Research Article
Volume 10 Issue 1 - 2021
Exploring a Safety Measure Within Dutch Child Protection Case Management
Brigit Rijbroek*, Robbert Huijsman, Cora Bartelink and Mathilde Strating
Erasmus School of Health Policy and Management, Rotterdam, Netherlands
*Corresponding Author: Brigit Rijbroek, Erasmus School of Health Policy and Management, Rotterdam, Netherlands.
Received: September 02, 2020; Published: December 31, 2020


Objectives: Current study explores the potential of the safety rating scale in order to determine the surplus value for evidence based practise. This study wants to contribute to this knowledge gape by exploring the safety scale by analysing the change between two safety ratings. First, the absolute change in safety is investigated. Secondly the study explores to what extent family background characteristics and case management characteristics determine the extent of change in perceived safety.

Materials and Methods: The study analysed 105 Dutch child protection cases who had registration files with filled out LIRIK checklist, Action Plan and additional baseline safety and end safety measure as perceived by case managers.

Results: On average perceived safety increased from an insufficient level to sufficient level. Significant regression coefficients with larger changes for primary school children (6 - 12 years) and lower changes for children within the ‘socio economic problems cluster’. The results reveal significant vulnerability for preschool children and families attending the socio-economic cluster due to limited improvement.

Conclusion: According to this study the safety measure can be of value to outcome monitoring. The safety measure is a practical measure that reflects on the current state of safety within a family according to professionals and can be used on several occasions during case management. In addition, on aggregated level pre and post measures can be analysed for quality management purpose. Further exploration of this measure is needed.

Keywords: Safety Measure; Dutch Child Protection; Safety Rating Scale


  1. Munro E. “Decision-making under uncertainty in child protection: Creating a just and learning culture”. Child and Family Social Work 24 (2019): 123-130.
  2. Wilson S. “Proactively managing for outcomes in statutory child protection: The development of a management model”. Administration in Social Work 33 (2009): 136-150.
  3. Albrigth K., et al. “What does effectiveness mean? A qualitative assessment of two child protection systems”. Child Abuse and Neglect (2018): 89.
  4. Collins-Camargo C and Garstka TA. “Promoting outcome achievement in child welfare: Predictors of evidence-informed practice”. Journal of Evidence-Based Social Work 11 (2014): 423-436.
  5. Holwerda A., et al. “De effectiviteit van hulpverlening aan multiprobleemgezinnen: Een overzicht. [Effectiveness of care for multiproblem families: An overview]”. Groningen: Universitair Medisch Centrum 77Groningen (2014).
  6. Lowell DI., et al. “A randomized controlled trial of Child FIRST: A comprehensive home-based intervention translating research into early childhood practice”. Child Development1 (2011): 193-208.
  7. Munro E. “The Munro review of child protection, final report: A child-centred system”. London: Department for Education (2011): 77.
  8. Walburg J., et al. “Performance management in health care”. Oxon: Routledge (2006).
  9. Scholten RJPM., et al. “Inleiding in evidence-based medicine: klinisch handelen gebaseerd op bewijs materiaal (5th edition). [Introduction to evidence based medicine: clinical approach based on evidence]”. Houten: Bohn Stafleu van Loghum (2018).
  10. Alink L., et al. “Kindermishandeling in Nederland anno 2010. De Tweede Nationale Prevalentiestudie Mishandeling van Kinderen en Jeugdigen (NPM-2010) (2nd edition)”. Leiden: Casimir (2010).
  11. Belsky J. “Etiology of child maltreatment: A developmental-ecological analysis”. Psychological Bulletin3 (1993): 413-434.
  12. PI Research and Van Montfoort. “Handboek Deltamethode Gezinsvoogdij: methode voor de uitvoering van de ondertoezichtstelling van minderjarigen versie 3.0. [Manual Deltamethod Child custody: method for the execution of child custody of minors version 3.0.]”. Duivendrecht/Woerden, the Netherlands: PI Research/Van Montfoort (2009).
  13. Van Aggelen M., et al. “De Outcome-indicatoren in de jeugdhulp Inventarisatie van het gebruik door jeugdhulp aanbieders en gemeenten”. Utrecht, the Netherlands: Netherlands Youth Institute (2019).
  14. Van Yperen Y., et al. “Outcome in zicht: Werken met prestatie-indicatoren in de jeugdhulp”. Utrecht, the Netherlands: Netherlands Youth Institute (2014).
  15. Malmberg M., et al. “Zicht op outcome in de jeugdbescherming en jeugdreclassering. [Views on outcome in child protective services and juvenile rehabilitation]”. Utrecht, the Netherlands: Netherlands Youth Institute (2019).
  16. Turnell A and Edwards S. “Signs of safety: A solution and safety oriented approach to child protection casework”. New York/London: Norton (1999).
  17. Bartelink C. “Signs of Safety”. Utrecht, the Netherlands: Netherlands Youth Institute (2010).
  18. Correl D. “The Measurement of Pain: Objectifying the Subjective”. In Pain Management (2007): 197-211.
  19. Ministry of Security and Justice. About the Child Care and Protection Board (2015).
  20. Lantz CA and Nebenzahl E. “Behavior and interpretation of the κ statistic: Resolution of the two paradoxes”. Journal of Clinical Epidemiology4 (1996): 431-434.
  21. Bartelink C., et al. “Is it safe? Reliability and validity of structured versus unstructured child safety judgments”. Child and Youth Care Forum 46 (2017): 745-768.
  22. Ten Berge IJ and Eijgenraam K. “Licht Instrument Risicotaxatie Kindermishandeling: Versie 2009. [Light Instrument Risk Assessment Child Maltreatment: Version 2009]”. Utrecht, the Netherlands: Netherlands Youth Institute (2009).
  23. Ten Berge IJ., et al. “Licht Instrument Risicotaxatie Kindveiligheid: Herziene Versie Juni 2014 [Light Instrument Risk Assessment Child Safety” (2014).
  24. Belsky J. “The Determinants of Parenting: A Process Model”. Child Development1 (1984): 83-96.
  25. Rijbroek B., et al. “Child protection cases, one size fits all? Cluster analyses of risk and protective factors”. Child abuse and Neglect, 95, no page specifications (2019).
  26. Sullivan M and Feinn R. “Using Effect Size or Why the P Value Is Not Enough”. Journal of Graduate Medical Education 3 (2014): 279-282.
  27. Tomczak M and Tomczak E. “The need to report effect size estimates revisited”. Trends in Sport Sciences 1 (2014): 19-25.
  28. Cohen J. “Statistical power analysis for the behavioral sciences (2nd edition.). New Jersey: Lawrence Erlbaum Associates (1988).
  29. Alink L., et al. “NPM-2017: Nationale Prevalentiestudie Mishandeling van Kinderen en Jeugdigen. [NPM-2017: National Prevalence study on abuse of children and youth]. Leiden, the Netherlands: Leiden University/TNO” (2018).
  30. Stams GJJM., et al. “Implementatie en doelmatigheid van de Deltamethode Gezinsvoogdij: Onderzoek naar de invloed van de Deltamethode Gezinsvoogdij op het verloop van de ondertoezichtstelling. [Implementation and efficacy of the Deltamethod Child custody: A study on the influence of the Deltamethod Child custody on the course of child protection measures]”. Amsterdam: Kohnstamm Institute (2010).
  31. Bartelink C., et al. “Betrouwbaar en valide beslissen over uithuisplaatsing: Eindrapport. [Reliable and valid deciding on out-of-home placement: Final report]”. Utrecht, the Netherlands: Netherlands Youth Institute (2019).
  32. Bartelink C., et al. “Agreement on child maltreatment decisions: A nonrandomized study on the effects of structured decision-making”. Child and Youth Care Forum 43 (2014): 639-654.
  33. Benbenishty R., et al. “Decision making in child protection: An international comparative study on maltreatment substantiation, risk assessment and interventions recommendations, and the role of professionals’ child welfare attitudes”. Child Abuse and Neglect 49 (2015): 63-75.
  34. Van Yperen T., et al. “Outcome sturing in de jeugdhulp: 10 tips voor gemeenten en aanbieders [Outcome monitoring in youh care: 10 tips for municipalities and service providers]”. Utrecht, the Netherlands: Netherlands Youth Institute (2015).
  35. Rossi PH., et al. “Evaluation: A systematic approach”. Thousand Oaks, CA: Sage (2004).
  36. Hood R. “What to Measure in Child Protection?” British Journal of Social Work 49 (2019): 466-484.
  37. Russel JR., et al. “Is child protective services effective?” Children and Youth Services Review 84 (2018): 185-192.
Citation: Brigit Rijbroek., et al. “Exploring a Safety Measure Within Dutch Child Protection Case Management”. EC Paediatrics 10.1 (2021): 40-53.

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