The impact of a new service for maltreated children on children's hearings in Scotland: a qualitative study

In Scotland, the Children’s Hearing system determines the placement of maltreated children. A locally tailored version of the New Orleans Intervention for such children is about to be introduced in Glasgow. As part of an evaluation of its impact, an exploration was conducted of decision-making by children’s panel members, their possible role in the new intervention and their attitudes towards the changes. Interviews were held with focus groups and with members of the Children’s Hearing system using vignettes and a topic guide to focus the discussions. Thematic analysis identified key themes about the decision-making process and how the new service might impact on this. It was found that making decisions about a child’s eventual permanent placement is complex, but discussions generally focused on the parent rather than the child. Panel members highlighted how decision-making could be facilitated by a solid evidence base and knowing that a future care plan for the child is in place. Many of them were positive about the new intervention. Good, clear communication will be essential if they are to accept recommendations from a new service. Also, training will be crucial if they are to appreciate the validity of the reports that emerge