ArticleBMJ open2013
Responses to concerns about child maltreatment: a qualitative study of GPs in England.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- 'On paper, you're normal': narratives of unseen health needs among women who have had children removed from their care.Journal of public health (Oxford, England) · 2023Article
- Making the links between domestic violence and child safeguarding: an evidence-based pilot training for general practice.Health & social care in the community · 2017Article
- Notifications for child safeguarding from an acute hospital in response to presentations to healthcare by parents.Child: care, health and development · 2015Article
- Authors' response.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Article
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo provide a rich description of current responses to concerns related to child maltreatment among a sample of English general practitioners (GPs).
designIn-depth, face-to-face interviews (November 2010 to September 2011). Participants selected and discussed families who had prompted 'maltreatment-related concerns'. Thematic analysis of data.
setting4 general practices in England.
participants14 GPs, 2 practice nurses and 2 health visitors from practices with at least 1 'expert' GP (expertise in child safeguarding/protection).
resultsThe concerns about neglect and emotional abuse dominated the interviews. GPs described intense and long-term involvement with families with multiple social and medical problems. Narratives were distilled into seven possible actions that GPs took in response to maltreatment-related concerns. These were orientated towards whole families (monitoring and advocating), the parents (coaching) and children (opportune healthcare), and included referral to or working with other services and recording concerns. Facilitators of the seven actions were: trusting relationships between GPs and parents, good working relationships with health visitors and framing the problem/response as 'medical'. Narratives indicated significant time and energy spent building facilitating relationships with parents with the aim of improving the child's well-being.
conclusionsThese GPs used core general practice skills for on-going management of families who prompted concerns about neglect and emotional abuse. Policy and research focus should be broadened to include strategies for direct intervention and on-going involvement by GPs, such as using their core skills during consultations and practice systems for monitoring families and encouraging presentation to general practice. Exemplars of current practice, such as those identified in our study, should be evaluated for feasibility and acceptability in representative general practice settings as well as tested for efficacy, safety and cost. The seven actions could form the basis for the 'lead professional' role in general practice as proposed in the 2013 version of 'Working Together 'guidance.
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