Investigating models of adult safeguarding in England – a mixed-methods approach

Norrie, Caroline; Stevens, Martin; Graham, Katherine; Manthorpe, Jill; Moriarty, Jo; Hussein, Shereen

doi:10.1108/jap-11-2013-0045

Cited by 8 publications

(8 citation statements)

References 20 publications

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“… 2014 ; Norrie et al . 2014 ; Trainor, 2015 ). Research suggests that reactive and technical approaches to risk management and safeguarding are inadequate for addressing the complex circumstances and individual needs (Manthorpe et al .…”

Section: Discussionmentioning

confidence: 99%

Mental health service user experiences of targeted violence and hostility and help-seeking in the UK: a scoping review

et al. 2017

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Background.The aim of this research scoping review was to assemble an evidence base for the UK on mental health service user experiences and perspectives on mental health-related targeted violence and hostility (‘disability hate crime’). It also aims to address some of the gaps in the knowledge on risk management, help-seeking and prevention from the perspectives of those who experienced targeted violence and hostility because of their mental health problems or psychiatric status.Methods.Seven key mental health and social care bibliographic databases were searched for relevant UK research studies from 1990 until 2016. Grey literature was identified through online searches. A scoping review charting approach and thematic analysis methodology were used to analyse the studies.Results.In total 13 studies were finally included, over half of which used survey methods. All studies included people with experiences of mental health problems. The studies provide information on: the types of potential hate crime; indicate where incidents take place; give some insight into the victims’ relationship with the perpetrators; the location of incidents as well as the psychological, social, financial and physical impacts on the victim; the types of help-seeking behaviours adopted by the victims; a range coping strategies that people with mental health problems adopted in response to experiences of targeted violence or abuse.Conclusion.This scoping review provides a UK-based overview of mental health service user concepts and experiences of mental health-related targeted violence and hostility (‘disability hate crime’). It reveals some specific issues relating to mental health and disability hate crime. Further investigation into disability hate crime with a specific focus on mental health is required. This is a UK-based overview, which offers a useful comparator for researchers, practitioners and policy-makers internationally.

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Section: Discussionmentioning

confidence: 99%

Mental health service user experiences of targeted violence and hostility and help-seeking in the UK: a scoping review

et al. 2017

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“…This article reports the first phase of the study which sought to identify the different models of safeguarding currently employed in local authorities in England. These models, which are largely descriptive, formed the basis for the second and third phases of this study investigating the potential effects of different organisational models of adult safeguarding (Norrie et al., 2014).…”

Section: Introductionmentioning

confidence: 99%

Models of safeguarding in England: Identifying important models and variables influencing the operation of adult safeguarding

Graham

Stevens

Norrie

et al. 2016

Journal of Social Work

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Citing this paper Please note that where the full-text provided on King's Research Portal is the Author Accepted Manuscript or Post-Print version this may differ from the final Published version. If citing, it is advised that you check and use the publisher's definitive version for pagination, volume/issue, and date of publication details. And where the final published version is provided on the Research Portal, if citing you are again advised to check the publisher's website for any subsequent corrections. General rightsCopyright and moral rights for the publications made accessible in the Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognize and abide by the legal requirements associated with these rights.•Users may download and print one copy of any publication from the Research Portal for the purpose of private study or research.•You may not further distribute the material or use it for any profit-making activity or commercial gain •You may freely distribute the URL identifying the publication in the Research Portal Take down policy If you believe that this document breaches copyright please contact librarypure@kcl.ac.uk providing details, and we will remove access to the work immediately and investigate your claim. Findings: Several models of practice were identified. Confirming a central theme reported in the literature, the extent and nature of specialism within safeguarding practice varied. Safeguarding specialists were reported to be based in centralised teams or were located as specialists in locality social work teams. In some areas the role of specialist safeguarding practitioners was linked to an analysis of risk severity or location of the concern. Other areas emphasised the importance of safeguarding work as the core of mainstream social work practice.Applications: These findings offer a basis for analysis and managerial considerations about the implications of different organisational models of adult safeguarding. These may be relevant to option appraisals and decision making about future organisational planning.

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“…Phase one consisted of a literature review and interviews with senior safeguarding managers in 24 local authorities (Norrie et al 2014). Phases two and three involved in-depth analysis of five local authorities, which were selected to represent the different models of safeguarding.…”

Section: Models Of Safeguardingmentioning

confidence: 99%

“…However, after critical reflection, we combined two of the 'Dispersed Specialist' models, which meant that two sites were identified as operating a 'Dispersed Specialist' model. Phase two involved a staff survey (Norrie et al 2014) and secondary analysis of Abuse of Vulnerable Adult (AVA) returns (now Safeguarding Adults Returns), Adult Social Care Survey data, and an analysis of cost estimates provided by safeguarding managers. Phase three consisted of interviews with a wide range of stakeholders (See Figure 1) in the five sites.…”

Section: Models Of Safeguardingmentioning

confidence: 99%

Models of Adult Safeguarding in England: Findings from a Study of Costs and Referral Outcomes

Stevens

Norrie

Manthorpe

et al. 2016

The British Journal of Social Work

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Adult safeguarding is the subject of increasing attention in England and internationally. This article draws on research which developed a typology of 'models of safeguarding'. 'Models' refer to different ways local authorities in England organise adult safeguarding (about which there is little evidence) rather than 'model' approaches to be emulated. The four models identified were: Dispersed Generic (safeguarding work undertaken by operational teams); Dispersed Specialist (safeguarding work undertaken partly by specialist social workers located in operational teams); Partially Centralised Specialist (some safeguarding work undertaken by a central specialist safeguarding team; and Fully Centralised Specialist (all safeguarding work undertaken by a specialist safeguarding team). We explored associations between these models and other important variables (numbers of referrals, kinds of alleged abuse and, characteristics of adults at risk) and outcomesThe article reports secondary analysis of English local authority safeguarding referral data and on the possible different costs of different models. Dispersed Specialist sites appeared to have a higher rate of substantiating alleged abuse compared with other models. Statistical correlations were found with types of victim profiles, and the perpetrator/victim relationship. It may be that decisions about local organisation of safeguarding are more affected by local organisational contexts than local authority model.

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Investigating models of adult safeguarding in England – a mixed-methods approach

Cited by 8 publications

References 20 publications

Mental health service user experiences of targeted violence and hostility and help-seeking in the UK: a scoping review

Mental health service user experiences of targeted violence and hostility and help-seeking in the UK: a scoping review

Models of safeguarding in England: Identifying important models and variables influencing the operation of adult safeguarding

Models of Adult Safeguarding in England: Findings from a Study of Costs and Referral Outcomes

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