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On (not) learning from self-neglect safeguarding adult reviews

On (not) learning from self-neglect safeguarding adult reviews The purpose of this paper is to update the core data set of self-neglect safeguarding adult reviews (SARs) and accompanying thematic analysis. It also explores whether lessons are being learned from the findings and recommendations of an increasing number of reviews on self-neglect cases.Design/methodology/approachFurther published reviews are added to the core data set, mainly drawn from the websites of safeguarding adults boards (SABs). Thematic analysis is updated using the domains used previously. The domains and the thematic analysis are grounded in the evidence-based model of good practice, reported in this journal previously.FindingsFamiliar findings emerge from the thematic analysis and reinforce the evidence-base of good practice with individuals who self-neglect and for policies and procedures with which to support those practitioners working with such cases. Multiple exclusion homelessness and alcohol misuse are prominent. Some SABs are having to return to further cases of self-neglect to review, inviting scrutiny of what is (not) being learned from earlier findings and recommendations.Research limitations/implicationsThe national database of reviews commissioned by SABs remains incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in SAB annual reports. National Health Service Digital annual data sets do not enable the identification of reviews by types of abuse and neglect. However, the first national analysis of SARs has found self-neglect to be the most prominent type of abuse and/or neglect reviewed. Drawing together the findings builds on what is known about the components of effective practice, and effective policy and organisational arrangements for practice.Practical implicationsAnswering the question “why” remains a significant challenge for SARs. The findings confirm the relevance of the evidence-base for effective practice but SARs are limited in their analysis of what enables and what obstructs the components of best practice. Greater explicit use of research and other published SARs might assist with answering the “why” question. Greater scrutiny is needed of the impact of the national legal, policy and financial context within which adult safeguarding is situated.Originality/valueThe paper extends the thematic analysis of available reviews that focus on study with adults who self-neglect, further reinforcing the evidence base for practice. Propositions are explored, concerned with whether learning is being maximised from the process of case review. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journal of Adult Protection Emerald Publishing

On (not) learning from self-neglect safeguarding adult reviews

Preston-Shoot, Michael
The Journal of Adult Protection , Volume 23 (4): 19 – Aug 11, 2021
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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1466-8203
eISSN
1466-8203
DOI
10.1108/jap-02-2021-0008
Publisher site
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Abstract

The purpose of this paper is to update the core data set of self-neglect safeguarding adult reviews (SARs) and accompanying thematic analysis. It also explores whether lessons are being learned from the findings and recommendations of an increasing number of reviews on self-neglect cases.Design/methodology/approachFurther published reviews are added to the core data set, mainly drawn from the websites of safeguarding adults boards (SABs). Thematic analysis is updated using the domains used previously. The domains and the thematic analysis are grounded in the evidence-based model of good practice, reported in this journal previously.FindingsFamiliar findings emerge from the thematic analysis and reinforce the evidence-base of good practice with individuals who self-neglect and for policies and procedures with which to support those practitioners working with such cases. Multiple exclusion homelessness and alcohol misuse are prominent. Some SABs are having to return to further cases of self-neglect to review, inviting scrutiny of what is (not) being learned from earlier findings and recommendations.Research limitations/implicationsThe national database of reviews commissioned by SABs remains incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in SAB annual reports. National Health Service Digital annual data sets do not enable the identification of reviews by types of abuse and neglect. However, the first national analysis of SARs has found self-neglect to be the most prominent type of abuse and/or neglect reviewed. Drawing together the findings builds on what is known about the components of effective practice, and effective policy and organisational arrangements for practice.Practical implicationsAnswering the question “why” remains a significant challenge for SARs. The findings confirm the relevance of the evidence-base for effective practice but SARs are limited in their analysis of what enables and what obstructs the components of best practice. Greater explicit use of research and other published SARs might assist with answering the “why” question. Greater scrutiny is needed of the impact of the national legal, policy and financial context within which adult safeguarding is situated.Originality/valueThe paper extends the thematic analysis of available reviews that focus on study with adults who self-neglect, further reinforcing the evidence base for practice. Propositions are explored, concerned with whether learning is being maximised from the process of case review.

Journal

The Journal of Adult Protection – Emerald Publishing

Published: Aug 11, 2021

Keywords: Learning; Research; Self-neglect; Safeguarding adult reviews; Evidence-base; National SAR analysis

References

  • Learning lessons about self-neglect? An analysis of serious case reviews
    Braye, S.; Orr, D.; Preston-Shoot, M.
  • Serious case review findings on the challenges of self-neglect: indicators for good practice
    Braye, S.; Orr, D.; Preston-Shoot, M.
  • Abuse inquiries as learning tools for social care organisations
    Stanley, N.; Manthorpe, J.
  • Significant incident learning process (SILP) – the experience of facilitating and evaluating the process in adult safeguarding
    Clawson, R.; Kitson, D.
  • Doing knowing ethically – where social work values meet critical realism
    Dore, I.
  • Preparing social workers to affect policy: the parliament as a venue for training
    Elmaliach-Mankita, H.; Weiss-Gal, I.; Gal, J.
  • What can and cannot be learned from serious case reviews of the care and treatment of adults with learning disabilities in England? Messages for social workers
    Manthorpe, J.; Martineau, S.
  • Pressure points: learning from serious case reviews of failures of care and pressure ulcer problems in care homes
    Manthorpe, J.; Martineau, S.
  • Mental health law under review: messages from English safeguarding adults reviews
    Manthorpe, J.; Martineau, S.
  • Embarking on self-directed support in Scotland: a focused scoping review of the literature
    Manthorpe, J.; Martineau, S.; Ridley, J.; Cornes, M.; Rosengard, A.; Hunter, S.
  • Look to the skies. Professional social work
    Mills, C.; Dale, T.
  • Older people, institutional abuse and inquiries
    Stanley, N.; Manthorpe, J.
  • Changing learning and learning change: making a difference in education, policy and practice
    Preston-Shoot, M.
  • Towards explanations for the findings of serious case reviews: understanding what happens in self-neglect work
    Preston-Shoot, M.
  • On Self-Neglect and safeguarding adult reviews: diminishing returns or adding value?
    Preston-Shoot, M.
  • Learning from safeguarding adult reviews on self-neglect: addressing the challenge of change
    Preston-Shoot, M.
  • Self-neglect and safeguarding adult reviews: towards a model of understanding facilitators and barriers to best practice
    Preston-Shoot, M.
  • Safeguarding adult reviews: informing and enriching policy and practice on self-neglect
    Preston-Shoot, M.
  • Making connections: a multi-disciplinary analysis of domestic homicide, mental health homicide and adult practice reviews
    Robinson, A.; Rees, A.; Dehaghani, R.
  • The role of professional judgement in social work assessment: a comparison between Norway and England
    Samsonsen, V.; Turney, D.
  • Relational ethnography: writing and reading in research relationships. Forum
    Simon, G.
  • Where politics and evaluation research meet
    Weiss, C.
  • Conclusion: rights, justice, the law and extra legal action
    Yu, N.; Mandell, D.