Adult Safeguarding Legislation and Policy Rapid Realist Literature Review

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Adult Safeguarding Legislation and Policy Rapid Realist Literature Review ADULT SAFEGUARDING LEGISLATION AND POLICY RAPID REALIST LITERATURE REVIEW Adult Safeguarding Legislation and Policy Rapid Realist Literature Review Commissioned by the HSE National Safeguarding Office and Trigraph Limited (May 2017) Authors: Dr Sarah Donnelly, Principal Investigator, School of Social Policy, Social Work and Social Justice, UCD Dr Marita O’Brien, Independent Researcher and Health Policy Analyst Ms Judy Walsh, School of Social Policy, Social Work and Social Justice, UCD Ms Joanne Mc Inerney, Research Assistant Prof Jim Campbell, School of Social Policy, Social Work and Social Justice, UCD Dr Naonori Kodate, School of Social Policy, Social Work and Social Justice, UCD 1 Acknowledgements The research team wishes to thank the following people for their invaluable contribution to the literature review process: Dr Lorna Montgomery, Lecturer in Social Work, Queens University Belfast Kevin Myles, Department of Health, Safeguarding Unit, Northern Ireland Lisa Trueman, Department of Health Safeguarding Unit, Northern Ireland Kathyrn Mackay, Lecturer in Social Work, University of Stirling, Scotland Dr Fiona Sherwood-Johnston, Lecturer in Social Work, University of Stirling, Scotland Professor Lynn Mc Donald, Factor-Inwentash Faculty of Social Work, Scientific Director, National Initiative for the Care of the Elderly (NICE),Toronto, Canada Laura Tamblyn Watts, Senior Fellow and Staff Lawyer, Canadian Centre for Elder Law Krista James, National Director of the Canadian Centre for Elder Law Professor Marie Beaulieu, School of Social Work, University of Sherbrooke, Canada Dr John Chesterman, Director of Strategy, Office of the Public Advocate, Victoria, Australia Dr Maureen Lyons, Research Manager, School of Social Policy, Social Work and Social Justice, UCD 2 List of Tables Table 1 Definition of Adult at Risk 38 Table 2 Table of Legislation 89 Table 3 Overview of Adult Safeguarding Models in England 106 Table 4 Key Findings MSP 137 List of Figures Figure 1 West of Scotland Response Process 96 Figure 2 Kent and Midway Response Framework 102 Figure 3 England's Information and Sharing Stage 104 Figure 4 Decision-Making Tree 105 Figure 5 Adult Safeguarding Structure 110 Figure 6 Safeguarding Continuum 111 Figure 7 Harm 112 Figure 8 Vancouver Response 120 Figure 9 NSW Response 125 3 Table of Contents Acknowledgements ................................................................................................ 2 List of Tables ........................................................................................................... 3 List of Figures ......................................................................................................... 3 Table of Contents .................................................................................................... 4 1.0 Background and Methodology ................................................................... 8 1.1 Background ................................................................................................ 8 1.2 Methodological Approach to Literature Review ........................................ 10 1.3 Search for and selection of evidence ....................................................... 13 1.3.1 Literature Review Search Terms ...................................................... 13 1.3.2 Data Analysis .................................................................................... 14 1.3.3 Limitations of the Review .................................................................. 14 2.0 Research Question One ............................................................................ 16 What are the contrasting definitions of adult safeguarding? .................................... 16 2.1 Introduction .................................................................................................... 16 2.2 SCOTLAND ................................................................................................... 18 2.2.1 Abuse versus harm ........................................................................... 19 2.2.2 Vulnerability ...................................................................................... 20 2.3 ENGLAND ..................................................................................................... 21 2.3.1 Abuse versus harm ........................................................................... 24 2.3.2 Vulnerability ...................................................................................... 25 2.4 NORTHERN IRELAND .................................................................................. 25 2.4.1 Adult at Risk of Harm ........................................................................ 28 2.4.2 Abuse versus harm ............................................................................ 29 2.4.3 Vulnerability ....................................................................................... 29 2.5 CANADA ....................................................................................................... 30 2.5.1 Types of abuse ................................................................................. 33 2.5.2 Defining those in need of protection.................................................. 34 2.5.3 Vulnerability ...................................................................................... 35 2.6 AUSTRALIA .................................................................................................. 35 5.6.1 Types of abuse ................................................................................. 36 2.6.2 Abuse versus Harm .......................................................................... 37 2.6.3 Vulnerability ...................................................................................... 37 2.6.4 Summary table of Definitions ............................................................ 38 2.7 Conclusion ..................................................................................................... 39 3.0 Research Question Two ............................................................................ 42 What legislation has been introduced in the countries concerned and what has been learning has been gained from Serious Case Reviews carried out in that jurisdiction?' .................................................................................................................................... 4 3.1 Introduction ................................................................................................... 42 3.2 Adult Safeguarding Legislation ...................................................................... 42 3.3 SCOTLAND ................................................................................................... 43 3.3.1 Fundamental principles ....................................................................... 45 3.3.2 Key definitions .................................................................................... 45 3.3.3 Key powers and duties........................................................................ 46 3.4 ENGLAND ..................................................................................................... 48 3.4.1 Fundamental principles .................................................................... 51 3.4.2 Key definitions .................................................................................. 53 3.4.3 Key powers and duties ..................................................................... 53 3.5 CANADA ....................................................................................................... 56 3.5.1 British Columbia ................................................................................ 60 3.5.1.1 Fundamental principles .................................................................. 61 3.5.1.2 Key definitions ................................................................................ 61 3.5.1.3 Key powers and duties ................................................................... 62 3.5.2 Nova Scotia ....................................................................................... 65 3.5.2.1 Fundamental principles .................................................................. 66 3.5.2.2 Key definitions ................................................................................ 67 3.5.2.3 Key powers and duties ................................................................... 68 3.6 AUSTRALIA .................................................................................................. 70 3.6.1 Victoria .................................................................................................. 72 3.6.2 Key Issues ............................................................................................ 76 3.6.2.1 Fundamental Principles .................................................................... 76 3.6.4.2 Accountability and transparency in delivering safeguarding .............. 77 3.6.4.3 Salience of Human Rights ................................................................ 81 3.6.4.4. Mandatory Reporting or Permissive Reporting and Mandatory Response Models ............................................................................................ 83 3.6.4.5 Serious Case Reviews ...................................................................... 85 4.0 Research Question Three .............................................................................. 92 What are the different organisational models of adult safeguarding? ........................
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