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This chapter considers the rights of children who are looked after by local authorities. It is clear in both international law and domestic law that children are entitled to state care that protects their rights and promotes their welfare; yet too often the state has failed in its duties as corporate parent. This chapter starts by considering the obligations owed by the state to looked-after children, including the difficult tension between the need to respect their family relationships, but also to plan for a secure future for the child. It then considers children in residential settings. A long history of abuse in such settings demonstrates the failure to protect many children from further abuse and exploitation. The rights of children in care are further at risk from the acute shortage of suitable placements, particularly for children with complex needs who are deprived of their liberty. The shortage of proper provision for these children means that many are accommodated in circumstances that not only fail to meet their needs, but are also degrading and dangerous. The chapter concludes by considering the extent to which the state is accountable to children for failings in their care.
Routine screening to identify mental health problems in English looked-after children has been conducted since 2009 using the Strengths and Difficulties Questionnaire (SDQ).
Aims
To investigate the degree to which data collection achieves screening aims (identifying scale of problem, having an impact on mental health) and the potential analytic value of the data set.
Method
Department for Education data (2009–2017) were used to examine: aggregate, population-level trends in SDQ scores in 4/5- to 16/17-year-olds; representativeness of the SDQ sample; attrition in this sample.
Results
Mean SDQ scores (around 50% ‘abnormal’ or ‘borderline’) were stable over 9 years. Levels of missing data were high (25–30%), as was attrition (28% retained for 4 years). Cross-sectional SDQ samples were not representative and longitudinal samples were biased.
Conclusions
Mental health screening appears justified and the data set has research potential, but the English screening programme falls short because of missing data and inadequate referral routes for those with difficulties.
Declaration of interest
None.
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