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A randomized controlled trial of consensus-based child abuse case management.
L Goldbeck1, A Laib-Koehnemund, J M Fegert
1University Hospital Ulm, Department of Child and Adolescent Psychiatry/Psychotherapy, Steinhoevelstr. 5, D-89075 Ulm, Germany.
Child Abuse & Neglect
|September 18, 2007
Summary
Expert-assisted case management in child protection showed mixed results. While it improved perceived child protection and intervention planning certainty, it decreased certainty in abuse estimation and child involvement.
Area of Science:
- Child welfare research
- Social work practice
- Healthcare system analysis
Background:
- Child abuse and neglect cases require effective management within welfare and healthcare systems.
- Case worker perceptions are crucial for evaluating intervention effectiveness.
Purpose of the Study:
- To evaluate the effects of expert-assisted case management on child abuse and neglect cases.
- To assess case worker perceptions of child protection, certainty, communication, and involvement.
Main Methods:
- 80 child protection cases were randomly assigned to expert-assisted or usual case management.
- Case workers from various professions participated, evaluating satisfaction, certainty, communication, and involvement.
Main Results:
- A tendency towards greater satisfaction with perceived child protection in the intervention group.
- Decreased certainty in abuse estimation but increased certainty in intervention planning.
- Lower reported legal prosecutions but significantly reduced child involvement in planning.
Conclusions:
- Expert-assisted case management can influence case workers' perceptions and interventions for child protection.
- Future modifications should prioritize improved child participation in the process.
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