Outcomes in children’s social care

This article considers how to understand and measure outcomes in Children’s Social Care. Even a cursory acquaintance with the work of Children’s Social Care is sufficient to highlight the fact that while talk of “outcomes” and how to improve them is ubiquitous, deciding on appropriate outcomes is fraught with challenge (La Valle et al, 2016). The first section of the article considers two key challenges for deciding on outcomes, namely the sheer variety of the work and the question of who decides which outcomes should be measured. The middle section briefly outlines an approach to measuring outcomes, and the quality of social work practice, that we used in recent studies. It then considers lessons from these studies. The concluding section argues that a simplistic approach to outcomes is unhelpful, and that a more nuanced approach needs to include greater clarity about the purpose and nature of Children’s Social Care in the United Kingdom (and other countries) and as a result a wider range of outcome measures

Diffusion theory and multi-disciplinary working in children’s services

Purpose The purpose of this paper is to explore how innovation in children’s services is adopted and developed by staff within new multi-disciplinary children’s safeguarding teams. It draws on diffusion of innovations (DOI) theory to help us better understand the mechanisms by which the successful implementation of multi-disciplinary working can be best achieved. Design/methodology/approach It is based on interviews with 61 frontline safeguarding staff, including social workers, substance misuse workers, mental health workers and domestic abuse workers. Thematic analysis identified the enablers and barriers to implementation. Findings DOI defines five innovation attributes as essential for rapid diffusion: relative advantage over current practice; compatibility with existing values and practices; complexity or simplicity of implementation; trialability or piloting of new ideas; and observability or seeing results swiftly. Staff identified multi-disciplinary team working and group supervision as advantageous, in line with social work values and improved their service to children and families. Motivational interviewing and new ways of case recordings were less readily accepted because of the complexity of practicing confidently and concerns about the risks of moving away from exhaustive case recording which workers felt provided professional accountability. Practical implications DOI is a useful reflective tool for senior managers to plan and review change programmes, and to identify any emerging barriers to successful implementation. Originality/value The paper provides insights into what children’s services staff value about multi-disciplinary working and why some aspects of innovation are adopted more readily than others, depending on the perception of diffusion attributes.

Working with older drinkers

Findings presented in this report demonstrate that older drinkers have different stressors, precipitating factors and risk factors for relapse than younger drinkers. They also face a number of unique barriers to treatment and are more likely to remain ‘hidden’ from services. Despite these challenges, age-specific practices required to meet the needs of older people and draw them into treatment are poorly understood. The purpose of this project was to develop guidelines on what strategies and treatment approaches are likely to work best with older drinkers based on synthesis of relevant literature, insight from alcohol practitioners who specialise in working with older people and the perspectives of older people receiving alcohol treatment. A set of concise guidance documents will be prepared for health and social care workers and alcohol service providers in due course

Reclaiming social work? an evaluation of systemic units as an approach to delivering children’s services

This report presents the findings of an evaluation of the systemic unit model as an approach to the delivery of Children‘s Social Services. The systemic unit model has sometimes been referred to as the ―Hackney Model‖ or ―Reclaiming Social Work‖ (Cross et al, 2010; Munro, 2011a; Trowler and Goodman, 2012). The evaluation is an in-depth comparative description of practice and the factors shaping it in three local authorities. One of the authorities used the systemic unit model; the other two authorities differed but both had a more conventional model for the structure of services. This involved individual allocation to social workers who received supervision from a line manager

Predicting the future in child and family social work: theoretical, ethical and methodological issues for a proposed research programme

Social workers are constantly predicting the future. In England and Wales there is a legal duty on them to do so, as the 1989 Children Act requires workers to assess not only whether children have suffered significant harm, but also whether they are likely to do so. Similarly, in Northern Ireland social workers are required by The Children (Northern Ireland) Order 1995 to do the same. On a more mundane level, social workers are constantly making predictions about whether a parent might use and benefit from a particular service, whether there will be a further incident of domestic violence or even whether a family will be in (or not) for a home visit. Yet predicting the future is hard and doing so with complete accuracy is impossible. Social work is not the only area where prediction is necessary. In the Good Judgment Project, forecasts made by experts were found, over relatively long timeframes, to be no better than chance. On the other hand, some forecasters were able to outperform not only chance but also highly trained intelligence analysts with access to classified data. Clearly, human judgment is often highly fallible but, in the right conditions, can be incredibly helpful. Might it be possible to improve social work forecasts about the future? This paper considers key issues in theorising prediction in social work, including conceptions of risk, free will and self-determination. It then turns to practical issues, such as the relationship between forecasting and decision-making, and considers some possible research methods and issues associated with them. To illustrate the potential of this approach we describe how we have started to explore the face-validity value of this approach with social workers and how we have measured the accuracy of forecasting in social work

How do we assess the quality of group supervision? : developing a coding framework

The importance of supervision for social work practice is one of the most widely accepted tenets of the profession. Yet, surprisingly little is known about what happens in supervision, making it difficult to unravel what it is about supervision that makes a difference to social work practice. This paper describes the development of a framework for assessing the quality of group supervision. It focuses on one sub-category of group supervision – systemic group supervision – and draws a wider evaluation of systemic social work practice in the UK. It is based on 29 observations of “live” of supervision to illustrate differences in quality of supervisory practice. The process of developing the coding framework was cyclical, and ultimately resulted in a three-point ordinal grouping for assessing systemic supervisory practice. Analysis of observational data assessed group systemic supervision as follows: 8 as non-systemic (28%); 12 (41%) as demonstrating some incorporation of systemic ideas into interactions, described as “green shoots” (or showing encouraging signs of development but not yet reached its full potential); and 9 (31%) supervision sessions demonstrating a full incorporation of systemic concepts and practice. What marked “systemic” sessions from “green shoots” supervision was the move from hypothesis generation about family relations and risk to children to purposeful, actionable conversations with families: the move from reflection to action. This paper supports a small but growing body of evidence about the fundamental characteristics of successful or effective supervision within children and families social work

Home education for children with additional learning needs – a better choice or the only option?

This paper presents findings from a study undertaken in Wales on the safeguarding of children educated at home. Findings revealed that just under a third of home educators had children with additional learning needs who were removed from school due to what parents reported as negative experiences. These experiences included the suitability of a school system based upon assessment and attainment for children with additional learning needs and a failure to provide adequate support. The decision to home educate was not taken lightly, with parents persevering in attempts to make school work for their children. Similar issues are identified in recent media coverage in England and Wales which has suggested that rises in home education may be due to parents “off-rolling” their children because they feel forced out of schools that are unable or unwilling to promote inclusive practices. Findings showed that it was not school-based education that was rejected intrinsically, but rather the extent to which schools could meet their child’s needs. In the advent of the Additional Learning Needs and Education Tribunal (Wales) Act 2018, these findings suggest that a more nuanced understanding of education is required where home education, either full-time or combined with school attendance, may be in the best interests of the child

A randomized controlled trial of training in Motivational Interviewing for child protection.

There has been interest in developing more evidence-based approaches to child and family social work in the UK in recent years. This study examines the impact of a skills development package of training and supervision in Motivational Interviewing (MI) on the skills of social workers and the engagement of parents through a randomized controlled trial. All workers in one local authority were randomly assigned to receive the package (n = 28) or control (n = 33). Families were then randomized to trained (n = 67) or untrained (n = 98) workers. Family meetings with the worker shortly after allocation were evaluated for MI skill. Research interviews gathered data including the WAI. Follow-up interviews 20 weeks later repeated the WAI, and other outcome measures including Goal Attainment Scaling (GAS) and rating of family life. Between group analysis found statistically significant difference in MI skills, though these were not substantial (2.49 in control, 2.91 MI trained, p = .049). There was no statistically significant difference between groups in any other outcome measures. The package of training and supervision did not create sufficient increase in MI skills to influence engagement or outcomes. Implications for understanding the relationship between skills, engagement and organizational change are discussed

Family Safeguarding Hertfordshire

Family Safeguarding Hertfordshire is a reform of children’s services that aims to improve how these services work with families, and outcomes for children and their parents. The report evaluates the project and presents local and national lessons