The development of an innovative organisational learning package
Hannah Roscoe Senior Research Analyst SCIE
Jane Wiffin SCIE Associate
Social Care Institute for Excellence
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What gets in the way of responding to child neglect?
1. What gets in the way of responding to
child neglect? The development of an
innovative organisational learning
package
Hannah Roscoe, Senior Research Analyst, SCIE
Jane Wiffin, SCIE Associate
2. DfE funded project to develop
training materials on child neglect
Evidence
• Rapid review of research evidence and Learning Together
reviews
eLearning
• Development of an eLearning ‘primer’ course
• Focus on critical reflection on definitions of neglect, and on
‘myths and misconceptions’
Develop
training
• Developed scenario-based training in partnership with London
Borough of Hackney
Pilot
training
• Piloting and evaluation in Doncaster, Essex and Brighton & Hove
• Feedback to subgroup of LSCB in each site
3. Aims of this workshop session
Thinking behind the training
‘Taster’ of some of the materials – your
thoughts and feedback
Feeding back some of the issues from our
pilot sites
Reflections
4. Background and aims of the project
Significant evidence base on neglect - yet widespread challenge
(for example, frequent issue in Serious Case Reviews)
Develop training materials to:
Support individual learning about neglect
Promote organisational learning about blocks and barriers
to working effectively with neglect
Links with Munro Review recommendations:
Fostering professional judgement and reflection
Creating channels for managers to hear concerns of frontline
staff
5. Taking a systems approach
“The crux of a systems approach... is that it
examines human performance in its context
and recognises that people’s competence in
carrying out tasks to a high standard is
influenced by the whole system around them”
(Munro, 2012)
6. What this means in practice
Giving people information but also:
Helping them think through barriers to putting
training in to practice
Training as a ‘two way street’ and opportunity for
organisational learning
Using fictional case scenarios to trigger
exploration of ‘real-life’ multi-agency working
context
Linking back in to multi-agency Learning and
Improvement activities – eg feedback
7. The ‘blended learning programme’
E-learning ‘primer’ materials
Scenario-based training day
Key messages to senior
managers
8. Multi-agency scenario day
Time Session
9.30 – 10.00 Introduction
10.00 – 11.30 Scenario – assessment, analysis and decision
making
11.45 – 1.15 Reflection on how we work together on neglect
14.00 – 16.10 Analysis of systems issues
16.10 – 16.30 Reflections and close
9. Scenarios
‘Composites’ of common aspects of a variety
of cases
Include aspects of practice which literature
and SCRs tell us that practitioners find
difficult
Keeping people deliberately under time
pressure
10. Scenario part 1
Family member Relationships Age Ethnicity
Vicky Mother 25 years White/UK
Kylie Daughter 3 years White/UK
Ruby Daughter 15 months White/UK
Robbie Son 15 months White/UK
• Family recently moved in to area, and attending a Children’s
Centre
• Some concerns about Kylie who is not speaking yet, is
struggling to play with other children, and has had a number
of accidents at home
• Mum is under pressure with the twins, and has separated
from her partner
11. Scenario 2 (10 months on)
Usually we ask groups to:
Do an initial analysis of the information
Gather more information (‘Oracle’)
Write a referral to Children’s Social Care
Get feedback on the referral from another group
Read the scenario and discuss with the
person next to you:
What issues do you think this exercise might
raise?
12. What came up in the sites
Who can you get information from?
Confusion and inconsistency
Euphemistic language and reluctance to
name neglect
Thresholds and working across interface of
statutory versus non-statutory services
13. Conceptual framework – five areas
The form the neglect takes, and the aspects of the child or
young person’s life that are affected:
Physical
Emotional
Educational/stimulation
Medical
Supervisory
Social
Its persistence and pervasiveness.
The impact from the point of view of the child.
What has caused the caregiver to neglect the child.
Whether neglect is intentional or unintentional, and
caregiver commitment and capacity to change
14. What came up in the sites
Thinking about omission and commission –
people find this difficult
Causality never clearly articulated, even if
ideas exist about it
Difficulty taking the child’s perspective
15. Helping people think about ‘why’
Scenarios help to create a ‘microcosm’ of
practice
Highlight a number of barriers and challenges
(and good practice)
Afternoon session aims to:
Further understand and unpack these issues
Think about underlying reasons
Think about solutions – individual and
organisational
16. Reflections
Aim: ‘a different kind of training’
Scenarios do help to foster conversations
about ‘real’ practice
Participants find it helpful to talk through
practice ‘dilemmas’ – even when no
immediate answers
Helping people unpack the issues can be
challenging
17. Next steps
Training will be available on a paid-for basis
to LSCBs
Variety of options, including purchasing
additional eLearning licenses
Marketing via SCIE website
Finish with – so how is this training different?
One of the key differences is that
Tying in to one of the priorities in the VCS prospectus in 2013
There is actually a significant evidence base on neglect – yet this is a challenge.
Support individual learning about neglect – including some of the common practice pitfalls that we have observed through Learning Together reviews
Promote organisational learning about blocks and barriers to working effectively with neglect
What this training is essentially doing is applying systems thinking to training and learning about neglect.
away from ‘tick box’ approaches to ways of working which foster and promote professional judgement and reflection. It also advocates the creation of channels by which managers can hear about the concerns of frontline staff. This training very much fits in with both of these agendas.
One of the key elements of what we ‘ve done is trying to apply systems thinking to learning and development
So this programme has three main elements – the e-learning primer materials, which hopefully you’ve all had a look at. –(Take this as an opportunity to check that everyone has done the e-learning.)
The eLearning aims to:
Ensure that everyone has reached a certain level of familiarity with issues of neglect and systems BEFORE they come to the training
Focuses on encouraging people to consider and reflect on their definition of neglect, and tackling ‘myths and misunderstandings’
The tasters in this session focus on the scenario-based training day