Models of adult safeguarding in England: A review of the literature

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

doi:10.1177/1468017314556205

Cited by 17 publications

(19 citation statements)

References 58 publications

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“…First, perhaps most immediately apparent, is the degree and nature of specialism (Cambridge and Parkes, 2006;Graham et al, 2016). By specialism in adult safeguarding, we mean the extent to which responses to adult safeguarding concerns are managed and investigated by specialist adult safeguarding teams or specialist social workers working in operational teams.…”

Section: Introductionmentioning

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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Section: Introductionmentioning

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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“…Surprisingly, the literature review undertaken for this study (Graham et al, 2014) showed that given the interest in research and practice communities in safeguarding, little has been published on different models of adult safeguarding. There are, however, a couple of exceptions to this.…”

Section: Introductionmentioning

confidence: 93%

“…"No Secrets" (Department of Health and Home Office, 2000) was permissive in approach and the appointment of local authorities as lead agencies facilitated variations of system design (Graham et al, 2014). At a strategic level, local authority managers and politicians need to promote the prevention agenda and support the development of partnerships.…”

Section: Introductionmentioning

confidence: 99%

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

Norrie

Stevens

Graham

et al. 2014

The Journal of Adult Protection

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Purpose -The purpose of this paper is to describe the methodology being used in a study exploring the organisation of adult safeguarding. Design/methodology/approach -A mixed-methods study is presented which describes how the research team is seeking to identify models of adult safeguarding and then compare them using a quasi-experimental study design. Findings -Close examination of this study's methodology highlights the potential value of mixed-method research approaches. Research limitations/implications -Anticipated study challenges include difficulties with gaining agreement from study sites and recruitment of people who have been the subject of a safeguarding referral. Originality/value -This will be the first study in England to identify and compare different models of adult safeguarding in depth. Outlining and discussing current methodology is likely to be of interest to practitioners, managers and other researchers and policy makers.

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“…At the personal level it is criticised for depicting citizens as independent, rational and autonomous choice-makers; minimising the interdependent and relational nature of everyday life that an ethic of care seeks to highlight (Barnes 2011, Lloyd 2010. This underlines the importance of exploring choice from the experience of adults at risk and their families, and yet their perspective forms only a small part of the adult safeguarding research conducted so far (Graham et al 2014;Preston-Shoot and Cornish 2014).…”

Section: ------------------------------------------------------------mentioning

confidence: 99%

Choosing to Live with Harm? A Presentation of two Case Studies to Explore the Perspective of those who Experienced Adult Safeguarding Interventions

Mackay

2017

Ethics and Social Welfare

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Adult safeguarding often creates a tension for welfare practitioners between promoting an adult’s autonomy and their duty to try to protect them from harm. Literature highlights the dangers of adopting simplistic notions of autonomy and capacity in assessing whether someone may be choosing to live with harm. Yet very little has been published about how adults at risk and family members experience the tension between autonomy and protection: what choices do they think they have and why might they choose one above another? The article starts to address this gap by utilising an ethic of care to explore the experiences of an adult at risk; and then a family member where older people were being harmed within family relationships. These accounts were drawn from a Scottish qualitative adult safeguarding study. They highlight how choice, autonomy and capacity are interconnected concepts; and that they can be compromised by a range of personal, relational and environmental factors. In addition they demonstrate how practitioners can support or limit the choices open to adults at risk and their family members. The ensuing discussion summarises the implications fo

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Models of adult safeguarding in England: A review of the literature

Abstract: The version in the Kent Academic Repository may differ from the final published version. Users are advised to check http://kar.kent.ac.uk for the status of the paper. Users should always cite the published version of record.

Cited by 17 publications

References 58 publications

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

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

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

Choosing to Live with Harm? A Presentation of two Case Studies to Explore the Perspective of those who Experienced Adult Safeguarding Interventions

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