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Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe

Catherine Quantin, Donna O'Leary, Yulia Shenderovich, Neha Batura, Marcella Broccia, Jonathan Cottenet, Laura Cowley, Troels Graesholt-Knudsen, Diogo Lamela, Kevin Lalor, Andreas Jud, Leona Hakkaart van Roijen, Peter Fallesen, George Nikolaidis, Athanasios Ntinapogias, Ulugbek Nurmatov, Sinead Brophy

International Journal of Population Data Science, Volume: 11, Issue: 3, Start page: 3147

Swansea University Author: Laura Cowley

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DOI (Published version): 10.23889/ijpds.v11i3.3147

Abstract

Child maltreatment (CM) is a widespread and underreported public health concern with long-term health and wellbeing outcomes. In Europe, access to timely, effective support remains limited. Inadequate responses exacerbate long-term outcomes and influence life course trajectories, with substantial so...

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Published in: International Journal of Population Data Science
ISSN: 2399-4908
Published: Swansea University 2026
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URI: https://cronfa.swan.ac.uk/Record/cronfa72156
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Inadequate responses exacerbate long-term outcomes and influence life course trajectories, with substantial societal and economic costs. The EU-funded SERENA project aims to improve access to health and social care (HSC) services for individuals who experience CM throughout Europe by enhancing detection and interventions, limiting consequences, and reducing societal burdens. SERENA takes an early life course approach, and will examine HSC pathways before and after CM detection, assess related health and wellbeing outcomes, and evaluate the societal costs of CM. Two scoping reviews will examine quantitative and qualitative evidence on barriers and facilitators to access to HSC for children who experience CM, and their service pathways. A mixed methods study will combine quantitative analyses of nationwide longitudinal administrative HSC data from seven countries, supplemented by aggregated child protection data from 26 countries, with qualitative analyses of interviews with adult survivors of CM and HSC professionals in three countries. Examination of HSC pathways will enable us to identify the settings and stages where interventions can be targeted to improve outcomes for children with CM. We will also examine societal costs by analysing direct medical expenses, educational costs, and productivity losses in four countries. An interdisciplinary, participatory synthesis involving stakeholders and adult survivors of CM will assess services, define priority actions, and inform recommendations. SERENA, a consortium of 22 partners across Europe, represents the first multi-country, large-scale, cross-sectoral longitudinal initiative to comprehensively examine CM and HSC service use. 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spelling 2026-06-24T14:18:03.6700193 v2 72156 2026-06-24 Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe a80501f280e89fee276510b25fc68e77 Laura Cowley Laura Cowley true false 2026-06-24 MEDS Child maltreatment (CM) is a widespread and underreported public health concern with long-term health and wellbeing outcomes. In Europe, access to timely, effective support remains limited. Inadequate responses exacerbate long-term outcomes and influence life course trajectories, with substantial societal and economic costs. The EU-funded SERENA project aims to improve access to health and social care (HSC) services for individuals who experience CM throughout Europe by enhancing detection and interventions, limiting consequences, and reducing societal burdens. SERENA takes an early life course approach, and will examine HSC pathways before and after CM detection, assess related health and wellbeing outcomes, and evaluate the societal costs of CM. Two scoping reviews will examine quantitative and qualitative evidence on barriers and facilitators to access to HSC for children who experience CM, and their service pathways. A mixed methods study will combine quantitative analyses of nationwide longitudinal administrative HSC data from seven countries, supplemented by aggregated child protection data from 26 countries, with qualitative analyses of interviews with adult survivors of CM and HSC professionals in three countries. Examination of HSC pathways will enable us to identify the settings and stages where interventions can be targeted to improve outcomes for children with CM. We will also examine societal costs by analysing direct medical expenses, educational costs, and productivity losses in four countries. An interdisciplinary, participatory synthesis involving stakeholders and adult survivors of CM will assess services, define priority actions, and inform recommendations. SERENA, a consortium of 22 partners across Europe, represents the first multi-country, large-scale, cross-sectoral longitudinal initiative to comprehensively examine CM and HSC service use. By addressing critical evidence gaps, SERENA will provide operationally and economically viable recommendations to enhance service access and public health responses in Europe, with findings that are transferable to diverse international contexts. Journal Article International Journal of Population Data Science 11 3 3147 Swansea University 2399-4908 child health, child maltreatment, health and social care, care inequalities, mixed methods, health economics, child protection, child welfare 11 6 2026 2026-06-11 10.23889/ijpds.v11i3.3147 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee This work was supported by the European Union under Horizon Europe SERENA project (Grant Agreement 101151854). 2026-06-24T14:18:03.6700193 2026-06-24T14:11:17.1019070 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Catherine Quantin 1 Donna O'Leary 2 Yulia Shenderovich 3 Neha Batura 4 Marcella Broccia 5 Jonathan Cottenet 6 Laura Cowley 7 Troels Graesholt-Knudsen 8 Diogo Lamela 9 Kevin Lalor 10 Andreas Jud 11 Leona Hakkaart van Roijen 12 Peter Fallesen 13 George Nikolaidis 14 Athanasios Ntinapogias 15 Ulugbek Nurmatov 16 Sinead Brophy 17 72156__37040__e4af3897ec0a4e64af1b89033738e836.pdf 72156.VOR.pdf 2026-06-24T14:15:46.8477287 Output 1695729 application/pdf Version of Record true © The Authors. This work is licensed under a Creative Commons Attribution 4.0 International License. true eng https://creativecommons.org/licenses/by/4.0/
title Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe
spellingShingle Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe
Laura Cowley
title_short Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe
title_full Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe
title_fullStr Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe
title_full_unstemmed Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe
title_sort Assessing and Improving Access to Health and Social Care Services for Children Rendered Vulnerable by Abuse: Protocol for a Cross-Sectoral Longitudinal, Mixed Methods, Multi-Country Study Using Nationwide Data in Europe
author_id_str_mv a80501f280e89fee276510b25fc68e77
author_id_fullname_str_mv a80501f280e89fee276510b25fc68e77_***_Laura Cowley
author Laura Cowley
author2 Catherine Quantin
Donna O'Leary
Yulia Shenderovich
Neha Batura
Marcella Broccia
Jonathan Cottenet
Laura Cowley
Troels Graesholt-Knudsen
Diogo Lamela
Kevin Lalor
Andreas Jud
Leona Hakkaart van Roijen
Peter Fallesen
George Nikolaidis
Athanasios Ntinapogias
Ulugbek Nurmatov
Sinead Brophy
format Journal article
container_title International Journal of Population Data Science
container_volume 11
container_issue 3
container_start_page 3147
publishDate 2026
institution Swansea University
issn 2399-4908
doi_str_mv 10.23889/ijpds.v11i3.3147
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 - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description Child maltreatment (CM) is a widespread and underreported public health concern with long-term health and wellbeing outcomes. In Europe, access to timely, effective support remains limited. Inadequate responses exacerbate long-term outcomes and influence life course trajectories, with substantial societal and economic costs. The EU-funded SERENA project aims to improve access to health and social care (HSC) services for individuals who experience CM throughout Europe by enhancing detection and interventions, limiting consequences, and reducing societal burdens. SERENA takes an early life course approach, and will examine HSC pathways before and after CM detection, assess related health and wellbeing outcomes, and evaluate the societal costs of CM. Two scoping reviews will examine quantitative and qualitative evidence on barriers and facilitators to access to HSC for children who experience CM, and their service pathways. A mixed methods study will combine quantitative analyses of nationwide longitudinal administrative HSC data from seven countries, supplemented by aggregated child protection data from 26 countries, with qualitative analyses of interviews with adult survivors of CM and HSC professionals in three countries. Examination of HSC pathways will enable us to identify the settings and stages where interventions can be targeted to improve outcomes for children with CM. We will also examine societal costs by analysing direct medical expenses, educational costs, and productivity losses in four countries. An interdisciplinary, participatory synthesis involving stakeholders and adult survivors of CM will assess services, define priority actions, and inform recommendations. SERENA, a consortium of 22 partners across Europe, represents the first multi-country, large-scale, cross-sectoral longitudinal initiative to comprehensively examine CM and HSC service use. By addressing critical evidence gaps, SERENA will provide operationally and economically viable recommendations to enhance service access and public health responses in Europe, with findings that are transferable to diverse international contexts.
published_date 2026-06-11T06:14:05Z
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