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Understanding Disorganized Attachment: Insights from Professor David Shemmings' Research

Professor David Shemmings, a leading expert in child protection and disorganized attachment, presents crucial findings on the impact of mental health, substance misuse, and domestic violence in the context of child maltreatment. His work, including the ADAM Project, reveals alarming statistics showing that 75% of maltreated children exhibit disorganized attachment, compared to only 14% among non-maltreated peers. This research underscores the significance of 'base rates' in risk assessment to improve outcomes for vulnerable children and strengthen parenting practices.

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Understanding Disorganized Attachment: Insights from Professor David Shemmings' Research

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  1. Understanding Disorganised Attachment Professor David Shemmings PhD University of Kent UK Visiting Professor of Child Protection Research Royal Holloway University of London Director of the ADAM Project and co-Director of the University of Kent’s online Child Protection Centre Director of the West London Advanced Child Protection Pathway d.shemmings@kent.ac.uk

  2. 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 Violence • 34% from SCRs • But 24% in Gen Pop • Disorganised Attachment • 75% among maltreated children • But 14% among non-maltreated children Ratio 1:1 Ratio 1.3:1 Ratio 1.4:1 Ratio 5.4:1

  3. ADAM Project members • Lewisham (x6) • Tower Hamlets (x3) • Croydon (x3) • Merton (x2) • Enfield (x6) • Hounslow • Essex (x6) • SW Essex NHS • PIMH Surrey NHS • Bromley (x3) • Camden (x3) • Surrey NHS (x9) • Barnet (x4) • Richmond (x4) • Bedford (x2) • Caldecott, Kent (x3) • Stoke • Surrey (x6) • Stockholm (x2) • Dusseldorf (MoD x 2) • Cyprus (MoD) • Southwark (x2) • Nottingham • Coventry • Manchester • St Michael’s, London (x4)

  4. Maltreatment Pathway Model Dissociation/ PTSD disconnected parenting low mentalisation/ reflective function Child maltreatment Carer risk factors unresolved loss and trauma Impulsivity, low distress tolerance, low consequence appraisal disorganised attachment behaviour extremely insensitive parenting

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