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N Z Med J. 2021 Jan 15;134(1528):35-45.

Interviews with health professionals about the National Child Protection Alert System.

The New Zealand medical journal

Patrick Kelly, Melissa Adam, Carmen Basu, Miranda Ritchie, Denise Wilson, Fred Seymour

Affiliations

  1. Paediatrician, Service Clinical Director, Te Puaruruhau (Child Protection Team), Starship Children's Health, Auckland; Department of Paediatrics, Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland.
  2. Honours Student, School of Psychology, University of Auckland.
  3. Child Protection Research Fellow, Te Puaruruhau (Child Protection Team), Starship Children's Health, Auckland.
  4. National Violence Intervention Programme Manager, Health Networks Limited.
  5. Professor of M?ori Health, Co-Director, Taupua Waiora Centre of M?ori Health Research, AUT University, Auckland.
  6. Emeritus Professor, School of Psychology, University of Auckland.

PMID: 33444305

Abstract

AIM: The New Zealand National Child Protection Alert System is administered by multidisciplinary teams in every district health board. The aim of this study was to investigate the factors that influence multidisciplinary child protection teams' (MDTs') decisions about whether to place a child protection alert.

METHOD: Members of the Child Protection Alert System teams were invited to participate in semi-structured interviews. Interview data were coded and grouped into themes using inductive thematic analysis.

RESULTS: Six themes were identified: the system works well; a wide range of factors are considered in multidisciplinary team decision-making; there are some difficulties with multidisciplinary team meetings; there are problems with the administration of the system across district health boards; there is concern about the potential for the Child Protection Alert System to stigmatise families or cause unjustified responses; improvements can be made to the system.

CONCLUSION: There is overall support for the National Child Protection Alert System and a consensus that the benefits outweigh any potential risks. There is a need for further improvements to the system, including consistent training, further standardisation and increased accessibility of the information to health professionals, including making information on the system available to primary healthcare.

Conflict of interest statement

Miranda Ritchie is employed by contract to the Ministry of Health to audit implementation of the National Child Protection Alert System. Patrick Kelly is a member of the Clinical Reference Group of th

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