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Living on the edge: Social workers' reasoning about 'CUSP' decisions in child protection practice

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Presentation made by Emily Keddell and Ian Hyslop to a conference on 'Decision-making, assessment, risk and evidence' in Belfast, Ireland.

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Living on the edge: Social workers' reasoning about 'CUSP' decisions in child protection practice

  1. 1. LIVING ON THE EDGE: SOCIAL WORKER'S REASONING ABOUT 'CUSP' DECISIONS IN CHILD PROTECTION PRACTICE EMILY KEDDELL, University of Otago, Aotearoa NEW ZEALAND IAN HYSLOP, University of Auckland, Aotearoa NEW ZEALAND
  2. 2. KEY THEORETICAL CONCEPTS • Decision-making ecology and continuum (Baumann) • Variability as a justice issue (Keddell) • Professional discretion at ‘tipping points’ as part of what it is to be a ‘professional’ (Kettle and Nyathi, following Lipsky) • Naturalistic sense-making rather than a technical rational ‘threshold’ (Platt & Turney) • Decision-making can be ‘supervised’ or ‘supported’ (Falcolner & Shardlow)
  3. 3. CUSPS AND THRESHOLDS = IMPORTANT NOTIONS “While social workers and managers clearly invoked a threshold or line for compulsory action, their discussions demonstrated a range of factors about why it was not always easy to identify when this line had been crossed” (Doherty, 2016, p.698) Cusp decisions relate to thresholds for increasing or decreasing statutory intervention, therefore are a key aspect of understanding decision variability
  4. 4. THE DECISION-MAKING CONTINUUM? Decisio ns to notify Decisio n to investig ate Decisio n to do a child and family assess ment Decisio n on interve ntion type – back to NGO or stay with stat services Decisio n on family hui or formal legal interve ntion Decisio n to go to FWA or FGC Decisio n on removal Decisio n on type of alternat ive care Decisio n on if and when to reunify
  5. 5. RESEARCH QUESTIONS Primary research questions: •Does decision variability exist in child welfare in ANZ? •What influences decision variability in the ANZ context? Decision-making ecology approach + little prior research = broad exploratory ecological methods Macro inequalities – a large quantitative study not
  6. 6. PHASE TWO Qualitative interviews and focus groups at three statutory sites: • Site 1: Urban, mixed class area, mostly Pakeha staff, Pakeha plus multicultural clients. • Site 2: Urban, high deprivation, mostly Maori and Pacific clients and staff. • Site 3: Semi-rural site spread across several small socioeconomically diverse towns, mostly Pakeha staff and clients.
  7. 7. PHASE TWO ASKED SPECIFIC QUESTIONS RELATING TO CUSPS/THRESHOLDS • When a case is ‘on the cusp’ between going to an FGC or not, what factors, to you, would mean it should or shouldn’t go? Give examples. • What are the significant aspects of a case that would mean children would definitely be removed? Give examples. • When compared to other offices, how does your threshold for different decision points compare? Why do you think this is? • Also asked about “any unwritten rules at this office?”
  8. 8. WHY DOES A SOCIAL WORKER MAKE A REFERRAL FOR A FAMILY GROUP CONFERENCE? • Why is this a key decision? = it reflects that a social worker has ‘formed a belief’ • Conversely, a Family whanau agreement is where there is no ‘belief’ • “A social worker is required to make a referral for family group conference upon forming a belief that a child or young person is in need of care and/or protection. That belief can be on the basis of one or more of the grounds specified in s14(1) of the Oranga Tamariki Act 1989 (with the exception of s14(1)(ba) and/or (e)). The referral for family group conference should include each ground under section 14(1) that is relevant so that each of mokopuna’s needs can be considered and addressed.” (Oranga Tamariki, 2018) • An FGC can result in just a ‘plan’, or court orders for care. Both are court enforced, but if care is pursued, an FGC must be held.
  9. 9. PHASE TWO PARTICIPANTS Interviews Total interviews Focus groups Site 1: 4 swers, 1 seniorsw, 1 team leader, 1 FGC coord 7 2 Site 2: 7 sw, 2 supervisors, 1 practice leader, 2 FGC coords 12 2 Site 3 4 swers, 1 senior, 1 supervisor 6 2 25 6
  10. 10. KEY THEMES FOR BOTH FGC AND REMOVAL •Case and family factors •Site/institutional factors
  11. 11. FAMILY GROUP CONFERENCE DECISION THEMES – CASE FACTORS • Child factors – age, (young) views, do they feel supported? • Concern type and seriousness – clear injury, sexual abuse, shaken baby, these are ‘no brainers’ – but more difficult when these are not present. • Family perceived response – no acknowledgement that something has ‘gone wrong’, no parent acting protectively (especially women)
  12. 12. FAMILY GROUP CONFERENCE DECISION THEMES – CASE FACTORS • History of the family – lots of NFAs, ongoing notifications, previous children removed, FGC used to impose seriousness or as a last resort if other interventions haven’t worked when new notification comes in. • Levels of support and surveillance - who is in and around the family, what kinds of support do they have (can seem similar but different levels of support will lead to different responses)
  13. 13. SERIOUSNESS PLUS ‘ACKNOWLEDGEMENT’ S3Int1 SUP “I think the seriousness of the abuse is probably one of the things that we would be considering. We would be considering whether this is a family that have acknowledged that something had gone wrong and that they wanted to make changes. There might be a family that you could work with in you know at least an intervention. Or it may be one that you still go ahead and have the family group conference for but you don’t go to court and get court orders, you make a family group conference plan.”
  14. 14. FAMILY HISTORY AND FGC AS ‘STICK’ S1Int 4 SW “History again is just something that keeps coming back, you know if the child’s getting exposed to the same thing over and over again it’s like actually no, we’re going to a family group conference. You know it’s a higher level, it’s a bigger stick so to speak and it kind of cements it a bit more for the family. Hey actually look guys this is serious, it needs to stop.”
  15. 15. FAMILY HISTORY AND RESPONSE S1Int2 SW “Family whanau agreement, the thing that really dictates whether or not I feel it fits family whanau is the family’s willingness to engage in a safety plan…So if I feel this family is capable of coming up with a plan and sticking to it with minor monitoring, easy. They need to know that we’re watching, and they need to actually make some changes.. But if I don’t feel like that (FGC) is my first port of call for this family, then I’ll give that a go first. And I know that I can always go to FGC if that doesn’t work out … And often with FGC because it is legislated, it’s that little bit of extra security.”
  16. 16. VARIABILITY OF SUPPORTS – MONITORING HELPS LOWER RISK PERCEPTION “ Say I’ve got two exact same situations, but one of them’s got just say one grandma involved and maybe a kindy, but the other one’s got four grandparents, several aunts and uncles, kindy, school, GP, community agency then I’m more likely to just close that and walk away because actually there’s enough eyes in there to see what’s going on” S1Int4 SW
  17. 17. FAMILY GROUP CONFERENCE DECISION THEMES – INSTITUTIONAL AND SITE FACTORS • Resource factors – do we have time to go to FGC? • Collaboration and negotiation with others – supervisors and managers have a big role, no decisions made alone, some use of the ‘consult tool’, supervisors help reduce risk aversion and anxiety for those ‘below’ • Site differences in process - some have pre-FGC meeting, whereas at others the SW is encouraged to ‘form a belief’ then justify it to their supervisor (collaborative v adversarial-legal)
  18. 18. FAMILY GROUP CONFERENCE DECISION THEMES – THE ROLE OF SUPERVISORS IN CUSP MANAGEMENT “When I first started this job I tended to look ahead and what if this happens, and what if that, but (TL) is really good at bringing you back and saying well you’ve the here and now, you can’t predict the future so. Which is really important but yeah, hard to do as well…(because) that’s what the media wants us to do, you know the public” S1Int1 SW
  19. 19. FAMILY GROUP CONFERENCE DECISION THEMES – THE ROLE OF SUPERVISORS IN CUSP MANAGEMENT “Have you tried the FWA first? A: Not necessarily, but often that is the case. That was kind of the message I was given by my PL when I had a case come in, that I immediately wanted to take to FGC, immediately. And it is actually an FGC now, but she said to me…try this first, we’ve got some good things going here, you know we really shouldn’t be jumping in to the nth degree if you don’t need to do that right now …But yeah if you can get the family buy in, FWA can work really well”. S1Int2 SW
  20. 20. COLLABORATIVE NATURE OF DECISIONS – SOME THROUGH FORMAL USE OF ‘CASE CONSULTS’ S3 Int2 SW “Generally in collaboration with your supervisor, having a case consult - so bringing in not just your other workers in the office but key parties that are involved with the family, so you might have a professionals consult …Twice usually, once at the initial onset to make decisions and then once again past FGC - if you’re looking at doing anything, returning them home, taking a child into care, there should be consultations so that it’s a - yeah, collaborative thinking. Two people can’t decide yes that child needs to come into care, it takes more than that.” • Collaboration for big decisions helps spread responsibility and
  21. 21. SITE SPECIFIC PROCESS: ADVERSARIAL- LEGAL OR COLLABORATIVE? B:...and then I justified it to my supervisor, convince her that this needs to go to FGC and then ok, if that is your belief and then prepare all the, you know the Tuituia, make the FGC referral and that will go to the FGC and then when you go to the consult you’re justifying why it needs to go to FGC so it’s you know, you’re defending your views....whereas, on the other side, on my other process which I prefer, you will make the decision as a team, where your supervisor is there, a group of senior practitioners, FGC co-ordinator and the social worker, where all of those people will throw questions at you and challenge your belief and you, you know, your perspective view on that case. ...and then …you will make a decision as a group so you’re not deciding in isolation about yourself, but here you need to defend by yourself...it’s totally different aye (laugh). A: Yeah yes yes and would the system in (other site) …what would be the obstacles to having that system here?
  22. 22. SITE CULTURES – FAMILY ENGAGEMENT CAN ‘HEAD OFF’ FGC “R: Okay, so in comparison to those other (regional) offices do you think this office tends to not go down the FGC path because people - they make a call earlier on that supports will be enough? Is that what it is? P: I think so, I think there’s probably a bit more trust in this site in family’s abilities than in other sites. And they probably try to work a wee bit harder with - yeah I think they do … They try to work harder with the family to get buy in I think. Like I’ve - when I was working in (another regional city), there were cases that had gone to FGC and there hadn’t really been much engagement at all really. …with the family. Whereas I know that wouldn’t happen here …we’ve got a bit more trust”. S3 Int3 SW.
  23. 23. SITE CULTURES - WORKLOAD “…do you think you’re roughly the same as other sites or do you think there are some differences in some of those decision points? P: I think yeah it’s - I’d have to say that you know it’s dependent on how much work comes through the door …- and so some of our organisations, they will be very reactive so you will find that there might be inconsistencies in this threshold because they’re needing to kind of stop the workload coming in, so then
  24. 24. FGC SUMMARY • SO FGC cusp decisions reflect case factors relating to abuse type and seriousness, repeat notifications, the failure of less intrusive interventions, and if the family are perceived as ‘acknowledging’ or not. • FCG decisions are the outcome of social negotiations and processes at site offices. Practitioners are affected by senior management who decide about thresholds, driven by capacity concerns and differences in the construction of the threshold. This may differ between more/less experienced
  25. 25. FGC SUMMARY •Different sites have different processes – some more individual ‘pitching’ to supervisors once ‘belief’ is formed, others more collaborative. Process interacts with capacity. •Some sites may have more ‘trust’ in families than others, leading to more engagement and less intervention
  26. 26. RETHINKING AGENCY – NETWORKED DECISIONS • The DM ecological approach accepts that complex interlocking factors across the ecological environment shape decision outcomes • Decisions do rely on sense-making that emanates from the organisational context (Platt & Turney) • We contend these sense-making strategies are shaped by social negotiations within social work sites that reflect managerial hierarchies designed to spread and manage risk, especially for more junior practitioners. One practice influencing this is the use of group decision tools such as ‘consult tools’.
  27. 27. • Adding to this are site specific factors such as values relating to attitudes towards family preservation and engagement, workload and capacity issues, and whether adversarial-legal or collaborative decision-making processes are used. • The perceived compliance, engagement, and recorded family history of families remain key issues in cusp decision-making. • In these ways, professional discretion is ‘networked’ rather than individual, both in culture and process
  28. 28. WANT TO CHAT ABOUT IT? • Emily.keddell@otago.ac.nz @EmilyK100 • i.hyslop@auckland.ac.nz
  29. 29. REFERENCES • Baumann, D. J., Dalgleish, L., Fluke, J., & Kern, H. (2011). The decision-making ecology. Washington, DC: American Humane Association. • Benbenishty, R., Davidson-Arad, B., López, M., Devaney, J., Spratt, T., Koopmans, C., . . . Hayes, D. (2016). Decision making in child protection: An international comparative study on maltreatment substantiation, risk assessment and interventions recommendations, and the role of professionals’ child welfare attitudes. Child Abuse & Neglect. doi: http://dx.doi.org/10.1016/j.chiabu.2015.03.015 • De Bortoli, L., & Dolan, M. (2014). Decision making in social work with families and children: Developing decision-aids compatible with cognition. British Journal of Social Work. doi: 10.1093/bjsw/bcu087 • Dickens, J., Howell, D., Thoburn, J., & Schofield, G. (2007). Children starting to be looked after by local authorities in england: An analysis of inter-authority variation and case-centred decision making. British Journal of Social Work(37), 597 - 617. • Doherty, P. (2016). Child protection threshold talk and ambivalent case formulations in ‘borderline’ care proceedings cases. Qualitative Social Work, 1 - 19 doi: DOI: 10.1177/1473325016640062 • Falconer, R. and S. M. Shardlow (2018). Comparing child protection decision-making in England and Finland: supervised or supported judgement?" Journal of Social Work Practice 32(2): 111-124. • Fleming, P., Biggart, L., & Beckett, C. (2014). Effects of professional experience on child maltreatment risk assessments: A comparison of students and qualified social workers. British Journal of Social Work. doi: 10.1093/bjsw/bcu090 • Fluke, J. D., Chabot, M., Fallon, B., MacLaurin, B., & Blackstock, C. (2010). Placement decisions and disparities among aboriginal groups: An application of the decision making ecology through multi-level analysis. Child Abuse & Neglect, 34(1), 57-69. doi: http://dx.doi.org/10.1016/j.chiabu.2009.08.009 • Fluke Family preservation or child safety? Associations between child welfare workers' experience, position, and perspectives, Child and Youth Services Review, 69: 210 – 218.
  30. 30. • Graham, J. C., Dettlaff, A. J., Baumann, D. J., & Fluke, J. (2015). The decision making ecology of placing a child into foster care: A structural equation model. Child Abuse & Neglect, 49, 12 - 23. • Hogarth, R. (2002). Deciding analytically or trusting your intuition? The advantages and disadvantages of analytic and intuitive thought. Barcelona, Spain: Departament d’Economia i Empresa, Universitat Pompeu Fabra. • Kemshall, H. (2010). Risk rationalities in contemporary social work practice. British Journal of Social Work, 40, 1247 - 1262. • Keddell, E. (2014). Current debates on variability in child welfare decision-making: A selected literature review. Social Sciences, 3(4), 916 - 940. doi: doi:10.3390/socsci3040916 • Keddell, E. (2014). Weighing it up: family maintenance and children’s best interests discourses in child protection decision-making, Child & Family Social Work 21(4): 512 - 520. • Keddell, E. and I. Hyslop (2016). First findings from phase one of the Child Welfare Decision-Making Variability Project: Research briefing paper. Dunedin, University of Otago. • Keddell, E. (2017). Interpreting children’s best interests: Needs, attachment and decision- making. Journal of Social Work. 17(3): 324 - 342.doi: 10.1177/1468017316644694 • Keddell, E. (2017). Comparing Risk-Averse and Risk-Friendly Practitioners in Child Welfare Decision-Making: A Mixed Methods Study, Journal of Social Work Practice 31(4): 411-429.
  31. 31. • Keddell, E. & Hyslop, I (2018) Decision differences in child welfare: what difference does role type make? Children and Youth Services Review. • Kettle, M. (2015). The tipping point: Fateful moments in child protection. Child & Family Social Work, n/a-n/a. doi: 10.1111/cfs.12253 • Lipshitz, R., Klein, G., Orasanu, J., & Salas, E. (2001). Focus article: Taking stock of naturalistic decision making. Journal of behavioural decision making, 14, 331 - 352. • Lonne, B., Harries, M., & Lantz, S. (2013). Workforce development: A pathway to reforming child protection systems in australia. British Journal of Social Work, 43(8), 1630-1648. doi: 10.1093/bjsw/bcs064 • Nyathi, N. (2018). Child protection decision-making: social workers’ perceptions. Journal of Social Work Practice 32(2): 189-203. • Platt, D., & Turney, D. (2014). Making threshold decisions in child protection: A conceptual analysis. British Journal of Social Work, 44(6), 1472-1490. doi: 10.1093/bjsw/bct007 • J.R. Williams, L. Merkel-Holguin, H. Allan, E.J. Maher, J. Fluke, D. Hollinshead Factors associated with staff perceptions of the effectiveness of family group conferences Journal of the Society for Social Work and Research, 6 (3) (2015), pp. 343–366

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