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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.
Responding to the crisis in confidence amongst clinicians involved in child protection, Cardiff University developed the world's first research programme to provide the scientific basis for more reliable clinical assessments of child abuse and neglect. The programme, which involves 21 systematic reviews (updated annually) and related primary studies, has directly informed five national clinical guidelines, the National Child Protection training program and the first NICE guidance on child maltreatment. Through the Core-Info website, the evidence base created by the Cardiff team is accessed each year by 100,000 users. Key messages from their research have been published in a series of Core-Info leaflets which have reached more than 250,000 allied professionals nationally. The Cardiff research informs standardised national clinical practice, training and legal decisions, ultimately improving the recognition and protection of children from abuse or neglect.
Every year over 5,000 children and young people in the UK die. Previous research suggests that 20-25% of these deaths may be preventable, and in comparison to many other European countries, the UK has higher child mortality rates. Child Death Review processes, introduced in the USA in the 1970s have been proposed as a means of learning from child deaths and driving prevention initiatives. Prior to 2008, the UK had no national system for reviewing and learning from children's deaths.
From 2006 to 2007, a team from Warwick Medical School led by Dr Peter Sidebotham undertook government-funded research examining a number of Local Authorities across England who had set up pilot Child Death Overview Panels (CDOPs). The findings from this research were instrumental in developing national policy and procedures for child death reviews. The Warwick research emphasised the importance of a multi-agency approach to reviewing all child deaths, with a strong public health focus on learning lessons for prevention, and robust systems for notification and gathering information. This, together with other research by Warwick Medical School on fatal child maltreatment published between 2009 and 2011, has contributed to updated national policy and interagency practice to safeguard children.
Although it is too early in the process to demonstrate any impact on the ultimate goal of reducing preventable child deaths, CDOPs have now been established in every Local Authority in England, as well as an all-Wales panel, and current work in Scotland and Northern Ireland is considering how best to implement such reviews. These panels are reviewing all child deaths in England, resulting in local prevention initiatives, and national returns enabling a clearer picture of the nature of preventable child deaths.
Senior managers in agencies in contact with children are frequently criticised, particularly in reports following child deaths, for failing to facilitate collaborative working to safeguard children. Yet, developing and sustaining collaborative systems is not easy. To assist managers, Horwath and Morrison developed a conceptual framework and, in collaboration with policy-makers and managers in Wales, added standards and indicators. These combine to form the building blocks likely to create a safe, multidisciplinary, child protection system. Their research has:
Since 2006 the University of East Anglia (UEA) has led a series of Government commissioned studies of all Serious Case Reviews of child death and serious injury in England. This work has provided the largest national database of analyses of child deaths and serious injury where abuse or neglect are known or suspected.
Since 2008, the findings have informed public understanding, practitioner thinking, multi-agency child protection practice, policy and law - in the UK, and internationally. Both key child protection policy and practice reviews commissioned by the UK Government 2008-13, the Laming report (2009) and the Munro Review of Child Protection (2011), drew on this research.
Research at York undertaken by Bradshaw, Skinner, Corden and Davidson, directly influenced child support policy throughout the period 2008-2013, informing the radical change that abolished the Child Support Agency and returned child maintenance to the hands of parents to make private agreements under the `Child Maintenance and Other Payments' Act 2008. It also contributed to the decision to disregard child support payments and thus allow child support to increase lone parent incomes and reduce child poverty. More recently our research has contributed to the evolution of policy under the Coalition Government in the 2012 `Welfare Reform' Act, which introduced new `relationship support' services to improve co-parenting relationships, reduce conflict and improve child well-being.
Our work on children's agency in research has had three impacts:
This approach has been replicated in Australia, Turkey, New Zealand, Norway and Qatar. The CRC website hosts 150 successful projects by children and young people, and through the Diana Award more than 1500 children were supported in their research on cyberbullying.
Lancaster's innovative and interdisciplinary child protection research programme addresses emergent risks to children and young people; directly in online environments and indirectly through the application of IT systems in safeguarding social work. Impact is evidenced through:
Research by the University of Huddersfield's Centre for Applied Childhood Studies (CACS) carried out between 2008-2009 has played a major role in tackling the problem of child sex abuse in the Caribbean. A study we have undertaken which UNICEF described as a "landmark" in the field has led to government acknowledgement of the problem, growing public awareness of its effects, new policies, legislative reform, innovative child protection programmes and improvements in the capabilities of professionals and agencies. The research is also helping to shape responses to child sexual abuse in other parts of the world.
Christine Skinner (submitted under UoA:20 Law) has produced research with colleagues over an eighteen-year period that has impacted significantly on the development of child maintenance law and practice throughout the period 2008-13. Through various methods, her body of work and research expertise have informed the radical re-design of the UK child maintenance system, with a shift from a coercive, administratively imposed system to one that stresses parental negotiation and agreement. Equally, her work has directly influenced the development of a support infrastructure to underpin the new system's implementation. These impacts in turn benefit separating parents and the well-being of their children (estimated at 30% of all UK dependent children).