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

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Abstract

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
Publisher:	BMJ Group
ISSN:	0003-9888
Date:	2006
Volume:	Vol.91
Number:	No.9
Page Range:	pp. 740-743
Identification Number:	10.1136/adc.2005.092007
Status:	Peer Reviewed
Access rights to Published version:	Open Access
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URI:	http://wrap.warwick.ac.uk/id/eprint/4353

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