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Child neglect is the most common form of maltreatment but is also one of the most complex. Neglect has a long-term negative impact on children and young people’s development and wellbeing. This study examined 20 recent serious case reviews that had taken place in England where neglect was a feature. The purpose of this study is sought to explore the barriers, which exist for social workers in England in identifying and responding to neglect in a timely, appropriate and effective manner.

Thematic analysis identified four main themes that were likely to impact upon effective interventions.

Challenges in terms of the definition of neglect and how to identify it; the use of neglect toolkits; the impact of organisational cultures on practice and the voice of the child.

In spite of its prevalence there is a dearth of literature relating specifically to the issue of neglect. There is a need for further research to be undertaken because of the acknowledged, seriousness and potential longstanding negative impact on children even into adulthood (Horwath, 2013). It is hoped that this study provides a useful insight into some of the barriers that exist for social workers in working effectively with children and families for whom neglect is an issue.

In this chapter, the authors focus on a range of Australian news articles selected for their relevance to key themes in the area of child abuse and examine two high profile cases of child abuse deaths that were extensively reported on by the media and led to system reform. Challenges for media reporting on child abuse in Australia including a changing media landscape, lack of available child abuse data and lack of publicly available serious case reviews are discussed. The authors argue that there is a need for attention to be paid to children's resistance and agency in the context of violence and abuse to counter the objectification of children and uphold their rights. Following Finkelhor (2008), the authors argue that media reporting on child abuse in Australia reflects a general approach to child abuse that is fragmented, with different types of abuse viewed as separate from one another, and call for a more integrated understanding of child abuse. The authors highlight the complexity of media responses to child abuse in Australia, noting that while the social problem of child abuse can be misrepresented by the media, media reporting has also triggered significant systemic reform and advocated for children in cases where other systems failed them.

The purpose of this paper is to “read across” a sample of domestic homicide reviews (DHRs), mental health homicide reviews (MHHRs) and adult practice reviews (APR) to identify the cross-cutting themes.

The study involved a qualitative comparative analysis of 20 Welsh reviews: 10 DHRs, 6 APRs and 4 MHHRs. Each review was triple coded by a multi-disciplinary team of researchers (representing criminology, social work and law).

Five overarching themes were identified from this diverse sample of cases: crossing boundaries, including transitions between services and geographical boundaries; hoodwinking, where there was manipulation of the presentation of self; faulty assessment, which was not always holistic and only based on certain aspects of behaviour; tunnel vision, resulting from the initial underpinning narrative rarely being challenged; and knowledge, with certain types being privileged over others, especially professional over that of families and para-professionals.

Further research into death reviews should adopt a comparative, multi-disciplinary approach.

The research highlights the possibility for duplication across the different types of reviews. Further, it suggests that review processes could be streamlined.

Five cross-cutting themes have been developed through the very first study “reading across” three types of reviews (DHRs, APRs and MHHRs). Findings suggest the need for streamlining review processes and highlight the importance of adopting a multi-disciplinary perspective when researching death reviews.

The safeguarding and protection components of the Social Services and Well-being (Wales) Act 2014 offers the culmination of four years consultation in England and Wales by the Law Commission and many years of evolving policy and practice with a view to protecting adults from harm. The purpose of this paper is to offer both scrutiny and challenge for Wales’ policy makers and practitioners alike.

The paper is a critical analysis of both current responses and forthcoming changes.

The paper proposes that Wales has failed to implement previous recommendations in relation to institutional abuse. Currently in Wales, there are individuals employed in safeguarding lead roles who have no social care qualification. This apparent “loophole” has not to date been highlighted to date by either of the regulatory bodies within Wales (CSSIW/CCfW).

The paper offers a viewpoint but leaves some questions unanswered.

The Williams Review in April 2014 is set to change the local authority landscape in Wales. There is scope for developing the function of adult safeguarding.

Wales’ failure to recognize institutionalized abuse as a distinct category may have had impacted on its ability to respond to abuse in nursing and care as well hospital settings.

The failure to recognize institutional abuse is not the only safeguarding anomaly within Wales’ arrangements for protecting those are risk of abuse. This paper describes gaps in the NHS and of professional accountability.

This article seeks to consider the lessons from one of the worst failures in adult protection in the UK in recent times: the abuse of a number of patients with learning disabilities or autism and challenging behaviour over a number of years at Winterbourne View private hospital in the outskirts of Bristol. The abuse persisted, irrespective of a number of attempts to alert a broad range of regulatory authorities and health professionals about the situation.

The article provides a detailed analysis of the lessons for professionals responsible for adult protection by one of the journalists most responsible for exposing the abuse at Winterbourne View private hospital. Drawing on information the BBC uncovered during the making of its two films about the subject, the author shares details of relevance to professionals responsible for adult protection and considers the implications of the catastrophic failure to protect vulnerable people.

This article shows how the lessons from the abuse at Winterbourne View have permeated only to some areas and professionals, not necessarily to where those lessons are most needed. The author suggests that further efforts are required to prevent another, similar scandal happening elsewhere in the UK.

The paper is a unique piece, sharing experiences from a journalist involved with exposing a scandal directly with professionals responsible for adult protection.

The purpose of this paper is to consider the role of the Mental Health Act (MHA) 1983 in safeguarding adults at risk of abuse and neglect. The author has undertaken a thematic review of Safeguarding Adults Reviews (SARs) commissioned in England and Adult Practice Reviews (APRs) commissioned in Wales where the MHA 1983 was a central aspect to the review.

Reviews were included based on specific determinants, following analysis of SARs, APRs and executive summaries. This should not affect the credibility of the research, as themes were identified in conjunction with analysis of literature regarding use of the MHA in the context of adult safeguarding. Consequently, this review has been underpinned by evidence-based research in the area of study.

The interaction between statutes, such as the MHA 1983 and Care Act 2014, signify challenges to professionals, with variable application of mental health legislation in practice.

Lack of a complete national repository for review reports means that it is likely that the data set analysis is incomplete. It was noted that limitations to this research include the fact that Safeguarding Adults Boards in England may not publish SAR reports or may choose to publish an executive summary or practice brief instead of the full SAR report, therefore limiting the scope of disseminating learning from SARs, as this is difficult to achieve where the full report has not been published. The author aimed to mitigate this by undertaking comprehensive searches of Local Authority and SAB websites, in addition to submitting Information requests to ensure that this research encompassed as many relevant review reports as possible.

This is an important and timely topic for debate, given that the UK Government is proposing reform of the MHA 1983. In addition, existing thematic reviews of SARS tend to be generalised, rather than specifically focused on the MHA.

This article explores the neglected issue of the overrepresentation in the child protection system of children from ethnic, cultural, religious, racial, and linguistic minorities. It focuses on the accommodation of children’s diverse backgrounds within the s 31(2) threshold and s1 “best interests” stages of intervention under the Children Act 1989. First, it introduces the ethnic child protection penalty as a new tool for capturing the complex nature of overrepresentation of these children. Second, it proposes a framework for understanding the judicial approach in higher court decisions on the current extent and nature of accommodation. Third, it employs the penalty concept to help explain why case law analysis reveals difficulties with the current factor-based approach, whereas empirical research suggests generally satisfactory accommodation in practice. It concludes by proposing a contextualized framework for decision-making in relation to child protection.

The purpose of this paper is to identify and encourage good practice in adult safeguarding by housing providers, despite their unclear and largely unregulated role in this area.

Literature search on policy and research on the role of housing in adult safeguarding. Good practice search, drawn from No Secrets consultation responses and more recently, from other housing providers.

Despite the current weak incentives for housing providers to engage in adult safeguarding, some have done so effectively, overcoming barriers to joint working.

This is not a comprehensive study of all good practice in this area; much will exist “unsung” and unrecognised.

Increase housing providers' involvement in adult safeguarding.

The paper is of value, as there is a dearth of literature on the role and potential of housing and adult safeguarding.

Intra and inter-organisational learning holds important consequences for official agencies’ capabilities to reduce harm, particularly in the field of safeguarding children. A range of formal learning mechanisms exist but as these can be limited there is a case for expanding the learning opportunities relied upon. The concepts of “red teaming” and “alternative analysis” though relatively well established in other sectors are under-developed, under-used and under-promoted within policing. They offer flexible conceptual and practical resources that aim to challenge established models, thinking and practices. Policing organisations would benefit from institutionalising alternative forms of analysis though this would involve an attitudinal commitment and shift. This paper aims to discuss these issues.

Documentary analysis and reflection.

Consideration of the red team approach by police and partners offers an alternative approach to effective organisational learning to prevent repeating similar mistakes uncovered by Serious Case Reviews.

This paper will allow practitioners to reflect upon current serious reviews of cases and offers an alternative and effective way of improving partner agencies capabilities to reduce harm.

In commenting on the issues raised by Drake et al. the purpose of this paper is to discuss three areas of practice: assessing capacity in the presence of intransigence and/or rigid patterns of thinking and behaviour; understanding addiction in this context; and identifying “reasonable adjustments” in the way addiction and substance misuse services are provided to this client group.

As well as discussing the issues raised by Drake et al. the commentary refers to a serious case review exploring similar issues.

Both the case discussed by Drake et al. and the serious case review draw attention to the importance of identifying “reasonable adjustments” to current practice.

While the implications of the cases discussed are very significant, further work quantifying the scope of the problems identified would be very useful.

The 1995 Disability Discrimination Act (UK) requires public services to make “reasonable adjustments” in order for people with a range of disabilities to access their services on an equitable basis. This paper identifies what some of those areas of difficulty might be.

This is a relatively new area of work and expertise in both mainstream addiction and specialist intellectual disability and mental health services needs to be developed in order for them to provide more coherent and accessible programmes to individuals.