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This text offers a new concept of Social Work that is an inspiring and practical vision of what Social Work is and should be, placing rights at the heart of practice, enabling students and workers to become more confident dealing with the uncomfortable realities of practice.

PurposeThere are often calls for more focus on outcomes in Children's Social Care yet there is little consensus on what these outcomes should be. Key challenges include who should decide what outcomes should be measured and the sheer range of issues that social workers deal with. The purpose of this paper is to provide a reflective account of approaches to measuring outcomes that the author has used in recent studies in order to illustrate the complexity involved in understanding what the purpose of Children's Social Care is and therefore how outcomes might be measured.Design/methodology/approachA review of and reflection on lessons from recent research studies carried out by the author and colleagues.FindingsThe results are used to illustrate and support an argument that Children's Social Care performs multiple functions and that this has implications for thinking about outcomes. Helping children and parents is one element of the work, but assessing risk across large numbers of referrals and identifying those that require involvement is equally important. Furthermore, the social work role requires complex considerations around liberty and the rights of parents and children. One consequence of this is that the quality of the service provided is important in its own right.Research limitations/implicationsIt is suggested that the evaluation of Children's Social Care involves four types of outcomes: measures of the quality of the service provided; assessment of whether the "right" families are being worked with; client-defined measures of change; and the development of appropriate standardised instruments. Examples of approaches in each area are discussed.Practical implicationsThe theoretical considerations suggest that we need to have a multi-dimensional approach to evaluating, inspecting and leading Children's Social Care services. In particular, the importance of the quality of delivery and appropriate targeting of the service are emphasised, as well as considering various approaches to measuring outcomes.Originality/valueThe paper proposes a combination of qualitative and quantitative measures of process, assessment and outcomes for evaluating outcomes in Children's Social Care.

PurposeThis paper's aim is to explore the uses and limitations of randomised controlled trials (RCTs) for evaluating complex interventions, with a particular focus on sample recruitment and retention issues.Design/methodology/approachThis is an invited critique of a previous paper.FindingsRCTs have many limitations. It is particularly important to consider issues relating to the sample they recruit and retain. Nonetheless, they remain a uniquely powerful way to exclude other potential explanations for outcomes and therefore provide robust evidence for the effectiveness of specific interventions.Originality/valueIt is hoped that vigorous debate may contribute to a deepened understanding of the nature, limitations and potential contribution of RCTs to understanding the impact of different ways of helping people.

ABSTRACTIn England and Wales, local authorities have a duty under the 1989 Children Act to protect children from significant harm. This study builds on a previous paper that considered patterns of re‐referral in cases that were not allocated; it considers re‐referrals involving serious concerns about a child. File studies were carried out on 400 consecutive referrals to three local authorities in London that were closed rather than being allocated for long‐term work in early 2000. Information on the presence and nature of re‐referrals involving concerns about actual or potential 'significant harm' in the 27 months after closure (i.e. up to 2002) was noted. Such re‐referrals were rare (2.75%). The factors that were statistically associated with them were: previous involvement with Social Services, physical abuse and parental alcohol misuse in the closed referral. These factors were also identified in a descriptive analysis of the re‐referrals, though in addition issues not present in the original referral were identified as important, namely parental mental illness and sexual abuse. The findings were encouraging about the effectiveness of initial child protection assessment processes at the time of referral closure. The potential for the factors identified in the analyses to be used in initial risk assessment and their applicability to current policy and practice is considered.

Public care is widely perceived to be failing children, and this belief is at the heart of government proposals set out in the Care Matters white paper. This article argues that on the contrary, research tends to find that children's welfare improves while they are in care. The reasons for the negative perception of care are considered and it is argued that care should be seen as a positive option for children in families experiencing severe difficulties and as a form of family support rather than an alternative option. This would move the United Kingdom toward a more European model for the place of care for children in difficult family situations, rather than an American model which focuses on minimizing the use of public care.

ABSTRACTThe last 10 years have seen considerable government focus on effective initial assessment processes in the UK. This has been given added impetus by research that found that more than 97% of referrals are closed without allocation for long‐term work. Yet there is little research on referrals that are closed and no British study of patterns of re‐referral for such children. The current study looks at 400 consecutive referrals to three local authority Social Services Departments in London that were closed rather than being allocated for long‐term work. It investigates how many children were re‐referred in the 27 months after closure and identifies factors statistically associated with re‐referrals. The study found that a third of closed cases were re‐referred (36.5%), with most re‐referrals happening relatively rapidly. A small proportion of families accounted for most re‐referrals: 8.5% of families had 52% of subsequent referrals. There was very wide variation between local authorities in the number of referrals and re‐referrals received. Other factors associated with increased likelihood of a re‐referral were: previous referrals, neglect, parental capacity issues (particularly drug misuse) and parent/child relationship problems. The implications of the findings for practitioners, policy‐makers and researchers are discussed.

This book presents new research responding to parental misuse of drugs and alcohol and its effect on children and the family unit. The use of motivational interviewing in child and family settings provides challenges for social workers dealing with these complex issues.

Abstract
The rate of children in care in Wales is one of the highest in the world and has increased considerably in the past two decades. Whilst many factors may be driving these increases, there is considerable variation between local authorities. This article presents findings from a survey completed by children's social care workers in Wales (n = 792). It compares the views, values and responses to case study vignettes of workers in authorities with increasing to those with decreasing care rates over five years (2016–2020). Statistically significant differences were found relating to the values and the practices of workers, with workers in local authorities with reducing rates having stronger pro-family values, less risk averse responses to case vignettes, more confidence in the decisions made in their local authority and being more positive about support for practice. The findings indicate that variations in local authority values and practices may influence the rate of children in care and that some with significant social problems seem able to avoid the large numbers of children in care found in other authorities. The challenge faced in Wales and the UK is how local authorities can learn from one another to ensure consistency and quality in services.

Abstract
Higher levels of 'service user' satisfaction are associated with more positive outcomes in many service settings. They are also an important measure of service quality in their own right. In this article, we report the results from a survey of 500 parents in relation to statutory child and family social work services in the UK. Our primary outcome measure was the Client Satisfaction Questionnaire, a valid instrument that has been used in a range of settings and types of service. Parents overall had relatively low levels of satisfaction, compared with research in other settings. Levels of dissatisfaction were higher for parents from lower socio-economic groups and parents of adolescents. The small number of parents in our survey who received short-breaks or residential care for their children gave higher satisfaction ratings. An important limitation of these results is that the sample is not representative. Parents from higher socio-economic groups were over-represented compared with the general population and were therefore very overrepresented compared with the population of families who receive a statutory social work service. These findings nevertheless suggest that parents are likely to be dissatisfied with the services they received and suggest a pressing need for more representative data to understand the experiences of parents across the UK.