Lessons learnt from historical child abuse: Improved policy and practice for children in residential care.
Submitting Institution
University of StrathclydeUnit of Assessment
Social Work and Social PolicySummary Impact Type
SocietalResearch Subject Area(s)
Medical and Health Sciences: Public Health and Health Services
Studies In Human Society: Policy and Administration, Social Work
Summary of the impact
Research at Strathclyde has focused on the abuse of children in
residential care, both historical
and contemporary abuse, and drawn out the implications for improving
current policy and practice.
These research conclusions have been central in informing local, national
and international policy
and practice developments, impacting on interventions for adults who have
experienced abuse in
care, training and education of residential child care professionals, and
current residential child
care services. This impact has been delivered through the research
directly informing the
evidence base for the Shaw Review (2007) in Scotland into lessons to be
learnt from historical
abuse. This Review drew upon the published research alongside commissioned
accounts by the
Strathclyde researchers to identify actions by the Scottish Government in
this area which have
been implemented by government since 2008.
Underpinning research
Context: Countries around the world are coming to terms with the
long-term effects of child abuse
in residential care homes. The stigma and silencing effects of asymmetric
power relationships
involved in the abuse of children in care mean that the historical
experiences of adults provide
valuable lessons for current policy and practice, in addition to
highlighting their own needs as
victims and survivors of abuse. The abuse of children in care is one of
the most sensitive issues in
child welfare policy and practice and has received increasing attention in
recent years, with
markedly varying responses by governments internationally. Theoretical and
empirical research at
Strathclyde led by Andrew Kendrick has made connections between historical
abuse and
contemporary debates. The Strathclyde team has identified the ways in
which research in this area
is challenged by the lack of clear and consistent definitions and the need
to reconstruct
experiences and details, often through accounts and reporting by former
residents. Kendrick and
his colleagues have applied this research to specific policy and practice
contexts in Scotland and
contributed to recent developments in interventions for adults who have
experienced abuse in care
as children, broader developments to improve child care services, and the
welfare and quality of
life of children and young people in care.
The research carried out by Kendrick and colleagues on abuse in care has
been a central,
evidential basis for earlier reviews and government-led inquiries on
policy and practice in
residential child care in Scotland (Skinner Review, 1992) and on
safeguarding children in care
(Kent Review, 1997). More recent research at the University of Strathclyde
has extended this to
include a significant focus on the historical abuse of children in care,
as well as contentious,
practice issues such as the physical restraint of children in residential
child care which have
important implications for the safeguarding and protection of children.
Key findings: The research at Strathclyde has drawn crucial
lessons from historical abuse that
have been taken forward in a programme of theoretical and empirical
research in order to better
safeguard children from abuse in residential care, now and in the future.
First, the silencing effect
of asymmetrical power relations has meant that those abused felt unable to
disclose abuse, and
systems to support children to speak about abuse were found to be lacking
or ineffective [1, 5].
The research has underlined the importance of listening both to adults who
have experienced
abuse as children in residential care [5], and to children currently in
residential care [1, 4] and
recommended the creation of mechanisms to enable both actual and potential
abuse to be
discussed (such as the provision of complaints systems and advocacy
services). Further, the
research has highlighted the importance of the relationships between
children/young people and
staff members, even in the complex and ambivalent context of the physical
restraint of children in
care [3], and developed theory to better understand the way in which
children and young people
conceptualise their relationships with family and others, and its
importance to residential child care
[6]. This underlines the importance of such relationships in creating an
open and transparent
culture to better meet the needs of children and young people.
Underpinning such developments is the need for a residential child care
workforce of the highest
quality and which demands rigorous procedures in selection and assessment,
and on-going
training and support [1, 2]. The absence of rigorous selection and
assessment of residential child
care staff has meant that children and young people have not always been
adequately protected.
The research identified variability in the use of particular elements of
the recruitment process, and
recommended better practice and training in recruitment, including the
participation of children and
young people in the recruitment process. The low levels of professional
education and training of
residential child care workers have been contributory factors in the
negative experiences of
children in care [1, 2]. There has been an important need to raise the
professional status of the
residential child care workforce and an important aspect of this is better
training and raising the
level of qualifications of residential child care staff members [1, 6].
Key researchers: The research was conducted by A. Kendrick,
Professor of Residential Child
Care in the School of Applied Social Sciences, University of Strathclyde
from 1/09/01; and involved
staff of the Scottish Institute for Residential Child Care (SIRCC), later
Centre for Excellence for
Looked After Children (CELCIS), L. Steckley Lecturer in Social Work
(7/07/03 to present), and
Lecturer M. Hawthorn (3/01/01 to present).
References to the research
References 4 and 6 are included in the REF2 submission for UoA22
[1] Sen, R., Kendrick, A., Milligan, I. and Hawthorn, M. (2008) Lessons
learnt? Abuse in
residential child care in Scotland. Child & Family Social Work,
13(4), 411-422.
[2] Kay, H., Kendrick, A., Davidson, J. and Stevens, I. (2007) Safer
recruitment? protecting
children, improving practice in residential child care. Child Abuse
Review, 16(4), 223-236.
(submitted to RAE 2008)
[3] Steckley, L. & Kendrick, A. (2008) Physical restraint in
residential child care: the
experiences of young people and residential workers. Childhood,
15(4), 552-569.
[4] Kendrick, A., Steckley, L. & Lerpiniere, J. (2008) Ethical
issues, research and vulnerability:
gaining the views of children and young people in residential care, Children's
Geographies,
6(1), 79-93
[5] Kendrick, A & Hawthorn, M. (2012) National
Confidential Forum for Adult Survivors of
Childhood Abuse in Care: Scoping Project on Children in Care in
Scotland, 1930 - 2005.
[6] Kendrick, A. (2013) Relations, relationships and relatedness:
Residential care and the
family metaphor. Child & Family Social Work, 18(1), 77-86.
Notes on quality:
All the research has either been published in peer-reviewed
international, academic journals, or
has been commissioned specifically to address issues of historical abuse.
Reference 1 is based on
the research commissioned as part of the Shaw Review by Scottish
Government, and published in
a leading international journal. Reference 2 was commissioned by Scottish
Government and
published in a leading child protection journal. Reference 3 was funded by
Save the Children and
published in a leading European journal. Reference 4 drew on a number of
research studies and
was an invited paper in a special issue on ethics. Reference 5 was
commissioned by Scottish
Government to contribute to the development of the National Confidential
Forum in Scotland.
Reference 6 draws on a range of Kendrick's research and was an invited
paper in a special issue
on relationships.
Details of the impact
Process from research to impact:
Recognition of the Strathclyde research's conclusions in relation to the
complex issues of historical
abuse, its consequences in terms of physical, sexual, emotional abuse and
neglect, programme
abuse, and systems abuse, and the importance of applying the lessons
learnt to current policy and
practice in residential child care was a central component of the Shaw
Review in 2007. This
review, chaired by Tom Shaw, was set up by the Scottish Government with an
explicit remit to
examine historical abuse in residential child care, the systems of laws,
rules and regulations and
their implementation and compliance, and their connections with historical
abuse (1950-1995).
Kendrick's previous research findings on abuse of children in care — the
need for appropriate
selection of and training for residential care staff, the need to find
ways to communicate about
abuse for particularly vulnerable groups of children in residential care,
and the gaps in evidence in
relation to the monitoring and inspection of services in the past — led to
him being commissioned to
provide an expert review of the national and international literature on
historical abuse as part of
the Shaw Review (Source 1). As Shaw has indicated, the Strathclyde
research had a direct and
material impact on the review: "The research and advice contributed
directly to the findings of the
Systemic Review and to the specific recommendations addressing: current
provision to inform the
welfare and safety of looked after and accommodated children; former
residents' needs; and,
records" (Source 2). Shaw's recommendations led to a number of
significant developments in
policy, practice and legislation in Scotland.
Types of impact: The research carried out at Strathclyde which
informed the Shaw Review, and
subsequent research, have led to concrete actions and impacts both in
relation to interventions to
address the needs of adults who have experienced abuse as children in
residential care, and in
relation to current residential care services, ensuring that the lives of
those who have experienced
residential care are improved. Through the continuing involvement of the
Strathclyde researchers
in the process by which policy, practice and services have been developed
and improved, the
research has had both a direct and indirect impact on improvements in
residential child care and
the health and well-being of children and young people.
Impacts on public policy, law and services: The Shaw Review's
recommendations on current
residential care led to the establishment of the National Residential
Child Care Initiative (NRCCI)
(Source 3) led by SIRCC and underpinned by Strathclyde's research. This
led the Scottish
Government and the Convention of Scottish Local Authorities (COSLA) to
identify five areas of
action: care planning; workforce; commissioning; improving learning
outcomes; and improving
health outcomes (Source 3). A specific impact of NRCCI was the decision by
Scottish Government
to expand the role of SIRCC to cover all looked after children and to
develop a new Centre for
Excellence for Looked After Children in Scotland (CELCIS). To take this
forward for all looked after
children, SIRCC was replaced by CELCIS. This new Centre is providing
greater awareness of child
protection and safeguarding children in care, enhanced training, and
collaborative working to
support those who care for looked after children.
Impacts on practitioners and professional services: One strand of
the NRCCI focused on the
residential workforce and this is one of the five areas of action.
Building on Strathclyde's research,
the workforce hub has developed an enhanced qualification for residential
workers and supervisors
and this is currently awaiting Scottish Government Ministerial approval.
CELCIS has also
developed up-to-date training materials and launched the We Can and
Must Do Better website for
everyone in Scotland concerned with improving the outcomes for looked
after children, care
leavers and their families (Source 4).
Health and welfare impacts: Following the Shaw Review, the
Scottish Government piloted a
confidential committee to hear the experiences of adults who had
experienced abuse in care —
Time to be Heard Pilot Forum. Strathclyde researchers were involved
in the evaluation of the pilot
(Source 5) and in undertaking a scoping study for a National Confidential
Forum. Subsequently,
the proposals for the development of the National Confidential Forum were
contained within the
Victims and Witness (Scotland) Bill published in 2013 (Source 6). Broader
conclusions of the
research in relation to participation and voice have been addressed
through a Human Rights
Framework for Historic Abuse in Scotland developed by the Scottish Human
Rights Commission
(Source 7). This has been taken forward, with the involvement of CELCIS
and the Strathclyde
researchers, through an InterAction on Historic Child Abuse
(Source 8) which has brought together
all key stakeholders: agencies that had historically provided residential
or foster care of children,
Scottish Government, professionals currently involved in the care of
children, faith-based
organisations, academics, and, importantly, representatives of survivors
of historic abuse. An
Action Plan on Justice for Victims of Historic Abuse of Children in
Care has been circulated widely
to relevant organisations in Scotland, for consideration about future
commitments.
Reach and Significance: Implementation of the Strathclyde research
has resulted in
improvements and safeguards not only for those children and young people
who are currently
being looked after in residential and foster care (approximately 7,000),
but also those in other
settings such as hospitals, boarding schools, school hostels (a further
5,000). The beneficiaries
also include those adults who experienced care as children, particularly
survivors/victims of
historical abuse. The number of those who experienced care in the past is
unclear due to lack of
statistics and records, and identifying the number of survivors/victims of
abuse is even more
problematic due to shame, stigma and lack of evidence. In carrying out a
scoping study for the
establishment of a National Confidential Forum, the Strathclyde
researchers estimated that since
1930 almost half a million children have been in care in Scotland, and
over 300,000 of these are
still alive today. International estimates for the level of historical
abuse of children in care ranges
from 3 per cent to 10 per cent.
The impact is also significant for professionals currently working in
care settings and in providing
services for those who continue to suffer the consequences of abuse
throughout their lives. The
Strathclyde researchers' work in this area is also currently being used in
developments in relation
to historical abuse in Finland and the Netherlands. The Professor of
Implementation in Youth Care
at Amsterdam University of Applied Sciences notes that "research by
Professor Andrew Kendrick
at the University of Strathclyde has had a direct impact on the
development of quality guidelines to
prevent for (sexual) child abuse in residential and foster care in The
Netherlands. The guidelines
were developed by the Dutch employers' organisation in Youth Care and
supervised by a special
committee of which I am a member" (Source 9). A Professor of Social
Work at the University of
Tampere, Finland notes that "research by Professor Andrew Kendrick at
the University of
Strathclyde has had a direct and material impact on the plan to study
historic abuse in Finland
which I have contributed to as a member of the planning group introduced
by the Ministry of Social
Welfare and Health. His work has guided us to suggest a framework of
justice and human rights."
Sources to corroborate the impact
- Shaw, T. (2007) Historical Abuse Systemic Review: Residential
Schools and Children's
Homes in Scotland 1950 to 1995
http://www.scotland.gov.uk/Publications/2007/11/20104729/27
- Statement from the independent Chair, Scottish Government Historical
Abuse Systemic
Review, and, independent chair, Scottish Government Time to be
Heard Pilot Forum.
- National Residential Child Care Initiative. http://www.scotland.gov.uk/Topics/People/Young-People/protecting/lac/residentialcare/NRCCI
- We Can and Must Do Better http://www.wecanandmustdobetter.org/
- Time to be Heard Process Evaluation http://www.survivorscotland.org.uk/time-to-be-heard/process-review/
- Victims and Witnesses (Scotland) Bill
http://www.scottish.parliament.uk/parliamentarybusiness/Bills/59133.aspx
- Scottish Human Rights Commission — Human Rights Framework for Historic
Abuse in
Scotland
http://www.scottishhumanrights.com/application/resources/documents/SHRCHumanRightsFrameworkonAAF.pdf
- InterAction on Historic Child Abuse in Scotland http://www.shrcinteraction.org/
- Statement from Professor of Implementation in Youth Care, Amsterdam
University of
Applied Sciences
- Statement from Professor of Social Work at the Department of Social
Policy and Social
Work, University of Tampere.