Parents of Abused and Neglected Children: Assessing Engagement and Change

Lead Research Organisation: University of Bristol
Department Name: Sch for Policy Studies

Abstract

When social workers work with children who have been or are likely to be abused or neglected, their first duty is to try to ensure the safety of the child. In many situations, such children can remain with their parents or main carers, so long as the necessary support can be provided to prevent further abuse or neglect from occurring. Where this is not possible, the removal of children into the care system is often the only remaining option. Crucial to maintaining a child successfully at home is the engagement of the parents with the necessary services, and the ability of those parents to make changes in their parenting behaviour. Unfortunately, the difficulties of assessing and understanding parents' engagement and capacities to change are significant. Instances are relatively common of social workers being over-optimistic about parents' abilities, or of misinterpreting willingness or friendliness towards professionals for a genuine ability to change their behaviour. Shortcomings of this kind have occurred in significant numbers of cases involving child deaths from abuse or neglect, the well-know case in the UK of 'Baby Peter' being a notable example.

The principal investigator of the proposed project (Dr Platt) has extensive experience in both practice and research in relation to engaging parents with services, and working to change and enhance their parenting behaviour. Most recently, he has published a model that seeks to explain what leads to good engagement of parents with the necessary service interventions. This model will be used as the cornerstone for the project, which will involve developing methods and materials to help social workers assess, more accurately, parental engagement and capacity to change. The project will also draw on other relevant work, both at the University of Bristol, and (internationally) in social work and related disciplines.

At the centre of this project will be a consultation with partner organisations to develop methods and materials that will be usable in the pressurised context of social work practice. Three organisations have agreed to work with the University of Bristol, all of which are local authority children's services departments in the South West of England. They have agreed to commit staff time to the collaborative development of these materials, working with a small team from the university, comprising the principal investigator, and a research associate who will be a social worker with relevant practice experience. Following an initial design phase, groups of staff in each partner agency will be given training in using the new methods, followed by a period during which consultancy will be provided to support the use of those materials in practice.

Towards the end of the project, which has a proposed duration of 12 months, there will be an evaluation of the usefulness, applicability and success of the methods and materials that will have been developed. Following evaluation, the materials will be revised as necessary, and disseminated more widely. Dissemination will be through publication in suitably accessible formats, by offering training on a fee-paid basis to organisations who may request it, and through the usual academic outlets. Further evaluation of the impact of use of the materials on outcomes for children over a longer time frame would be beyond the scope of the project, but, depending on findings, a future funding bid from a suitable funder would be considered.

Planned Impact

As shown in the Case for Support, problems have been identified in the way social work practitioners understand parents' engagement with services and their capacity to change their behaviour, in families where there are significant concerns about the welfare of the children. The present proposal is intended to help address these difficulties by developing practice methods and materials for assessing these features, and in doing so to contribute to the following outcomes:
i) Application of the assessment methods will lead to improved decision-making regarding interventions for children subject to child welfare concerns.
ii) Application of the assessment methods will lead to improved understanding of parental engagement and capacity to change by participating social workers, and improved skills in assessing these.
iii) The methods of assessment of parental engagement and capacity to change will be usable and valued in the social work practice context.

Strategies for achieving these impacts have been included as a fundamental part of the design of this project, in the sense that the work will involve collaboration with practitioners to bring an existing body of (international and interdisciplinary) research and theory into the practice arena in a manner that is relevant and accessible. Within the lifetime of the project, it is intended that the achievement of the above outcomes will be demonstrated through the work of social work practitioners in partner organisations who participate in the project.

Beyond the lifetime of the project, the materials designed as part of the project will be revised on the basis of the year's experience, and will be disseminated widely to practitioners across the UK. The PI has links with a relevant training agency, and with the organisation Research in Practice (a subscription-based organisation working with a network of local authorities and social work organisations), and these and other relevant options will be examined with a few to making the materials available to local authorities and other relevant organisations.

With regard to impact within the research community, in addition to the above activities the following will be undertaken:
i) At the end of the project, the intention is that the revised practice materials will be ready for regular use by the partner authorities, and would be usable by other social work organisations. Application in this way would enable us to seek funding from an appropriate funding body for research activities exploring a) the potential to widen the applicability of the materials, for example in the context of greater ethnic diversity; and b) to evaluate the impact not only on practitioners, but also on outcomes for children and families over a longer time period.
ii) In addition to the funder's normal reporting requirements, the results of the project would be written up for publication in academic journals. A minimum of two such papers are anticipated, and the target date for submission will be 30th April and 30th Sept 2015.
 
Description 1. The principle achievement of this project was the development of an assessment framework for use by social workers for assessing parental capacity to change, in circumstances where there are risks of maltreatment or other forms of harm. The framework has been named C-Change.

2. The C-Change approach has two key components:
Understanding - assessing barriers and facilitators that are affecting the parents' attempts to change their behaviour; and
Action - time-limited assessment of the parents' efforts to make changes (with appropriate support and intervention).

3. The first of these two components is a new development, involving the introduction to social work practice of relevant material from behaviour change theory and research. This theoretical material is presented in the form of a framework for assessing barriers to and facilitators of parental change. The second component is drawn from the work of Harnett (2007) in Australia, and uses techniques such as Goal Attainment Scaling to measure parents' progress.

3. The C-Change approach was piloted with 129 practitioners and managers in the three local authorities who participated in the project. These participants attended training events, received copies of a pilot practice handbook, and were asked to apply the approach in their own practice. C-Change was widely used following the training. Fifty percent of participants in the two-day training events responded to a survey at the 3-4 month follow-up point (n=53). Of these, 85% reported that they had been able to use the approach in practice. Prior to the introduction of the C-Change approach, social workers' responses suggested that they had access to a very limited range of evidence-based methods of assessing parental capacity to change.

4. There were demonstrable benefits reported by participants who completed survey returns at the 3-4 month follow-up point. They included:

i) Significantly improved knowledge and skills in assessing capacity to change. Data were collected using self-efficacy style questionnaires, and improvements were detected immediately following the training (t (46) = 9.833, p .001, r= .82) and after 3/4 months (t (46) = 3.907, p .001, r= .49). The improvements were evident across all sub-scales, i.e. in relation to assessing barriers and facilitators of change, assessing actual changes in parenting behaviour, and understanding the connection between the C-Change assessment and other relevant processes and procedures.

ii) Significant improvements in participants' self-assessed abilities to achieve decisions within the child's timeframe (McNemar-Bowker test: ?2 (2)= 7.451, p .05, n=48), compared with their responses before the training.

iii) Reported improvements in the quality of assessments, based on participants' opinions at 3-4 month follow-up. 92% of respondents (from the 2-day training events, n=52) indicated that the C-Change approach had improved the quality of assessments, and 44% rated this level of improvement as 'good' or 'considerable'.

Qualitative responses from participants suggested that there was further work to be done in embedding the C-Change approach within the work of their organisations.

Reference:
Harnett P. (2007), A Procedure for Assessing Parents' Capacity to Change in Child Protection Cases. Children and Youth Services Review, 29: 1179-1188.
Exploitation Route 1. The C-Change assessment manual has been revised and will be published on a dedicated site within the University of Bristol website. Copies of the manual will be openly accessible and free to download.
2. A further training session for managers in the three original partner local authorities will be arranged, with the aim of consolidating the use of C-Change in practice.
3. At the time of writing, a number of local authorities have expressed an interest in adopting the C-Change approach. The University of Bristol is taking forward opportunities of this kind by offering training and consultancy (on a fee-paid basis). Funding is being sought for a 'training the trainers' project to support this work.
4. Further dissemination is being arranged via a number of organisations dedicated to promoting good practice in social work.
5. The Department for Education has been informed of the work, and will be updated as appropriate.
6. Further in-depth evaluation of C-Change would be desirable, and the University of Bristol is working on suitable grant applications.
Sectors Communities and Social Services/Policy

URL http://bristol.ac.uk/capacity-to-change
 
Description The main output of this Knowledge Exchange Opportunities Scheme project was the C-Change approach to social work assessments of parental capacity to change. As part of the project, the approach was used in practice by social workers within the three partner local authorities that were involved. The impact on social work practice in these authorities is described in the key findings report. Drawing on these findings, the intention was that the approach would benefit vulnerable children by improving decision-making both in terms of accuracy and timeliness. Both of these improvements are known to support the development and well being of children affected. Beyond the original Knowledge Exchange Opportunities Scheme project itself, we have established a partnership with an independent sector training provider (Interface Enterprises - see Collaborations and Partnerships) which is now licensed to use the C-Change materials, and regularly delivers training to local authorities across the country. Local authorities and other relevant organisations with staff currently trained to use the approach include: North Somerset, Gloucestershire, Bedfordshire, Wandsworth, Warrington, Catch 22, Northern Ireland (all the NI Health Trusts), Aberdeen, Camarthenshire, Crewe and Leicester. We have also had positive interest from individuals in many other UK locations as well as countries outside the UK including Australia, Canada and Croatia each of which have practitioners who have used the approach. The link with Croatia is through the University of Zagreb where a research collaboration is currently in progress and there has been limited informal interest from 10-20 other countries mainly in Europe. Finally, the work has led to a PhD research studentship for one of the original project team (Katie Riches).
First Year Of Impact 2016
Sector Communities and Social Services/Policy,Education
Impact Types Policy & public services

 
Description C-Change approach incorporated into practice protocols throughout Northern Ireland
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Reviewed practitioner training From January 2017 - January 2020
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact During the period January 2017 - January 2020, training in the use of our C-Change approach to the assessment of parental capacity to change was delivered to the following local authorities and other organisations: Gloucestershire (which strictly speaking was before you embarked on the work) Bedfordshire Wandsworth Warrington Catch 22 Northern Ireland (all the NI Health Trusts) Aberdeen Camarthenshire Crewe Leicester
 
Description An exploration of social worker and parental communication concerning parental capacity to change
Amount £132,000 (GBP)
Funding ID 2094712 
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 09/2018 
End 09/2022
 
Description Impact Acceleration Account (University of Bristol)
Amount £19,875 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 04/2016 
End 04/2017
 
Description Assessment manual - Scottish version 
Organisation University of Stirling
Department Faculty of Social Science
Country United Kingdom 
Sector Academic/University 
PI Contribution A need was identified to develop a new version of our C-Change Capacity to Change Assessment Manual, adapted for the legal and policy context in Scotland. We worked with a colleague at the University of Stirling to make the necessary adaptations to the original text, and have now published it alongside the English version. Our training partner, Interface Enterprises, is currently negotiating our first contract with a Scottish local authority for delivery of C-Change training.
Collaborator Contribution A colleague at University of Stirling undertook to revise and edit the English version of the handbook to make it applicable to the Scottish legal and policy context.
Impact Platt D., Riches K. and Helm D. (2017), C-Change Capacity to Change Assessment Manual - Scottish version. Bristol: University of Bristol
Start Year 2016
 
Description Training partnership 
Organisation Interface Enterprises
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution As a result of developing the C-Change approach to assessing parental capacity to change, we have agreed a partnership arrangement with an independent sector training provider, Interface Enterprises, to enable training in the use of the approach to be made available to other social work service providers beyond the original pilot project. The University of Bristol has granted Interface an exclusive licence to deliver this training, and the research team will offer ongoing consultancy support, and will involve Interface in relevant future funding bids.
Collaborator Contribution The original partners to the Knowledge Exchange Opportunities scheme project no longer have a formal partnership role: the partnership ended at the end of the funding period. However, they continue to support the work we are doing where appropriate, and we continue to keep them informed of ongoing developments.
Impact Our collaboration with Interface is multi-disciplinary in that their staff have backgrounds in clinical psychology as well as social work. We are also looking at ways of incorporating multi-disciplinary elements into the planned training, including work with family support and early help services. To further the partnership, we have completed a trainers' pack, and delivered a training for trainers programme for 17 Interface staff on 17th Nov 2016.
Start Year 2016
 
Title C-Change Assessment of Parental Capacity to Change 
Description In a professional context where suitable practice methodologies are underdeveloped, C-Change builds on earlier developments and offers new approaches and new principles for social workers to assess parents' capacities to change their behaviours in circumstances where their children are at risk of maltreatment or other welfare challenges. 
IP Reference  
Protection Copyrighted (e.g. software)
Year Protection Granted 2016
Licensed Yes
Impact Observable impacts were documented in the evaluation for this project, i.e. the piloting of the C-Change approach. It is too early to give comparable information about further impact, but this section will be updated as details become available.
 
Description Behaviour change seminar (London) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Day seminar organised jointly with the Centre for Behaviour Change, University College London. Title: Theories of Behaviour Change: Applications for Social Work with Children and Families. Participation was by invitation, and represented social work practice, social work education and research, and policy makers (the Department for Education was well-represented). Discussion focused on ways of making better use of Behaviour Change theories in social work practice, and a report of the findings was produced.
Year(s) Of Engagement Activity 2016
 
Description Child Protection Committee conference (InverClyde, Scotland) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Practitioners from the health, education, psychology, and social work fields attended a conference on child neglect, at which I was a keynote speaker. The event led to questions and discussion afterwards, and evaluations were positive
Year(s) Of Engagement Activity 2017
 
Description Conference on Child Maltreatment (Calgary, Canada) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact To be completed
Year(s) Of Engagement Activity 2016
 
Description Conference on Child Maltreatment (Edinburgh) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Workshop on the C-Change approach at the National Congress of the British Association for the Study and Prevention of Child Abuse and Neglect (BASPCAN). It facilitated dissemination of our work, and led to a conference speaking invitation from WithScotland to enable further dissemination.
Year(s) Of Engagement Activity 2015
 
Description Conference presentation (Zagreb) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote speech at conference on Specific characteristics of families at risk: contribution to complex intervention planning, University of Zagreb, 22nd Nov. 2019. Positive feedback from the presentation and particular interest from a child psychiatrist who is adopting some of the methods in practice, and from academic colleagues in Croatia, Serbia and the UK who were looking for training options for their students.
Year(s) Of Engagement Activity 2019
 
Description Conference presentation, BASPCAN, Perth (Scotland) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Workshop for professional practitioners and some policymakers, which led to several discussions and questions afterwards, and increased interest in the topic of parental capacity to change.
Year(s) Of Engagement Activity 2018
 
Description Conference presentation, Edinburgh 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Communication of C-Change approach to a professional audience. Led to increase in number of enquiries about training opportunities.
Year(s) Of Engagement Activity 2017
 
Description Consultancy with colleagues at University of Zagreb 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Research consultation and professional education with academic colleagues from Department of Behavioural Disorders, University of Zagreb, and practitioners working in Croatia. Led to further collaboration.
Year(s) Of Engagement Activity 2017
 
Description Family Justice Board meeting, Bristol 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Presentation of the C-Change approach to judges and local authority representatives, linked to the family court in Bristol
Year(s) Of Engagement Activity 2015
 
Description International conference on Child Maltreatment (Bucharest, Romania) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Workshop introducing the C-change approach to assessment of parental capacity to change, European conference of the International Society for the Study and Prevention of Child Abuse and Neglect (ISPCAN). Approximately 35 participants, from around 20 different countries across the world, and led to requests for further information.
Year(s) Of Engagement Activity 2015
 
Description Meeting with Policy-makers and Senior Managers (Belfast) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact 12 participants comprised of civil servants working to the Northern Ireland Assembly, and managers of local health and social care trusts attended a presentation about the C-Change assessment of parental capacity to change, and a lengthy discussion and dialogue took place about introducing the approach to practitioners in the trusts represented. The C-Change approach was subsequently incorporated into standard practice approaches throughout N. Ireland.
Year(s) Of Engagement Activity 2017
 
Description National Principal Social Workers' Conference (London) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Workshop on service users' capacities to change, delivered to Principal Social Workers at their National Conference in London. Attended by approx 40 principal social workers, it reached people who are in pivotal positions of influence in local authorities across England, and led to discussion of further training within some of these authorities.
Year(s) Of Engagement Activity 2015
 
Description Scottish national child protection conference (Stirling) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Keynote address to WithScotland Conference on child protection. WithScotland is an organisation based at the University of Stirling dedicated to the dissemination of information to practising social workers and related professionals, regarding safeguarding of children and of vulnerable adults. The presentation led to agreement to work together on further dissemination activities, likely to include provision of written information, a webinar, development of a Scottish version of the C-Change practice manual, and training events for practitioners.
Year(s) Of Engagement Activity 2015
 
Description Social Work Education Conference (Milton Keynes) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Workshop introducing the C-change approach to approx 20 fellow social work educators and researchers, leading to future opportunities for academic debate and development.
Year(s) Of Engagement Activity 2015
 
Description Training session (South Gloucestershire) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Approx 45 social work staff employed by South Gloucestershire Council attended an introductory training session. The local authority reported considerable interest in the content of the session and requested provision of more in-depth (2-day) training courses.
Year(s) Of Engagement Activity 2016
 
Description Training session for Social Workers (Bristol) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact "Master Class" on assessment of parental capacity to change using the C-Change approach, for social workers working within Bristol City Council. Aimed at enabling them to take practice techniques into the workplace and utilise them directly with children and families.
Year(s) Of Engagement Activity 2016
 
Description Training session for social workers 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact 32 social workers, academics and policy-makers attended a three hour workshop which will form the starting point for further training.
Year(s) Of Engagement Activity 2017
 
Description Video clip for continuing professional development programme for social workers 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact A video clip was produced in collaboration with colleagues at Lancaster University and included as part of a continuing professional development programme delivered in Cumbria (Children's Services).
Year(s) Of Engagement Activity 2019
URL https://vimeo.com/263480580/e069bc31d3