scholarly journals The Framework for the Assessment of Children in Need and Their Families and Signs of Safety: Competing or Complementary Frameworks?

Author(s):  
Mary Baginsky ◽  
Jill Manthorpe ◽  
Jo Moriarty

Abstract Signs of Safety (SoS) is a comprehensive assessment framework (AF) used in some form in most English children’s service departments as well as in many other countries. The Framework for the Assessment of Children in Need and their Families (AF) was introduced nearly twenty years ago to address identified failures to adopt a holistic approach to assessments of families where there were concerns that children were in need of protection or support. The AF is not only a statutory requirement in England but it has influenced the development of approaches to assessment globally. An evaluation of SoS in pilot local authorities in England provided opportunities to examine the extent to which the two frameworks were being used together. Findings from interviews, case record analysis and a survey indicate that while recording processes were aligned with the AF, it was not central to many of the assessments conducted and it proved difficult to detect its influence on their content. It appears timely to examine the extent to which the AF is used across England, to assess its relevance to current practice and the extent to which frameworks such as SoS have supplemented or replaced it.

Author(s):  
Sarah Gorin ◽  
Mary Baginsky ◽  
Jo Moriarty ◽  
Jill Manthorpe

Abstract Recent years have seen a re-emergence of international interest in relationship-based social work. This article uses children’s accounts of their relationships with social workers to build on previous research to promote children’s safety and well-being. Interviews were undertaken with 111 children aged six- to eighteen-years old across ten different local authorities in England, as part of the evaluation of Munro, Turnell and Murphy’s Signs of Safety pilots within the Department for Education’s Children’s Social Care Innovation Programme. The interviews reveal four key findings: that children look for care and reciprocity in their relationships with social workers and this can be achieved through listening and small acts of kindness; that they are adept at recognising aspects of social workers’ verbal and non-verbal communications which indicate to the child whether they are listening and interested in them; that there are times in which children are particularly vulnerable especially if parents are resistant to engagement or children’s trust is broken; and that children actively use their agency to control their communication and engagement. The article concludes by highlighting children’s relational resilience and the importance of ensuring opportunities for children to develop new relationships with social workers when previous relationships have broken down.


Author(s):  
Krzysztof Wróbel ◽  
Mateusz Gil ◽  
Przemysław Krata ◽  
Karol Olszewski ◽  
Jakub Montewka

Although the safety of prospective Maritime Autonomous Surface Ships will largely depend on their ability to detect potential hazards and react to them, the contemporary scientific literature lacks the analysis of how to achieve this. This could be achieved through an application of leading safety indicators. The aim of the performed study was to identify the research directions of leading safety indicators in three safety-critical operational aspects of Maritime Autonomous Surface Ships: collision avoidance, intact stability, and communication. To achieve this, literature review is performed, taking into account scientific documents including journal and conference papers. The results indicate that the need for establishing operational leading safety indicators is recognized by numerous scholars, who sometimes make suggestions of what the set of indicators shall consist of. Some leading safety indicators for autonomous vessels are readily identifiable in the scientific literature and used in current practice. However, the research effort is lacking a holistic approach to the issue.


Author(s):  
Christine Maguth Nezu ◽  
Christopher R. Martell ◽  
Arthur M. Nezu

Chapter 12 provides a bridge between the specialty’s early years and its current practice, and the evolution of cognitive behavioural psychology as a specialty over the past 75 years. It focuses on a shift from a mechanistic to more holistic approach, and offers suggestions for participation in various organizations and activities that contribute to the experience of maintaining competence through life-long learning and peer interaction.


Author(s):  
Karla Schroeder

Insomnia is prevalent in people with serious illness and can adversely affect quality of life. The presence of insomnia in advanced disease is often correlated with comorbid conditions and symptomatology. Poorly managed insomnia is reported as one of the most frequent complaints for patients with serious illness. Management of insomnia requires a comprehensive assessment of the multidimensional components of the syndrome, which includes the physical, emotional, psychosocial, and spiritual aspects of care. Treatment for insomnia varies based on the contributing factors and often involves pharmacological and nonpharmacological interventions. This chapter provides a model for assessment and intervention, using a holistic approach to care for those who suffer from insomnia due to a serious illness.


Author(s):  
Silva Jeromanova-Maura ◽  
Ilmārs Šukjurovs

Since 1 of April 2018, it is possible to register social entrepreneurship in Latvia as one of the type of business and to take advantage that is only suitable for this type of business. The study analyses how coud social entrepreneurship become one of the opportunities to address social problems, directly in rural areas, where today in Latvia is concentrated the largest population of a socially unprotected groups. This means that, while developing social enterprises and solving social problems in the regions of Latvia, at the same time, also address other issues that are actual today – lack of labour force. For entrepreneurs in rural areas, the lack of labour is the most significant, and there is no problem in Latvian regions with finding a place of residence. The development of social entrepreneurship would also be a contributory factor in the fact that the new generation would not leave the countryside, but try to build up their business using existing infrastructure, including a rural school, kindergarten – it helps to them continue to work as well. In the Latvian countryside most are farmers and crafts companies, whose business is most often expressed seasonality. At the rural areas farmers can support with works during sowing and harvesting, and some works during growing period on organic farms. There is also a growing lack of labour force in the sales companies who support farmers with new technologies, especially in aftersales – service departments. Social entrepreneurship could be one of the solutions, especially since it is very seasonal for repairs, so that it is possible to focus the work on the season by successfully management with the contingent in the countryside. There is a great opportunities to make cooperation with local authorities on this issue, the role of the social business in the development and social Affairs of the rural environment should be clarified. As a result of successful cooperation, social enterprises can become an important contribution to local authorities in addressing the societal challenges of the municipality. The study analyses how important to develop this model of cooperation, as it needs to convince local leaders before work on regional reform begins.


1994 ◽  
Vol 39 (4) ◽  
pp. 110-111 ◽  
Author(s):  
A. Hendry ◽  
A.M. Campbell ◽  
G. Campbell ◽  
J.B. Macdonald ◽  
B.O. Williams

Patients with non-rheumatic atrial fibrillation have a fivefold increased risk of stroke. Warfarin reduces this risk by approximately two thirds, but evidence for benefit from aspirin is less compelling. We assessed whether our current practice reflects the message of the trials. In a retrospective case record study we reviewed notes of 131 patients with atrial fibrillation (AF), mean age 79 (range 53–95) years, admitted to a medical unit (72) or geriatric assessment unit (59). Thirty-two patients had paroxysmal AF. Of 115 patients with nonrheumatic AF, 36 (31%) had one or more recorded contraindication to anti-coagulation. Although 79 patients (69%) had no recorded contraindication to warfarin, only 2 took warfarin and 15 aspirin prior to admission. Ten patients commenced warfarin and 8 aspirin before discharge. Thirty-nine patients (53%) without contraindication, were discharged without antithrombotic therapy. Despite evidence to support anticoagulating patients with non-rheumatic AF, this rarely occurs.


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