Dilemmas in child protection: Methods and decision-maker factors influencing decision-making in child maltreatment cases

Cora Bartelink

Dilemmas in child protection: Methods and decision-maker factors influencing decision-making in child maltreatment cases

Cora Bartelink

Ontwikkelings- en Gedragsstoornissen in Onderwijs en Zorg: Assessment en Interventie

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Kindermishandeling is een belangrijk probleem. Goede besluitvorming over de vraag of er sprake is van kindermishandeling is essentieel. Het doel van dit proefschrift is inzicht te krijgen in factoren die de besluitvorming van professionals in de jeugdzorg en jeugdbescherming beïnvloeden en mogelijk verbeteren in zaken waar (een vermoeden van) kindermishandeling speelt. Daarbij is onderzoek gedaan naar: 1) de effecten van een gestructureerde methode voor de besluitvorming op de kwaliteit van oordelen en beslissingen (de zogeheten ORBA-methode); 2) de effecten van een risicotaxatie-instrument (LIRIK) op de overeenstemming en trefzekerheid van risico-inschattingen; 3) hoe professionals redeneren bij beslissingen over de inzet van interventies. De effecten van de gestructureerde besluitvorming met ORBA en het risicotaxatie-instrument LIRIK blijken beperkt te zijn. Ze helpen professionals om meer relevante casusfactoren in ogenschouw te nemen, maar het leidt er niet toe dat ze het vaker eens zijn in hun oordelen bij kindermishandelingszaken. Ook leidt het niet tot trefzekerder oordelen. Daarnaast blijken persoonlijke redenaties en de opvattingen van de professionals ten aanzien van kindermishandeling en de uithuisplaatsing van kinderen de besluitvorming substantieel te beïnvloeden. Dit verklaart mogelijk de beperkte effecten die we vonden bij gebruik van ORBA en LIRIK: dergelijke methoden lijken niet genoeg tegenwicht te geven voor die persoonlijke redenaties en opvattingen. Het is daarom nodig om – naast het gebruik van middelen als ORBA en LIRIK - aanvullende manieren te zoeken om de besluitvorming te verbeteren. We denken daarbij onder meer aan het zogeheten ‘kritisch denken’ (systematisch – eventueel in teams - bedenken van alternatieve verklaringen, doelbewust genereren van voor- en tegenargumenten voor de voorgenomen en alternatieve beslissingen) en aan een meer gedeelde besluitvorming met ouders en kinderen.

Originele taal-2	English
Kwalificatie	Doctor of Philosophy
Toekennende instantie	Rijksuniversiteit Groningen
Begeleider(s)/adviseur	van Yperen, Tom, Supervisor Knorth, Erik, Supervisor ten Berge, Ingrid J., Co-supervisor, Externe Persoon
Datum van toekenning	1-feb.-2018
Plaats van publicatie	[Groningen]
Uitgever	Rijksuniversiteit Groningen
Gedrukte ISBN's	978-94-034-0327-4
Elektronische ISBN's	978-94-034-0326-7
Status	Published - 2018

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Title and contentsFinal publisher's version, 124 KB
Chapter 1Final publisher's version, 156 KB
Chapter 2Final publisher's version, 224 KB
Chapter 3Final publisher's version, 169 KB
Chapter 4Final publisher's version, 201 KB
Chapter 5Final publisher's version, 274 KB
Chapter 6Final publisher's version, 240 KB
Chapter 7Final publisher's version, 200 KB
ReferencesFinal publisher's version, 303 KB
SamenvattingFinal publisher's version, 121 KB
SummaryFinal publisher's version, 118 KB
DankwoordFinal publisher's version, 63,3 KB
About the authorFinal publisher's version, 58 KB
PublicationsFinal publisher's version, 1 MB
Complete thesisFinal publisher's version, 2,01 MB
PropositionsFinal publisher's version, 22,5 KB

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@phdthesis{f61c10dd5fa7438780e5738de3dbdb04,

title = "Dilemmas in child protection: Methods and decision-maker factors influencing decision-making in child maltreatment cases",

abstract = "Child maltreatment is an important problem. High quality decision-making is crucial to determine whether child abuse or neglect occurs. This dissertation aims to gain insight into the factors which influence the decision-making of professionals in child welfare and child protection and which could improve decision-making in cases of (suspected) child maltreatment. Therefore, research was conducted on: 1) the effects of structured decision-making on the quality of judgments and decisions (the so-called ORBA method); 2) the effects of the use of a risk assessment instrument (LIRIK) on the agreement and predictive validity of risk estimations; 3) how professionals reason about the intervention recommendations. The effects of the structured decision-making method and the risk assessment instrument both appear to be limited. They support professionals in considering more relevant case factors. However, their use did not increase agreement on judgments in child maltreatment cases. Furthermore, professionals{\textquoteright} decision-making was substantially influenced by their personal reasoning and attitudes regarding child abuse and out-of-home placement. This finding provides a potential explanation for the limited effects of the use of ORBA and LIRIK we found: such methods and instruments do not seem to counteract personal attitudes and reasoning. Therefore, it is necessary to find additional ways to improve decision-making, besides the use of tools such as ORBA and LIRIK. This may include, among other things, so-called {\textquoteleft}critical thinking{\textquoteright} (systematically considering – potentially in teams – alternative explanations, purposefully generating arguments and counterarguments for the interventions proposed and for alternative interventions) and more often shared decision-making with parents and children.",

author = "Cora Bartelink",

year = "2018",

language = "English",

isbn = "978-94-034-0327-4",

publisher = "Rijksuniversiteit Groningen",

school = "University of Groningen",

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TY - BOOK

T1 - Dilemmas in child protection

T2 - Methods and decision-maker factors influencing decision-making in child maltreatment cases

AU - Bartelink, Cora

PY - 2018

Y1 - 2018

N2 - Child maltreatment is an important problem. High quality decision-making is crucial to determine whether child abuse or neglect occurs. This dissertation aims to gain insight into the factors which influence the decision-making of professionals in child welfare and child protection and which could improve decision-making in cases of (suspected) child maltreatment. Therefore, research was conducted on: 1) the effects of structured decision-making on the quality of judgments and decisions (the so-called ORBA method); 2) the effects of the use of a risk assessment instrument (LIRIK) on the agreement and predictive validity of risk estimations; 3) how professionals reason about the intervention recommendations. The effects of the structured decision-making method and the risk assessment instrument both appear to be limited. They support professionals in considering more relevant case factors. However, their use did not increase agreement on judgments in child maltreatment cases. Furthermore, professionals’ decision-making was substantially influenced by their personal reasoning and attitudes regarding child abuse and out-of-home placement. This finding provides a potential explanation for the limited effects of the use of ORBA and LIRIK we found: such methods and instruments do not seem to counteract personal attitudes and reasoning. Therefore, it is necessary to find additional ways to improve decision-making, besides the use of tools such as ORBA and LIRIK. This may include, among other things, so-called ‘critical thinking’ (systematically considering – potentially in teams – alternative explanations, purposefully generating arguments and counterarguments for the interventions proposed and for alternative interventions) and more often shared decision-making with parents and children.

AB - Child maltreatment is an important problem. High quality decision-making is crucial to determine whether child abuse or neglect occurs. This dissertation aims to gain insight into the factors which influence the decision-making of professionals in child welfare and child protection and which could improve decision-making in cases of (suspected) child maltreatment. Therefore, research was conducted on: 1) the effects of structured decision-making on the quality of judgments and decisions (the so-called ORBA method); 2) the effects of the use of a risk assessment instrument (LIRIK) on the agreement and predictive validity of risk estimations; 3) how professionals reason about the intervention recommendations. The effects of the structured decision-making method and the risk assessment instrument both appear to be limited. They support professionals in considering more relevant case factors. However, their use did not increase agreement on judgments in child maltreatment cases. Furthermore, professionals’ decision-making was substantially influenced by their personal reasoning and attitudes regarding child abuse and out-of-home placement. This finding provides a potential explanation for the limited effects of the use of ORBA and LIRIK we found: such methods and instruments do not seem to counteract personal attitudes and reasoning. Therefore, it is necessary to find additional ways to improve decision-making, besides the use of tools such as ORBA and LIRIK. This may include, among other things, so-called ‘critical thinking’ (systematically considering – potentially in teams – alternative explanations, purposefully generating arguments and counterarguments for the interventions proposed and for alternative interventions) and more often shared decision-making with parents and children.

M3 - Thesis fully internal (DIV)

SN - 978-94-034-0327-4

PB - Rijksuniversiteit Groningen

CY - [Groningen]

ER -

Dilemmas in child protection: Methods and decision-maker factors influencing decision-making in child maltreatment cases

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