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The Irish Government pledged to reducing the prevalence of child maltreatment under the WHO Regional Committee for Europe plan on reducing child maltreatment. As a first step towards a rights-based and public health approach to maltreatment prevention, the WHO plan recommends making child maltreatment more visible across the region, with better surveillance through the use of national surveys that use standardized, validated instruments. We review the policy context, present current Irish data holdings, and outline some of the complexities reported in the literature concerning various surveillance methods in the context of the proposal to establish and maintain a surveillance system for CM in Ireland. Conclusions highlight the need for Ireland to adopting an approach to surveillance as soon as it is feasible. The paper outlines how such a programme is necessary to address the current absence of evidence on which prevention policies can be developed and to compliment the current child protection system. Drawing on a review of current methods in use internationally, we outline options for an Irish child maltreatment surveillance programme.

When children are reported to Tusla Child and Family Agency, social workers may conduct Initial Assessments to determine their safety and welfare to decide if they need ongoing services. We know little about these impactful decisions. Equally, little is known about the nature of concerns investigated or about the children and families themselves. The research for my PhD addressed this evidence gap. I conducted two empirical studies in Tusla between 2015 and 2016. In the first, a case study, I used case file records and interviews to explore social workers’ rationales for their judgments and decisions. In the second, a cross-sectional study, I coded written case records to profile the population undergoing assessments and identify, through multivariable analysis, factors associated with the decision to provide ongoing service.The study developed new insights into the characteristics of children and families undergoing initial assessment and into decision making processes. Social workers’ judgments about service needs are informed by case factors, policies, resource constraints and their perception of their expertise and role. Almost 40% of children assessed received ongoing service. Multivariable analysis indicated decisions to provide ongoing services are multifactorial, influenced by a handful of current and historic case and organisation factors. This is the largest study of Initial Assessments conducted in Ireland to date. Implications of the findings for interventions, policy and further research are discussed.

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