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Journal of Children s Services

Publisher:
Emerald Group Publishing Limited
Emerald Publishing
ISSN:
1746-6660
Scimago Journal Rank:
23
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Evidence-based practice adaptation during large-scale implementation: a taxonomy of process and content adaptations

Aarons, Gregory A.; Askew, Rachel A.; Green, Amy E.; Yalon, Alexis J.; Reeder, Kendal; Palinkas, Lawrence A.

2019 Journal of Children s Services

doi: 10.1108/jcs-02-2018-0003

The purpose of this paper is twofold: first, to identify the types of adaptations made by service providers (i.e. practitioners) during a large-scale US statewide implementation of SafeCare®, an evidence-based intervention to reduce child neglect; and second, to place adaptations within a taxonomy of types of adaptations.Design/methodology/approachSemi-structured interviews and focus groups were conducted with 138 SafeCare providers and supervisors. Grounded theory methods were used to identify themes, specific types of adaptations and factors associated with adaptation.FindingsAdaptations were made to both peripheral and core elements of the evidence-based practice (EBP). The taxonomy of adaptations included two broad categories of process and content. Process adaptations included presentation of materials, dosage/intensity of sessions, order of presentation, addressing urgent concerns before focusing on the EBP and supplementing information to model materials. Content adaptations included excluding parts of the EBP and overemphasizing certain aspects of the EBP. Adaptations were motivated by client factors such as the age of the target child, provider factors such as a providers’ level of self-efficacy with the EBP and concerns over client/provider rapport. Client factors were paramount in motivating adaptations of all kinds.Research limitations/implicationsThe present findings highlight the need to examine ways in which adaptations affect EBP implementation and sustainment, client engagement in treatment, and client outcomes.Practical implicationsImplementers and EBP developers and trainers should build flexibility into their models while safeguarding core intervention elements that drive positive client outcomes.Originality/valueThis study is unique in examining and enumerating both process and content types of adaptations in a large-scale child neglect implementation study. In addition, such adaptations may be generalizable to other types of EBPs.
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Attachment and the loss of fertility: the attachment strategies of prospective adoptive parents

Farnfield, Steve

2019 Journal of Children s Services

doi: 10.1108/jcs-11-2017-0049

The purpose of this paper was to determine the attachment strategies of prospective adoptive parents and any correlation between attachment and the defensive strategies they used when talking about loss of fertility. The study also examined whether attachment strategy of the applicants had a bearing on the decision by the local authority to place a child.Design/methodology/approachThe sample was comprised of 48 respondents (21 couples) representing 84 per cent of all people who applied to one UK Social Services Department in a 12-month period. Placement of a child was reviewed two years following the assessment. The study used the dynamic maturational model version of the adult attachment interview (DMM-AAI), together with added questions on loss of fertility to assess the applicants’ attachment strategies together with unresolved loss and trauma and the DMM modifiers.FindingsUnlike adoption studies using the Main and Goldwyn system, this study rated very few of the applicants’ AAIs as secure (13 per cent), 48 per cent were in the normative low-risk range and 52 per cent of the AAIs were coded in the more complex DMM insecure strategies. There was a significant bias towards marriages where the partners deployed opposite low-risk/DMM strategies (13 (62 per cent) of couples). Compared with data on non-clinical populations the AAIs showed a high level of unresolved loss or trauma (58 per cent). Using a six-way distribution (A1-2, C1-2, B, A3-4, C3-6 and A/C) there was an 87 per cent correspondence between discourse about loss of fertility and that about attachment, thereby supporting the established proposition that reproduction is part of the attachment system. Twenty one per cent of the AAIs were coded as “disorientated” and this is discussed in terms of conflict for adoptive of parents concerning the raising of a child who carries their own genes or those of strangers. A case is made to conceptualise negative impact of infertility in terms of unresolved trauma rather than loss.Research - limitations/implicationsThis study adds to research showing that the DMM approach is more finely calibrated than the ABC+disorganised model with the latter likely over coding for security. The results emphasise that fertility and reproduction are legitimate subjects for attachment studies and that AAI discourse analysis is a valid methodology for future research. However coder agreement as to whether or not loss of fertility was resolved was only fair (64 per cent) κ. 0.25 (po0.33). More work is required in order to determine what constitutes unresolved loss of fertility and what impact, if any, this has on parenting an adopted child.Practical implicationsThe practice implications are considered in a separate paper.Social implicationsThe findings are contentious in that they suggest a significant number (48 per cent) of adoptive parents have needs not dissimilar to other clients of psychological services.Originality/valueThis is the first DMM-AAI study with prospective adoptive parents and the findings show significant differences when compared with previous studies using the Main and Goldwyn AAI. It is also the first study to establish fertility as a legitimate area for attachment studies by using AAI discourse analysis.
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The None in Three Victim Responsiveness Assessment (Ni3: VRA): a new outcome measure for intimate partner violence (IPV) prevention programs

Debowska, Agata; Boduszek, Daniel; Willmott, Dominic; Jones, Adele D.

2019 Journal of Children s Services

doi: 10.1108/jcs-12-2018-0029

The purpose of this paper is to develop and validate the None in Three Victim Responsiveness Assessment (Ni3: VRA) examining affective and cognitive responsiveness toward victims of intimate partner violence.Design/methodology/approachData were collected at two time points in a sample of 359 young people from Barbados and Grenada (56.27 percent female; M age=12.73 years).FindingsConfirmatory factor analysis results indicated that the Ni3: VRA scores are best captured by a two-factor solution, including affective and cognitive dimensions. A test-retest correlation confirmed the reliability of the Ni3: VRA over time. Affective responsiveness formed a significant positive association with caring/cooperative behavior.Originality/valueThe Ni3: VRA can be used for the evaluation of preventive strategies aimed at reducing the rates of IPV.
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Signs of Safety: lessons learnt from evaluations

Baginsky, Mary; Moriarty, Jo; Manthorpe, Jill

2019 Journal of Children s Services

doi: 10.1108/jcs-11-2018-0028

Signs of Safety (SoS) is a strengths-based approach to child protection casework that has been widely adopted in countries across the world. The purpose of this paper is to report on a study that aimed to synthesise the many evaluations of SoS that have been conducted to assess their strengths and limitations. The intention is to identify the aspects which should be explored further and those that remain unexamined to inform future evaluations.Design/methodology/approachThe study collated and then examined many of the evaluations that are in the public domain as well as some of those that were conducted within agencies and have not been made publicly available.FindingsAt the present time (early 2019), the evidence base for SoS is limited. Independent, robust research needs to be undertaken over time to build on the studies that have been conducted. New research must be designed to fill gaps and be capable of producing the evidence required and it must address its own limitations.Originality/valueThis study is the most comprehensive contemporary review of the evaluations of SoS that have been conducted to the best of the authors’ knowledge.
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Responding to youth gangs in England: a public health model?

Pitts, John

2019 Journal of Children s Services

doi: 10.1108/JCS-02-2019-0010

PurposeThe purpose of this paper is to consider youth gangs and county lines with reference to the current drive for a public health response to these issues.Design/methodology/approachThis viewpoint paper traces the development of gang and serious youth violence responses in England, exploring the shift from a punitive to safeguarding response to young people affected by these issues.FindingsDrawing on the learning from both Scotland and the USA, this paper considers the relevance of a public health model to responding to youth gangs and county lines, highlighting the key facets of such an approach.Originality/valueThis paper provides a historical context to the issues surrounding previous responses to youth gangs and goes on to consider the practicalities and relevance of a public health model response.
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