The document summarizes key findings from a doctoral thesis that explored how child neglect is defined and categorized. It discusses three data sources used: interviews with child welfare professionals, observations of social work offices, and case conference minutes. It then outlines characteristics commonly seen in neglected children, such as living in unsuitable homes, young age, and parental issues like substance abuse. The definition of neglect used in assessments is also provided. Finally, it discusses perspectives of different professionals and how understandings of neglect can vary depending on role, training, and personal views.
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Exploring the array of influence on the construction of child neglect
1. Exploring the array of influence
on the construction of child
neglect
Christine Piper (PhD)
Doctorate research completed at
University of Huddersfield
2. Data collection:
Three data sources:
• child welfare professional interviews
• observation in first response social work
offices
• child protection case conference minutes
3. Characteristics of children allocated
the category of child neglect
• Sample of 30 child protection case conference records
• Home environment (described as unsuitable;
hazardous; )
• a history of neglect (unborn children where (mainly)
the mother had had previous children removed for
neglect or previous categorisation for neglect)
• Age of the child (young)
• History of substance misuse, domestic violence and
mental health/learning difficulties
• Parental response (minimising effect on the child; not
acknowledging risks to the child; not keeping
appointments; not accessing services)
4. Process of categorisation influenced by
the definition of child neglect
Definition in use during the study period:
“Neglect is the persistent failure to meet a child’s basic
physical and/or psychological needs, likely to result in
the serious impairment of the child’s health or
development. Neglect may occur during pregnancy as a
result of maternal substance abuse. Once a child is
born, neglect may involve a parent or carer failing to:
Provide adequate food, clothing and shelter.
Protect a child from physical and emotional harm or
danger.
Ensure adequate supervision.
Ensure access to appropriate medical care or treatment”
(HM Government, 2010, p. 39)
5. meaning and interpretation
Ambivalence exists regarding the meaning of all social
phenomena (Schultz, 1964)
Professionals’ understandings are based on their
professional roles and training, the knowledge they
have acquired though professional practice and
experience, combined with their personal value system
(Horwath, 2007).
Therefore understandings of neglect can be different,
depending on the perspective of the professionals
involved and their interpretation of the information.
6. Individual level: the child
• Signs of neglect; typical images of neglect
• Impact on growth and developmental
milestones
• Impact of experiences on behaviour
• Disclosure (by young people)
• Lack of visible signs was considered
problematic
7. Individual level: the parents
How professional characterise the parents:
• Accountable for keeping the child safe
• Assessment of parents capacity for change
• Impact of parents own needs- substance
misuse; partner violence; mental health issues
• Previous child removed for neglect or
concerns
• Seriousness of incidents
8. Interactions within the family
Parent child relationships
– Mother/child interactions
– Father/child interactions
– Issues around absent fathers; types of
interactions, frequency
Other relationships
– Extended family
– Significant other adults; unrelated adults
9. Family relationships
• Parent- parent relationships
• Adult- adult relationships
• Relationships between mothers, fathers,
father figures and unrelated male adults
• Unrelated female adults
• Family networks- especially the role of
grandparents/aunts/uncles
10. Professionals perspectives
• Professional understanding of neglect, related to
professional role and application of knowledge
within a particular context
• Neglect is frequently understood as a
consequence of parental actions or non-action
(omissions)
• Perspectives varied according to whether the
professionals are making the referral or receiving
a referral (for social worker involvement)
11. professional role influenced
understanding
“build a case” (for prosecution) by police officers
“ build a picture” (of neglect) by education and
health professionals, using the different features
encountered in their roles
Education: late arrival; poor attendance; lack of
parental interest in child’s education; change in
behaviour
Health: visual clues, history, delay in accessing
services, non-uptake of preventative services;
development and behaviour
12. Professional perspective:
“...one of the frustrations about health in the
neglect cases is if there is neglect you can see it is
much easier to deal with so if the child is smelly,
unkempt, dirty, not fed, it feels like we can move
forward a bit more easier with those families”
(health professional)
“..... the families where the neglect is perhaps more
with the stimulation, boundaries, the guidance
and the emotional warmth it is much more
difficult” (health professional)
13. Application of knowledge within particular
contexts -making or receiving referrals
Universal Services
Features considered prior to making a
referral
First Response Social Workers
Features considered when assessing
referrals
‘Built a picture’ over time
On-going concerns (i.e. children still
coming to school hungry, inappropriate
dressed)
No progress being made
Implemented interventions- within the
scope of their practice
Situation getting worse
Parents not co-operating/resistance
Previous child removed
Is there a role for us?
Is an immediate response required?
Is the child safe?
Is this serious?
A level of neglect that we would be
involved with?
Corroboration of information
Other agencies involved providing
services
Homeless young person
Police involved
Unsuitable home conditions
Previous child removed
14. The child welfare professionals working in universal
services thought social workers’ level of neglect was
different to their level
The threshold to access children’s social care
services appeared to be a problematic area of
practice and created tensions between
professional groups. The way the threshold was
spoken about indicated it was a barrier and there
was little indication that the professionals making
referrals felt they were working together with
social workers but rather they had to convince
the social workers ‘to take them seriously’. If the
barriers to additional services were not be
overcome, they talked about escalating their
concerns, within their own organisations.
Adopting a social constructionist approach, as the theoretical framework, emphasises the view that reality is made up of objective conditions and subjective meanings (Berger & Luckmann, 1967). Social reality is seen as the product of interactive processes during which the social actors negotiate the meanings for actions and situations, their knowledge is therefore mutually constructed and influenced by an array of features. Reality, culture and personal identities are constructed through interaction and discourses within and amongst social communities. The idea of there being a single social reality is rejected and instead there are understood to be multiple and changing realities (Blaikie, 2000). There is no independent way of knowing about the truth of any of these multiple and changing realities, but they are likely to be real to the actors that produced them.
Child protection categories, which are allocated during child protection case conferences, are a consequence of complex institutional processes, involving a number of inter-related features (Parton, et al, 1997; Platt, 2006a; Buckley, 2003; Scourfield, 2000).
The cases had met or were understood to have met the child protection threshold for categorisation which is ‘significant harm’
Appears straight forward use of categorisation criteria but in practice the end of a complex process involving a range of child welfare professionals
Not all families where there is substance misuse, DV and Abuse and mental health issues are categorised as neglect
For example not all families where thereis substance misuse, DV and Abuse and mental health issues are categoriseda s neglect.
The Working Together definition of neglect (HM Government, 2010), is an operational definition that guides child welfare professional practice regarding safeguarding and child protection and is used to identify cases of neglect where there is a need for protection and compulsory intervention in family life.
Including the term persistent was spoken about in the interviews as meaning a single event unlikely to be seen as neglect and raised the issue regarding how long to keep trying to intervene with a family before making a referral
Health and education professionals talked about doing everything within their scope and making sure everything was in place before they made a referral as if not knew it would be referred back to them to try x or y as suggested by the first response team
What meaning or significance is given to various features?
Subjective- what is understood by adequate food? Clothing ? shelter? adequate supervision?
Relative- what is adequate for one child may not be adequate for another
Contrasted with a broader definition which focuses on children needs
May occur during pregnancy- difficult to measure?
Ecological model- four levels (Bronfenbrenner, 1979); Transactional-ecological model (Cicchetti and Valentino, 2005)
Individual
Family
Wider community
Society
How professional characterised parents influenced how they interacted with them.....
The identify of he mother was never in question whereas the identity of the father was sometimes unclear and/or contested
Parental actions- substance misuse in pregnancy
Omissions- due to being unaware? Unable due to circumstances? Prevented by others- influence of own relationships with partner and /or other adults
Children’s behaviour understood and interpreted in different ways:
Whether or not child was achieving their milestones
Whether behaviour deviated from expected norm or unstated norm
Their behaviour was seen as resulting from harmful experiences
Child’s behaviour (? Negative) seen as the consequence of a parenting deficit
Levels of neglect and threshold issues
FRT: “ this case can be managed from a school and family support point of view”
“...the children are not being neglected to a level that we need to be involved”
Education:
Neglect is the commonest child protection category allocated but health and education child welfare professionals say that the threshold for referral to children’s social care services if problematic and acts as a barrier
Is this to related to the definition? Which is ever widening to include more areas of child welfare
Organisational and structural issues which restricts access to resources
Developing alternative strategies to address issues identified
The delay or difficulties in accessing child protection interventions meant that children continued to be exposed to conditions, which have been identified by some child welfare professionals, as having a harmful impact on the child’s well-being.