• Summary: This article examines the processes and outcomes of adult protection referrals in two local authorities in England using adult protection monitoring data collected between 1998 and 2005, identifying learning for the use and development of adult protection monitoring.
• Findings: Associations were found between aspects of process and outcome in adult protection case management; police and regulatory agency involvement increased over time, over four-fifths of referrals resulted in investigations which were associated with higher levels of inter-agency involvement, abuse was confirmed for over two-fifths of referrals, there was significant territorial variation across a range of process and outcome measures and specialist adult protection coordinators were associated with higher levels of monitoring and post-abuse work. The study concluded that more work is needed to improve and standardize adult protection monitoring data if it is to more effectively inform case management and inter-authority comparisons.
• Applications: The evidence from the study suggests that adult protection monitoring data can be used to help review and organize adult protection work at agency, team and case levels and is consequently of potential value to team managers, social workers and specialist co-ordinators working in adult protection.
Action on Elder Abuse. (2006). Adult protection data collection and reporting requirements. London: AEA.
2.
Association of Directors of Social Services. ( 2005). Safeguarding adults: A national framework for standards for good practice and outcomes in adult protection work. London: ADSS.
3.
Aylett, J. ( 2009). A model and strategy for multi-agency adult protection training in Kent and Medway. Journal of Adult Protection, 11(1), 13-20.
4.
Beadle-Brown, J., Mansell, J., Cambridge, P., Milne, A., & Whelton, B. (in press). The incidence of adult protection referrals for people with intellectual disabilities and the nature and characteristics of risk. Journal of Applied Research in Intellectual Disability.
5.
Brammer, A. ( 2006). New abuse laws in Scotland. Journal of Adult Protection, 8(4), 39-43.
6.
Brown, H. ( 2009). The process and function of serious case review. Journal of Adult Protection, 11(1), 38-50.
7.
Brown, H., & Seden, J. ( 2003). Managing to protect. In J. Seden & J. Reynolds (Eds.), Managing care in practice (pp. 219-248). London: Routledge.
8.
Brown, H., & Stein, J. ( 1998). Implementing adult protection policies in Kent and East Sussex. Journal of Social Policy, 27(3), 371-396.
9.
Brown, H., & Stein, J. ( 2000). Monitoring adult protection referrals in 10 English local authorities. Journal of Adult Protection, 2(3), 19-31.
10.
Cambridge, P. ( 1999). The first hit: A case study of the physical abuse of people with learning disabilities and challenging behaviours in a residential service. Disability and Society, 12(3), 427-453.
11.
Cambridge, P. ( 2004). Abuse inquiries as learning tools for social care organisations . In N. Stanley & J. Manthorpe (Eds.), The age of the inquiry: Learning and blaming in health and social care (pp. 231-254). London: Routledge.
12.
Cambridge, P., & Parkes, T. ( 2004a). The case for case management in adult protection. Journal of Adult Protection, 6(2), 4-14.
13.
Cambridge, P., & Parkes, T. ( 2004b). Good enough decision-making? Improving decision-making in adult protection. Social Work Education, 23(6), 711-729.
14.
Cambridge, P., & Parkes, T. ( 2006a). The management and practice of joint adult protection investigations between health and social services: Issues arising from a training intervention. Social Work Education, 25(8), 824-837.
15.
Cambridge, P., & Parkes, T. ( 2006b). The tension between mainstream competence and specialisation in adult protection: An evaluation of the role of the adult protection coordinator . British Journal of Social Work, 36(2), 299-321.
16.
Cambridge, P., Beadle-Brown, J., Milne, A., & Mansell, J. ( 2006). Exploring the incidence, risk factors, nature and monitoring of adult protection alerts. Tizard Centre, University of Kent, Canterbury.
17.
Cambridge, P., Beadle-Brown, J., Milne, A., & Mansell, J. (in press). Patterns of risk in adult protection referrals for sexual abuse and people with intellectual disability. Journal of Applied Research in Intellectual Disability.
18.
Commission for Social Care Inspection. (2007 ). Safeguarding adults protocol and guidance. London: CSCI.
19.
Commission for Social Care Inspection. (2008 ). Safeguarding adults: A study of the effectiveness of arrangements to safeguard adults from abuse. London: CSCI.
20.
Council of Europe Committee of Ministers. ( 2005). Resolution on safeguarding adults and children with disabilities against abuse. Adopted by the Committee of Ministers on 2 February 2005 at the 913th meeting of the Ministers’ Deputies. Strasbourg, Council of Europe.
21.
Davies, R., Mansell, I., Northway, R., & Jenkins, R. ( 2006). Responding the abuse of people with learning disabilities: The role of the police. Journal of Adult Protection, 8(1), 11-19.
22.
Department of Health. (2000). No secrets: Guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse. London: Department of Health.
23.
Department of Health. (2008a). Safeguarding adults: A consultation on the review of No secrets. London: Department of Health.
24.
Department of Health. (2008b). Putting people first: A shared vision and commitment to the transformation of adult social care. London: Department of Health.
25.
Department of Health. (2009). Safeguarding adults: Report on the consultation on the review of No secrets . London: Department of Health.
26.
Draper, T., Rootes, S., & Carter, H. ( 2009). Safeguarding adults perspectives from primary care trusts in Kent and Medway. Journal of Adult Protection, 11(3), 6-11.
27.
Dyer, C., Pavlik, V., Murphy, K., & Hyman, D. ( 2000). The high prevalence of depression and dementia in elder abuse or neglect. Journal of the American Geriatrics Society , 48(2), 205-208.
28.
Elvidge, F., & MacPhail, G. ( 2009). The ‘quality in care’ model of quality assurance and safeguarding for older people in institutional care. Journal of Adult Protection, 11(1), 28-37.
29.
Goodrich, C.S. ( 1997). Results of a national survey of state protective services programs: Assessing risk and defining victim outcomes. Journal of Elder Abuse and Neglect, 9(1), 69-86.
30.
Gordon, R. ( 1995). Adult guardianship and adult protection legislation in Canada: Recent reforms and future problems. Canadian Journal of Ageing, 14(2), 89-102.
31.
Harris, J. ( 1996). Physical restraint procedures for managing challenging behaviours in presented by mentally retarded adults and children. Research in Developmental Disabilities, 17, 99-134..
32.
Hollins, S. ( 1994). Relationships between perpetrators and victims of physical and sexual abuse. In J. Harris, & A. Craft (Eds.), People with learning disabilities at risk of physical or sexual abuse, Seminar papers No. 4. Kidderminster: British Institute of Learning Disabilities.
33.
Hughes, A. ( 2008). The role of the commission for social care inspection . In J. Pritchard (Ed.), Good practice in safeguarding adults. London: Jessica Kingsley.
34.
Kurrle, S., Sadler, P., Lockwood, K., & Cameron, I. ( 1997). Elder abuse: Prevalence, intervention and outcomes in patients referred to four aged care assessment teams. Medical Journal of Australia, 166(3), 119-122.
35.
Larkin, S., & Fox, A. ( 2009). Safeguarding policy and practice in Medway. Journal of Adult Protection, 11(3), 12-17.
36.
Macintyre, D. ( 1999). Macintyre undercover. BBC1, 16 November.
37.
Mackay, K. ( 2008). The Scottish adult support and protection legal framework . Journal of Adult Protection, 10(4), 25-36.
38.
Mansell, J., Beadle-Brown, J., Cambridge, P., Milne, A., & Whelton, B. ( 2009). Adult protection: Incidence of referrals, nature and risk factors in two English local authorities. Journal of Social Work, 9(1), 23-38.
39.
Manthorpe, J., & Martineau, S. ( 2009). Serious case reviews in safeguarding adults. Social Care Workforce Research Unit, University of London.
40.
McKeough, C. ( 2009). Reflections and learning from adult protection policy development in Kent and Medway. Journal of Adult Protection , 11(1), 6-12.
41.
McLaughlin, K. ( 2008). Social work, politics and society: From radicalism to orthodoxy. Bristol: Policy Press .
42.
Mills, O. ( 2009). Opportunities and challenges for safeguarding strategy . Journal of Adult Protection, 4(4), 51-52.
43.
Mixson, P.M. ( 1995). An adult protective services perspective. Journal of Elder Abuse and Neglect, 7(2/3), 69-87.
44.
O’Sullivan, T. ( 1999). Decision making in social work. Basingstoke : Palgrave.
45.
Preston-Shoot, M., & Wigley, V. ( 2002). Closing the circle: Social workers’ responses to multi-agency procedures on older age abuse. British Journal of Social Work, 32(3), 299-320.
46.
Pritchard, J. ( 2008). Doing risk assessment properly in adult protection work . In J. Pritchard (Ed.), Good practice in safeguarding adults (pp. 191-233). London: Jessica Kingsley.
47.
Quigley, L. ( 1999). Why is working together so difficult? Journal of Adult Protection, 1(2), 38-43.
48.
Shearlock, L., & Cambridge, P. ( 2009). Working effectively with the police in safeguarding vulnerable adults: Sharing experience from Somerset. Journal of Adult Protection, 11(4), 6-19.
49.
Sobsey, D. ( 1994). Violence and abuse in the lives of people with learning disabilities. London: Brookes.
50.
Stevenson, O. ( 2008). Neglect as an aspect of the mistreatment of elderly people: Reflections on the issues. Journal of Adult Protection, 10(2), 24-35.
51.
The Scottish Parliament. (2006). Adult support and protection (Scotland) Bill: Part 1 - Protection of Adults at Risk of Abuse, SPICe Briefing, 19 April.
52.
Wardhaugh, J., & Wilding, P. ( 1993). Towards an explanation of the corruption of care. Critical Social Policy, 13(37), 4-31.
53.
White, N., & Lawry, T. ( 2009). Specialisation in adult protection in Kent Police and the role of the police in investigations. Journal of Adult Protection, 11(1), 21-27.
54.
Williams, J. ( 2002). Public law protection of vulnerable adults. Journal of Social Work, 2(3), 293-316.
