2.50
Hdl Handle:
http://hdl.handle.net/10547/556120
Title:
Learning lessons about self-neglect? an analysis of serious case reviews
Authors:
Braye, Suzy; Orr, David ( 0000-0003-2107-2671 ) ; Preston-Shoot, Michael ( 0000-0002-9347-0524 )
Abstract:
Purpose – The purpose of this paper is to report the findings from research into 40 serious case reviews (SCRs) involving adults who self-neglect. Design/methodology/approach – The study comprised analysis of 40 SCRs where self-neglect featured. The reviews were found through detailed searching of Local Safeguarding Adult Board (LSAB) web sites and through contacts with Board managers and independent chairs. A four layer analysis is presented of the characteristics of each case and SCR, of the recommendations and of the emerging themes. Learning for service improvement is presented thematically, focusing on the adult and their immediate context, the team around the adult, the organisations around the team and the Local Safeguarding Board around the organisations. Findings – There is no one typical presentation of self-neglect; cases vary in terms of age, household composition, lack of self-care, lack of care of one's environment and/or refusal to engage. Recommendations foreground LSABs, adult social care and unspecified agencies, and focus on staff support, procedures and the components of best practice and effective SCRs. Reports emphasise the importance of a person-centred approach, within the context of ongoing assessment of mental capacity and risk, with agencies sharing information and working closely together, supported by management and supervision, and practising within detailed procedural guidance. Research limitations/implications – There is no national database of SCRs commissioned by LSABs and currently there is no requirement to publish the outcomes of such inquiries. It may be that there are further SCRs, or other forms of inquiry, that have been commissioned by Boards but not publicised. This limits the learning that has been available for service improvement. Practical implications – The paper identifies practice, management and organisational issues that should be considered when working with adults who self-neglect. These cases are often complex and stressful for those involved. The thematic analysis adds to the evidence-base of how best to approach engagement with adults who self-neglect and to engage the multi-agency network in assessing and managing risk and mental capacity. Originality/value – The paper offers the first formal evaluation of SCRs that focus on adults who self-neglect. The analysis of the findings and the recommendations from the investigations into the 40 cases adds to the evidence-base for effective practice with adults who self-neglect.
Affiliation:
University of Bedfordshire
Citation:
Braye, S., Orr, D., Preston-Shoot, M., (2015) 'Learning lessons about self-neglect? An analysis of serious case reviews', The Journal of Adult Protection, 17 (1) pp 3-18
Publisher:
Emerald
Journal:
The Journal of Adult Protection
Issue Date:
9-Feb-2015
URI:
http://hdl.handle.net/10547/556120
DOI:
10.1108/JAP-05-2014-0014
Additional Links:
http://www.emeraldinsight.com/doi/abs/10.1108/JAP-05-2014-0014
Type:
Article
Language:
en
ISSN:
1466-8203
Appears in Collections:
Social Work, Professional Practice and the Law

Full metadata record

DC FieldValue Language
dc.contributor.authorBraye, Suzyen
dc.contributor.authorOrr, Daviden
dc.contributor.authorPreston-Shoot, Michaelen
dc.date.accessioned2015-06-01T11:53:51Zen
dc.date.available2015-06-01T11:53:51Zen
dc.date.issued2015-02-09en
dc.identifier.citationBraye, S., Orr, D., Preston-Shoot, M., (2015) 'Learning lessons about self-neglect? An analysis of serious case reviews', The Journal of Adult Protection, 17 (1) pp 3-18en
dc.identifier.issn1466-8203en
dc.identifier.doi10.1108/JAP-05-2014-0014en
dc.identifier.urihttp://hdl.handle.net/10547/556120en
dc.description.abstractPurpose – The purpose of this paper is to report the findings from research into 40 serious case reviews (SCRs) involving adults who self-neglect. Design/methodology/approach – The study comprised analysis of 40 SCRs where self-neglect featured. The reviews were found through detailed searching of Local Safeguarding Adult Board (LSAB) web sites and through contacts with Board managers and independent chairs. A four layer analysis is presented of the characteristics of each case and SCR, of the recommendations and of the emerging themes. Learning for service improvement is presented thematically, focusing on the adult and their immediate context, the team around the adult, the organisations around the team and the Local Safeguarding Board around the organisations. Findings – There is no one typical presentation of self-neglect; cases vary in terms of age, household composition, lack of self-care, lack of care of one's environment and/or refusal to engage. Recommendations foreground LSABs, adult social care and unspecified agencies, and focus on staff support, procedures and the components of best practice and effective SCRs. Reports emphasise the importance of a person-centred approach, within the context of ongoing assessment of mental capacity and risk, with agencies sharing information and working closely together, supported by management and supervision, and practising within detailed procedural guidance. Research limitations/implications – There is no national database of SCRs commissioned by LSABs and currently there is no requirement to publish the outcomes of such inquiries. It may be that there are further SCRs, or other forms of inquiry, that have been commissioned by Boards but not publicised. This limits the learning that has been available for service improvement. Practical implications – The paper identifies practice, management and organisational issues that should be considered when working with adults who self-neglect. These cases are often complex and stressful for those involved. The thematic analysis adds to the evidence-base of how best to approach engagement with adults who self-neglect and to engage the multi-agency network in assessing and managing risk and mental capacity. Originality/value – The paper offers the first formal evaluation of SCRs that focus on adults who self-neglect. The analysis of the findings and the recommendations from the investigations into the 40 cases adds to the evidence-base for effective practice with adults who self-neglect.en
dc.language.isoenen
dc.publisherEmeralden
dc.relation.urlhttp://www.emeraldinsight.com/doi/abs/10.1108/JAP-05-2014-0014en
dc.rightsArchived with thanks to The Journal of Adult Protectionen
dc.subjectservice improvementen
dc.subjectCare Act 2014en
dc.subjectpolicy and practice developmenten
dc.subjectsafeguarding adults reviewsen
dc.subjectself-neglecten
dc.subjectserious case reviewsen
dc.titleLearning lessons about self-neglect? an analysis of serious case reviewsen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalThe Journal of Adult Protectionen
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