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Centre for Policy on Ageing | |
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Towards explanations for the findings of serious case reviews
— understanding what happens in self-neglect work | | Author(s) | Michael Preston-Shoot |
| Journal title | Journal of Adult Protection, vol 18, no 3, 2016 |
| Publisher | Emerald, 2016 |
| Pages | pp 131-148 |
| Source | www.emeraldgrouppublishing.com/jap.htm |
| Keywords | Neglect [care] ; Self care capacity ; Case work ; Research Reviews. |
| Annotation | The purpose of this paper was to draw on systemic and psychodynamic theories to subject published serious case reviews (SCRs) involving self-neglect to a deeper level of scrutiny, in order to understand how complex contexts impact on self-neglect work. It also updated the dataset of self-neglect SCRs and accompanying thematic analysis. Psychodynamic and systemic ideas were applied to the content of published SCRs in order to understand how different contexts _ societal, legal, organisational, professional and personal _ impacted on and were influenced by work with self-neglecting adults. Further published reviews were added to the core dataset, with thematic analysis updated using four domains. Thematic analysis within and recommendations from SCRs have focused on the micro context, what takes place between individual practitioners, their teams and adults who self-neglect. This level of analysis also commonly extends to how organisations have worked together and how Local Safeguarding Adults Boards (LSABs) have supported and scrutinised their collaboration. This level of analysis enables an understanding of local geography. However there are wider systems that impact on and influence this work, especially law and the societal context. If review findings and recommendations are to fully answer the question why, systemic analysis should be extended to appreciate the influence of national geography. There is still no national database of reviews commissioned by LSABs so the dataset reported here might be incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in LSAB annual reports. This makes learning for service improvement challenging. This paper extends the use of systemic theory for understanding and learning from practice with adults who self-neglect and additionally offers psychodynamic formulations to appreciate what happens within and between practitioners and their organisations. The paper therefore contributes new perspectives to the methodology for conducting SARs. It also extends the thematic analysis of available reviews that focus on work with adults who self-neglect, further building on the evidence base for practice. (JL). |
| Accession Number | CPA-160617225 A |
| Classmark | QNR: CA: IGA: 3A:6KC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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