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Article ; Online: Child maltreatment investigations: Comparing children, families, and reasons for referral in three European countries.

Witte, Susanne / López López, Mónica / Baldwin, Helen / Biehal, Nina / Kindler, Heinz

2022 Volume 132, Page(s) 105805

Abstract: Background: Almost all countries have developed measures to ensure that children do not suffer from violence in their families. However, the legal framework, definitions of maltreatment, and institutional structures differ. Whereas in other areas of ... ...

Abstract	Background: Almost all countries have developed measures to ensure that children do not suffer from violence in their families. However, the legal framework, definitions of maltreatment, and institutional structures differ. Whereas in other areas of social policy comparative research is very common, child protection research falls behind. Research questions: The article examines the differences between cases referred to local child and youth welfare authorities due to concerns about abuse or neglect in Germany, England and the Netherlands, comparing the characteristics of the child, the family, the person reporting the suspected maltreatment, and the type of maltreatment. Method: 1207 case files on children investigated due to suspected child maltreatment from the Netherlands, England, and Germany were analyzed using a standardized coding scheme. Results: The family backgrounds of the children reported differed substantially, with more lone parents in England and more children living in two households in the Netherlands. The persons and institutions reporting their concerns to the local child and youth welfare authorities also differed, with more reports from children and family members in Germany and more from health services in England. In England, physical abuse, sexual abuse, and sexual exploitation were more frequently the reason for referral than in the Netherlands and Germany. Discussion: Differences between countries can partially be explained based on differences in policies and relations of other systems to the child protection system.
MeSH term(s)	Adolescent ; Child ; Child Abuse ; Child Welfare ; Humans ; Parents ; Referral and Consultation ; Violence
Language	English
Publishing date	2022-08-11
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	799143-5
ISSN	1873-7757 ; 0145-2134
ISSN (online)	1873-7757
ISSN	0145-2134
DOI	10.1016/j.chiabu.2022.105805
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Article ; Online: Antenatal risk factors for child maltreatment: Linkage of data from a birth cohort study to child welfare records.

Baldwin, Helen / Biehal, Nina / Allgar, Victoria / Cusworth, Linda / Pickett, Kate

Child abuse & neglect

2020 Volume 107, Page(s) 104605

Abstract: Background: Understanding the risk factors for child maltreatment is critical to efforts to reduce its prevalence.: Objective: This study investigated the association between characteristics and circumstances of mothers during pregnancy and the ... ...

Abstract	Background: Understanding the risk factors for child maltreatment is critical to efforts to reduce its prevalence. Objective: This study investigated the association between characteristics and circumstances of mothers during pregnancy and the subsequent identification of concerns about child maltreatment. Participants and setting: The study drew on two data sets: (i) data from questionnaires administered to the expectant mothers of 11,332 children born in a deprived multi-ethnic local authority in England between 2007 and 2011, for a birth cohort study, and (ii) administrative data on children referred to child welfare services. Methods: The linkage of these two pre-existing data sets enabled the prospective study of risk factors for child maltreatment. Results: A range of factors captured during the antenatal period were associated with an increased likelihood of subsequent recorded child maltreatment concerns, including: younger maternal age (HR=0.96; p < .001), lower maternal education level (HR=1.36; p < .001), maternal mental illness (HR=1.17; p = .001), maternal smoking in pregnancy (HR=1.69; p < .001), single motherhood (HR=1.41; p = .022), larger family size (HR=1.13; p < .001), multiple deprivation (HR=1.01; p = .011), social housing (HR=1.72; p < .001), paternal unemployment (HR=1.79; p < .001), and the receipt of means-tested welfare benefits (HR=1.43; p < .001). A greater total number of risk factors during pregnancy also increased the risk of subsequent maltreatment concerns (HR=1.45; p < .001). Conclusions: The identification of multiple risk factors in this study supports claims that single targeted interventions are unlikely to be successful in preventing or reducing child maltreatment due to its multifactorial nature, and that multidimensional interventions are required.
MeSH term(s)	Adult ; Alcohol Drinking/epidemiology ; Child ; Child Abuse/statistics & numerical data ; Child Abuse/trends ; Child, Preschool ; Cohort Studies ; Data Collection/methods ; England/epidemiology ; Ethnic Groups/statistics & numerical data ; Family Characteristics ; Female ; Humans ; Male ; Maternal Age ; Mental Health/statistics & numerical data ; Mothers/statistics & numerical data ; Pregnancy ; Prevalence ; Prospective Studies ; Risk Factors ; Smoking/epidemiology ; Socioeconomic Factors
Language	English
Publishing date	2020-06-23
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	799143-5
ISSN	1873-7757 ; 0145-2134
ISSN (online)	1873-7757
ISSN	0145-2134
DOI	10.1016/j.chiabu.2020.104605
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Article ; Online: Regulatory T cells enhance Th17 migration in psoriatic arthritis which is reversed by anti-TNF.

Nguyen, Dao X / Baldwin, Helen M / Ezeonyeji, Amara N / Butt, Mohammed Rohan / Ehrenstein, Michael R

iScience

2021 Volume 24, Issue 9, Page(s) 102973

Abstract: Regulatory T cells (Treg) prevent the migration of effector T cells toward sites of inflammation, thereby limiting disease progression. We investigated this aspect of Treg function using psoriatic arthritis (PsA) as an exemplar of chronic inflammation. ... ...

Abstract	Regulatory T cells (Treg) prevent the migration of effector T cells toward sites of inflammation, thereby limiting disease progression. We investigated this aspect of Treg function using psoriatic arthritis (PsA) as an exemplar of chronic inflammation. Patients with PsA had an increased Th17:Treg ratio which was reversed by anti-tumor necrosis factor (TNF) therapy. Utilizing an
Language	English
Publishing date	2021-08-11
Publishing country	United States
Document type	Journal Article
ISSN	2589-0042
ISSN (online)	2589-0042
DOI	10.1016/j.isci.2021.102973
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Article: Real-World Implementation of Precision Psychiatry: A Systematic Review of Barriers and Facilitators.

Baldwin, Helen / Loebel-Davidsohn, Lion / Oliver, Dominic / Salazar de Pablo, Gonzalo / Stahl, Daniel / Riper, Heleen / Fusar-Poli, Paolo

Brain sciences

2022 Volume 12, Issue 7

Abstract: Background: Despite significant research progress surrounding precision medicine in psychiatry, there has been little tangible impact upon real-world clinical care.: Objective: To identify barriers and facilitators affecting the real-world ... ...

Abstract	Background: Despite significant research progress surrounding precision medicine in psychiatry, there has been little tangible impact upon real-world clinical care. Objective: To identify barriers and facilitators affecting the real-world implementation of precision psychiatry. Method: A PRISMA-compliant systematic literature search of primary research studies, conducted in the Web of Science, Cochrane Central Register of Controlled Trials, PsycINFO and OpenGrey databases. We included a qualitative data synthesis structured according to the 'Consolidated Framework for Implementation Research' (CFIR) key constructs. Results: Of 93,886 records screened, 28 studies were suitable for inclusion. The included studies reported 38 barriers and facilitators attributed to the CFIR constructs. Commonly reported barriers included: potential psychological harm to the service user ( Conclusions: Psychiatry faces widespread challenges in the implementation of precision medicine methods. Innovative solutions are required at the level of the individual and the wider system to fulfil the translational gap and impact real-world care.
Language	English
Publishing date	2022-07-16
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2651993-8
ISSN	2076-3425
ISSN	2076-3425
DOI	10.3390/brainsci12070934
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Article ; Online: Recovery post treatment

Duffy Paul / Baldwin Helen

Substance Abuse Treatment, Prevention, and Policy, Vol 8, Iss 1, p

plans, barriers and motivators

2013 Volume 6

Abstract: Abstract Background The increasing focus on achieving a sustained recovery from substance use brings with it a need to better understand the factors (recovery capital) that contribute to recovery following treatment. This work examined the factors those ... ...

Abstract	Abstract Background The increasing focus on achieving a sustained recovery from substance use brings with it a need to better understand the factors (recovery capital) that contribute to recovery following treatment. This work examined the factors those in recovery perceive to be barriers to (lack of capital) or facilitators of (presence of capital) sustained recovery post treatment. Methods A purposive sample of 45 participants was recruited from 11 drug treatment services in northern England. Semi-structured qualitative interviews lasting between 30 and 90 minutes were conducted one to three months after participants completed treatment. Interviews examined key themes identified through previous literature but focused on allowing participants to explore their unique recovery journey. Interviews were transcribed and analysed thematically using a combination of deductive and inductive approaches. Results Participants generally reported high levels of confidence in maintaining their recovery with most planning to remain abstinent. There were indications of high levels of recovery capital. Aftercare engagement was high, often through self referral, with non substance use related activity felt to be particularly positive. Supported housing was critical and concerns were raised about the ability to afford to live independently with financial stability and welfare availability a key concern in general. Employment, often in the substance use treatment field, was a desire. However, it was a long term goal, with substantial risks associated with pursuing this too early. Positive social support was almost exclusively from within the recovery community although the re-building of relationships with family (children in particular) was a key motivator post treatment. Conclusions Addressing internal factors and underlying issues i.e. ‘human capital’, provided confidence for continued recovery whilst motivators focused on external factors such as family and maintaining aspects of a ‘normal’ life i.e. ‘social and physical ...
Keywords	Recovery capital ; Treatment ; Abstinence ; Employment ; Family ; Motivators ; Peer support ; Accommodation ; Drugs ; Alcohol ; Public aspects of medicine ; RA1-1270 ; Social pathology. Social and public welfare. Criminology ; HV1-9960
Subject code	150
Language	English
Publishing date	2013-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Ethnic differences in receipt of psychological interventions in Early Intervention in Psychosis services in England - a cross-sectional study.

Schlief, Merle / Rich, Nathalie / Rains, Luke Sheridan / Baldwin, Helen / Rojas-Garcia, Antonio / Nyikavaranda, Patrick / Persaud, Karen / Dare, Ceri / French, Paul / Lloyd-Evans, Brynmor / Crawford, Mike / Smith, Jo / Kirkbride, James B / Johnson, Sonia

Psychiatry research

2023 Volume 330, Page(s) 115529

Abstract: There is some evidence of differences in psychosis care provision by ethnicity. We investigated variations in the receipt of Cognitive Behavioural Therapy for psychosis (CBTp) and family intervention across ethnic groups in Early Intervention in ... ...

Abstract	There is some evidence of differences in psychosis care provision by ethnicity. We investigated variations in the receipt of Cognitive Behavioural Therapy for psychosis (CBTp) and family intervention across ethnic groups in Early Intervention in Psychosis (EIP) teams throughout England, where national policy mandates offering these interventions to all. We included data on 29,610 service users from the National Clinical Audit of Psychosis (NCAP), collected between 2018 and 2021. We conducted mixed effects logistic regression analyses to examine odds ratios of receiving an intervention (CBTp, family intervention, either intervention) across 17 ethnic groups while accounting for the effect of years and variance between teams and adjusting for individual- (age, gender, occupational status) and team-level covariates (care-coordinator caseload, inequalities strategies). Compared with White British people, every minoritized ethnic group, except those of mixed Asian-White and mixed Black African-White ethnicities, had significantly lower adjusted odds of receiving CBTp. People of Black African, Black Caribbean, non-African/Caribbean Black, non-British/Irish White, and of "any other" ethnicity also experienced significantly lower adjusted odds of receiving family intervention. Pervasive inequalities in receiving CBTp for first episode psychosis exist for almost all minoritized ethnic groups, and family intervention for many groups. Investigating how these inequalities arise should be a research priority.
MeSH term(s)	Humans ; Cross-Sectional Studies ; Psychosocial Intervention ; Psychotic Disorders/psychology ; Ethnicity/psychology ; England
Language	English
Publishing date	2023-10-07
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	445361-x
ISSN	1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7123 ; 1872-7506
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.psychres.2023.115529
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Zs.A 1541: Show issues

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Article ; Online: The nature of methadone diversion in England

Duffy Paul / Baldwin Helen

Harm Reduction Journal, Vol 9, Iss 1, p

a Merseyside case study

2012 Volume 3

Abstract: Abstract Background Methadone maintenance treatment (MMT) is a key element in treatment for opiate addiction; however concerns about the diversion of methadone remain. More current empirical data on methadone diversion are required. This research ... ...

Abstract	Abstract Background Methadone maintenance treatment (MMT) is a key element in treatment for opiate addiction; however concerns about the diversion of methadone remain. More current empirical data on methadone diversion are required. This research investigated the market for diverted methadone in Merseyside, UK, in order to provide a case study which can be transferred to other areas undertaking methadone maintenance treatment on a large scale. Methods Questionnaires were completed (in interview format) with 886 past year users of methadone recruited both in and out of prescribing agencies. Topic areas covered included current prescribing, obtaining and providing methadone, reasons for using illicit methadone and other drug use. Results Large proportions of participants had obtained illicit methadone for use in the past year with smaller proportions doing so in the past month. Proportions of participants buying and being given methadone were similar. Exchange of methadone primarily took place between friends and associates, with 'dealers' rarely involved. Gender, age, whether participant's methadone consumption was supervised and whether the aims of their treatment had been explained to them fully, influenced the extent to which participants were involved in diverting or using diverted methadone. Conclusion Methadone diversion is widespread although drug users generally do not make use of illicit methadone regularly (every month). The degree of altruism involved in the exchange of methadone does not negate the potential role of this action in overdose or the possibility of criminal justice action against individuals. Treatment agencies need to emphasise these risks whilst ensuring that treatment aims are effectively shared with clients to ensure adherence to treatment.
Keywords	Methadone ; diversion ; treatment ; supervision ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2012-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Corrigendum to "Real-world long-term outcomes in individuals at clinical risk for psychosis: The case for extending duration of care" [EClinicalMedicine 28 (2020) 100,578].

Fusar-Poli, Paolo / De Micheli, Andrea / Signorini, Lorenzo / Baldwin, Helen / Salazar de Pablo, Gonzalo / McGuire, Philip

EClinicalMedicine

2021 Volume 32, Page(s) 100729

Abstract: This corrects the article DOI: 10.1016/j.eclinm.2020.100578.]. ...

Abstract	[This corrects the article DOI: 10.1016/j.eclinm.2020.100578.].
Language	English
Publishing date	2021-02-04
Publishing country	England
Document type	Published Erratum
ISSN	2589-5370
ISSN (online)	2589-5370
DOI	10.1016/j.eclinm.2021.100729
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Recovery post treatment: plans, barriers and motivators.

Duffy, Paul / Baldwin, Helen

Substance abuse treatment, prevention, and policy

2013 Volume 8, Page(s) 6

Abstract: Background: The increasing focus on achieving a sustained recovery from substance use brings with it a need to better understand the factors (recovery capital) that contribute to recovery following treatment. This work examined the factors those in ... ...

Abstract	Background: The increasing focus on achieving a sustained recovery from substance use brings with it a need to better understand the factors (recovery capital) that contribute to recovery following treatment. This work examined the factors those in recovery perceive to be barriers to (lack of capital) or facilitators of (presence of capital) sustained recovery post treatment. Methods: A purposive sample of 45 participants was recruited from 11 drug treatment services in northern England. Semi-structured qualitative interviews lasting between 30 and 90 minutes were conducted one to three months after participants completed treatment. Interviews examined key themes identified through previous literature but focused on allowing participants to explore their unique recovery journey. Interviews were transcribed and analysed thematically using a combination of deductive and inductive approaches. Results: Participants generally reported high levels of confidence in maintaining their recovery with most planning to remain abstinent. There were indications of high levels of recovery capital. Aftercare engagement was high, often through self referral, with non substance use related activity felt to be particularly positive. Supported housing was critical and concerns were raised about the ability to afford to live independently with financial stability and welfare availability a key concern in general. Employment, often in the substance use treatment field, was a desire. However, it was a long term goal, with substantial risks associated with pursuing this too early. Positive social support was almost exclusively from within the recovery community although the re-building of relationships with family (children in particular) was a key motivator post treatment. Conclusions: Addressing internal factors and underlying issues i.e. 'human capital', provided confidence for continued recovery whilst motivators focused on external factors such as family and maintaining aspects of a 'normal' life i.e. 'social and physical capital'. Competing recovery goals and activities can leave people feeling under pressure and at risk of taking on or being pushed to do too much too soon. The breadth of re-integration and future plans at this stage is limited primarily to the recovery community and treatment sector. Services and commissioners should ensure that this does not become a limiting factor in individuals' long term recovery journeys.
MeSH term(s)	Adult ; England ; Female ; Goals ; Humans ; Male ; Middle Aged ; Motivation ; Outcome Assessment, Health Care/methods ; Qualitative Research ; Self Efficacy ; Social Support ; Substance-Related Disorders/psychology ; Substance-Related Disorders/rehabilitation ; Young Adult
Language	English
Publishing date	2013-01-30
Publishing country	England
Document type	Journal Article
ISSN	1747-597X
ISSN (online)	1747-597X
DOI	10.1186/1747-597X-8-6
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: Behavioral aspects of neuroendocrinology

Baldwin, Helen A. / Ganten, Detlev

(Current topics in neuroendocrinology ; 10)

1990

Author's details	D. Ganten ... (eds.). Contributors: H. A. Baldwin
Series title	Current topics in neuroendocrinology ; 10
Collection
Keywords	Behavior / physiology ; Psychoendokrinologie
Subject	Endokrinologische Psychiatrie ; Psychoneuroendokrinologie ; PNE
Language	English
Size	VI, 295 S. : graph. Darst.
Publisher	Springer
Publishing place	Berlin u.a.
Document type	Book
HBZ-ID	HT003658635
ISBN	3-540-52801-6 ; 0-387-52801-6 ; 978-3-540-52801-2 ; 978-0-387-52801-4
Database	Catalogue ZB MED Medicine, Health

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1991 A 437	order for loan	Magazin

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