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Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales,...

Emily Lowthian Orcid Logo, Professor Graham Moore, Dr Annette Evans, Dr Rebecca Anthony , Dr Muhammad Azizur Rahman, Professor Rhian Daniel, Professor Jonathan Scourfield , Professor Chris Taylor, Professor Shantini Paranjothy, Dr Sara Long

Receipt of social services intervention in childhood, and educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK

Swansea University Author: Emily Lowthian Orcid Logo

Abstract

Background: Children receiving intervention from social services are at increased risk of lower educational attainment and poorer healthcare outcomes. Most research has focused on children placed ‘out-of-home’, or ‘looked after’ (CLA). Limited research has considered those at home (i.e. children on...

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Published in: Receipt of social services intervention in childhood, and educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
Published: BMC Public Health
URI: https://cronfa.swan.ac.uk/Record/cronfa67842
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fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>67842</id><entry>2024-09-26</entry><title>Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK</title><swanseaauthors><author><sid>db5bc529b8a9dfca2b4a268d14e03479</sid><ORCID>0000-0001-9362-0046</ORCID><firstname>Emily</firstname><surname>Lowthian</surname><name>Emily Lowthian</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-09-26</date><deptcode>SOSS</deptcode><abstract>Background: Children receiving intervention from social services are at increased risk of lower educational attainment and poorer healthcare outcomes. Most research has focused on children placed ‘out-of-home’, or ‘looked after’ (CLA). Limited research has considered those at home (i.e. children on the child protection register (CPR) or in need but not at risk (CIN)). These children often experience Adverse Childhood Experiences (ACEs) and deprivation, which are also known to negatively impact outcomes in childhood and adulthood. The impact of social care, ACEs, and demographic characteristics can be challenging to disentangle. We examine the association between being CLA/CIN/CPR and educational and healthcare outcomes, adjusted for ACEs, and birth, school, and demographic characteristics. Methods: We linked retrospective, routinely collected administrative records from health, education, and social care via the Secure Anonymised Information Linkage (SAIL) databank in Wales, UK. We analysed data for children and their household members (N=30,439) across four different groups: (1) no social care intervention; (2) children in need but not in care (CIN); (3) children on the Child Protection Register but not in care (CPR); (4) Children removed from the family home and looked after by the local authority (CLA). Primary and secondary outcome measures included educational outcomes at age 16, all cause emergency hospital admissions, and emergency hospital admissions for external causes/injuries.Results: Children in receipt of social care intervention between age 12 to 15 years were more likely to not attain the expected level upon leaving statutory education at age 16 after adjusting for ACEs and other characteristics; conditional OR: 1·76, (95%CI) 1·25-2·48 (CLA), 2·51, 2·00-3·15 (CIN) and 4·04, 2·44-6·68 (CPR). For all-cause emergency hospital admissions, all social care groups were at greater risk compared to children in the general population (conditional HR: 1·31, 1·01-1·68 (CLA), 1·62, 1·38-1·90 (CIN), 1·51, 1·11-2·04 (CPR).Conclusions: We find children in receipt of social services at home require more in-home support to improve outcomes. Both health and educational outcomes had similar risk factors in terms of ACEs. Policymakers and practitioners should consider adoption of holistic approaches, such as health in all policies, to support children.</abstract><type>Journal Article</type><journal>Receipt of social services intervention in childhood, and educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK</journal><volume/><journalNumber/><paginationStart/><paginationEnd/><publisher>BMC Public Health</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords>Children in Need; Children in Care; Adversity; Education attainment; Public Health, Hospital admissions; Administrative data; data linkage; routinely collected data</keywords><publishedDay>0</publishedDay><publishedMonth>0</publishedMonth><publishedYear>0</publishedYear><publishedDate>0001-01-01</publishedDate><doi/><url/><notes/><college>COLLEGE NANME</college><department>Social Sciences School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>SOSS</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>This work was funded by the Economic and Social Research Council Secondary Data Analysis Initiative (ES/R005478/1), and further supported by the Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), funded by Welsh Government through Health and Care Research Wales from 2020, and previously a UKCRC Public Health Research Centre of Excellence. The funding body played no role in designing the study, in the analysis and interpretation of the data, or in writing the manuscript.</funders><projectreference/><lastEdited>2024-09-26T13:26:23.6332257</lastEdited><Created>2024-09-26T13:15:19.1848756</Created><path><level id="1">Faculty of Humanities and Social Sciences</level><level id="2">School of Social Sciences - Education and Childhood Studies</level></path><authors><author><firstname>Emily</firstname><surname>Lowthian</surname><orcid>0000-0001-9362-0046</orcid><order>1</order></author><author><firstname>Professor Graham</firstname><surname>Moore</surname><order>2</order></author><author><firstname>Dr Annette</firstname><surname>Evans</surname><order>3</order></author><author><firstname>Dr Rebecca Anthony</firstname><surname/><order>4</order></author><author><firstname>Dr Muhammad Azizur</firstname><surname>Rahman</surname><order>5</order></author><author><firstname>Professor Rhian</firstname><surname>Daniel</surname><order>6</order></author><author><firstname>Professor Jonathan Scourfield</firstname><surname/><order>7</order></author><author><firstname>Professor Chris</firstname><surname>Taylor</surname><order>8</order></author><author><firstname>Professor Shantini</firstname><surname>Paranjothy</surname><order>9</order></author><author><firstname>Dr Sara</firstname><surname>Long</surname><order>10</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling v2 67842 2024-09-26 Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK db5bc529b8a9dfca2b4a268d14e03479 0000-0001-9362-0046 Emily Lowthian Emily Lowthian true false 2024-09-26 SOSS Background: Children receiving intervention from social services are at increased risk of lower educational attainment and poorer healthcare outcomes. Most research has focused on children placed ‘out-of-home’, or ‘looked after’ (CLA). Limited research has considered those at home (i.e. children on the child protection register (CPR) or in need but not at risk (CIN)). These children often experience Adverse Childhood Experiences (ACEs) and deprivation, which are also known to negatively impact outcomes in childhood and adulthood. The impact of social care, ACEs, and demographic characteristics can be challenging to disentangle. We examine the association between being CLA/CIN/CPR and educational and healthcare outcomes, adjusted for ACEs, and birth, school, and demographic characteristics. Methods: We linked retrospective, routinely collected administrative records from health, education, and social care via the Secure Anonymised Information Linkage (SAIL) databank in Wales, UK. We analysed data for children and their household members (N=30,439) across four different groups: (1) no social care intervention; (2) children in need but not in care (CIN); (3) children on the Child Protection Register but not in care (CPR); (4) Children removed from the family home and looked after by the local authority (CLA). Primary and secondary outcome measures included educational outcomes at age 16, all cause emergency hospital admissions, and emergency hospital admissions for external causes/injuries.Results: Children in receipt of social care intervention between age 12 to 15 years were more likely to not attain the expected level upon leaving statutory education at age 16 after adjusting for ACEs and other characteristics; conditional OR: 1·76, (95%CI) 1·25-2·48 (CLA), 2·51, 2·00-3·15 (CIN) and 4·04, 2·44-6·68 (CPR). For all-cause emergency hospital admissions, all social care groups were at greater risk compared to children in the general population (conditional HR: 1·31, 1·01-1·68 (CLA), 1·62, 1·38-1·90 (CIN), 1·51, 1·11-2·04 (CPR).Conclusions: We find children in receipt of social services at home require more in-home support to improve outcomes. Both health and educational outcomes had similar risk factors in terms of ACEs. Policymakers and practitioners should consider adoption of holistic approaches, such as health in all policies, to support children. Journal Article Receipt of social services intervention in childhood, and educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK BMC Public Health Children in Need; Children in Care; Adversity; Education attainment; Public Health, Hospital admissions; Administrative data; data linkage; routinely collected data 0 0 0 0001-01-01 COLLEGE NANME Social Sciences School COLLEGE CODE SOSS Swansea University Another institution paid the OA fee This work was funded by the Economic and Social Research Council Secondary Data Analysis Initiative (ES/R005478/1), and further supported by the Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), funded by Welsh Government through Health and Care Research Wales from 2020, and previously a UKCRC Public Health Research Centre of Excellence. The funding body played no role in designing the study, in the analysis and interpretation of the data, or in writing the manuscript. 2024-09-26T13:26:23.6332257 2024-09-26T13:15:19.1848756 Faculty of Humanities and Social Sciences School of Social Sciences - Education and Childhood Studies Emily Lowthian 0000-0001-9362-0046 1 Professor Graham Moore 2 Dr Annette Evans 3 Dr Rebecca Anthony 4 Dr Muhammad Azizur Rahman 5 Professor Rhian Daniel 6 Professor Jonathan Scourfield 7 Professor Chris Taylor 8 Professor Shantini Paranjothy 9 Dr Sara Long 10
title Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
spellingShingle Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
Emily Lowthian
title_short Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
title_full Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
title_fullStr Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
title_full_unstemmed Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
title_sort Associations of receipt of social services intervention in adolescence with educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
author_id_str_mv db5bc529b8a9dfca2b4a268d14e03479
author_id_fullname_str_mv db5bc529b8a9dfca2b4a268d14e03479_***_Emily Lowthian
author Emily Lowthian
author2 Emily Lowthian
Professor Graham Moore
Dr Annette Evans
Dr Rebecca Anthony
Dr Muhammad Azizur Rahman
Professor Rhian Daniel
Professor Jonathan Scourfield
Professor Chris Taylor
Professor Shantini Paranjothy
Dr Sara Long
format Journal article
container_title Receipt of social services intervention in childhood, and educational outcomes and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK
institution Swansea University
publisher BMC Public Health
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Social Sciences - Education and Childhood Studies{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Social Sciences - Education and Childhood Studies
document_store_str 0
active_str 0
description Background: Children receiving intervention from social services are at increased risk of lower educational attainment and poorer healthcare outcomes. Most research has focused on children placed ‘out-of-home’, or ‘looked after’ (CLA). Limited research has considered those at home (i.e. children on the child protection register (CPR) or in need but not at risk (CIN)). These children often experience Adverse Childhood Experiences (ACEs) and deprivation, which are also known to negatively impact outcomes in childhood and adulthood. The impact of social care, ACEs, and demographic characteristics can be challenging to disentangle. We examine the association between being CLA/CIN/CPR and educational and healthcare outcomes, adjusted for ACEs, and birth, school, and demographic characteristics. Methods: We linked retrospective, routinely collected administrative records from health, education, and social care via the Secure Anonymised Information Linkage (SAIL) databank in Wales, UK. We analysed data for children and their household members (N=30,439) across four different groups: (1) no social care intervention; (2) children in need but not in care (CIN); (3) children on the Child Protection Register but not in care (CPR); (4) Children removed from the family home and looked after by the local authority (CLA). Primary and secondary outcome measures included educational outcomes at age 16, all cause emergency hospital admissions, and emergency hospital admissions for external causes/injuries.Results: Children in receipt of social care intervention between age 12 to 15 years were more likely to not attain the expected level upon leaving statutory education at age 16 after adjusting for ACEs and other characteristics; conditional OR: 1·76, (95%CI) 1·25-2·48 (CLA), 2·51, 2·00-3·15 (CIN) and 4·04, 2·44-6·68 (CPR). For all-cause emergency hospital admissions, all social care groups were at greater risk compared to children in the general population (conditional HR: 1·31, 1·01-1·68 (CLA), 1·62, 1·38-1·90 (CIN), 1·51, 1·11-2·04 (CPR).Conclusions: We find children in receipt of social services at home require more in-home support to improve outcomes. Both health and educational outcomes had similar risk factors in terms of ACEs. Policymakers and practitioners should consider adoption of holistic approaches, such as health in all policies, to support children.
published_date 0001-01-01T13:26:22Z
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score 11.029921

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