Chapter 16Geraldine Macdonald
Intervening with Neglect
'What works' credentialsEvidence-based decision-making is a demanding task, requiring much more
than simply knowledge about which interventions are effective and which are
not. The other chapters in this book highlight the importance of a sound
knowledge of the factors contributing to neglect, the importance of high
quality assessments, maintaining a child-focused approach. That said, knowing
what works, and if so in what timescale, with what demands on resources, and
with what chances of success in a particular set of circumstances, is essential.
For the reader familiar with the literature, this chapter may appear to ignore a
number of studies purporting to address effective interventions in the field. For
practitioners, it may at first sight offer less than was hoped for in terms of
answers to the important question 'what works?' This is because in order to be
included in this summary account of 'what works?', only certain kinds of
evidence have been deemed acceptable. They are, in order of evidential weight:
|1. ||Systematic reviews, that is, reviews in which all the primary studies
have been systematically identified, appraised and summarized
according to an explicit and reproducible methodology (see Chapter
|2. ||Randomized controlled trial, that is, studies in which participants
have been randomly allocated to receive either the intervention being
evaluated or to be in a control group. The control group may have
received an alternative intervention, usual services, or no services, that
is, be on a waiting list.|
|3. ||Two-group studies, that is, studies in which one group of participants
received the intervention being evaluated and another group
(possibly matched on important characteristics such as age, gender,
ethnicity, type or history of neglect) received one of the alternatives
described in Point 2 above.|
Questia, a part of Gale, Cengage Learning. www.questia.com
Book title: Child Neglect: Practice Issues for Health and Social Care.
Contributors: Julie Taylor - Editor, Brigid Daniel - Editor.
Publisher: Jessica Kingsley.
Place of publication: London.
Publication year: 2005.
Page number: 279.
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