPCH published good practice recommendations for the Peer Review in Safeguarding. Aim We wanted to assess Peer Review practices in the West Midlands to see if the Good Practice recommendations are followed. Methods We conducted an e-survey of the West Midlands Paediatric consultants, involved in Child Safeguarding using the web tool ‘Survey Monkey’. Results 44, consultants from the region responded. Survey has revealed that over 90% have confirmed that Peer Reviews exists in their trusts, and the Terms of reference include how frequently they should meet up. 85% have reported that minutes were recorded but the contents varied; recording of attendance (100%), agreed action plan (80%), learning points (70%). Other notable findings, such as accessibility to the trainees (80%), lead clinician remaining accountable (75%), identification of the eligible participants (70%), presence of the examining clinician (70%), and rotational chair (30%) presiding the Peer Review Meetings. Interestingly, around 50% of the responders did not completely agree that Peer Review was considered during their appraisal and 20% have reported that Peer Review is not on their job plan. 45% of the respondents believed peer reviews were not entirely unbiased and 30% could not agree that the environment is challenging yet supportive. Conclusion Our survey has revealed significant deficiencies in the Child Safeguarding Peer Review Practices in the West Midlands. We therefore recommend a national survey to compare with other regions and auditing Peer Reviews at the local level.
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g73 p good practice recommendations in the Child Safeguarding peer reviews a long way to go
Archives of Disease in Childhood, 2017Co-Authors: S Saran, J Nuthall, A Hulme, M GaneshAbstract:Background Peer review, if used effectively can aid both reflective learning and personal development. It reduces clinical isolation and leads to sharing of good practice, complex cases and ensures clinicians working to an agreed standard. In May 2012, RCPCH published good practice recommendations for the Peer Review in Safeguarding. Aim We wanted to assess Peer Review practices in the West Midlands to see if the Good Practice recommendations are followed. Methods We conducted an e-survey of the West Midlands Paediatric consultants, involved in Child Safeguarding using the web tool ‘Survey Monkey’. Results 44, consultants from the region responded. Survey has revealed that over 90% have confirmed that Peer Reviews exists in their trusts, and the Terms of reference include how frequently they should meet up. 85% have reported that minutes were recorded but the contents varied; recording of attendance (100%), agreed action plan (80%), learning points (70%). Other notable findings, such as accessibility to the trainees (80%), lead clinician remaining accountable (75%), identification of the eligible participants (70%), presence of the examining clinician (70%), and rotational chair (30%) presiding the Peer Review Meetings. Interestingly, around 50% of the responders did not completely agree that Peer Review was considered during their appraisal and 20% have reported that Peer Review is not on their job plan. 45% of the respondents believed peer reviews were not entirely unbiased and 30% could not agree that the environment is challenging yet supportive. Conclusion Our survey has revealed significant deficiencies in the Child Safeguarding Peer Review Practices in the West Midlands. We therefore recommend a national survey to compare with other regions and auditing Peer Reviews at the local level.
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G144(P) Is it a time to consider introducing simulation training for ‘Child Safeguarding’?
Archives of Disease in Childhood, 2014Co-Authors: Ss Saran, R Brough, M Ganesh, Y VadaliAbstract:Background Child protection medical examination is an essential competency for any trainee to progress through CCT. Often trainees are apprehensive when asked to perform Child Protection medicals. Inadequate training may lead to poor quality assessments resulting in potential risk to the Child, family and possible litigations. Aim To elucidate the learning opportunities which Paediatric trainees get in an average sized district general hospital in England. Methods We have audited notes of Children who were referred for the “Child Protection Medical Examination” to our hospital between 01/05/2012 to 30/09/2013. Results There were 24 “Child Protection Medical Assessments” performed during 16 months. Both boys and girls were equal in number (12 each). 3 (12%) Children were under the age of 12 months, 11 (46%) were between 1 and 5 years and 10 (42%) were older than 5 years. 20 (84%) of these assessments were performed during the weekday and 4 (16%) were done during the weekends. 9 (38%) of the assessments were performed by the ‘Community Paediatric Registrars’ who are on call to perform this task in the weekdays during the normal working hours. Equal number 9 (38%) of assessments was performed by the ‘Ward Registrars’. On call general paediatric consultants did remaining 6 (24%) assessments. Conclusion Child Safeguarding attracts media attention often due to medical inadequacies. We are aware about various serious case reviews in the past and a common recommendation in all of them was to ensure proper training of the front line staff. 24 Child protection examinations in 16 months imply an average of 1.5 per month. Just to add to our worry is that on call registrars for Child Safeguarding have only performed 9 assessments in 16 months, i.e. approximately one assessment every other month. We are seriously concerned about lack of exposure which trainees are getting in this very important component of Paediatric training. We strongly feel to consider other training modalities including introducing simulation technique for “Child Safeguarding” in the Paediatric curriculum.
Gene Feder - One of the best experts on this subject based on the ideXlab platform.
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making the links between domestic violence and Child Safeguarding an evidence based pilot training for general practice
Health & Social Care in The Community, 2017Co-Authors: Eszter Szilassy, Cath Larkins, Nicky Stanley, William Turner, Jessica Drinkwater, Marianne Hester, Gene FederAbstract:We describe the development of an evidence-based training intervention on domestic violence and Child Safeguarding for general practice teams. We aimed - in the context of a pilot study - to improve knowledge, skills, attitudes and self-efficacy of general practice clinicians caring for families affected by domestic violence. Our evidence sources included: a systematic review of training interventions aiming to improve professional responses to Children affected by domestic violence; content mapping of relevant current training in England; qualitative assessment of general practice professionals' responses to domestic violence in families; and a two-stage consensus process with a multi-professional stakeholder group. Data were collected between January and December 2013. This paper reports key research findings and their implications for practice and policy; describes how the research findings informed the training development and outlines the principal features of the training intervention. We found lack of cohesion and co-ordination in the approach to domestic violence and Child Safeguarding. General practice clinicians have insufficient understanding of multi-agency work, a limited competence in gauging thresholds for Child protection referral to Children's services and little understanding of outcomes for Children. While prioritising Children's safety, they are more inclined to engage directly with abusive parents than with affected Children. Our research reveals uncertainty and confusion surrounding the recording of domestic violence cases in families' medical records. These findings informed the design of the RESPONDS training, which was developed in 2014 to encourage general practice clinicians to overcome barriers and engage more extensively with adults experiencing abuse, as well as responding directly to the needs of Children. We conclude that general practice clinicians need more support in managing the complexity of this area of practice. We need to integrate and further evaluate responses to the needs of Children exposed to domestic violence into general practice-based domestic violence training.
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Juggling confidentiality and safety: a qualitative study of how general practice clinicians document domestic violence in families with Children
The British journal of general practice : the journal of the Royal College of General Practitioners, 2017Co-Authors: Jessica M Drinkwater, Cath Larkins, Nicky Stanley, Eszter Szilassy, Marianne Hester, Gene FederAbstract:Background Domestic violence and abuse (DVA) and Child Safeguarding are interlinked problems, impacting on all family members. Documenting in electronic patient records (EPRs) is an important part of managing these families. Current evidence and guidance, however, treats DVA and Child Safeguarding separately. This does not reflect the complexity clinicians face when documenting both issues in one family. Aim To explore how and why general practice clinicians document DVA in families with Children. Design and setting A qualitative interview study using vignettes with GPs and practice nurses (PNs) in England. Method Semi-structured telephone interviews with 54 clinicians (42 GPs and 12 PNs) were conducted across six sites in England. Data were analysed thematically using a coding frame incorporating concepts from the literature and emerging themes. Results Most clinicians recognised DVA and its impact on Child Safeguarding, but struggled to work out the best way to document it. They described tensions among the different roles of the EPR: a legal document; providing continuity of care; information sharing to improve safety; and a patient-owned record. This led to strategies to hide information, so that it was only available to other clinicians. Conclusion Managing DVA in families with Children is complex and challenging for general practice clinicians. National integrated guidance is urgently needed regarding how clinicians should manage the competing roles of the EPR, while maintaining safety of the whole family, especially in the context of online EPRs and patient access.
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Making the links between domestic violence and Child Safeguarding: an evidence‐based pilot training for general practice
Health & social care in the community, 2016Co-Authors: Eszter Szilassy, Cath Larkins, Nicky Stanley, William Turner, Jessica Drinkwater, Marianne Hester, Gene FederAbstract:We describe the development of an evidence-based training intervention on domestic violence and Child Safeguarding for general practice teams. We aimed - in the context of a pilot study - to improve knowledge, skills, attitudes and self-efficacy of general practice clinicians caring for families affected by domestic violence. Our evidence sources included: a systematic review of training interventions aiming to improve professional responses to Children affected by domestic violence; content mapping of relevant current training in England; qualitative assessment of general practice professionals' responses to domestic violence in families; and a two-stage consensus process with a multi-professional stakeholder group. Data were collected between January and December 2013. This paper reports key research findings and their implications for practice and policy; describes how the research findings informed the training development and outlines the principal features of the training intervention. We found lack of cohesion and co-ordination in the approach to domestic violence and Child Safeguarding. General practice clinicians have insufficient understanding of multi-agency work, a limited competence in gauging thresholds for Child protection referral to Children's services and little understanding of outcomes for Children. While prioritising Children's safety, they are more inclined to engage directly with abusive parents than with affected Children. Our research reveals uncertainty and confusion surrounding the recording of domestic violence cases in families' medical records. These findings informed the design of the RESPONDS training, which was developed in 2014 to encourage general practice clinicians to overcome barriers and engage more extensively with adults experiencing abuse, as well as responding directly to the needs of Children. We conclude that general practice clinicians need more support in managing the complexity of this area of practice. We need to integrate and further evaluate responses to the needs of Children exposed to domestic violence into general practice-based domestic violence training.
Douglas Russell - One of the best experts on this subject based on the ideXlab platform.
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Safeguarding Capabilities in Preventing Child Sexual Abuse: Exploratory Factor Analysis of a Scale Measuring Safeguarding Capabilities in Youth-Serving Organizations Workers.
Child maltreatment, 2019Co-Authors: Douglas Russell, Daryl HigginsAbstract:Media reports and government enquiries have shone a spotlight on institutional Child sexual abuse (CSA) globally. With youth-serving organizations seeking to identify how to improve policies and procedures developed to protect Children, a gap exists in research and organizational quality assurance procedures. A new tool is needed to measure the capability of workers to implement and support effective Child-Safeguarding policies and practices. To address this, our aim was to develop the Safeguarding Capabilities in Preventing Child Sexual Abuse Scale. Participants (n = 345) from a range of youth-serving sectors in Australia answered 128 questions. Using exploratory factor analysis to assess the underlying factor structure and refine the item pool, items loaded onto four factors. Reliability coefficients ranged from .68 to .95. Results showed that knowledge, attitudes, self-efficacy to take action, and awareness are all key capabilities related to creating conditions of safety for Children and young people and preventing CSA in youth-serving organizations.