A B S T R AC TResearch internationally has identified large differences in rates of child safeguarding interventions, recently characterized as child welfare inequalities, markers of social inequalities in childhood with parallels to inequalities in health and education. This paper reports a Nuffield Foundation-funded study to examine the role of deprivation in explaining differences in key children's services interventions between and within local authorities (LAs). The study involved an analysis of descriptive data on over 10% of children on child protection plans or in out-of-home care in 14 English LAs at 31 March 2012. The data demonstrate very large inequalities in rates of child welfare interventions within and between LAs, systematically related to levels of deprivation. There is evidence of a gradient in child welfare inequalities across the whole of society. There also appears to be an equivalent of the inverse care law for health: For any given level of deprivation in local neighbourhoods, LAs with lower overall levels of deprivation were intervening more often. The findings raise fundamental questions for research, policy and practice including whether the allocation of children's service resources sufficiently recognize the impact of deprivation on demand and how we judge whether a safeguarding system is effective at the population level. bs_bs_banner
Attempts to record, understand and respond to variations in child welfare and protection reporting, service patterns and outcomes are international, numerous and longstanding.Reframing such variations as an issue of inequity between children and between families opens the way to a new approach to explaining the profound difference in intervention rates between and within countries and administrative districts. Recent accounts of variation have frequently been based on the idea that there is a binary divide between bias and risk (or need).Here we propose seeing supply (bias) and demand (risk) factors as two aspects of a single system, both framed, in part, by social structures. A recent finding from a study of intervention rates in England, the 'inverse intervention law', is used to illustrate the complex ways in which a range of factors interact to produce intervention rates. In turn, this analysis raises profound moral, policy, practice and research questions about current child welfare and child protection services.
A B S T R AC TChild welfare systems internationally exhibit very large inequalities in a variety of dimensions of practice, for example, in rates of child protection plans or registrations and out-of-home care. Previous research in the midlands region of England (Bywaters; Bywaters et al.) has detailed key aspects of the relationship between levels of neighbourhood deprivation and intervention rates. This paper reports further evidence from the study examining the intersection of deprivation with aspects of identity: gender, disability, ethnicity and age. Key findings include a decreasing gender gap and a decreasing proportion of children in need reported to be disabled as deprivation increases. The data challenge the perception that black children are more likely than white to be in out-of-home care, a finding that only holds if the much higher level of deprivation among black children is not taken into account. Similarly, after controlling for deprivation and age, Asian children were found to be up to six times less likely to be in out-of-home care. The study requires replication and extension in order that observed inequalities are tested and explained. Urgent ethical, research, policy and practice issues are raised about child welfare systems.
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