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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
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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
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
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)
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