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Disorganised attachment, child maltreatment and the role of teachers

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Royal Holloway University of London ... Tower Hamlets (x3) Croydon (x3) Merton (x2) Enfield all teams, all staff ... thepresentationpeople.com Last modified by: – PowerPoint PPT presentation

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Title: Disorganised attachment, child maltreatment and the role of teachers


1
Disorganised attachment, child maltreatment and
the role of teachers
Professor David Shemmings OBE PhD University of
Kent UK Visiting Professor of Child Protection
Research Royal Holloway University of London
co-Director of the ADAM Project and co-Director
of the University of Kents online Child
Protection Centre Director of the West London
Advanced Child Protection Pathway d.shemmings_at_kent
.ac.uk
2
adamproject.tiddlyspot.com (no www) client
DISORGANISED ATTACHMENT An irresolvable paradox
wherein the haven of safety is at once the source
of alarm (Main and Hesse, 1990) But, remember, it
is temporary and fleeting
3
ADAM Project members
  • Lewisham (x6)
  • Tower Hamlets (x3)
  • Croydon (x3)
  • Merton (x2)
  • Enfield all teams, all staff
  • Hounslow (x2)
  • Essex (x6)
  • SW Essex NHS
  • PIMH Surrey NHS
  • Bromley (x3)
  • Camden (x5)
  • Surrey NHS (x9)
  • Barnet x10)
  • Brent (x3)
  • Havering (x2)
  • Hammersmith and Fulham (x3)
  • Richmond (x4)
  • Bedford (x3)
  • Caldecott, Kent (x3)
  • Stoke
  • Surrey (x7)
  • Stockholm (x2)
  • Dusseldorf (MoD x 2)
  • Cyprus (MoD x 2)
  • Southwark (x2)
  • Nottingham
  • Coventry
  • Manchester
  • St Michaels, London (x5)
  • Medway (x7)
  • Belfast (NIGALA)
  • Newham (x2)

4
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8
importance of base rate in risk assessment
  • Mental ill-health
  • 27 in SCRs
  • But 25 in Gen Pop
  • Substance misuse
  • 44 in SCRs
  • But 34 in Gen Pop (9 drug 25 alcohol)
  • Domestic Abuse
  • 34 from SCRs
  • But 24 in Gen Pop

9
Linkages, mechanisms, pathways
dissociation / PTSD
disconnected parenting
low mentalising capacity
Child maltreatment
Carer risk factors
unresolved loss and trauma
Impulsivity , low distress tolerance, low
consequence appraisal
disorganised attachment behaviour (there may be
sub-divisions)
extremely insensitive parenting
(Other e.g. one-off extreme violence, family
suicide/homicide)
DRD4 7 polymorphism, MAO-A, 5HTT and other
influences?
10
enhanced communication skills
  • Needed for assessment, help and support but
    also to share concerns
  • Intelligent kindness
  • Unsentimental compassion
  • Non-directive i.e.gentle - curiosity
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