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The Greenwood Institute of Child Health is a unique collaboration between the University and public service providers such as the NHS, which aims to improve psychological outcomes for children in high-risk settings. From 1993 to 2013, Greenwood's research has highlighted the increased risk of mental health, drug dependence and criminal activity among children who suffer trauma — through abuse, living in care, homelessness or war. Greenwood's programme of research has identified the complex and persistent needs of vulnerable children and contributed to changes in policy guidelines and service provision across social care in the UK (foster care / adoption, juvenile detention and homelessness) and abroad (war). Collaboration between researchers at the Greenwood Institute, service providers and practitioners has been instrumental in the establishment of clinically relevant and cost-effective care pathways, while community engagement has led to improved service provision and outcomes for vulnerable children and their families / carers in the UK and further afield.
Because of the arduous nature of recruit training, high wastage (due to failure or withdrawal) has always been a problem for the Armed Services. A ten year programme of research funded by the Ministry of Defence (MoD) led to changes in the delivery of training across the three Armed Services (especially the Army), the formation of a new Army training establishment, a new tri-service monitoring and training body, better mental health in military recruits, and significant reductions in wastage rates (up to 15%). The model developed by this research has also informed training in the Canadian and United States Armed Services.
Sure Start, the flagship New Labour anti-poverty initiative launched in 1999, was an area-based early intervention targeting pockets of social and economic deprivation in England. The multi- disciplinary National Evaluation of Sure Start (NESS), to which Professor Angela Anning was the central educational contributor, was the largest social science evaluation contract ever awarded in the UK. Findings were continually fed back to ministers and civil servants to inform policy and practice. Impacts (discussed below, section 4) include:
(1) systemic changes in integrated services for vulnerable families;
(2) rethinking the resourcing and funding of Children's Centres;
(3) revision of training and qualifications of early childhood staff;
(4) enhancing the role of family support and parenting projects.
As a consequence of a research-based training programme developed at the University of Bristol, the rates of perinatal hypoxia and intrapartum fetal injury in Bristol and two pilot units in Australia and the US are now among the lowest in the world. The improvements achieved in Bristol, the US and Australia have also been successfully achieved in a low resource setting in Zimbabwe.
In response to demand from maternity units across the world, the Bristol team has developed PROMPT — a PRactical Obstetric Multi-Professional Training package, which has been successfully implemented in over 20 countries worldwide. PROMPT has had a major health and welfare impact on more than a million mothers and their babies, as well as bringing substantial economic benefits and supporting international development.
The worst of institutional child care came to the attention of the public and policy-makers in the 1990s following the fall of Ceauşescu in 1989 when pictures of children in Romanian orphanages were broadcast around Europe and America. Following this, a series of projects at the University of Birmingham (funded by the European Union Daphne programme and the World Health Organisation Regional Office for Europe) charted the extent and consequences of institutionalised care for children across Europe, and devised best practice recommendations for deinstitutionalisation. Among the key findings were that institutionalisation was much more widespread across the EU than previously thought; that it is particularly harmful before the age of three; and that alternative care with superior outcomes for children is also less expensive to implement. During the REF period the research team has significantly expanded their role in disseminating their findings, producing policy reports and briefings, and in providing training. During this time their key findings have made a major contribution to changes in child-care policy recommendations by NGOs such as UNICEF and the UN. Following discussion at the UN General Assembly in 2009 specific guidelines were produced for all 193 member states, which implemented key recommendations from the research about the timing of deinstitutionalisation and how to achieve it (`Guidelines for the Alternative Care of Children', 2009). Their research has led to changes to national child-care policies in a number of countries, including the Czech Republic, Hungary and Serbia. Through the activity of UNICEF the impact is now extending beyond Europe to central and South America. These changes have demonstrable benefits for the health and psychological welfare of children, as well as bringing cost savings to the national childcare systems that implement them.
In a series of training studies on children between the ages of 5 and 12 years, a research team at the Department of Psychology successfully demonstrated that substantial improvements in roadside decision-making and behaviour can be achieved in children as young as 5 years. Based on their findings, the team developed and evaluated a training intervention (Kerbcraft) aimed at improving children's pedestrian skills through practical roadside activities which was formally adopted by the UK government. Since 2008, the majority of 5-7 year old children in the UK have received formal pedestrian skills training using Kerbcraft either in its full or adapted form. Kerbcraft now plays a key role in the UK Government's road safety strategy and has been cited as an example of best practice by the World Health Organisation and safety agencies across Europe, the US, Australia and in developing countries such as Ethiopia and Bangladesh.
UNICEF estimate that over 3,500 children die annually from abuse and neglect in economically developed countries, including 100 in the UK of whom around 4 are from Northern Ireland. Although the number of deaths appears to be falling in the UK, the rate of decline is slowing. This case study describes the impact of three related pieces of research undertaken for the Northern Ireland Executive and the Northern Ireland Commissioner for Children and Young People. The aim was to identify the things that policy makers and practitioners could do differently in order to protect children better, and has led to significant improvements into how reviews are undertaken, and in the child protection policies and practices in Northern Ireland. As a result children have been better protected by child welfare professionals.
Research on adoption and the inter-agency fee influenced a major governmental review of adoption policy and practice. Selwyn's work led to positions as: academic advisor on the Government's expert working group on adoption; advisor to the Treasury; member of No 10's policy group; and she gave written and oral evidence to the House of Lords and House of Commons Select Committees as part of the adoption reform. Her research on adoption and the subsequent government action led to a significant strengthening of the capacity of the voluntary adoption agencies and changes in social work practice resulting in adoption numbers rising from 3,090 (2011-12) to 3,980 (2012-13). Local authorities were advised to remove the structural disincentive caused by the fee no later than September 2013. Findings also provided key evidence for the Charity Commission in its case against the Catholic Church's appeal to be exempt from equality legislation.
Improving outcomes for children, young people and families focuses on supporting the development of health and social care initiatives to promote social inclusion and improve quality of life, family cohesion, and health outcomes for `troubled', at risk, and disadvantaged families, demonstrating the following impact:
This case study demonstrates how research into children with speech, language and communication needs (SLCN) has had impact by influencing government policy and legislation, improving provision for children and their parents, providing resources and support for voluntary organisations, and assisting local authorities and trusts in the management of SLCN services. The research informed the 2008 Bercow Review of Provision for Children with SLCN, which in turn led to the Department for Education (DfE) Better Communication Action Plan for improving educational provision. Further research by the team, carried out as part of this Action Plan, underpinned the All Party Parliamentary Group on Speech and Language Difficulties 2013 report and the development of the Children and Families Bill 2013. In addition, the team have collaborated extensively with practitioners and voluntary organisations including a comprehensive two-year DfE funded programme with the Communication Trust (2013-15) to educate and raise awareness of SLCN among its 50 constituent organisations and develop practitioners' knowledge and skills.