Improving social care systems and practices for safeguarding young people at complex risk: what promotes and sustains innovation?

改善社会关怀系统和实践，保护面临复杂风险的年轻人：什么促进和维持创新？

• 批准号: ES/T00133X/1
• 负责人: Michelle Lefevre
• 金额: $ 194.83万
• 依托单位: University of Sussex
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FT00133X%2F1
• 关键词: Improving; social; care; systems; practices

A key challenge for children's social care is how to improve service experiences and outcomes for some of the most vulnerable members of our society in the face of complex social problems, increased demand for services, greater public accountability and pressure on public spending. Incremental improvement to traditional service systems and structures is not always sufficient to address intractable issues, such as child sexual exploitation, which are resistant to any clear-cut, unidimensional or standardised remedies. Innovation is increasingly being mooted as a way of fundamentally rethinking the nature of such practice problems and transforming (often radically) the ways that services are structured and delivered. This incurs substantial investment of resource, but not enough is yet understood about the conditions, factors and processes that will allow innovation to flourish and sustain over time and to be diffused effectively. Opportunities to address gaps and deficiencies in social care provision, therefore, are not being maximised and it cannot be assumed that social investment provides best value for money. Our four year collaborative project will address this gap in knowledge, providing invaluable insight into the stages of innovation over time, and identifying what practice or system innovations require to maximise their potential for addressing service objectives, improving experiences and outcomes for young people and families, and achieving value for money. The processes of innovation can only be studied in context, so we will investigate how six social care organisations or networks across the UK have innovated in practice services or systems to address the 'complex safeguarding' risks that vulnerable young people face at the intersection of their family, peer, social and environmental contexts, such as exploitation and gang association. More specifically, we will scrutinise how the six sites have interpreted and operationalised one of three flexible conceptual frameworks which allow for nuanced and situated innovation to address complex safeguarding risks: Trauma-Informed Practice, Contextual Safeguarding or Transitional Safeguarding. The detailed scrutiny of our multi-method case study design will enable us to uncover the various stages of innovation in real time, within organisations and systems, and in their varied cultural, geographical and regulatory contexts. Existing theories of innovation will be tested and scrutinised critically alongside theories of organisational development and change management, and systemic and psychosocial theories, to create new cross-disciplinary understandings which could then have relevance to wider innovation practice. Any evidence of improved outcomes, positive service user experience and cost-efficiency associated with these innovations will be established. Circles of engagement and influence with a wider group of social care organisations, in the UK and overseas, will allow emergent findings to be tested in more diverse contexts, and to generate and capture impact.Our project will inform the development of future innovation, both in complex safeguarding and in social care and public services more broadly. Our findings will lead to the development of a critical sociology of complex safeguarding and a practice model that: collaborates with young people and families as partners; supports practitioners and services in assessing and addressing peer, environmental, individual and familial risks; ensures the impact of trauma on young people and practitioners is understood and mitigated; and respects young people's support and protection needs alongside their rights to autonomy, privacy, and voice. A comprehensive programme of engagement, knowledge exchange and impact generation with communities of practice, engagement and interest will diffuse findings and provide evidence of benefit to stakeholders.

儿童社会关怀面临的一个关键挑战是，面对复杂的社会问题、服务需求的增加、公共责任的加强和公共支出的压力，如何改善社会中一些最弱势成员的服务体验和结果。对传统服务系统和结构的逐步改进并不总是足以解决棘手问题，例如儿童性剥削，这些问题无法采取任何明确、单一或标准化的补救措施。创新越来越被认为是从根本上重新思考此类实践问题的本质并改变（通常是彻底的）服务构建和交付方式的一种方式。这需要大量的资源投资，但对于使创新能够随着时间的推移蓬勃发展和持续并有效传播的条件、因素和过程还没有足够的了解。因此，解决社会护理供给方面的差距和不足的机会并未得到最大化，也不能认为社会投资能够提供最佳的经济效益。我们为期四年的合作项目将弥补这一知识差距，提供对随着时间推移的创新阶段的宝贵见解，并确定需要哪些实践或系统创新来最大限度地发挥其潜力，以实现服务目标，改善年轻人和家庭的体验和成果，并实现物有所值。创新过程只能在具体背景下进行研究，因此我们将调查英国各地的六个社会关怀组织或网络如何在实践服务或系统方面进行创新，以解决弱势年轻人在家庭、同伴、社会和环境背景下面临的“复杂的保障”风险，例如剥削和帮派结社。更具体地说，我们将仔细研究这六个地点如何解释和实施三个灵活的概念框架之一，这些框架允许细致入微的情境创新来解决复杂的保障风险：创伤知情实践、情境保障或过渡性保障。对我们的多方法案例研究设计的详细审查将使我们能够实时揭示组织和系统内以及不同文化、地理和监管背景下创新的各个阶段。现有的创新理论将与组织发展和变革管理理论以及系统和心理社会理论一起接受严格的测试和审查，以创建新的跨学科理解，从而与更广泛的创新实践相关。将建立与这些创新相关的改善结果、积极的服务用户体验和成本效率的任何证据。与英国和海外更广泛的社会关怀组织的接触和影响圈将使新兴发现能够在更多样化的背景下进行测试，并产生和捕捉影响。我们的项目将为未来创新的发展提供信息，无论是在复杂的保障方面，还是在更广泛的社会关怀和公共服务方面。我们的研究结果将导致复杂保护的批判社会学和实践模型的发展：与年轻人和家庭作为合作伙伴进行合作；支持从业者和服务机构评估和解决同伴、环境、个人和家庭风险；确保了解并减轻创伤对年轻人和从业者的影响；尊重年轻人的支持和保护需求以及他们的自主权、隐私权和发言权。与实践、参与和兴趣社区一起参与、知识交流和产生影响的综合计划将传播调查结果，并为利益相关者提供利益证据。

项目成果

Towards a Synthesised Directional Map of the Stages of Innovation in Children's Social Care

绘制儿童社会关怀创新阶段的综合方向图

• DOI: 10.1093/bjsw/bcac183
• 发表时间: 2023
• 期刊: The British Journal of Social Work
• 作者: Lefevre M

Innovation in Social Care - New Approaches for Young People Affected by Extra-Familial Risks and Harms

社会关怀创新——为受家庭外风险和伤害影响的年轻人提供新方法

• DOI: 10.51952/9781447371250
• 发表时间: 2024
• 作者: Lefevre M

Innovating in the Time of Covid: Adapting Services for Young People Experiencing Extra-Familial Risks and Harms

新冠时代的创新：为经历家庭外风险和伤害的年轻人调整服务

• DOI: 10.1111/cfs.13163
• 发表时间: 2024
• 期刊: Child & Family Social Work
• 影响因子: 1.7
• 作者: Peace D

Relationship-based practice and contextual safeguarding: Approaches to working with young people experiencing extra-familial risk and harm

基于关系的实践和情境保护：与经历家庭外风险和伤害的年轻人合作​​的方法

• DOI: 10.1111/chso.12787
• 发表时间: 2023
• 期刊: Children & Society
• 影响因子: 1.7
• 作者: Lloyd J

Safeguarding Young People Beyond the Family Home: Responding to Extra-Familial Risks and Harms

保护家庭之外的年轻人：应对家庭外的风险和伤害

• 发表时间: 2022
• 作者: Firmin