Publications by authors named "Linda Cusworth"

Article Synopsis
  • The study examines the healthcare use of infants under one year old involved in Section 31 Care and Supervision proceedings compared to a control group of infants not in proceedings in Wales from January 2011 to February 2020.
  • The research found that infants in s.31 proceedings had significantly higher rates of healthcare events, especially emergency hospital admissions due to injuries and poisoning.
  • The results emphasize the need for increased support and intervention for infants in precarious situations to address their elevated healthcare needs.
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Introduction: Under section 31 of the Children Act 1989, public law care proceedings can be issued if there is concern a child is subject to, or at risk of significant harm, which can lead to removal of a child from parents. Appropriate and effective health and social support are required to potentially prevent some of the need for these proceedings. More comprehensive evidence of the health needs and vulnerabilities of parents will enable enhanced response from family courts and integrated other services.

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Background: Little is known about mental health problems of children and young people (CYP) involved with public and private law family court proceedings, and how these CYP fare compared to those not involved in these significant disruptions to family life.

Aims: This study examined records of depression/anxiety in CYP involved in public and private law proceedings using linked population-level data across Wales.

Method: Retrospective e-cohort study.

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Background: Understanding the risk factors for child maltreatment is critical to efforts to reduce its prevalence.

Objective: This study investigated the association between characteristics and circumstances of mothers during pregnancy and the subsequent identification of concerns about child maltreatment.

Participants And Setting: The study drew on two data sets: (i) data from questionnaires administered to the expectant mothers of 11,332 children born in a deprived multi-ethnic local authority in England between 2007 and 2011, for a birth cohort study, and (ii) administrative data on children referred to child welfare services.

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Background: Children in out-of-home care are consistently found to have poor mental health compared to children in the general population. However, UK research has so far failed to disentangle the impact of the care system on children's mental health outcomes from the effects of the adverse circumstances that led to their admission to care.

Objective: This research investigated the association between care placement and the presence of child mental health problems after controlling for children's pre-care experiences.

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The studies reported here aimed to test the proposal that mind-mindedness is a quality of personal relationships by assessing mind-mindedness in caregiver-child dyads in which the relationship has not spanned the child's life or in which the relationship has been judged dysfunctional. Studies 1 and 2 investigated differences in mind-mindedness between adoptive parents (ns = 89, 36) and biological parents from the general population (ns = 54, 114). Both studies found lower mind-mindedness in adoptive compared with biological parents.

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Aim: To gather evidence to support the implementation of standard six of the National Service Framework for Children, Young People and Maternity Services (Department of Health and Department for Education and Skills 2004), which states that care should be provided as close to home as possible.

Methods: A mixed methods study comprising of a systematic review, a national survey of provision of care closer to home (CCTH), four in-depth, qualitative case studies and a cost analysis.

Findings: The systematic review suggests that CCTH is no less clinically effective than hospital care.

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Aims: To report findings of a national survey of care closer to home services for children and young people and a typology based on these findings.

Background: Providing care closer to home for children is a policy and practice aspiration internationally. While the main model of such services is children's community nursing, other models have also developed.

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