Practice Needs to Be Braver: The Role of Entry to Care Panels

Tony Stanley, Helen Lincoln, Paul McGee

Essex County Council, Essex, UK.
London Borough of Tower Hamlets, London, UK.

DOI: 10.4236/sm.2014.42015                

Abstract

The English child protection system is a professionally orientated one. It is a system in which notions of risk and need are determined by professional child protection workers and managers, with significant decisions made about children known to be at risk. This includes decisions about fostering or alternative care. Yet, families tend to be left out of the various forums and debates where risk determinations and practice decisions actually happen. In this article, we examine how we have tried to address this imbalance by introducing an entry to care panel system. The panel can offer a helpful pause to rushed and pressured decisions to use care as an alternative to working with situations of risk. Child protection workers and their managers are invited to take a discursive look at how risk operates in each case. This has resulted in better child protection practice. We show how the type of panel we introduced played a significant part in evening out of the care numbers in two English local authorities. Our argument is for the panel to be seen as a practice initiative—An example of purposeful bureaucracy, where decisions reached or ratified are informed by risk and need discourses. We argue that this practice initiative has helped our workers to adopt a more critical approach to risk discourses in their child protection work. Practice based tools were introduced alongside of the panel to support this way of working. We show the gains for our practice, and importantly for the families we work with, as we work differently and more expansively with risk discourses.

Keywords

Risk; Entry to Care Panels; Child and Family Balance; Purposeful Bureaucracy

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Alaszewski, A., & Burgess, A. (2007). Risk, Time and Reason. Health, Risk & Society, 9, 349-358. http://dx.doi.org/10.1080/13698570701612295
[2]	Beck, U. (1999). World Risk Society. Cambridge: Polity Press.
[3]	Bessant, J. (2004). Risk Technologies and Youth Work Practice. Youth and Policy, 83, 60-77.
[4]	Boyd, J. (2010). Teenagers Entering Care in Tower Hamlets—Assessing the Effect of a New “Entry to Care Panel”. Thesis, Westminster, MA: Westminster University.
[5]	Bunyan, A., & Sinclair, R. (1987). Gatekeepers to Care. Practice: Social Work in Action, 1, 116-128. http://dx.doi.org/10.1080/09503158708416835
[6]	Butler, P. (2011). Baby P Effect Puts Record Number of “at Risk” Children in Care. http://www.guardian.co.uk/society/2011/sep/08/baby-p-effect-child-protection
[7]	Cleaver, H., Wattam, C., & Lawson, P. (1998). Assessing Risk in Child Protection. London: NSPCC.
[8]	Connolly, M., & Ward, T. (2008). Morals, Rights and Practice in the Human Services. London: Jessica Kingslea Publishers.
[9]	Davies, C., & Ward, H. (2012). Safeguarding Children: Message from Research. London: Jessica Kingslea Publishers.
[10]	Douglas, M., & Wildavsky, A. B. (1982). Risk and Culture: An Essay on the Selection of Technical and Environmental Dangers. Berkeley, CA: University of California Press.
[11]	Ferguson, H. (1997). Protecting Children in New Times: Child Protection and the Risk Society. Child and Family Child protection, 2, 221-234.
[12]	Giddens, A. (1994). Living in a Post-Traditional Society. In U. Beck, A. Giddens, & S. Lash (Eds.), Reflexive Modernization: Politics, Tradition and Aesthetics in the Modern Social Order (pp. 56-109). Cambridge, England: Polity.
[13]	Gillingham, P. (2006). Risk Assessment in Child Protection: Problem Rather than Solution? Australian Child Protection, 59, 86-98.
[14]	Held, J. (2005). Qualitative Study: The Placement Stability of Looked after Children. Report for Department for Education and Skills. London: DfES.
[15]	Heyman, B. (2010). The Social Construction of Health Risks. In B. Heyman, A. Alaszewski, M. Shaw, & M. Titterton (Eds.), Risk, Safety and Clinical Practice: Health Care through the Lens of Risk (pp. 37-58). New York: Oxford University Press.
[16]	Heyman, B., Godin, P. M., Reynolds, L., & Davies, J. P. (2013). Assessing the Probability of Patients’ Reoffending after Discharge from Low to Medium Secure Forensic Mental Health Services: An Inductive Prevention Paradox. Health, Risk & Society, 15, 84-102. http://dx.doi.org/10.1080/13698575.2012.751090
[17]	Kearney, J. (2013). Perceptions of Non-Accidental Child Deaths as Preventable Events: The Impact of Probability Heuristics and Biases on Child Protection Work. Health, Risk & Society, 15, 51-66. http://dx.doi.org/10.1080/13698575.2012.749451
[18]	Keddell, E. (2011). Reasoning Processes in Child Protection Decision Making: Negotiating Moral Minefields and Risky Relationships. British Journal of Social Work, 41, 1251-1270.
[19]	Kendrick, A., & Mapstone, E. (1989). The Functions Of Child Care Reviews In Scotland: A Preliminary Investigation. British Journal of Child protection, 19, 407-419.
[20]	Liamputtong, P., & Ezzy, D. (2005). Qualitative Research Methods. Oxford: Oxford University Press.
[21]	Liddicott, S. (2010). ICS Panel Says Criticism of System Is Unfair. http://www.communitycare.co.uk/articles/19/02/2010/113849/ics-panel-says-criticism-of-system-is-unfair.htm
[22]	Lonne, B., Parton, N., Thomson, J., & Harries, M. (2009). Reforming Child Protection. London: Routledge.
[23]	Mason, B. (1993). Towards Positions of Safe Uncertainty. Human Systems, 4, 189-200.
[24]	Munro, E. (2011). The Munro Review of Child Protection: Final Report: A Child-Centred System (173 p). London: Stationery Office. http://www.scie-socialcareonline.org.uk/profile.asp?guid=769910a9-fc20-4941-80b8-a5969a74ba8d
[25]	Oak, E. (2009). Social Work and Social Theory. Houndmills: Palgrave.
[26]	Parton, N. (1998). Risk, Advanced Liberalism and Child Welfare: The Need to Rediscover Uncertainty and Ambiguity. British Journal of Child protection, 28, 5-27.
[27]	Peckover, S., Wastell, D., White, S., Broadhurst, K., Hall, C., & Pithouse, A. (2011). The Fallacy of Formalisation: Practice Makes Process in the Assessment of Risks to Children. In H. Kemshall, & B. Wilkinson (Eds.), Good Practice in Assessing Risk: Current Knowledge, Issues and Approaches (pp. 84-101). London: Jessica Kingslea.
[28]	Smith, D. E. (2005). Institutional Ethnography: A Sociology of the People. London: Altamira Press.
[29]	Spradley, J. (1980). Participant Observation. New York: Holt, Rinehart and Winston.
[30]	Stafford, A., Parton, N., Vincent, S., & Smith, C. (2012). Child Protection Systems in the United Kingdom: A Comparative Analysis. London: Jessica Kingsley.
[31]	Stanford, S. (2010). Speaking Back to Fear: Responding to the Moral Dilemmas of Risk in Child Protection Practice. British Journal of Child Protection, 40, 1065-1080.
[32]	Stanley, T. (2013). “Our Tariff Will Rise”: Risk Probabilities and Child Protection. Health Risk and Society, 15, 67-83. http://dx.doi.org/10.1080/13698575.2012.753416
[33]	Stanley, T., McGee, P., & Lincoln, H. (2012). A Practice Framework for Assessments at Tower Hamlets Children’s Social Care: Building on the Munro Review. Practice, 24, 239-250. http://www.ingentaconnect.com/content/routledg/cpra;jsessionid=vxodcvwhqsma.alice
[34]	Turnell, A., & Edwards, S. (1999). Signs of Safety: A Solution and Safety Oriented Approach to Child Protection Casework. New York: Norton.
[35]	Van Loon, J. (2002). Risk and Technological Culture: Towards a Sociology of Virulence. London: Routledge. http://dx.doi.org/10.4324/9780203466384
[36]	Warner, J., & Gabe, J. (2004). Risk and Liminality in Mental Health Social Work. Health, Risk & Society, 6, 387-399. http://dx.doi.org/10.1080/13698570412331323261
[37]	Wastell, D., & White, S. (2010). Technology as Magic: Fetish and Folly in the IT-Enabled Reform of Children’s Services. In P. Ayre, & M. Preston-Shoot (Eds.), Children Services at the Cross Road: A Critical Evaluation of Contemporary Policy for Practice (pp. 107-114). Plymouth: Russell House.
[38]	Webb, S. A. (2006). Child Protection in a Risk Society: Social and Political Perspectives. New York: Palgrave Macmillan.
[39]	Yearley, S. (2005). Making Sense of Science: Understanding the Social Study of Science. London: Sage.
[40]	Yin, R. (2008). Case Study Research: Design and Methods. London: Sage.
[41]	Zinn, J. (2008). Heading into the Unknown: Everyday Strategies for Managing Risk and Uncertainty. Health, Risk & Society, 10, 439-450. http://dx.doi.org/10.1080/13698570802380891