When it goes wrong

Author(s):  
Clive Diaz

This chapter looks at the complaints process - what happens when children in care are dissatisfied with the services they receive. Despite the introduction of guidelines and procedures aimed at encouraging and supporting children and young people to complain about the services they receive, children in care still face barriers to doing so in practice. Following semi-structured interviews with children in care, social workers, senior managers and independent reviewing officers from two English local authorities, the research uncovered issues of concern. Complaints by children in care are managed at the lowest possible level and senior managers have an overly optimistic view about children in care being informed of complaint procedures and being encouraged to do so. Children in care are worried about complaining and their voices are often not heard. However, when issues are clearly defined, independent reviewing officers have some degree of success in resolving complaints from children in care.

2018 ◽  
Vol 42 (4) ◽  
pp. 369-382 ◽  
Author(s):  
Clive Diaz ◽  
Hayley Pert ◽  
Nigel Thomas

This article discusses a key meeting for children in care – the Child in Care Review – and examines the extent to which children and young people are able to participate and exert a level of control over their lives. The research, conducted in England, formed part of a wider exploration of the views and experiences of all those involved in such reviews, namely Independent Reviewing Officers (IROs), social workers, senior managers and – the focus of this article – the young people concerned. Most of the children interviewed said that they found their reviews frustrating and stressful, often attributing this to poor relationships with social workers and scepticism about the value of the review process. However, they recognised the workload pressures facing social workers and the bureaucratic constraints affecting the service they received. The article argues for the continuing importance of the IRO role, given the consistency it provides for children in care. It also shows that while it provides an opportunity for children’s participation in discussions about their future, the Child in Care Review is underperforming. The developing practice of children chairing their own reviews offers one way forward and the article calls for this to be developed and for other creative methods to be introduced to enable young people to play a meaningful part in meetings that affect them.


2018 ◽  
Vol 49 (5) ◽  
pp. 1333-1349 ◽  
Author(s):  
Clive Diaz ◽  
Tricia Aylward

Abstract Children in care are one of the most vulnerable groups in our society and senior managers should be committed towards improving their well-being. Empowerment through participation can contribute to this. This study considered the extent to which young people in care were encouraged to participate in decision making, particularly in their review meetings. The paper explores the views of seven senior managers in one local authority in this regard. It formed part of a wider study in which social workers, independent reviewing officers and young people in care were also interviewed. Findings indicate a disconnect between senior managers’ views and other participants. Senior managers were unaware of the challenges that the social workers and independent reviewing officers said they faced. Their understanding of meaningful participation appeared to be limited, their curiosity subdued and their willingness to challenge limited. Senior managers informed that care plans were not up-to-date or considered at the review and were unsure about what opportunities children had to participate and how management could support this. Senior managers reflected that little seemed to have changed in relation to children’s participation in their reviews over the last twenty-five years.


2019 ◽  
Vol 14 (3) ◽  
pp. 162-173
Author(s):  
Clive Diaz ◽  
Hayley Pert ◽  
Nigel Patrick Thomas

Purpose The research reported here forms part of a study of children’s participation in children in care reviews and decision making in one local authority in England. The purpose of this paper is to outline the views of 11 social workers and 8 Independent Reviewing Officers (IROs) and explores their perceptions of children’s participation in reviews. The paper considers the barriers to young people participating meaningfully in decision making and how practice could be improved in this vital area so that children’s voices are more clearly heard and when possible acted upon by professionals. Design/methodology/approach The data reported here derive from a qualitative cross-sectional study in one English local authority. The entire study involved interviewing children in care, IROs, social workers and senior managers about young people’s participation in their reviews. Findings from the interviews with young people and senior managers have been reported elsewhere (Diaz and Aylward, 2018; Diaz et al., 2018); this paper focusses on the interviews with social workers and IROs. Specifically, the authors were interested in gaining insight into their views about the following research questions: To what degree do children and young people meaningfully participate in reviews? What are the barriers to participation? What can be done to improve children and young people’s participation in reviews? Findings During this process seven themes were identified, five of which concerned barriers to effective participation and two which concerned factors that appeared to support effective participation. These are summarised below and explained further in the following sections. Barriers to effective participation: social workers and IROs’ high caseloads and ensuing time pressures; high turnover of social workers and inexperienced staff; lack of understanding and training of professionals in participation; children and young people’s negative experiences of reviews and consequent reticence in taking part; and structure and process of the review not being child-centred. Factors which assist participation: quality of the relationship between the child and professionals; and the child or young person chairing their own review meeting. Research limitations/implications Although these findings reflect practice in one local authority, their consistency with other research in this area suggests that they are applicable more widely. Practical implications The practice of children chairing their own reviews was pioneered by The Children’s Society in North West England in the 1990s (Welsby, 1996), and has more recently been implemented with some success by IROs in Gloucestershire (see Thomas, 2015, p. 47). A key recommendation from this study would be for research to explore how this practice could be developed and embedded more widely. Previous research has noted the tension between the review being viewed as an administrative process and as a vehicle of participation (Pert et al., 2014). This study highlighted practitioner reservations about young people chairing their own reviews, but it also gave examples of how this had been done successfully and how it could improve children’s participation in decision making. At the very least, it is essential that young people play a role in deciding where the review is going to take place, when it will take place, who is going to be invited and what will be included on the agenda. Social implications The paper highlights that in this Local Authority caseloads for social workers were very high and this, combined with a high turnover of staff and an inexperienced workforce, meant that children in care struggled to have a consistent social worker. This often meant that young people were not able to build up a positive working relationship with their social worker, which negatively impacted on their ability to play a meaningful role in decision making. Originality/value There have been very few recent studies that have considered professionals’ perspectives of children’s participation in key meetings and decision making, so that this provides a timely and worthwhile contribution to this important area of work.


Author(s):  
Rebecca Anthony ◽  
Graham Moore ◽  
Nicholas Page ◽  
Gillian Hewitt ◽  
Simon Murphy ◽  
...  

Abstract Purpose Studying mental wellbeing requires the use of reliable, valid, and practical assessment tools, such as the Short version of the Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Research on the mental wellbeing of children in care is sparse. The current study aims to: (1) examine the unidimensionality of SWEMWBS; (2) assess measurement invariance of SWEMWBS across children and young people in care compared to their peers not in care; and (3) investigate the latent factor mean differences between care status groups. Methods We used data from the 2017 School Health Research Network Student Health and Wellbeing (SHW) survey, completed by 103,971 students in years 7 to 11 from 193 secondary schools in Wales. The final data include a total of 2,795 participants (46% boys), which includes all children in care and a sub-sample of children not in care who completed the SWEMWBS scale fully and answered questions about their living situation. Results Confirmatory factor analysis supported the unidimensionality of SWEMWBS. The SWEMWBS is invariant across groups of young people in foster, residential and kinship care compared to children and young people not in care at configural, metric and scalar levels. Findings from latent mean comparisons showed that young people in care reported lower mental wellbeing than their peers, with those in residential care reporting the lowest scores. Conclusions Findings suggest that SWEMWBS is a valid scale for measuring differences in mental wellbeing for young people in care similar to the population.


2019 ◽  
pp. 152483801988170
Author(s):  
Kathomi Gatwiri ◽  
Lynne McPherson ◽  
Natalie Parmenter ◽  
Nadine Cameron ◽  
Darlene Rotumah

In Australia and internationally, Indigenous children are seriously overrepresented in the child welfare system. This article provides an overview of literature investigating the needs of Indigenous children in residential care facilities. The provision of culturally safe and trauma-informed therapeutic care to Indigenous children and young people in residential care recognizes that the trauma and violence that they have experienced is exacerbated by their Indigeneity due to the colonial histories presenting. Utilizing a systematic scoping review methodology, the study returned a total of 637 peer-reviewed articles that were identified and reviewed for inclusion. The process of exclusion resulted in the inclusion of eight peer-reviewed studies and 51 reports and discussion papers sourced from gray literature. Findings from this study, though dearth, indicate that trauma-informed and culturally safe interventions play a significant role in Indigenous children’s health and well-being while in care. Their experiences of abuse and neglect transcend individual trauma and include intergenerational pain and suffering resulting from long-lasting impacts of colonization, displacement from culture and country, genocidal policies, racism, and the overall systemic disadvantage. As such, a therapeutic response, embedded within Indigenous cultural frameworks and knowledges of trauma, is not only important but absolutely necessary and aims to acknowledge the intersectionality between the needs of Indigenous children in care and the complex systemic disadvantage impacting them.


2019 ◽  
pp. archdischild-2019-317306 ◽  
Author(s):  
Natalie Tyldesley-Marshall ◽  
Sheila Greenfield ◽  
Susan Neilson ◽  
Martin English ◽  
Jenny Adamski ◽  
...  

BackgroundMRI is essential to the clinical management of children and young people with brain tumours. Advances in technology have made images more complicated to interpret, yet more easily available digitally. It is common practice to show these to patients and families, but how they emotionally respond to, understand and value, seeing brain tumour MRIs has not been formally studied.MethodsQualitative semi-structured interviews were undertaken with 14 families (8 patients, 15 parents) purposively sampled from paediatric patients (0 to 18 years) attending a large UK children’s hospital for treatment or monitoring of a brain tumour. Transcripts were analysed thematically using the Framework Method.ResultsFour themes were identified: Receiving results (waiting for results, getting results back, preferences to see images), Emotional responses to MRIs, Understanding of images (what they can show, what they cannot show, confusion) and Value of MRIs (aesthetics, aiding understanding, contextualised knowledge/emotional benefits, enhanced control, enhanced working relationships, no value). All families found value in seeing MRIs, including reassurance, hope, improved understanding and enhanced feeling of control over the condition. However emotional responses varied enormously.ConclusionsClinical teams should always explain MRIs after ‘framing’ the information. This should minimise participant confusion around meaning, periodically evident even after many years. Patient and parent preferences for being shown MRIs varied, and often changed over time, therefore clinicians should identify, record and update these preferences. Time between scanning and receiving the result was stressful causing ‘scanxiety’, but most prioritised accuracy over speed of receiving results.


2016 ◽  
Vol 41 (2) ◽  
pp. 154-161 ◽  
Author(s):  
Helen Hickson ◽  
Jennifer Lehmann ◽  
Fiona Gardner

People use reflection and reflective practice for many different reasons, including for self-care and to make sense of their experiences. In this study, social workers spoke about how they learned to be reflective, with many participants describing activities in their childhood that developed their reflective capacity. The aim of this article is to apply these ideas and examine the factors that enhance reflective capacity in children and young people. This research was part of a PhD study that involved interviews with 35 social workers in USA, Canada, UK and Australia. This exploratory study found that activities like story reading and asking children to reflect on their behaviour are early steps in the process of becoming reflective, but this needs to be followed up with conversations that deconstruct assumptions to make sense of experiences and explore multiple perspectives. This research is important for health and human service workers and others who want to develop reflective capacity in children and young people, particularly for children subject to disadvantage who need to overcome trauma and adversities.


Childhood ◽  
2018 ◽  
Vol 25 (3) ◽  
pp. 355-368 ◽  
Author(s):  
Sarah Louise Skyrme ◽  
Simon Woods

Issues relating to qualitative research with disabled children and young people will be discussed. Semi-structured interviews with boys who have Duchenne muscular dystrophy were conducted to explore their thoughts on how they might make a decision to take part in medical research. Assumptions about disabled children’s vulnerability can impact how researchers conduct qualitative research, and how they are involved in significant decision-making. Working reflexively and in partnership with children illustrates their competence, supporting reconsideration of their vulnerability.


2001 ◽  
Vol 25 (2) ◽  
pp. 26-32 ◽  
Author(s):  
Helen Hibbert

This article by Helen Hibbert provides a summary and analysis of the education of children and young people in public care in England and Wales, with reference to last year's publication of the Guidance on the Education of Children and Young People in Public Care (DH/DfEE, 2000). The article summarises the most important features of the Guidance, and identifies key implications for practice. These include joint working between departments of education and social services, data collection and planning, the role of the Designated Teacher, target setting and achievement, exclusion and raising expectations. The author comments on implications of the Guidance for local authorities, young people, carers and teachers.


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