Professional Documents
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Navigating The Context of Uncertainty in Child Protection Practice
Navigating The Context of Uncertainty in Child Protection Practice
To cite this article: Laimutė Žalimienė, Violeta Gevorgianienė, Donata Petružytė, Miroslavas
Seniutis, Lijana Gvaldaitė, Eglė Šumskienė & Jūratė Charenkova (2023) Navigating the context
of uncertainty in child protection practice, Journal of Public Child Welfare, 17:1, 141-166, DOI:
10.1080/15548732.2021.1997874
Introduction
Often in a public discourse we observe a great deal of criticism toward child
protection workers due to over or under-representation of cases of child
removal from families (Corby, Shemmings, & Wilkins, 2012; Parton, 2004,
2005). In Lithuania, this criticism was strengthened with an introduction of
children rights reform in 2014. It was further fueled by one particular story in
the media, detailing how child protection workers were blamed for exceeding
their authority in decision making during the process of removing a child from
his or her family (Mockaityte˙-Cicilioniene˙, 2014). Studies have confirmed
that the decision to remove a child from the family impacts the wellbeing of a
child because it threatens his or her attachment to, and bonding with parents
(Jones, 1993), thus professionals have to be scrupulous when implementing
the intervention into a family (Parton, 2005). On the other hand, taking a child
from a family is one of the most significant, challenging, and high-risk
decisions in child protection practice (Arad & Wozner, 2001; Chor, 2013;
Lietz, 2009), and studies showed that high responsibility decisions raise stress,
and reduce the well-being of professionals (Rippon, 2000; Rugulies et al., 2007;
Žalimiene˙ et al., 2020).
CONTACT Laimutė Žalimienė laima.zalimiene@fsf.vu.lt Sociology and Social Work Institute, Vilnius
University, 3 Universiteto Street, Vilnius LT-01513, Lithuania
© 2021 Taylor & Francis Group, LLC
142 L. ŽALIMIENĖ ET AL.
The stress, experienced by child protection workers, and caused by the fear
to make errors in decision making, according to Munro (2019), is influenced
by a context which can help to achieve or hinder a good performance. The role
and importance of the context in decision making have widely recognized in
psychology, management, marketing, health care, information sciences, and so
on. Researchers from various disciplinary fields agreed that all behaviors occur
within a context, and that various elements of the decision-maker’s environ
ment enable them to embrace the complexity and ambiguity of the world
(Baumann et al., 2014; Bruch & Feinberg, 2017; Clitheroe Jr et al., 1998;
Fantino & Stolarz-Fantino, 2005; Grimshaw, Mott, & Roberts, 1997;
Rohrbaugh, Shanteau, & Hall, 1999; Strauss, 2008; Thaler, Sunstein, & Balz,
2012; Thomadsen et al., 2018).
Analysis of the decision-making research reveals a variety of descriptions of
the context. Some authors described the context very broadly: as an environ
ment, which is included in the decision-making situation (Rohrbaugh et al.,
1999); as being constructed of factors which influence the decision making
(Fantino & Stolarz-Fantino, 2005); Thaler et al. (2012) argued that the envir
onment of the decision making is constituted not only from the features that a
person is aware of, but also from those he is not. Duncan (1974) identified the
internal and external environment of a decision, and Thomadsen et al. (2018)
similarly distinguished exogenous and endogenous contextual factors. Bruch
and Feinberg (2017) discussed the social context, which encompasses the
opportunities available, the importance of a “default” option, time pressure,
constrained resources, and the choices of others. Time and place, as important
aspects of the decision-making (DM) context, were also identified by Atkinson
(1995). Baumann et al. (2014) focused on organizational culture as the context
in which the decision is being made, and Clitheroe Jr et al. (1998) defined the
context as the totality of personal, physical, and social aspects of environment
or situations and the relationships among them. Similarly, Rohrbaugh et al.,
(1999) noted that context encompasses the experience and individual differ
ences of various decision makers. Moreover, contextual elements of DM may
be chosen or defined by a researcher for a particular purpose (Clitheroe Jr et
al., 1998; Rohrbaugh et al., 1999).
Although considerable data was accumulated in conceptualizing a context
of DM, in many research fields, according to Bruch and Feinberg (2017), there
is a scarcity of research in the field of sociology, and literature concerning
decision making in child protection is also scarce (Broadley, 2016). Not
surprisingly, there is even less focus on the context of DM within the research
of specific functions, such as child removal from a family or his or her
temporary relocation. The nature of this decision (implementation of a coer
cive action) and the place of a decision making (private family home environ
ment) creates a multi-faceted and multi-level environment for DM. According
to Munro (1996, 2019), the decision making in child protection is often based
NAVIGATING THE CONTEXT OF UNCERTAINTY 143
Theoretical framework
The theoretical background of the research is the paradigm of social construc
tionism and its premise is that social context and interaction provide a frame
work for our realities (Berger, & Luckmann, 1966). The ideas of constructionism
are relevant for understanding the DM situation: the study is based on the
assumption that the DM is not merely the action of participants in this decision,
but it is strongly influenced by the environment, or the context, in which this
decision is being made. The reality encompasses many possible truths and facts
(Burr, 1995), but none of them can be claimed as a “final truth,” without
considering its context (Gergen, 1994). Moreover, the viewpoint of social con
structionism, that meanings do not remain constant, and a new meaning can
emerge in a relationship between a researcher and the study object (Burr, 1995),
is an important premise for our study. The qualitative approach, which was
chosen for the study of the DM context, enabled us, firstly, to find out how
informants construct the DM context, and further, to conceptualize their con
struct by searching for more general understanding of the phenomenon.
144 L. ŽALIMIENĖ ET AL.
Research method
The semi-structured interview method was chosen for the empirical study. The
study was designed to delve into the very specific situation where workers of the
Child Rights Protection Service (usually two members of staff) travel to families
after urgent calls for help due to a threat to a child’s safety. The researchers
undertook a detailed examination of the context of DM in the situation when
workers have to assess a case and make the decision – whether to remove a child
from the family, or leave him or her with the family. Such situations are very
sensitive, taking place in a private place, and studying them directly by observa
tion is not possible (researchers cannot accompany a child protection worker
who arrives to a family due to the ethical issue of protecting the parents’ right to
privacy, etc.). Therefore, we have used a retrospective interview method where
information is collected about past events. This kind of an interview triggers a
recall of past situations and allows both informants and researchers to see the
decision-making situation within a broader context of the reflected experience.
A total of 33 semi-structured interviews with child protection workers took
place in children’s rights protection offices from January to October in 2020 (see
Table 1). The sample of informants was based on the list of child protection
workers, which was obtained from the public websites of 12 regional child
protection agencies. Based on the job description, two groups of informants
were selected from the list of staff: on-call staff and chief specialists, who were
Research ethics
A permission to conduct interviews with child protection workers was
obtained from the State Child Rights Protection and Adoption Service under
the Ministry of Social Security and Labor. Before the interview, an informed
consent was obtained from all child protection workers, who agreed to
146 L. ŽALIMIENĖ ET AL.
participate in the study. Each informant was informed about the anonymity
upon publication of data (by using a code to conceal his or her identity).
Ethical approval for the research was obtained from the Institute of Sociology
and Social work at Vilnius University.
Findings
Our analysis of the research data identified eight elements which were
most prominent in the interviews with child protection workers: decipher
ing the “shadow theater,” assembling facts, child’s condition, (un)caring
atmosphere of parenting, organizational support when working in a pri
vate family home, lack of clear legislation, sword of Damocles: a fear of
public condemnation, and “a matter of time.” Each theme was divided
into a few subthemes which helped to emphasize important aspects of the
category. The main themes – contextual elements – were arranged in a
logical order and summarized, as illustrated by Figure 1, which is pre
sented in the discussion part.
just barefoot kids in some horrible dormitory, no sewers, fasting, three little kids and we
brought them to the hospital . . . . And they tell us, but listen, well, those kids are terribly
dirty, they have scabies, and in that sense it’s scary . . . (I-16).
NAVIGATING THE CONTEXT OF UNCERTAINTY 147
COLLECTED
INFORMATION
ORGANIZAT LACK OF
IONAL SOCIAL
SUPPORT SUPPORT
home
HOME
HOME
TIME
LEGISLATION
PARENTING CHILD
ATMOSPHERE CONDITION
BASIC INFO
Figure 1. The context elements of a decision to either to remove a child or leave it in a family,
made after the arrival of child protection workers to a family.
you understand that you are powerless, that if you do everything according to the
documents, there will not be enough data, you will not prove that it was necessary to
do so. This is the hardest part here when you try you see it would be better, but you
realize you won’t prove it (I-14).
Thus, paradoxically, the embodied encounter with the family situation does
not always inform the decision in a proper way. There is often a contradiction
among those three “channels” (hear, see and sense), from which a worker
draws contextual information, making himself or herself ask: Is it true what I
hear? Is it usual here what I see? Can I trust my inner feeling that despite an
outwardly quite normal situation we have to relocate a child?
148 L. ŽALIMIENĖ ET AL.
yet when you try to find out what’s happening, you’re trying to find something else in the
database (because we have a common database and check if the family was known
before, when or whether children’s rights professionals visited, if there ever was violence,
or something else) (I-9). Even in such a case, when the family is known to the child
welfare workers, the ambiguity remains. As one informant put it, sometimes “it is very
difficult when you don’t know where to put a child. I wish that everything was aligned”:
you go, you have a list [of guardians], you know that today one of these will take a child
. . . (I-5).
But when we went to that place [indicated by the intoxicated mother], it turned out that
those conditions were also unsanitary, and there was no electricity, and it was dirty,
untidy, so I had to make a remark to the mother who has misled us . . . but it seemed
normal to her eyes (I-22).
The ambivalence is increased when the parents’ opinions and their child’s
opinions differ:
And it happens that one of us is talking to a parent and hears one side, the other one is
talking to a child and hears a child’s side. Then one of us advocates for one side, the other
– for the other side. A parent has said one thing, a child – another, and how it is really?
And then it happens, well, that we try to put together that puzzle without knowing the
child’s opinion and without knowing the parents’ opinion (I-16).
NAVIGATING THE CONTEXT OF UNCERTAINTY 149
Child’s condition
Child’s age
The purpose of the decision making after the arrival to a family is to ensure a
child’s safety. The living place, the state of a child, his or her behavior and
opinion are at the center of the attempts to decipher the meanings of the
“shadow theater“. A child’s reaction to the presence of workers, his or her
emotions and behavior are important elements of the context. The smaller the
children, the easier it is to remove them from the family in a physical sense,
“because you take a child in your arms” (I-2). On the other hand, small
children sometimes fear the workers and do not want to be approached. The
reaction of older children and adolescents also varies: they understand the
situation better and sometimes even feel relieved, especially when their nega
tive experiences in the family are repeated. It is easier to find a common
language with older children and to convey a message that at the moment their
parents simply are unable to take care of them:
You can still explain to an older child that you, that you, that it’s temporarily, as I say . . .
(we always talk very nicely) - that your parents need some doctor’s help to improve their
health and to think about how you will live on (I-8).
Child’s willingness
The child’s reaction to the arrival of workers and the maturing decision to remove
them from their family manifests in two ways: they either resist it, or submit to it,
sometimes even with readiness (e.g., an older child, waiting for the workers with a
packed backpack): “The easiest is with young children. You just tell them: we are
taking you to a safe place now, where you will meet the other kids’” (I-2).
Sometimes the reaction of children mirrors the reaction of their parents,
and in such cases they might resist in order to please their parents, if those
parents actively fight for their child. In situations of suspected or evident
abuse, a child’s level of stress amid the presence of strangers determines how
effectively the workers can help, because talking to, listening to and comforting
him or her, is of the utmost importance.
The child’s opinion on whether to stay with or leave the family is asked (the
UNCRC was ratified by Lithuania in 1992) and is especially decisive in cases
when a child does not want to stay. The level of a child’s readiness to be
relocated is leveraged by repeated negative experiences. As one informant
put it:
there are older children, who, when they see professionals, (I have heard such cases), say
themselves ‘thank God, I want to go where there will be peace, I am tired’. These are the
children, who feel relieved, they go somewhere, they are taken to a safe environment,
they fall asleep, they eat, they wash up, they no longer see that violent or unpleasant
environment (I-19).
150 L. ŽALIMIENĖ ET AL.
it is very difficult when the [older] child does not want to leave, whatever it is, the
environment is unsafe there, but he or she needs to be persuaded in some way . . . we talk
so that the child has as few negative emotions as possible, but everything happens, and
we have a very hard time coping with it (I-13).
it is in the best interests of the child, and his or her safety, but the parents do not want
[that we take him or her away], or sometimes even the child does not want to be taken,
but child’s desire does not always meet his or her needs and interests (I-9).
. . . take it as a questioning whether ‘I am a good mom or dad?’. They have also the
attitude: what right do others, the state or institutions have to interfere into my family
life?! In any case, parents are convinced that their upbringing is the best and fairest (I-
17).
In some cases, which are emotionally the most hard for workers to endure,
parents say: “it’s good that you have taken them, we’ll now live in peace and
quiet” (I-30). Such situations of “total neglect by parents” are especially painful
for workers to see.
react, how a child responds to the parents . . . .all those conditions sum up” (I-
21). In other situations, the decision might be influenced by the behavior of
other family members:
Well, in fact, mom wasn’t drunk, maybe 0.3 or 0.4 per mille, the man was more drunk.
They had a disabled child. I don’t know if the child was aware of that situation, because
he was severely disabled, but I saw older girls, sisters, maybe twelve or eleven years old,
they quickly sorted out that stoma [of a disabled child], fed him. Well, of course, mom
was not so drunk” (I-20).In some other cases, parents feel their guilt and cooperate with
workers: “yes, I am intoxicated, I’ll give contacts to my relatives, where the child can be
taken, yes, I can’t take care of that child (I-16).
Is support from the department head limited, due to working from a distance?
The informants expressed the opinion that the decision making in the best
interests of a child is a big responsibility, and should be taken not by one or
two workers, who arrive at a family, but by a larger number of professionals. It
is therefore not surprising that child protection workers feel the need to
consult with their department head in difficult situations. However, they are
usually unable to consult their supervisor and perceive the heads of depart
ment as being distant from them, both due to physical distance (workers
performing their functions in a family home) and because the decisions
often have to be made at night or during another inconvenient time:
The supervisor was saying that you can call and ask any time, but in some way this is
inhumane . . . it’s not working hours, it’s night, you don’t want to interfere too much
either, unless something is completely unclear (I-31).
Moreover, they say: “you won’t call the management in every case on
weekends” (I-18). Some employees complained: “we never see the heads of
the agency, for us they are Gods in the clouds” (I-15).
case of a mistake, the head complains for a very long time and keeps asking for
clarification about the past situation. Other informants, meanwhile, acknowl
edged the support of, and trust of the heads:
Let’s say there are situations where you go to an incident, and it’s night, and it’s not quite
clear how to do it right, and we can call the head at night, and he will answer and advise”
(I-20). “The head helps, advises, and supports, instead of constantly oppressing us for a
mistake which we could have made” (I-21) and “We really receive full, unconditional
support from our direct head . . . both in terms of means and emotionally . . . (I-19).
However, the law is a very good guide in most, but not in all cases.
Therefore, when making a decision, it is necessary to assess each individual
situation:
no law defines the degree of drunkenness, which indicate that the parents are really not
able to take care of a child . . . you look at a situation, and decide on the degree that dad or
mom is adequate; because some people are less adequate even if they are sober (I-32).
On the other hand, informants point out that they are lacking specific
guidelines, for example, in cases when a child screams.
154 L. ŽALIMIENĖ ET AL.
sometimes you read and do not understand what is written there . . . . I think they should
be simple enough . . . to make it really clear that you could feel that you are doing the
right thing . . . because sometimes you think – will it be right here, will it be wrong . . . the
internal struggle (I-26).
Thus, the application of the law causes a certain amount of tension to the
workers, as they fear that they might misunderstand or misinterpret some
thing: “you do get complaints . . . there is still a complaint from the last year
dragging on, a huge one . . . Maybe it was possible to do something different in
that situation” (I-6). The problem of law enforcement is further exacerbated by
frequent changes in the law, as employees do not manage to reorient so quickly
from one statutory provision to another in their practice: “and laws are in a
constant correction, and we are in a constant ignorance . . . ” (I-12).
The workers feel like they are caught between two fires when implementing
the child removal function: the laws and procedures stipulate that a child must
be taken in the case of a threat to his own safety, but society views child
protection workers as abductors, and they cannot be proud of their work
because of such a negative public attitude. The fear of public blame is vividly
illustrated by a situation described by one informant, when the team of child
protection workers ordered a dinner at a restaurant on New Year’s Eve, but
were afraid to say who they were: “we were so afraid that somewhere someone
will find out who we are, will immediately start taking pictures, will put them
on youtube(s), everywhere; everyone will say – ‘look, the child’s rights sat,
drank wine there’” (I-15). To our informants, the media demonizes the child
protection institution, and portrays workers as if they are “some kind of beasts
who take away children” (I-3). Yet the confidentiality of family information
does not allow employees to justify themselves, for example, by explaining
about the family environment in which those children live: “. . . one cannot
show that bog, barn, smell” (I-14).
In such situations, the time spent correlates with the level of stress, which in
turn complicates the decision making.
drunken parents, some emotions, something else. And you have no hour. You
have only a few minutes to make that decision” (I-5). However, in some cases,
if, for different reasons, the situation is unclear, this might occupy up to seven
hours to solve: “we’ve spent seven hours on that call . . . I honestly say – we
didn’t make any decision . . . then our colleagues came after us, we somehow
tried to talk about postponing that decision . . . so look how many people were
involved” (I-9).
support may help to understand how to apply the laws that the employee does
not understand; an outburst of emotion from a parent might indicate that they
still care for their child. The complex interplay of contextual elements creates a
challenge to accurately decipher what is really going on, which sometimes
makes workers feel legitimate, but not always right. In the following para
graphs, we describe this interplay of contextual elements in more detail.
The uncertainty of DM context in a given situation is, firstly, generated by
the micro environment, in which a family lives and the psychosocial atmo
sphere, in which the child is being brought up. This context, into which a
professional arrives and has to make a decision is often unfamiliar and
emotionally demanding. An acquaintance with a family often starts from
examining the available data about the family, during the journey to their
home. It is expected that the information on a given situation or the possibi
lities of a child’s temporary placement (e.g., at relatives) will be complemented
by the information provided by the parents. However, the additional informa
tion that workers receive from them is not always reliable. Parents’ coopera
tion might be constructive (in cases when they are sober) or destructive (in
cases when they are intoxicated or violent).
The objects that surround a child are another source of contextual clues.
Moreover, according to the order of integration (Babrow, 2001, it is the
physical surrounding that gives the first cues about the family situation. The
objects are the carriers of information, and a worker has to decipher their
meaning. In that sense, the objects are the contextual actors (Latour, 2005) that
elicit worker’s insights. The things that a worker sees, smells, or perceives
through other senses create a context for DM. These embodied cues have an
accumulative effect, and result in what we call an “embodied uncertainty.” The
similar term, an “embodied risk,” is used in the research on patients having
cancer or other serious illnesses (Rees, 2018), and implies the uncertainty
about the state of one’s body. In our research, the “embodied uncertainty” is
rather an imprint of visible and perceptible environment, which, for a worker,
who comes from another social space (Liu, 2021), might be difficult to inter
pret correctly (e.g., is absence of a TV – a neglect of the child’s interests or a
sign of poverty?).
What is most clear, is that a child and his or her safety are the focus of
professionals’ attention. Usually, a child’s condition is an obvious and non-
negotiable fact. In some cases, however, there also might be certain ambiguity,
e.g., if children have a visible sign of a trauma (such as a bruise), but both they
and their parents insist that this happened during play.
Another important contextual clue is how parents take care of their chil
dren. Despite the fact that a child protection workers’ decision often has to rely
on what is seen here and now, the child’s appearance and the behaviors of
other family members (sisters or brothers) allow them to draw a bigger
picture, which extends the limits of a snapshot. The emotions that parents
NAVIGATING THE CONTEXT OF UNCERTAINTY 159
express when facing the danger of a child's removal are both the source of
additional information about the situation at hand, and a challenge to child
protection workers because they have to face anger, aggression, or the oppo
site, total indifference. Often the strong emotions of parents are not easily
decipherable – does a mother act ardently because she is expressing her regret
at the removal of her child, or she is merely fighting against an invasion into
what she perceives as her private life?
Child care workers also try to decipher the meanings of what they see, hear,
and sense, relying on experiential intuitions, that (Krieger, 2019) accumulated
in similar situations in disadvantaged families. This embodied knowledge,
when workers act almost in a “reflex-like” manner, is what Zinn (2008) calls
an “intuition.” All of this highlights the mediating role of the workers’
personal and professional qualities, in interpreting the home environment
and its psychosocial atmosphere.
Time was indicated among the important contextual elements by other
authors as well (e.g., Bruch and Feinberg (2017), Harenčárová (2017)), and is
also a source of additional stress. Time is perceived as ambiguous both
objectively (often a call about a necessary intervention into a family is received
at night), and subjectively, when workers struggle to find the right place, or are
restricted in their right to call to a supervisor (e.g., in case they doubt how to
interpret the legal provisions in a specific individual situation).
Zinn (2008) stresses the role of trust in the DM, e.g., in the experts with the
most appropriate knowledge and skills for the particular occasion, because
these situations usually need to be resolved in limited time and sometimes
with limited knowledge. Our study revealed that when workers encounter the
ambiguity of a situation, it is very important for them to consult with the heads
of their agencies, as the experts in the DM. To Beauregard (2018), organiza
tional support (emotional or instrumental, provided by the head or collea
gues) can be a facilitating factor in decreasing uncertainty in DM, though not
always available. For instance, in our case a “wrong” (night) time is often not
convenient for a call to the head of the office, especially when workers fear that
such a call will be attributed to their lack of professionalism. Munro (2019)
defines this as a negative error culture in child protection services, which leads
to workers’ fear of blame and a defensive approach. The negative error culture
prevents employees from using manager support effectively, which could
otherwise help reduce the uncertainty in some DM situations.
Thus, on the one hand, child protection workers are bound by organizational
rules and policies (Evans, 2013). On the other hand, they are provided with
discretionary space for DM, which implies a risk that their decisions may be too
arbitrary (Heggdalsvik, Rød, & Heggen, 2018). In the frame of our research the
discretionary space for DM is perceived by child protection workers both as an
opportunity to express their expertise, to act in the best interest of a child, or as a
higher level of uncertainty and insecurity because the worker is afraid to make a
160 L. ŽALIMIENĖ ET AL.
mistake when making a decision and be accused. Research shows that the
experience of discretion is affected by organizational and institutional factors
(Liodden, 2019). For example, a worker remembers that he or she has long been
blamed for an error that occurred when he or she has exercised discretion. But
with the support of managers and colleagues, uncertainty caused by discretion
can be reduced (Liodden, 2019), and we may call it “a shared discretion” in
decision making. Perhaps this might explain why our study revealed that super
visor support is very important for workers in making a decision.
The uncertainty of the DM context is also constructed by macro factors.
Legislation is lacking clarity, and frequent changes in it do not allow employ
ees to delve deeply into the legal acts and understand how to apply them; on
the other hand, workers face situations where their experience and profession
alism speak for themselves, but the legislation forces them to do the opposite.
Workers are not certain if implementing the regulations always complies with
the best interests of a child. In that sense, the regulations are also a source of
uncertainty.
The fear of blame arises not only from the organizational culture, but also
from the public discourse. Retrospective interviews allowed us to detect that
child protection workers cannot relieve the burden of public opinion, which in
all the interviews was defined as judgmental and condemning. A lack of public
support was identified as an important element of the DM context. Negative
views of society toward child protection workers is like the sword of Damocles,
hanging over their heads, forcing them to consider well every decision,
because in the event of a mistake, the next day the media might start scolding
them about it.
In general, our concept about uncertainty in the context of a family home,
in which the decision on child safety or removal has to be made, mostly stems
from the ambiguous and conflicting sources of information, which are also
related to unclear alternatives and an unpredictability of outcomes. Therefore,
we agree with (Han, Klein, & Arora, 2011, p. 832), who stated that “all
uncertainty, scientific or not, might ultimately be construed as epistemic –
related to the incompleteness of one’s knowledge.” Moreover, when child
protection workers have to make a decision, the source of uncertainty –
incomplete and conflicting knowledge about a complex issue – is aggravated
by the resource constraints (Bilcke, Beutels, Brisson, & Jit, 2011). In our case,
such constraints are time, lack of societal support and lack of support by
organization heads in particular.
Limitations
This model has been developed in a particular social and cultural context, thus
further research is needed to test this model in other countries, which may
enrich it with additional elements. Its relevance should also be tested in other
professions with a high level of uncertainty. Besides, due to the word limit an
additional theoretical line – a worker’s discretion in DM – has not been
elaborated on, and probably it could add new aspects to the model. Another
limitation is that men make up only about a third of the informants, so the
sample possibly does not reflect the DM variations in respect to gender.
Conclusions
The study revealed that the context of DM in child removal situations is a
multifaceted and multilayered phenomenon, as was also argued by other
studies on decision-making in a variety of other disciplines. Our research
allowed us to define the context of decision making in a child removal
situation, presenting it as an assemblage of the following elements: private
family home environment, child’s conditions, parenting atmosphere, informa
tion, organizational support, personal characteristics of the professionals, legal
regulation, public support, and time as perceived by a child protection worker.
These elements construct the uncertainty in the work environment of child
protection workers.
Our contribution to studies of the decision-making context is the disclosure
of an inherent duality of separate context elements, which presupposes a child
protection worker’s navigation through uncertainty when deciding to either
remove a child, or leave him or her in a family. Moreover, the interplay
between the elements of the context might reduce or increase the uncertainty.
The study also contributed to the research on work in a private setting, by
162 L. ŽALIMIENĖ ET AL.
Acknowledgments
The authors express gratitude to Professor Elena Cabiati from Catholic University of Sacred
Heart in Milan whose guidance and corrections to the draft version were very helpful and
encouraging.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Funding
Research was supported by the Research Council of Lithuania (LMTLT) under Grant No. S-
MIP-19-37. 2019-2021.
Notes on contributors
Laimutė Žalimienė is a Professor at the Sociology and Social Work Institute, Vilnius
University. Her research interests focus on social support policy, organization of social services,
occupational welfare and wellbeing.
Violeta Gevorgianienė is an Associate Professor at the Sociology and Social Work Institute,
Vilnius University. Her research interests include dignity of persons with disabilities and their
inclusion, participatory research methods, social ecology.
Donata Petružytė is an Associated Professor at the Sociology and Social Work Institute,
Vilnius University. Her research interests include theory interrelation between different social
problems, innovative social work methods, psychotherapy in social work, mental health,
development of qualitative research methods.
Miroslavas Seniutis is a doctoral candidate at the Sociology and Social Work Institute, Vilnius
University. His research interests include the role of information technology in social and
organizational changes as well as anthropological and participatory action research methods
with a particular focus on empowerment of the vulnerable groups.
Lijana Gvaldaitė is an Associate Professor at Sociology and Social work Institute of Vilnius
University. Her teaching and researches are focused on various issues of family and child well-
being, in particular, on foster care and adoption, h social work methods and
professionalization.
NAVIGATING THE CONTEXT OF UNCERTAINTY 163
Eglė Šumskienė is an Associate Professor at the Sociology and Social Work Institute, Vilnius
University, and the director of the Institute. Her research interests include human rights and
social work, rights of persons with intellectual and mental disabilities, stigma and discrimina
tion, social care institutions.
Jūratė Charenkova works at the faculty of Philosophy of Vilnius University. Her research
interests include various aspects of welfare and wellbeing of older people (formal and informal
care, leisure quality, changes of social network, identity, etc.), gerontological social work,
qualitative research.
ORCID
Laimutė Žalimienė http://orcid.org/0000-0003-0445-4643
Violeta Gevorgianienė http://orcid.org/0000-0002-6816-8390
Donata Petružytė http://orcid.org/0000-0002-3268-4895
Miroslavas Seniutis http://orcid.org/0000-0002-8089-3341
Lijana Gvaldaitė http://orcid.org/0000-0003-2916-8176
Eglė Šumskienė http://orcid.org/0000-0002-8645-5748
Jūratė Charenkova http://orcid.org/0000-0001-7315-9168
References
Arad, B. D., & Wozner, Y. (2001). The least detrimental alternative: Deciding whether to
remove children at risk from their homes. International Social Work, 44(2), 229–239.
doi:10.1177/002087280104400207
Atkinson, P. (1995). Medical talk and medical work. United Kingdom: Sage.
Babrow, A. S. (2001). Uncertainty, value, communication, and problematic integration. Journal
of Communication, 51(3), 553–573. doi:10.1111/j.1460-2466.2001.tb02896.x
Baumann, D. J., Fluke, J. D., Dalgleish, L., and Kern, H. (2014). The decision-making ecology, .
In: Shlonsky A. and Benbenishty R., (Eds.), From Evidence to Outcomes in Child Welfare: An
International Reader (24-40). New York, NY: Oxford University Press.(.
Beauregard, R. (2018). The entanglements of uncertainty. Journal of Planning Education and
Research, 41(2), 217-225. doi:https://doi.org/10.1177/0739456X18783038
Benbenishty, R., Davidson-Arad, B., López, M., Devaney, J., Spratt, T., Koopmans, C., . . .
Hayes, D. (2015). Decision making in child protection: An international comparative study
on maltreatment substantiation, risk assessment and interventions recommendations, and
the role of professionals’ child welfare attitudes. Child Abuse & Neglect, 49, 63–75.
doi:10.1016/j.chiabu.2015.03.015
Berger, P. L. , and Luckmann, T. (1966). The social construction of reality: A treatise in the
sociology of knowledge. Garden City, New York: Anchor.
Bilcke, J., Beutels, P., Brisson, M., & Jit, M. (2011). Accounting for methodological, structural,
and parameter uncertainty in decision-analytic models: A practical guide. Medical Decision
Making, 31(4), 675–692. doi:10.1177/0272989X11409240
Broadley, K. (2016). Making the decision to remove a child from parental care: Twelve
decision-making criteria. Children Australia, 41(2), 90. doi:10.1017/cha.2015.58
Bruch, E., & Feinberg, F. (2017). Decision-making processes in social contexts. Annual Review
of Sociology, 43(1), 207–227. doi:10.1146/annurev-soc-060116-053622
Burr, V. (1995). Introduction of social constructionism. London, UK: Routledge.
164 L. ŽALIMIENĖ ET AL.
Liodden, T. M. (2019). Making the right decision: Justice in the asylum bureaucracy in Norway,
In: Gill N., Good A. (Eds.), Asylum Determination in Europe. Palgrave Socio-Legal Studies
(241–262 https://doi.org/10.1007/978-3-319-94749-5_12). Cham, Switzerland: Palgrave
Macmillan.
Lipshitz, R., & Strauss, O. (1997). Coping with uncertainty: A naturalistic decision-making
analysis. Organizational Behavior and Human Decision Processes, 69(2), 149–163.
doi:10.1006/obhd.1997.2679
Liu, S. (2021). Between social spaces. European Journal of Social Theory, 24(1), 123–139.
doi:10.1177/1368431020905258
Mayring, P. (2014). Qualitative content analysis: Theoretical foundation, basic procedures and
software solution (Klagenfurt, Austria: Social Science Open Access Repository).
Mockaitytė-Cicilionienė, M. (2014). Vaiko paėmimo iš šeimos legitimavimo prieštaravimai:
Socialinio darbuotojo perspektyva. Master’s thesis.
Munro, E. (1996). Avoidable and unavoidable mistakes in child protection work. The British
Journal of Social Work, 26(6), 793–808. doi:10.1093/oxfordjournals.bjsw.a011160
Munro, E. (2019). Decision-making under uncertainty in child protection: Creating a just and
learning culture. Child & Family Social Work, 24(1), 123–130. doi:10.1111/cfs.12589
Pabedinskienė, A. (2018). Description of qualification requirements for persons applying for the
positions of civil servants of the territorial divisions of the State Child Rights Protection and
Adoption Service. Vilnius, Lithuania: Ministry of Social security and labour.
Parton, N. (2004). From Maria Colwell to Victoria climbié: Reflections on public inquiries into
child abuse a generation apart. Child Abuse Review: Journal of the British Association for the
Study and Prevention of Child Abuse and Neglect, 13(2), 80–94. doi:10.1002/car.838
Parton, N. (2005). Safeguarding childhood: Early intervention and surveillance in a late modern
society. Huddersfield, UK: Red Globe Press.
Rees, S. (2018). No one scans you and says ‘you’re alright now’: The experience of embodied
risk for young women living with a history of breast cancer. Health, Risk & Society, 20(7–8),
312–324. doi:10.1080/13698575.2018.1539468
Rippon, T. J. (2000). Aggression and violence in health care professions. Journal of Advanced
Nursing, 31(2), 452–460. doi:10.1046/j.1365-2648.2000.01284.x
Ritchie, J., Lewis, J., Nicholls, C. M., and Ormston, R. (Eds.)2013 ,). Qualitative research
practice: A guide for social science students and researchers. Thousand Oaks, CA: Sage.
Rohrbaugh, C. C., Shanteau, J., & Hall, B. (1999). Context, process, and experience: Research
on applied judgment and decision making . In: Raymond S. Nickerson, Roger W.
Schvaneveldt, Michelene T. H. Chi (Eds.), Handbook of applied cognition (115-139). New
York.: Wiley in Chichester.
Rotmans, J., & Van Asselt, M. B. (2002). Integrated assessment: Current practices and chal
lenges for the future . In: Abaza, H., & Baranzini, A. (Eds.), Implementing sustainable
development. integrated assessment and participatory decision-making processes (78–116).
Cheltenham, UK: Edward Elgar Publishing.
Rugulies, R., Christensen, K. B., Borritz, M., Villadsen, E., Bültmann, U., & Kristensen, T. S.
(2007). The contribution of the psychosocial work environment to sickness absence in
human service workers: Results of a 3-year follow-up study. Work & Stress, 21(4), 293–
311. doi:10.1080/02678370701747549
Strauss, K. (2008). Re-engaging with rationality in economic geography: Behavioural
approaches and the importance of context in decision-making. Journal of Economic
Geography, 8(2), 137–156. doi:10.1093/jeg/lbm048
Thaler, R. H., Sunstein, C. R., & Balz, J. P. (2012). Choice architecture. The Behavioral
Foundations of Public Policy, 25(1), 429–439.
166 L. ŽALIMIENĖ ET AL.
Thomadsen, R., Rooderkerk, R. P., Amir, O., Arora, N., Bollinger, B., Hansen, K., . . ., John, L.,
Liu, W., Sela, A., Singh, V., Sudhir, K., and Wood, W. (2018). How context affects choice.
Customer Needs and Solutions, 5(1), 3–14. doi:10.1007/s40547-017-0084-9
Wakeham, J. (2015). Uncertainty: History of the concept. International Encyclopedia of the
Social Behavioral Sciences, 2nd Ed, 10(4), 716–721.
Walker, W. E., Harremoës, P., Rotmans, J., Van Der Sluijs, J. P., Van Asselt, M. B., Janssen, P.,
& Krayer Von Krauss, M. P. (2003). Defining uncertainty: A conceptual basis for uncertainty
management in model-based decision support. Integrated Assessment, 4(1), 5–17.
doi:10.1076/iaij.4.1.5.16466
Žalimienė, L., Gevorgianienė, V., Petružytė, D., Šumskienė, E., Seniutis, M., & Gvaldaitė, L.
(2020). Manifestations of institutional aggression in the practice of child protection workers.
Filosofija. Sociologija, 31(2). doi:10.6001/fil-soc.v31i2.4233
Zandvoort, M., Van der Vlist, M. J., Klijn, F., & Van Den Brink, A. (2018). Navigating amid
uncertainty in spatial planning. Planning Theory, 17(1), 96–116. doi:10.1177/
1473095216684530
Zinn, J. O. (2008). Heading into the unknown: Everyday strategies for managing risk and
uncertainty. Health, Risk & Society, 10(5), 439–450. doi:10.1080/13698570802380891