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A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019

Rhodri Johnson, Laura North, Bachar Alrouh Orcid Logo, Ann John Orcid Logo, Kerina Jones Orcid Logo, Ashley Akbari Orcid Logo, Jonathan Smart, Simon Ellwood-Thompson, Claireq Hargreaves Orcid Logo, Stefanie Doebler Orcid Logo, Linda Cusworth Orcid Logo, Karen Broadhurst Orcid Logo, David Ford Orcid Logo, Lucy Griffiths Orcid Logo

International Journal of Population Data Science, Volume: 7, Issue: 1

Swansea University Authors: Rhodri Johnson, Laura North, Ann John Orcid Logo, Kerina Jones Orcid Logo, Ashley Akbari Orcid Logo, Jonathan Smart, Simon Ellwood-Thompson, David Ford Orcid Logo, Lucy Griffiths Orcid Logo

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DOI (Published version): 10.23889/ijpds.v7i1.1723

Abstract

IntroductionUnder 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 potential...

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Published in: International Journal of Population Data Science
ISSN: 2399-4908
Published: Swansea University 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa59784
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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.ObjectiveTo examine health vulnerabilities of parents involved in care proceedings in the two-year period prior to involvement.MethodsFamily court data provided by Cafcass Cymru were linked to population-based health records held within the Secure Anonymised Information Linkage Databank. Linked data were available for 8,821 parents of children involved in care proceedings between 2011 and 2019. Findings were benchmarked with reference to a comparison group of parents matched on sex, age, and deprivation (n = 32,006), not subject to care proceedings. Demographic characteristics, overall health service use, and health profiles of parents were examined. Descriptive and statistical tests of independence were used.ResultsNearly half of cohort parents (47.6%) resided in the most deprived quintile. They had higher levels of healthcare use compared to the comparison group across multiple healthcare settings, with the most pronounced differences for emergency department attendances (59.3% vs 37.0%). Health conditions with the largest variation between groups were related to mental health (43.6% vs 16.0%), substance use (19.4% vs 1.6%) and injuries (41.5% vs 23.6%).ConclusionThis study highlights the heightened socioeconomic and health vulnerabilities of parents who experience care proceedings concerning a child. Better understanding of the needs and vulnerabilities of this population may provide opportunities to improve a range of support and preventative interventions that respond to crises in the community.</abstract><type>Journal Article</type><journal>International Journal of Population Data Science</journal><volume>7</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Swansea University</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2399-4908</issnElectronic><keywords>family justice; data linkage; vulnerable populations; mental health; substance-related disorders; wounds and injurie</keywords><publishedDay>5</publishedDay><publishedMonth>4</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-04-05</publishedDate><doi>10.23889/ijpds.v7i1.1723</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>Nuffield FJO has funded this project (FJO/43766)</funders><lastEdited>2022-05-09T15:57:56.5986252</lastEdited><Created>2022-04-09T17:11:40.9982274</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Rhodri</firstname><surname>Johnson</surname><orcid/><order>1</order></author><author><firstname>Laura</firstname><surname>North</surname><order>2</order></author><author><firstname>Bachar</firstname><surname>Alrouh</surname><orcid>0000-0002-3977-5685</orcid><order>3</order></author><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>4</order></author><author><firstname>Kerina</firstname><surname>Jones</surname><orcid>0000-0001-8164-3718</orcid><order>5</order></author><author><firstname>Ashley</firstname><surname>Akbari</surname><orcid>0000-0003-0814-0801</orcid><order>6</order></author><author><firstname>Jonathan</firstname><surname>Smart</surname><order>7</order></author><author><firstname>Simon</firstname><surname>Ellwood-Thompson</surname><order>8</order></author><author><firstname>Claireq</firstname><surname>Hargreaves</surname><orcid>0000-0002-4769-4017</orcid><order>9</order></author><author><firstname>Stefanie</firstname><surname>Doebler</surname><orcid>0000-0002-8611-4601</orcid><order>10</order></author><author><firstname>Linda</firstname><surname>Cusworth</surname><orcid>0000-0002-4694-992x</orcid><order>11</order></author><author><firstname>Karen</firstname><surname>Broadhurst</surname><orcid>0000-0003-1424-3022</orcid><order>12</order></author><author><firstname>David</firstname><surname>Ford</surname><orcid>0000-0001-6551-721X</orcid><order>13</order></author><author><firstname>Lucy</firstname><surname>Griffiths</surname><orcid>0000-0001-9230-624X</orcid><order>14</order></author></authors><documents><document><filename>59784__24043__52444532fe8949ecba75f8333f88d4d8.pdf</filename><originalFilename>59784.pdf</originalFilename><uploaded>2022-05-09T15:56:00.9478264</uploaded><type>Output</type><contentLength>939134</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; The Authors. 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spelling 2022-05-09T15:57:56.5986252 v2 59784 2022-04-09 A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019 5f97fd65ef8cf66db750f645f115454c Rhodri Johnson Rhodri Johnson true false a255822cf77a0184cb6922e9fbea39e9 Laura North Laura North true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false c13b3cd0a6f8cbac2e461b54b3cdd839 0000-0001-8164-3718 Kerina Jones Kerina Jones true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 5f0b5218a41624b034dfd26aa62dfde2 Jonathan Smart Jonathan Smart true false 6498256ca5bc432bd9626503f1019113 Simon Ellwood-Thompson Simon Ellwood-Thompson true false 52fc0c473b0da1b7218d87f9fc68a3e6 0000-0001-6551-721X David Ford David Ford true false e35ea6ea4b429e812ef204b048131d93 0000-0001-9230-624X Lucy Griffiths Lucy Griffiths true false 2022-04-09 HDAT IntroductionUnder 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.ObjectiveTo examine health vulnerabilities of parents involved in care proceedings in the two-year period prior to involvement.MethodsFamily court data provided by Cafcass Cymru were linked to population-based health records held within the Secure Anonymised Information Linkage Databank. Linked data were available for 8,821 parents of children involved in care proceedings between 2011 and 2019. Findings were benchmarked with reference to a comparison group of parents matched on sex, age, and deprivation (n = 32,006), not subject to care proceedings. Demographic characteristics, overall health service use, and health profiles of parents were examined. Descriptive and statistical tests of independence were used.ResultsNearly half of cohort parents (47.6%) resided in the most deprived quintile. They had higher levels of healthcare use compared to the comparison group across multiple healthcare settings, with the most pronounced differences for emergency department attendances (59.3% vs 37.0%). Health conditions with the largest variation between groups were related to mental health (43.6% vs 16.0%), substance use (19.4% vs 1.6%) and injuries (41.5% vs 23.6%).ConclusionThis study highlights the heightened socioeconomic and health vulnerabilities of parents who experience care proceedings concerning a child. Better understanding of the needs and vulnerabilities of this population may provide opportunities to improve a range of support and preventative interventions that respond to crises in the community. Journal Article International Journal of Population Data Science 7 1 Swansea University 2399-4908 family justice; data linkage; vulnerable populations; mental health; substance-related disorders; wounds and injurie 5 4 2022 2022-04-05 10.23889/ijpds.v7i1.1723 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University Nuffield FJO has funded this project (FJO/43766) 2022-05-09T15:57:56.5986252 2022-04-09T17:11:40.9982274 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Rhodri Johnson 1 Laura North 2 Bachar Alrouh 0000-0002-3977-5685 3 Ann John 0000-0002-5657-6995 4 Kerina Jones 0000-0001-8164-3718 5 Ashley Akbari 0000-0003-0814-0801 6 Jonathan Smart 7 Simon Ellwood-Thompson 8 Claireq Hargreaves 0000-0002-4769-4017 9 Stefanie Doebler 0000-0002-8611-4601 10 Linda Cusworth 0000-0002-4694-992x 11 Karen Broadhurst 0000-0003-1424-3022 12 David Ford 0000-0001-6551-721X 13 Lucy Griffiths 0000-0001-9230-624X 14 59784__24043__52444532fe8949ecba75f8333f88d4d8.pdf 59784.pdf 2022-05-09T15:56:00.9478264 Output 939134 application/pdf Version of Record true © The Authors. Open Access under CC BY 4.0 license true eng https://creativecommons.org/licenses/by/4.0/deed.en
title A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019
spellingShingle A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019
Rhodri Johnson
Laura North
Ann John
Kerina Jones
Ashley Akbari
Jonathan Smart
Simon Ellwood-Thompson
David Ford
Lucy Griffiths
title_short A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019
title_full A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019
title_fullStr A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019
title_full_unstemmed A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019
title_sort A population level study into health vulnerabilities of mothers and fathers involved in public law care proceedings in Wales, UK between 2011 and 2019
author_id_str_mv 5f97fd65ef8cf66db750f645f115454c
a255822cf77a0184cb6922e9fbea39e9
ed8a9c37bd7b7235b762d941ef18ee55
c13b3cd0a6f8cbac2e461b54b3cdd839
aa1b025ec0243f708bb5eb0a93d6fb52
5f0b5218a41624b034dfd26aa62dfde2
6498256ca5bc432bd9626503f1019113
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author_id_fullname_str_mv 5f97fd65ef8cf66db750f645f115454c_***_Rhodri Johnson
a255822cf77a0184cb6922e9fbea39e9_***_Laura North
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
c13b3cd0a6f8cbac2e461b54b3cdd839_***_Kerina Jones
aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
5f0b5218a41624b034dfd26aa62dfde2_***_Jonathan Smart
6498256ca5bc432bd9626503f1019113_***_Simon Ellwood-Thompson
52fc0c473b0da1b7218d87f9fc68a3e6_***_David Ford
e35ea6ea4b429e812ef204b048131d93_***_Lucy Griffiths
author Rhodri Johnson
Laura North
Ann John
Kerina Jones
Ashley Akbari
Jonathan Smart
Simon Ellwood-Thompson
David Ford
Lucy Griffiths
author2 Rhodri Johnson
Laura North
Bachar Alrouh
Ann John
Kerina Jones
Ashley Akbari
Jonathan Smart
Simon Ellwood-Thompson
Claireq Hargreaves
Stefanie Doebler
Linda Cusworth
Karen Broadhurst
David Ford
Lucy Griffiths
format Journal article
container_title International Journal of Population Data Science
container_volume 7
container_issue 1
publishDate 2022
institution Swansea University
issn 2399-4908
doi_str_mv 10.23889/ijpds.v7i1.1723
publisher Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description IntroductionUnder 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.ObjectiveTo examine health vulnerabilities of parents involved in care proceedings in the two-year period prior to involvement.MethodsFamily court data provided by Cafcass Cymru were linked to population-based health records held within the Secure Anonymised Information Linkage Databank. Linked data were available for 8,821 parents of children involved in care proceedings between 2011 and 2019. Findings were benchmarked with reference to a comparison group of parents matched on sex, age, and deprivation (n = 32,006), not subject to care proceedings. Demographic characteristics, overall health service use, and health profiles of parents were examined. Descriptive and statistical tests of independence were used.ResultsNearly half of cohort parents (47.6%) resided in the most deprived quintile. They had higher levels of healthcare use compared to the comparison group across multiple healthcare settings, with the most pronounced differences for emergency department attendances (59.3% vs 37.0%). Health conditions with the largest variation between groups were related to mental health (43.6% vs 16.0%), substance use (19.4% vs 1.6%) and injuries (41.5% vs 23.6%).ConclusionThis study highlights the heightened socioeconomic and health vulnerabilities of parents who experience care proceedings concerning a child. Better understanding of the needs and vulnerabilities of this population may provide opportunities to improve a range of support and preventative interventions that respond to crises in the community.
published_date 2022-04-05T04:17:21Z
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score 11.013194

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