Andrew Kendrick

Ethical issues, research and vulnerability: gaining the views of children and young people in residential care

Children and young people in residential care are some of the most vulnerable in our society. They may have experienced violence and physical, sexual or emotional abuse. They may be involved in offending or the misuse of drugs and alcohol. They are separated from their families and have to cope with living in a group situation with other young people and staff members. Children and young people in residential care also possess strengths, competencies and resilience. We have much to learn from their experiences and perspectives, both generally and surrounding their time in care. This paper will address the ethical issues which arise from gaining the views of children and young people in residential care, drawing on the experience of carrying out three studies in particular (Kendrick et al. 2004, The development of a residential unit working with sexually aggressive young men. In: H.G. Eriksson and T. Tjelflaat, eds. Residential care: horizons for the new century. Aldershot: Ashgate, 38–55; Docherty et al. 2006, Designing with care: interior design and residential child care. Farm7 and SIRCC. http://www.sircc.strath.ac.uk/publications/Designing_with_Care.pdf; Steckley, L. and Kendrick, A., 2005. Physical restraint in residential child care: the experiences of young people and residential workers. Childhoods 2005: Children and Youth in Emerging and Transforming Societies, University of Oslo, Norway, 29 June–3 July 2005, Steckley and Kendrick 2007, Young peoples experiences of physical restraint in residential care: subtlety and complexity in policy and practice. In: M. Nunno, L. Bullard and D. Day, eds. For our own safety: examining the safety of high-risk interventions for children and young people. Washington, DC: Child Welfare League of America, forthcoming). The paper will discuss: information, consent and choice about involvement in the research; confidentiality, privacy and safety. It will also explore some of the more complex issues of ethical good practice which arise from researching children in their own living space. The negotiation of childrens time and space must be approached carefully, with consideration of their rights and wishes. Sensitivity to children and young peoples priorities and preoccupations must be paramount.

Therapeutic residential care for children and youth: a consensus statement of the International Work Group on Therapeutic Residential Care

While the focus of this consensus statement and the review volume that preceded it (Whittaker, Del Valle, & Holmes, 2014) is on therapeutic residential care (TRC), a specialized form of group care, we view our work as supportive of a much wider effort internationally concerned with the quality of care children receive when, for a variety of reasons, they need to live away from their families.

Physical Restraint in Residential Childcare: The Experiences of Young People and Residential Workers.

There have long been concerns about the use of physical restraint in residential care. This article presents the findings of a qualitative study that explores the experiences of children, young people and residential workers of physical restraint. The research identifies the dilemmas and ambiguities for both staff and young people, and participants discuss the situations where they feel physical restraint is appropriate as well as their concerns about unjustified or painful restraints. They describe the negative emotions involved in restraint but also those situations where, through positive relationships and trust, restraint can help young people through unsafe situations.

Alcohol and Elderly People: An Overview of the Literature for Social Work

This article attempts to highlight the pressing need for social work to take more account of the existence of alcohol problems being experienced by many elderly people. Surveying the available sketchy data, it would appear that perhaps as many as 15% of elderly social work clients may have alcohol related problems. The article continues by considering whether a discernable pattern of elderly drinking is identifiable, concluding that the greatest problems relate to the severity rather than numbers having alcohol related problems, also coupled with an inability to access existing treatment services. Additionally, the article contends that there are ethical pitfalls in promoting interventions which rest upon stereotypical assumptions or purely technical considerations. In conclusion some of the main implications of the survey for social work practice are drawn out.

On the margin? Residential child care in Scotland and Finland

Situated on the margins of Europe, Scotland and Finland are small countries which share similar demographic and economic profiles. In many European countries, residential child care can also be considered to be ‘on the margin’ of child care provision; there is ambivalence about residential care and a view that it should be used as a last resort. This paper examines systems and practices of residential care in Scotland and Finland, locating these in the context of wider child welfare policy in both countries. The underpinning principles of child welfare provision in both countries are similar—based on childrens rights and primarily family-focused. In both countries there are also similar concerns about the fragmentation of child care provision and the cost of residential services. However, there are also important differences relating to child welfare provision and the use of residential care. In Finland, overall numbers of children in residential care are much greater than in Scotland; the age profile of these children and young people is very different; and the two countries vary markedly in the use of secure accommodation and custody. This comparative analysis suggests new ways of understanding the similarities and difference in the use of residential care in the two countries. It highlights the continuing challenge to develop residential care as a positive and integral part of a continuum of care services.

Joined-Up Approaches To Prevent School Exclusion.

This article explores findings from a recent research project, funded by the Joseph Rowntree Foundation, and contextualizes these in a discussion of some current thinking about inclusion and exclusion. Although the research found that it was possible to prevent disciplinary exclusion from school and that inter-agency working was central to this, nevertheless strategies for preventing disciplinary exclusion often meant that young people were no longer very fully included in the mainstream school curriculum. This has implications for how we think about and use the idea of inclusion in practice and raises questions about how we can include the most challenging young people into inclusion theory and practice. This research was carried out in Scotland, and the article also discusses some key differences in policy and practice from England.

Residential Child Care

Residential child care has proved to be one of the most difficult and complex interventions in the lives of children around the globe. There are polarized views about residential care and this is reflected in ambivalence in legislation, policy, and practice. Residential child care, however, continues to have a positive role in the care of children and young people when they are unable to remain in their own families. High-quality and effective residential care should provide an environment that enhances development, promotes resilience, and builds the confidence and self-esteem of children and young people.

The Integration of Child Care Services in Scotland.

Abstract This paper describes the development of integrated child care services in Scotland with a particular focus on the role of residential child care provision. It discusses changes in Social Work Department policies and the impact this has had on their relationship with the Childrens Hearings system. Recent research shows the pattern of use of residential and foster care in three Social Work Departments and issues in the development of residential services are identified. Three particular examples of service integration are described: residential outreach work; a centre for young people under an integrated management; and multi-agency youth strategies. Social work and education services in Scotland are in the process of radical change. In the context of the integration of child care services, the paper discusses the impact of local government reorganisation and changes in child care legislation.

Acogimiento residencial terapéutico para niños y adolescentes : una declaración de consenso del grupo de trabajo Internacional Sobre Acogimiento Residencial Terapéutico

Therapeutic Residential Care for Children and Youth: A Consensus Statement of the International Work Group on Therapeutic Residential Care. In many developed countries around the world residential care interventions for children and adolescents have come under increasing scrutiny. Against this background an international summit was organised in England (spring 2016) with experts from 13 countries to reflect on therapeutic residential care (TRC). The following working definition of TRC was leading: “Therapeutic residential care involves the planful use of a purposefully constructed, multi-dimensional living environment designed to enhance or provide treatment, education, socialization, support, and protection to children and youth with identified mental health or behavioral needs in partnership with their families and in collaboration with a full spectrum of community based formal and informal helping resources”. The meeting was characterised by exchange of information and evidence, and by preparing an international research agenda. In addition, the outlines of a consensus statement on TRC were discussed. This statement, originally published in English and now reproduced in a Spanish translation, comprises inter alia five basic principles of care that according to the Work Group on Therapeutic Residental Care should be guiding for residential youth care provided at any time.

Scotland: Historic Abuse in Care and Human Rights

This chapter details the Scottish response to the historic abuse of children in care: a government apology, a national review, new legislation on public records, a national confidential forum and counselling support for victims/survivors. It highlights the way in which the focus has been on residential care and little attention has been paid to abuse in foster care. Survivors have expressed frustration at the slow pace of change while others have been critical of what they see as a disproportionate response. A human rights InterAction on historic abuse has brought together key stakeholders, including victims/survivors, in order to take forward a more comprehensive approach to historical justice.