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- W2509442024 abstract "Last year's special issue on domestic abuse and safeguarding children generated an unprecedented number of submissions to the journal. This emphasises just how crucial the issue is for children's safety and wellbeing. In their editorial for that issue, Cathy Humphreys and Caroline Bradbury-Jones (2015) identified seven key principles in relation to safeguarding and domestic abuse, relating to focus, response and intervention. In this issue of Child Abuse Review, we pick up on those, with two papers exploring interventions with violent fathers, drawing on Humphreys and Bradbury-Jones’ assertion that risk assessment and risk management of the perpetrator should be a focus of intervention. ‘Risk assessment and risk management of the perpetrator should be a focus of intervention’ The first paper by Rebecca Gray and colleagues (2016) from New South Wales draws on learning from an 18-week programme that addresses men's use of violence and abuse in their intimate relationships, with an emphasis on whole family safety. As part of their evaluation of the programme, the researchers interviewed both male perpetrators of domestic violence and their partners/former partners to explore the factors that might influence male perpetrators to change. They identified that the perpetrator's relationship with his partner was often a major stimulus for engagement in the programme, with many of the clients expressing the hope that their compliance might help restore the relationship. Perhaps not surprisingly, in their interviews, women were often sceptical of their partner's motivation and ability to change and sought greater evidence of their authenticity. It seems pertinent that Gray and colleagues label their first theme ‘Getting her back’ (p. 176), which seems to imply a possessive and self-centred attitude on the part of the perpetrators. In contrast, they did identify some men ‘who were inspired to become “better” husbands and fathers and to “advocate” for more positive relationships in their community, and to abandon their “tormenting” behaviours’ (p. 178). ‘Women were often sceptical of their partner's motivation and ability to change’ In a related Child Abuse Review paper, published online, the authors report on further results from this evaluation, in which they found that ‘love for their children served as a motivation [to violent men] to stop using violence and to develop alternative ways of relating to all family members’ (Broady et al., 2015, p. 1). This is just one of many papers available ahead of print on the Early View section of the journal website, which also provides an option for regular new content alerts so that you can stay up to date with the latest research being published in Child Abuse Review. ‘One of many papers available ahead of print on the Early View section of the journal website,’ The paper from Gray and colleagues (2016) emphasises how difficult it may be to effect change in perpetrators of domestic violence. Nevertheless, as they point out, it is essential that if we are going to reduce the prevalence and impact of domestic violence, we need to engage both with those affected by it (the women and children) and with the perpetrators themselves. Gray and colleagues highlight how important it is to understand and engage with what motivates perpetrators if we are going to bring about change. This should be a central part of any intervention programme. As should some means of evaluating progress and outcomes. In our second paper, Nicola McConnell and Julie Taylor (2016) report on some of the challenges that they faced in carrying out an evaluation of the Caring Dads Safer Children programme in the UK. Again, when it came to evaluation, the authors found that the clients’ motivation could have a substantial impact on the evaluation, with attrition and lack of engagement on the one hand limiting the numbers available for participation, and a desire to please, influencing whether and how the clients participated. ‘Important... to understand and engage with what motivates perpetrators if we are going to bring about change’ In a mixed-methods study published in Child Abuse Review last year, Stephanie Holt (2015) identified some of the challenges and contradictions in working with families with a history of domestic abuse following a separation. She emphasised the need to recognise the risk posed by violent men, even following separation, an issue also highlighted in Fiona Morrison's (2015) research with children and mothers post-separation. However, as Holt argued, this does not necessarily mean excluding fathers from their children's lives, but rather to find ways to support safe engagement, a challenging perspective, but one supported by the findings of the papers in this issue. ‘Find ways to support safe engagement’ Our next two papers consider some specific vulnerable situations for young people: those who run away or go missing from home; and those who are involved in gang membership. They present some challenging and perhaps surprising results. Drawing on their experience with the NSPCC in the UK, Louise Hill and colleagues (2016) explore their understanding of the vulnerability and risks faced by children and young people who run away or go missing from home. The authors report on a case study of a service for children who had run away, been forced to leave home or gone missing without their parent or carer's knowledge of their whereabouts. Their assessment of these children's return interviews suggests that, in the words of a 13 year old cited in the paper, ‘No-one runs away for no reason’ (p. 192). The authors found that young people consistently cited family difficulties as the main issue, including difficulties in parental management of their child's behaviour and significant family stresses. They also identified problems at school and the young person's own emotional health as key underlying factors. It is clear from Hill and colleagues’ work and their review of the literature that these young people face substantial risks when they run away, and that there appears to be a lack of support and services for the young people and their families. They advocate the return interview assessment as an important opportunity for these vulnerable young people to talk about why they ran away and to identify their support needs. As emphasised in previous research, young people who go missing want to be heard, to be treated with respect, to be able to exercise autonomy and to feel that someone cares (Taylor et al., 2014). “No-one runs away for no reason” ‘Young people who go missing want to be heard’ In their study from San Antonio, Texas, Alice Cepeda and colleagues (2016) identified 50 young men (average age 18.2 years) who were involved in 26 gangs in their community and a comparison group of 25 youth who were known to display delinquent behaviour but were not members of a gang. All participants completed the Childhood Trauma Questionnaire. Intriguingly, the gang members had significantly lower overall trauma scores than the non-gang members, specifically in relation to emotional abuse and emotional neglect. Both groups reported relatively high levels of physical neglect. Both groups had high levels of criminal behaviour leading to arrest, and of substance misuse. The authors suggest that there are both family and community influences on the decision to join a gang, and their results hint at the possibility that gang membership is a complex phenomenon and not merely the consequence of a disrupted home environment. ‘Gang membership is a complex phenomenon and not merely the consequence of a disrupted home environment’ In our next paper, Colin Pritchard and Saalim Mirza (2016) explore published data on under-five child mortality rates (U5MR) and child abuse-related deaths in the former Soviet Union. They compiled WHO mortality data for the ten former countries of the USSR, comparing data from 2008–10 with those from 1988–90 prior to the breakup of the USSR. They found an overall reduction in U5MR of 56 per cent, with seven of the ten former countries meeting or coming close to meeting the UN Millennium Development Goal of reducing U5MR by two per cent per annum. The picture was more mixed with regard to child abuse-related deaths: while eight countries had a reported reduction in confirmed child abuse deaths, there was considerable variability in the reported rates of deaths of undetermined intent and those registered as ill-defined signs and symptoms. Both of these categories could potentially include unrecognised or under-reported child abuse-related deaths. The authors conclude that there may well be some under-recognition or under-reporting of child abuse deaths in these countries, and recognise that more country- and case-specific research is needed to address these questions. ‘Close to meeting the UN Millennium Development Goal of reducing U5MR’ All the papers above highlight some interesting challenges in gathering and using research data on child maltreatment. The authors have addressed these challenges in different ways and demonstrate how, in spite of some of the limitations, there is learning to be gleaned. Our last paper in this issue turns to the challenge of interpreting clinical information. Christopher Greeley and colleagues (2016) carried out a nationwide survey of teams providing medical evaluations for possible sexual abuse in the USA. The majority of responding teams reported some form of peer review process, notably involving both chart and photo documentation reviews. There was, however, variability in how the peer review process was carried out, and the authors suggest that there is room for further improvement. Given the complexity in interpreting clinical signs of child sexual abuse, it is essential that teams engage in peer review and seek to build on good practice ‘to improve diagnostic accuracy, confirm and verify findings, and to present a consensus in the data and interpretations’ (Greeley et al., 2016 p. 237). ‘Given the complexity in interpreting clinical signs of child sexual abuse, it is essential that teams engage in peer review’ We finish this issue with three book reviews. Jenny Keys (2016) reviews Watson and Rodwell's guide for nurses and midwives, Safeguarding and Protecting Children, Young People and Families; Lindsay Neil (2016) discusses Taylor and Lazenbatt's Child Maltreatment and High-Risk Families; and Jill Beswick (2016) reviews Critical Perspectives on Child Sexual Exploitation and Related Trafficking by Melrose and Pearce. All three books appear to offer helpful perspectives for practitioners in these complex areas. In our first issue of this 25th anniversary volume of Child Abuse Review, Nigel Parton (2016) emphasised both the continuity and changes in child protection over the past 25 years, in particular highlighting a broadening and increasing complexity in policy and practice. When the first issue was launched in 1991, the Soviet Union was still in existence; the report of the Cleveland inquiry (HMSO, 1988) had only recently been published and peer review for child sexual abuse was very much in its infancy; and while the problems of domestic violence and of children missing from home were certainly not new, the nature and impact of these issues were perhaps less well understood or appreciated. It is interesting to speculate on what an editor, looking back in 25 years’ time, might identify as the continuities and changes of which we might, at present, be unaware. As all these papers emphasise, we still have a lot to learn, and there are still improvements that we can make in safeguarding children and families. It is our hope that Child Abuse Review will continue to be a resource for researchers and practitioners alike, promoting progress and change in working for children. ‘As all these papers emphasise, we still have a lot to learn’" @default.
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- W2509442024 title "Continuity and Change in Child Protection: Challenges in Research and Practice" @default.
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