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‘There’s Never Just One Type’: A Mixed Methods Realist Evaluation of Adolescent-Focused Low-Intensity Life Story Work

Abstract:
Life story work is a way of supporting children who spend time in out-of-home care to make sense of their experiences. It is highly valued yet poorly evidenced and inconsistently implemented with adolescents aged 12–18 years old. We sought to improve our understandings of the ways in which carers are already supporting what we describe as adolescent-focused low-intensity life story work (AF-LI-LSW) to improve the quality, consistency and availability of this support. We collected data from seventy-eight participants (adolescents, carers and social care professionals) from eight English Local Authorities. Using a participatory realist evaluation, we analysed qualitative and quantitative data to develop and test our understandings of AF-LI-LSW. We developed seven principles indicating that AF-LI-LSW is likely to be optimal when: it is flexible and person-centred; starts early; begins in the present; provides future storytelling prompts; adolescents are encouraged to participate; focusses on everyday life and when training and support is available. Participants’ experiences were characterized by several dilemmas. The need to offer (and desire for care-experienced adolescents to enact) participation choices whilst acting in the best interest of adolescents in current and possible future contexts. Our findings provide guidance for carers, adolescents and children’s out-of-home care more broadly.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1093/bjsw/bcaf313

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Role:
Author
ORCID:
0000-0002-0473-3610
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Role:
Author
ORCID:
0009-0002-0451-6330
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Role:
Author
ORCID:
0009-0008-0121-594X
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Role:
Author
ORCID:
0009-0006-8723-2999


Publisher:
Oxford University Press
Journal:
The British Journal of Social Work More from this journal
Article number:
bcaf313
Publication date:
2026-01-31
Acceptance date:
2025-12-02
DOI:
EISSN:
1468-263X
ISSN:
0045-3102


Language:
English
Keywords:
Pubs id:
2367908
UUID:
uuid_901863c9-88ab-4446-8d34-5f6f352378e9
Local pid:
pubs:2367908
Source identifiers:
3713489
Deposit date:
2026-01-31
ARK identifier:
This ORA record was generated from metadata provided by an external service. It has not been edited by the ORA Team.

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