Improving child protection : a systematic review of training and procedural interventions
Carter, Yvonne, 1959-2009, Bannon, Michael J., Dr., Limbert, C., Docherty, Andrea and Barlow, Jane, 1962-. (2006) Improving child protection : a systematic review of training and procedural interventions. Archives of Disease in Childhood, Vol.91 (No.9). pp. 740-743. ISSN 0003-9888
WRAP_Carter_improving_child_protection.pdf - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Official URL: http://dx.doi.org/10.1136/adc.2005.092007
Aim: To synthesise published evidence regarding the effectiveness of training and procedural interventions
aimed at improving the identification and management of child abuse and neglect by health professionals.
Methods: Systematic review for the period 1994 to 2005 of studies that evaluated child protection training
and procedural interventions. Main outcome measures were learning achievement, attitudinal change,
and clinical behaviour.
Results: Seven papers that examined the effectiveness of procedural interventions and 15 papers that
evaluated training programmes met the inclusion criteria. Critical appraisal showed that evaluation of
interventions was on the whole poor. It was found that certain procedural interventions (such as the use of
checklists and structured forms) can result in improved recording of important clinical information and may
also alert clinical staff to the possibility of abuse. While a variety of innovative training programmes were
identified, there was an absence of rigorous evaluation of their impact. However a small number of onegroup
pre- and post-studies suggest improvements in a range of attitudes necessary for successful
engagement in the child protection process.
Conclusion: Current evidence supports the use of procedural changes that improve the documentation of
suspected child maltreatment and that enhance professional awareness. The lack of an evidence based
approach to the implementation of child protection training may restrict the ability of all health
professionals to fulfil their role in the child protection process. Formal evaluation of a variety of models for
the delivery of this training is urgently needed with subsequent dissemination of results that highlight those
found to be most effective.
|Item Type:||Journal Article|
|Subjects:||H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine
|Divisions:||Faculty of Medicine > Warwick Medical School|
|Library of Congress Subject Headings (LCSH):||Child welfare -- Great Britain, Child abuse -- Great Britain, Health care teams -- Training of -- Great Britain|
|Journal or Publication Title:||Archives of Disease in Childhood|
|Page Range:||pp. 740-743|
|Access rights to Published version:||Open Access|
1 Djeddah C, Facchin P, Ranzato C, et al. Child abuse: current problems and
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