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The purpose of this paper is to assess whether current routinely available population level data are adequate for assessing the health needs of vulnerable children.

The paper presents a review of routinely available population level data relating to 23 vulnerable child groups.

Data were available to measure how many children may be affected locally for seven groups (30 per cent) (looked after children, care leavers, absent or excluded pupils, children in poverty, young offenders, children in need and children assessed to be at risk of social services). Partial data were available for 11 (48 per cent) groups and no data were identified for five (22 per cent) groups. At least one measure of health and well being status was identified for three groups (13 per cent) (care leavers, children assessed to be in need of social services and children assessed to be at risk by social services). For seven groups (30 per cent), a measure of health status was identified for some children in the group. No measure of health status was identified for 13 groups (57 per cent).

The review only considered routinely published data that can be reported for all counties or unitary authorities in England. Although every effort was taken to ensure complete identification, it is still possible that some data sources may have been missed.

The gaps in available data to monitor vulnerable children's health will make the task of ensuring their needs are appropriately represented in local needs assessment and health strategies more difficult. The current service reforms offer an opportunity to address the data gaps.

Data relating to some vulnerable child groups was reviewed in 2006 when a number of recommendations were made. This paper updates and broadens that review and reports on progress made against the 2006 recommendations. The findings of the paper have implications for policy makers and commissioners of children's services.

In recent years, access to schooling for children orphaned and made vulnerable by AIDS has emerged as a major humanitarian concern, particularly in sub-Saharan Africa. International discourse largely fails to define what “vulnerability” means, while also depicting “orphans and vulnerable children” as passive victims of complex social processes. This ethnographic study of a “typical” secondary school in semirural Lesotho investigates the research question: At the secondary level, how does “vulnerability” shape the educational participation and home life of young Basotho? Through extended observation, in-depth interviews, and student diaries, the study reveals that “vulnerable” children in Lesotho, who are locally defined as those without strong adult caregivers, actually exercise a high degree of autonomy that is often manifested through “stubbornness.” “Stubborn” students resist adult control and are closely associated with early sexual debut and high-risk behaviors. As a result of their resistance, they are often singled out by teachers for corporal punishment, increasing the likelihood that they will drop out of school. This chapter adds to the literature on youth agency by demonstrating that “acting stubborn” is one way in which “vulnerable” children can exercise control over their own lives and resist the status quo. In addition, the findings point to the failure of the school model, which is highly authoritarian, to retain “vulnerable” students and teach them valuable life skills, including HIV/AIDS prevention. Finally, this study demonstrates that local and culturally inflected definitions of “vulnerability” may not always align with international definitions and policy prescriptions.

The purpose of this study is to identify the role of mediators in supporting value co-creation for vulnerable consumers in a service context. The authors propose that in transformative services, the roles of actor mediators facilitate control and empowerment for the vulnerable consumer – labelling these transformative service mediators (TSMs).

The authors develop a theoretical framework for the activities of mediators in value co-creation considering the interrelationships of vulnerability, structure and agency. The authors then use Prahalad and Ramaswamy’s DART (Dialogue, Access, Risk Assessment and Transparency) model as the integrating framework to describe the TSM roles in the context of the foster care service ecosystem.

The authors introduce a future research agenda regarding TSM roles in transformational service experiences and value co-creation with vulnerable consumers. Service researchers and providers are encouraged to explore effective training and motivation of TSMs.

Understanding value co-creation for vulnerable consumers is an emerging area in service research. The TSM concept introduces a new approach to explore how value co-creation and transformative outcomes can be enhanced in service contexts where consumers experience vulnerability.

This paper presents an agenda for future research. The outcomes of future research based on TSM roles may help guide service providers in identifying opportunities for enhancing well-being and reducing vulnerability in service delivery.

This paper suggests that exploring the role of TSMs in the service process offers new insights into reducing vulnerability in service relationships.

The aim of this article is to describe a consultation/mentoring dialogue between a researcher of multi‐agency teams and a multi‐agency team manager, by providing a content analysis of the notes of a series of mentoring dialogues, presented in the form of a conversation. Themes discussed include: governance and the role of the steering group; managing the agencies; the role of the team manager; explanatory and practice/intervention models; job roles; professional procedures; workload; team functioning and culture; and the consultation process itself. The article suggests that research findings can usefully inform the development of new multi‐agency teams and that collaboration between researchers and service managers can be mutually beneficial.

The safeguarding vulnerable groups bill aims to improve the system of checks on staff and volunteers who want to work in social care, health or education. However, it creates different levels of protection for children and for vulnerable adults. This article sets out the concerns expressed by a small coalition of disability charities that argued for improvements to the bill during its passage through Parliament. In particular, they wished to rectify the bill's failure to provide for mandatory checks on staff working privately for vulnerable adults who lack the capacity to manage their own affairs. These arguments were opposed by carers' organisations that wanted to avoid increasing the regulatory burden on carers. We critically examine these arguments, and ask whether there is a conflict of interests between carers and vulnerable adults.

What makes a child vulnerable to harm? What is it about how we conceptualise vulnerability that draws us to thinking about individual traits and characteristics rather than broader systems and structures of power? In this chapter, we consider these questions by exploring student experiences of vulnerability in schools. Drawing on a case study of two student experiences of harmful sexual behaviour, we explore harm, abuse and vulnerability as spatial. In doing so, we present school responses to forms of harm, drawing a division between responses which focus on vulnerable individuals and the potential of responses which target the systemic, spatial and contextual causes of harm. We conclude by offering Contextual Safeguarding as an approach for addressing the social conditions of harm.

This chapter highlights the importance of providing all children, and particularly those at risk, vulnerable children and children with disabilities, with opportunities for a quality inclusive Early Childhood Education and Care (ECEC). It first sets out the evidence that quality inclusive ECEC provision is essential for all children to develop their potential and lifelong learning competencies that will ensure their successful participation in school and adult life. It then describes the main international and European policies for inclusive ECEC. A more detailed account is given of the five key principles for action towards improving the quality of ECEC provision developed by the thematic working group of the European Commission (2014) ‘Quality Framework for Early Education and Care’ that are also very similar to those proposed by the OECD (2015) ‘Starting Strong IV’. The concluding section underlines the need to address more strongly the provision of enabling opportunities for accessibility to ECEC of children at risk of exclusion. More importantly, it highlights the need to research and improve not only these children’s presence in ECEC but also their level and quality of active participation and engagement in the social and learning activities of early childhood inclusive provision. The chapter reflects the research and policy development work being undertaken by the European Agency for Special Needs and Inclusive Education in its (2015–2017) project on Inclusive Early Childhood Education (IECE) led by the present authors.

The purpose of this study was to gather data from orphaned learners on their lived experiences in order to gain more understanding of their educational needs. Twelve orphaned learners (aged 14‐17) from two schools in Mpumalanga Province in South Africa participated in the study. The draw‐write and narrative approach was used to elicit information from the children. The methodological, ethical and practical issues emerging from researching orphans using this approach are discussed and illustrated using examples from the study. The article demonstrates that integrating visual, written and interview data collection methods may enable vulnerable children to open up and talk about their experiences. However, it requires the researcher to be patient, sensitive and empathetic to the circumstances of such children.

The purpose of this paper is to examine responses by police and Adult Social Care to honour based abuse (HBA) victims who have a diagnosed or perceived vulnerability, such as a physical disability or mental health issue. The aim is to improve professional practice in ensuring vulnerable victims are safeguarded.

Findings are drawn from 100 HBA investigations (2012-2014) derived from classified police electronic records and interviews with 15, predominantly specialist, public protection police officers in one UK force.

HBA against vulnerable adults is an obscure crime area. In cases of diagnosed vulnerability (3 per cent), police officers wrongly attributed “freewill” and choice to vulnerable adults who legally lacked the capacity to consent to marriage. Conversely, in 9 per cent of cases where victims were depressed and/or self-harming, perpetrators exaggerated the poor mental health of victims in order to discredit them to law enforcement. Professionals illogically latched onto perpetrator explanations and in turn undermined and problematised the victims.

There is limited access to data on vulnerable adult abuse, making this an under researched area of crime.

Failing to undertake risk assessments, or record whether the victim is legally vulnerable should lead to a review of police practice. An evaluation of joint working arrangements is necessary concerning which agency (police or Adult Social Care) should take primacy.

Vulnerable adult victims were retained in risk predicaments alongside perpetrating family members.

Police officers suggesting vulnerable adults can “consent” to marriage is a new concept, along with issues of goal displacement which illustrates avoidance behaviours by professionals and under protection by the state.

The purpose of this paper is to summarise the findings of a desk-based international review investigating the checking of staff and volunteers working with adults who are vulnerable or at risk (or similarly defined) receiving social care in their own homes, or in day centres or residential care.

In England, as part of the government’s attempts to prevent harm to vulnerable people, employers must check if their staff or volunteers are barred from working with vulnerable adults in the health and care sectors or if they have a relevant criminal record. This review sought to explore practices elsewhere, with a view to informing policy and practice debates. The review was undertaken in winter 2014-2015. It mainly involved a search of internet-based material and databases. This was further informed by communications with experts and practitioners from different countries.

The review found a variety of practices, ranging from no checks to substantial checks involving fingerprinting. Reasons for checks identified in different national contexts extend from efforts to stop fraudulent use of government subsidies to minimising the risk of harm to vulnerable adults, and more positively to enhance user and public trust in care providers. A small number of countries place particular emphasis on the rights of individuals to privacy and rehabilitation and this moral imperative overrides other policy goals. This review highlighted a lack of clarity in publicly available documents about the potentially multiple policy goals of different schemes and suggests that there may be advantages to clarifying the options available from other countries.

This review was confined to English language material and to material located through internet searching. Some material may not have been updated on internet sites.

The details of the processes have not previously been collated to the best of the authors’ knowledge.