Recording Disabled Children Within Scotland's Child Protection System: A Test Collection

IF 1.2 4区 社会学 Q3 FAMILY STUDIES
Alexander McTier, Jillian Ingram, Jennifer Morrison, Sarah Brow
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Just 5% of children on the child protection register and 10% of ‘looked after’ children were recorded as having a disability (Scottish Government <span>2025</span>).</p><p>While it is possible that the harm and abuse of disabled children are being missed by services, the more likely scenario is that disabled children at risk of or experiencing harm and abuse are being identified but are not consistently being recorded as disabled in children's social work management information systems. Disability is a contested term and consequently a complex area of measurement (Franklin et al. <span>2020</span>). There are many reasons for an under-recording of disability, including differing definitions of disability, variable practitioner skill and confidence in identifying and reporting disability (particularly among younger children) and waiting lists for specialist health and disability assessments (Cappa et al. <span>2015</span>; Loeb et al. <span>2018</span>; McTier <span>2024</span>). However, without improvements to the collection of statistics, the number and needs of disabled children will only be partially visible. In response, this article reports on a data improvement project that has developed and tested a revised set of disability indicators in one part of Scotland's child protection system, specifically joint investigative interviews using the Scottish Child Interview Model.</p><p>A joint investigative interview is a forensic interview, conducted jointly by a specially trained police officer and social worker, with a child who may have been a victim or witness of a crime or who may be at risk of significant harm. The interview forms part of a multi-agency child protection investigation.</p><p>The Scottish Child Interview Model, which began delivery in 2020, is a new approach to joint investigative interviewing which is trauma-informed, focused on the child's needs, and seeks to achieve best evidence through improved planning and interviewing techniques. As part of the approach, interviewers develop a ‘Plan for the Child's Needs’ that draws on information about each child's strengths, resources, previous experience of trauma, relationships, disability, health and wellbeing to help ensure the interview is tailored to each child.</p><p>Development and implementation support for the Scottish Child Interview Model has been led by the National Joint Investigative Interviewing Team, which is a collaborative partnership between Social Work Scotland, Police Scotland and Convention of Scottish Local Authorities (COSLA).</p><p>The data improvement project stemmed from a desire among partners to improve the recording of disability within Scotland's joint investigative interviews. Led by the Centre for Excellence for Children’s Care and Protection (CELCIS) at the University of Strathclyde, the project brought together CELCIS, the National Joint Investigative Interviewing Team and social work and police managers and practitioners from seven local multi-agency partnerships to develop and test an enhanced collection. The seven local partnerships were Ayrshire, Dumfries and Galloway, Glasgow, Highland, Lanarkshire, North Strathclyde and Western Isles, with these collectively spanning 13 of Scotland's 32 local authority areas. Two other national partners—the Scottish Government and the Health and Social Care Alliance Scotland (of third sector organisations)—agreed to support the project in a critical friend capacity.</p><p>Partners were very alert to the ethical dimensions of the project, but ethical approval was not sought. The test collection was agreed to be consistent with local authorities' and Police Scotland's duty to collect disability data as a protected characteristic under the UK Equality Act 2010. Furthermore, only aggregate, anonymised data were shared for analysis in keeping with General Data Protection Regulations and the Data Protection Act 1998, meaning no child could be identified from the data shared.</p><p>The test collection data for August 2024 to January 2025 found that 175 children (36.8%) of the 475 children subject to a Joint Investigative Interview were recorded as disabled in line with the Equality Act 2010 definition. Across the seven partnerships, the percentage ranged from 25.0% to 50.9% of children recorded as disabled (<i>M</i> = 38.2%; SD = 9.18).</p><p>The 36.8% prevalence was a significant increase on partnerships' baseline data. Previously recording disability using the options of ‘yes’, ‘no’ and ‘not assessed or known’ without a supporting definition of disability, 6.6% of 710 children subject to a Joint Investigative Interview in 2023–2024 were recorded as disabled. Partners felt the 2023–2024 data to be an under-recording of disability, brought about by disability not being defined and practitioner reticence to record without a medical diagnosis.</p><p>By condition, and noting that multiple conditions could be recorded for each child, Table 1 shows that 21.3% of the 475 children subject to a Joint Investigative Interview were recorded as having a social interaction condition (e.g., related to autism or ADHD). Mental health (15.8% of children) was the second most recorded condition, followed by learning difficulty (9.5% of children) and speech, language and communication (5.4% of children). The importance of being able to record without a medical diagnosis is evident with ‘present but without medical diagnosis’ featuring for at least half of the children recorded as having these four conditions.</p><p>The qualitative feedback from the local partnerships endorsed the test indicators and the statistical data generated. The interviewers found the indicator definitions to be clear and felt able to record children's different conditions using the indicator options available. Interviewers also felt their practice had improved because they were having to consider each condition, meaning they were asking for further information from families and practitioners to better understand each child's needs. These insights were then used when planning and conducting the interviews to best support each child to share their experiences.</p><p>The data must be interpreted with the understanding that the recording of disability is a sensitive and complex area of practice, dependent on practitioner skill and the information available to them at that time. Furthermore, recording was based on each child's presenting conditions and behaviours, noting that these can change over time and could be brought about by the child's experience of trauma rather than a disability. The data should therefore be interpreted with both a developmental and trauma-informed lens, and work with health practitioners is planned to further refine the indicators and definitions.</p><p>The project focused on children subject to a joint investigative interview in seven local partnership areas. The findings may not therefore reflect disability prevalence among children involved in other child protection stages and processes or in other parts of Scotland. The design of the project also meant that only aggregate, anonymised data were shared, meaning further analysis by child characteristics (e.g., age, gender and whether interviewed as a victim or witness) could not be undertaken.</p><p>The finding that 36.8% of children subject to a joint investigative interview had a disability is in line with the range that can be derived from Jones et al. (<span>2012</span>) and Sullivan and Knutson (<span>2000</span>). It is also consistent with Govenden et al. (<span>2024</span>) findings from an audit of child protection medical examinations across three Scottish health board areas, where 32% of the children examined were recorded as having a disability. The proportion is significantly higher than the 5%–10% prevalence reported within Scotland's Children's Social Work Statistics (Scottish Government <span>2025</span>), noting the collection uses the same ‘disability: yes, no and not assessed or known’ question as the Joint Investigative Interview partnership 2023–2024 baseline data.</p><p>The data generated, along with practitioners' positive experience of using the indicators, open up the prospect of their use within other statistical collections. While exciting, it is important to acknowledge that joint investigative interviews are a highly conducive ‘part of the system’ for using these indicators because of the national and local support infrastructure around the social work and police interviewers. There is also assurance in the quality of the disability data recorded because interviewers engage with the family and other practitioners to plan for interviews and then directly interact with each child during interview. The implication is that disability data are best recorded where practitioners have the time, space and skills to truly understand the child.</p><p>This article reports on the development and testing of indicators that can support joint investigative interviewers record disability among the children they interview. The project found a higher prevalence of disability than existing statistical collections in Scotland. The data therefore increase the visibility of disabled children within Scotland's child protection services and point towards the importance of specialist disability training and support for practitioners.</p><p>This study was funded through the University of Strathclyde’s Economic and Social Research Council Impact Acceleration Account.</p><p>Ethical approval for the research project was not sought. The test collection was agreed by partners (University of Strathclyde, COSLA, Social Work Scotland and Police Scotland) to be a continuation of local partnerships’ existing collection of data about the children interviewed. Furthermore, only aggregate, anonymised data were shared for analysis, meaning no child could be identified from the data shared.</p><p>The authors declare no conflicts of interest.</p><p>The data that support the findings of this study are available from the corresponding author upon reasonable request.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"35 2","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/car.70124","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Abuse Review","FirstCategoryId":"90","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/car.70124","RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0

Abstract

Disabled children have been found to be at three to four times greater risk of harm and abuse than their non-disabled peers (Jones et al. 2012; Sullivan and Knutson 2000). Applying this to the 9% of Scotland's children who are reported as disabled (Scotland's Census 2022), disability among Scotland's children in need of care and protection would be expected to be in the range of 27%–36%. This increased level of risk is not, however, reflected in Scotland's children's social work statistics. Just 5% of children on the child protection register and 10% of ‘looked after’ children were recorded as having a disability (Scottish Government 2025).

While it is possible that the harm and abuse of disabled children are being missed by services, the more likely scenario is that disabled children at risk of or experiencing harm and abuse are being identified but are not consistently being recorded as disabled in children's social work management information systems. Disability is a contested term and consequently a complex area of measurement (Franklin et al. 2020). There are many reasons for an under-recording of disability, including differing definitions of disability, variable practitioner skill and confidence in identifying and reporting disability (particularly among younger children) and waiting lists for specialist health and disability assessments (Cappa et al. 2015; Loeb et al. 2018; McTier 2024). However, without improvements to the collection of statistics, the number and needs of disabled children will only be partially visible. In response, this article reports on a data improvement project that has developed and tested a revised set of disability indicators in one part of Scotland's child protection system, specifically joint investigative interviews using the Scottish Child Interview Model.

A joint investigative interview is a forensic interview, conducted jointly by a specially trained police officer and social worker, with a child who may have been a victim or witness of a crime or who may be at risk of significant harm. The interview forms part of a multi-agency child protection investigation.

The Scottish Child Interview Model, which began delivery in 2020, is a new approach to joint investigative interviewing which is trauma-informed, focused on the child's needs, and seeks to achieve best evidence through improved planning and interviewing techniques. As part of the approach, interviewers develop a ‘Plan for the Child's Needs’ that draws on information about each child's strengths, resources, previous experience of trauma, relationships, disability, health and wellbeing to help ensure the interview is tailored to each child.

Development and implementation support for the Scottish Child Interview Model has been led by the National Joint Investigative Interviewing Team, which is a collaborative partnership between Social Work Scotland, Police Scotland and Convention of Scottish Local Authorities (COSLA).

The data improvement project stemmed from a desire among partners to improve the recording of disability within Scotland's joint investigative interviews. Led by the Centre for Excellence for Children’s Care and Protection (CELCIS) at the University of Strathclyde, the project brought together CELCIS, the National Joint Investigative Interviewing Team and social work and police managers and practitioners from seven local multi-agency partnerships to develop and test an enhanced collection. The seven local partnerships were Ayrshire, Dumfries and Galloway, Glasgow, Highland, Lanarkshire, North Strathclyde and Western Isles, with these collectively spanning 13 of Scotland's 32 local authority areas. Two other national partners—the Scottish Government and the Health and Social Care Alliance Scotland (of third sector organisations)—agreed to support the project in a critical friend capacity.

Partners were very alert to the ethical dimensions of the project, but ethical approval was not sought. The test collection was agreed to be consistent with local authorities' and Police Scotland's duty to collect disability data as a protected characteristic under the UK Equality Act 2010. Furthermore, only aggregate, anonymised data were shared for analysis in keeping with General Data Protection Regulations and the Data Protection Act 1998, meaning no child could be identified from the data shared.

The test collection data for August 2024 to January 2025 found that 175 children (36.8%) of the 475 children subject to a Joint Investigative Interview were recorded as disabled in line with the Equality Act 2010 definition. Across the seven partnerships, the percentage ranged from 25.0% to 50.9% of children recorded as disabled (M = 38.2%; SD = 9.18).

The 36.8% prevalence was a significant increase on partnerships' baseline data. Previously recording disability using the options of ‘yes’, ‘no’ and ‘not assessed or known’ without a supporting definition of disability, 6.6% of 710 children subject to a Joint Investigative Interview in 2023–2024 were recorded as disabled. Partners felt the 2023–2024 data to be an under-recording of disability, brought about by disability not being defined and practitioner reticence to record without a medical diagnosis.

By condition, and noting that multiple conditions could be recorded for each child, Table 1 shows that 21.3% of the 475 children subject to a Joint Investigative Interview were recorded as having a social interaction condition (e.g., related to autism or ADHD). Mental health (15.8% of children) was the second most recorded condition, followed by learning difficulty (9.5% of children) and speech, language and communication (5.4% of children). The importance of being able to record without a medical diagnosis is evident with ‘present but without medical diagnosis’ featuring for at least half of the children recorded as having these four conditions.

The qualitative feedback from the local partnerships endorsed the test indicators and the statistical data generated. The interviewers found the indicator definitions to be clear and felt able to record children's different conditions using the indicator options available. Interviewers also felt their practice had improved because they were having to consider each condition, meaning they were asking for further information from families and practitioners to better understand each child's needs. These insights were then used when planning and conducting the interviews to best support each child to share their experiences.

The data must be interpreted with the understanding that the recording of disability is a sensitive and complex area of practice, dependent on practitioner skill and the information available to them at that time. Furthermore, recording was based on each child's presenting conditions and behaviours, noting that these can change over time and could be brought about by the child's experience of trauma rather than a disability. The data should therefore be interpreted with both a developmental and trauma-informed lens, and work with health practitioners is planned to further refine the indicators and definitions.

The project focused on children subject to a joint investigative interview in seven local partnership areas. The findings may not therefore reflect disability prevalence among children involved in other child protection stages and processes or in other parts of Scotland. The design of the project also meant that only aggregate, anonymised data were shared, meaning further analysis by child characteristics (e.g., age, gender and whether interviewed as a victim or witness) could not be undertaken.

The finding that 36.8% of children subject to a joint investigative interview had a disability is in line with the range that can be derived from Jones et al. (2012) and Sullivan and Knutson (2000). It is also consistent with Govenden et al. (2024) findings from an audit of child protection medical examinations across three Scottish health board areas, where 32% of the children examined were recorded as having a disability. The proportion is significantly higher than the 5%–10% prevalence reported within Scotland's Children's Social Work Statistics (Scottish Government 2025), noting the collection uses the same ‘disability: yes, no and not assessed or known’ question as the Joint Investigative Interview partnership 2023–2024 baseline data.

The data generated, along with practitioners' positive experience of using the indicators, open up the prospect of their use within other statistical collections. While exciting, it is important to acknowledge that joint investigative interviews are a highly conducive ‘part of the system’ for using these indicators because of the national and local support infrastructure around the social work and police interviewers. There is also assurance in the quality of the disability data recorded because interviewers engage with the family and other practitioners to plan for interviews and then directly interact with each child during interview. The implication is that disability data are best recorded where practitioners have the time, space and skills to truly understand the child.

This article reports on the development and testing of indicators that can support joint investigative interviewers record disability among the children they interview. The project found a higher prevalence of disability than existing statistical collections in Scotland. The data therefore increase the visibility of disabled children within Scotland's child protection services and point towards the importance of specialist disability training and support for practitioners.

This study was funded through the University of Strathclyde’s Economic and Social Research Council Impact Acceleration Account.

Ethical approval for the research project was not sought. The test collection was agreed by partners (University of Strathclyde, COSLA, Social Work Scotland and Police Scotland) to be a continuation of local partnerships’ existing collection of data about the children interviewed. Furthermore, only aggregate, anonymised data were shared for analysis, meaning no child could be identified from the data shared.

The authors declare no conflicts of interest.

The data that support the findings of this study are available from the corresponding author upon reasonable request.

记录苏格兰儿童保护系统中的残疾儿童:测试集
研究发现,残疾儿童遭受伤害和虐待的风险是非残疾儿童的三到四倍(Jones et al. 2012; Sullivan and Knutson 2000)。将此应用于9%被报告为残疾的苏格兰儿童(苏格兰2022年人口普查),需要照顾和保护的苏格兰儿童的残疾比例预计将在27%-36%之间。然而,苏格兰儿童社会工作统计数据并没有反映出这种增加的风险。在儿童保护登记册上,只有5%的儿童和10%的“被照顾”儿童被记录为残疾(苏格兰政府2025年)。虽然残疾儿童受到的伤害和虐待有可能被服务机构忽视,但更可能的情况是,处于受到伤害和虐待风险或正在遭受伤害和虐待的残疾儿童得到了确认,但在儿童社会工作管理信息系统中没有始终被记录为残疾儿童。残疾是一个有争议的术语,因此是一个复杂的测量领域(Franklin et al. 2020)。残疾记录不足的原因有很多,包括残疾的定义不同,从业人员技能不同,对识别和报告残疾(特别是在幼儿中)的信心不一,以及专家健康和残疾评估的等待名单(Cappa等人,2015年;Loeb等人,2018年;McTier 2024年)。但是,如果不改进统计数据的收集,残疾儿童的人数和需要将只能部分可见。作为回应,本文报告了一个数据改进项目,该项目在苏格兰儿童保护系统的一部分中开发并测试了一套修订后的残疾指标,特别是使用苏格兰儿童访谈模型的联合调查访谈。联合调查访谈是一种法医访谈,由受过专门训练的警官和社会工作者与可能是犯罪的受害者或证人或可能面临重大伤害风险的儿童共同进行。这次采访是多机构儿童保护调查的一部分。苏格兰儿童访谈模式于2020年开始实施,是一种联合调查性访谈的新方法,它了解创伤,关注儿童的需求,并寻求通过改进计划和访谈技术来获得最佳证据。作为面试方法的一部分,面试官会制定一份“儿童需求计划”,根据每个孩子的优势、资源、以前的创伤经历、人际关系、残疾、健康和幸福等信息,帮助确保面试是为每个孩子量身定制的。苏格兰儿童访谈模式的开发和实施支持由国家联合调查访谈小组领导,该小组是苏格兰社会工作、苏格兰警察和苏格兰地方当局公约(COSLA)之间的合作伙伴关系。数据改进项目源于合作伙伴希望在苏格兰联合调查访谈中改进残疾记录。该项目由斯特拉斯克莱德大学的卓越儿童护理和保护中心(CELCIS)领导,汇集了CELCIS、国家联合调查访谈小组、社会工作和警察经理以及来自七个地方多机构合作伙伴关系的从业人员,以开发和测试一个增强的收集。这七个地方合作伙伴分别是艾尔郡、邓弗里斯和加洛韦、格拉斯哥、高地、拉纳克郡、北斯特拉斯克莱德和西岛,这些合作伙伴共同跨越了苏格兰32个地方当局区域中的13个。另外两个国家合作伙伴——苏格兰政府和苏格兰健康和社会护理联盟(第三部门组织)——同意以关键朋友身份支持该项目。合作伙伴对该项目的伦理方面非常警惕,但没有寻求伦理方面的批准。根据《2010年英国平等法案》,测试收集符合地方当局和苏格兰警方收集残疾数据作为受保护特征的义务。此外,根据《通用数据保护条例》和《1998年数据保护法》,只有汇总的匿名数据被共享以供分析,这意味着无法从共享的数据中识别出儿童的身份。2024年8月至2025年1月的测试收集数据发现,在接受联合调查访谈的475名儿童中,有175名儿童(36.8%)被记录为符合《2010年平等法》定义的残疾儿童。在七个合作伙伴关系中,残疾儿童的比例从25.0%到50.9%不等(M = 38.2%; SD = 9.18)。36.8%的患病率与合作伙伴的基线数据相比显著增加。以前使用“是”,“否”和“未评估或未知”选项记录残疾,而没有支持残疾的定义。 在2023-2024年接受联合调查访谈的710名儿童中,有6%被记录为残疾。合作伙伴认为,2023-2024年的数据对残疾的记录不足,这是由于残疾没有被定义,以及医生在没有医疗诊断的情况下不愿记录。根据情况,并注意到每个儿童可以记录多种情况,表1显示,接受联合调查访谈的475名儿童中有21.3%被记录为具有社会互动状况(例如,与自闭症或ADHD有关)。心理健康(15.8%的儿童)是第二大记录的问题,其次是学习困难(9.5%的儿童)和言语、语言和交流(5.4%的儿童)。能够在没有医学诊断的情况下进行记录的重要性显而易见,“存在但没有医学诊断”的特征至少有一半的儿童被记录为患有这四种疾病。来自当地伙伴关系的定性反馈赞同测试指标和产生的统计数据。采访者发现指标定义很清楚,并认为能够使用可用的指标选项记录儿童的不同情况。采访者还觉得他们的做法有所改善,因为他们必须考虑到每一种情况,这意味着他们正在向家庭和从业者询问更多的信息,以更好地了解每个孩子的需求。然后在计划和进行访谈时使用这些见解,以最好地支持每个孩子分享他们的经历。在解释这些数据时,必须理解残疾的记录是一个敏感和复杂的实践领域,取决于从业人员的技能和当时可获得的信息。此外,记录是基于每个孩子的表现状况和行为,注意到这些可能随着时间的推移而改变,可能是由孩子的创伤经历而不是残疾带来的。因此,应当从发展和创伤两方面解释这些数据,并计划与保健从业人员合作,进一步完善指标和定义。该项目的重点是在七个地方伙伴关系领域接受联合调查采访的儿童。因此,调查结果可能无法反映参与其他儿童保护阶段和过程的儿童或苏格兰其他地区儿童的残疾发生率。该项目的设计还意味着只能共享汇总的匿名数据,这意味着不能按儿童特征(例如,年龄、性别以及作为受害者还是证人接受采访)进行进一步分析。接受联合调查访谈的儿童中有36.8%患有残疾,这一发现与Jones et al.(2012)和Sullivan and Knutson(2000)得出的范围一致。这也与Govenden等人(2024年)对苏格兰三个卫生委员会区域的儿童保护医学检查进行审计的结果一致,其中32%的接受检查的儿童被记录为有残疾。这一比例明显高于苏格兰儿童社会工作统计(苏格兰政府2025)中报告的5%-10%的患病率,并指出该收集使用了与联合调查访谈伙伴关系2023-2024基线数据相同的“残疾:是,否,未评估或未知”问题。所产生的数据,以及从业人员使用这些指标的积极经验,开辟了在其他统计收集中使用这些指标的前景。虽然令人兴奋,但重要的是要承认,联合调查访谈是使用这些指标非常有益的“系统的一部分”,因为国家和地方支持社会工作和警察访谈的基础设施。此外,记录的残疾数据的质量也有保证,因为采访者会与家庭和其他从业人员一起计划访谈,然后在访谈期间与每个孩子直接互动。这意味着,只有在从业人员有时间、空间和技能来真正了解儿童的地方,才能最好地记录残疾数据。本文报道了一些指标的发展和测试,这些指标可以支持联合调查性访谈者记录他们采访的儿童的残疾情况。该项目发现,苏格兰的残疾患病率高于现有的统计数据。因此,这些数据增加了苏格兰儿童保护服务中残疾儿童的可见度,并指出了专业残疾培训和对从业人员的支持的重要性。这项研究是由斯特拉斯克莱德大学经济和社会研究委员会影响加速账户资助的。该研究项目没有得到伦理方面的批准。 测试收集是由合作伙伴(斯特拉斯克莱德大学,COSLA,苏格兰社会工作和苏格兰警察)同意的,是当地合作伙伴现有的关于受访儿童数据收集的延续。此外,只有汇总的匿名数据被共享用于分析,这意味着无法从共享的数据中识别出儿童。作者声明无利益冲突。支持本研究结果的数据可根据通讯作者的合理要求提供。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Child Abuse Review
Child Abuse Review Multiple-
CiteScore
3.20
自引率
6.20%
发文量
65
期刊介绍: Child Abuse Review provides a forum for all professionals working in the field of child protection, giving them access to the latest research findings, practice developments, training initiatives and policy issues. The Journal"s remit includes all forms of maltreatment, whether they occur inside or outside the family environment. Papers are written in a style appropriate for a multidisciplinary audience and those from outside Britain are welcomed. The Journal maintains a practice orientated focus and authors of research papers are encouraged to examine and discuss implications for practitioners.
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