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Dr. Louise Caffrey
Assistant Professor in Social Policy, Social Studies

Biography

Louise is an Assistant Professor in Social Policy in the School of Social Work and Social Policy at Trinity College Dublin.

She holds a PhD in Social Policy from the London School of Economics and Political Science (LSE), where she was awarded an LSE PhD Scholarship to undertake her research. Louise also holds a Full Post-Graduate Certificate in Higher Education Teaching (PGCHE) from the LSE, an MSc in Applied Social Research from Trinity College Dublin and a BA (International) in Political Science and History from University College Dublin (UCD).

Immediately prior to joining Trinity College Louise worked as a Postdoctoral Research Fellow in the Division of Health and Social Care, King's College London, and prior to entering academia she worked as a research consultant, delivering numerous reports for government and NGO clients in Ireland and the UK.

Louise is Director of the MSc Applied Social Research. She teaches across the MSc Applied Social Research, BA Social Policy, BA Social Studies, PGDip Social Policy and Practice and PGDip Child Protection and Welfare.

Louise welcomes PhD applications in the following areas: policy or practice implementation, inter-professional working, audit/inspection of services in the area of child protection and welfare or health systems. I have a particular interest in studies adopting complexity theory, a systems approach or realist evaluation/synthesis. Children's experiences/voices in child protection and welfare services; child contact, Signs of Safety.

Publications and Further Research Outputs

Peer-Reviewed Publications

Flynn, S.,Lakkshme Sundaresan, S., and Caffrey, L., Outcomes Measurement in Social Care: Insights from Current Evidence, Journal of Social Care, 4, 2024, pArticle 2- Journal Article, 2024 TARA - Full Text

Flynn, S., Lakkshme Sundaresan, S., Caffrey, L.,Spratt, T. and Holt, S., Towards Better Outcomes for Children and Families: Evaluation of the Implementation of an Outcomes Framework, 2024, p1 - 64, https://doi.org/10.25546/11021 Report, 2024 TARA - Full Text DOI

Flynn, S., Lakkshme Sundaresan, S., Caffrey, L., Putting Outcomes into Practice: The Implementation of a Framework of Outcome Measures within a Child and Family Service, The British Journal of Social Work, 2024, p1 - 18 Journal Article, 2024 URL

Caffrey, L., Brady, E., Keegan, O., Dunne, S., Sheaf, G., Holt, S., & Gilligan, R., Children's Experiences of Signs of Safety: A Scoping Review, Children and Youth Services Review, 2024 Journal Article, 2024 TARA - Full Text DOI

Flynn, S.,Caffrey, L.,Antosik-Parsons, K.,Whiting, S., Byrne, J. and Conlon, C., New-Materialist Bricolage: Presenting an Ontological Position for Qualitative Internet-Based Research, International Journal of Social Research Methodology, 2024 Journal Article, 2024 TARA - Full Text URL

Gregory, S., Caffrey, L., Daly, D., "It could not have been more different." Comparing experiences of hospital-based birth and homebirth in Ireland: A mixed-methods survey, Women and Birth, 2023 Journal Article, 2023 URL

Stephanie Holt, Robbie Gilligan, Louise Caffrey & Eavan Brady, Through the Eyes of the Child: A Study of Tusla Child Protection and Welfare Intervention, 2023 Report, 2023 TARA - Full Text DOI

Caffrey, L, Browne, F. , The Challenge of Implementation in Complex, Adaptive Child Welfare Systems: A Realist Synthesis of Signs of Safety, Children and Youth Services Review, 2023 Journal Article, 2023 URL

Caffrey, Louise, Browne, Freda , Understanding the social worker-family relationship through Self Determination Theory: A Realist Synthesis of Signs of Safety, Child & Family Social Work, 27, 2022, p513 - 525 Journal Article, 2022 URL

Padraic Fleming, Louise Caffrey, Sara Van Belle, Sarah Barry, Sara Burke, Jacki Conway, Rikke Siersbaek, David Mockler, Stephen Thomas, How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience " A Realist Review, International Journal of Health Policy and Management, 12, 2022 Journal Article, 2022 URL

Fleming, P., Caffrey, L., Van Belle, S., Barry, S., Conway, J., Sierbaek, R., Mockler, D., & Thomas, S., How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience: A Realist Review, International Journal of Health Policy and Management, 2022 Journal Article, 2022 URL

Elaine McKimmons, Louise Caffrey, Discourse and Power in Ireland's Repeal the 8th Movement , Interface, 2021 Journal Article, 2021 URL

Padraic Fleming, Louise Caffrey, David Mockler, Steve Thomas, 'A realist review to determine how health system austerity responses to the 2008 financial crisis impacted health system resilience for subsequent shocks - why, when, for whom and under what circumstances', 2021, - Protocol or guideline, 2021 URL

How do we Know if Signs of Safety is Improving Children's Safety and Well Being? in, editor(s)Andrew Turnell, Terry Murphy , Signs of Safety: Comprehensive Briefing Paper , East Perth, Elia , 2021, pp10 - 22, [Louise Caffrey, Mike Caslor, Eileen Munro] Book Chapter, 2021 TARA - Full Text

O'Reilly, C., Caffrey, L. & Jagoe, C., Disability data collection in a complex humanitarian organisation: Lessons from a realist evaluation, International Journal of Environmental Research & Public Health, 2021 Journal Article, 2021 URL

Caffrey, Louise, Book Review: Errors and Mistakes in Child Protection: International Discourses, Approaches and Strategies by Kay Biesel, Judith Masson, Nigel Parton and Tarja Poso, Critical Social Policy , 42, (2), 2021 Journal Article, 2021 URL

Caffrey, Louise, How everyone's business can become no one's business: a systems study of interprofessional referral to child contact centres , Journal of Children & Youth Services Review , 109, 2020 Journal Article, 2020 TARA - Full Text URL

Louise Caffrey, We're dragging our heels but there is enough evidence to support making facemasks mandatory, 2020, - Miscellaneous, 2020 URL TARA - Full Text

Louise Caffrey, Evaluating Signs of Safety in Ireland: How to best evaluate a whole-systems, nationwide, complex intervention in a complex system? , Evidence Amalgamation, University College Cork, 10/05/2019, 2019 Oral Presentation, 2019

Caffrey, Louise, Ferlie, Ewan, McKevitt, Christopher, The strange resilience of new public management: the case of medical research in the UK's national health service, Public Management Review, 2018, p1-22 Journal Article, 2018 TARA - Full Text DOI

Weinrot, M., Caffrey, L., McKevitt, C., Patient-initiated recruitment for clinical research: evaluation of an out-patient letter research statement, Health Expectations, 2017 Journal Article, 2017 URL

Caffrey, L & Munro, E, A Systems Approach to Policy Evaluation, Evaluation, 23, (4), 2017 Journal Article, 2017 TARA - Full Text URL

Love, S., Brown, S., Weir ,C., Harbron, C., Yap, C., Gaschler-Markefski, B., Matcham, J., Caffrey, L., McKevitt, C., Clive, S., Craddock, C., Spicer, J., & Cornelius, V., Embracing model-based designs for dose-finding trials, British Journal of Cancer, 2017, p332 - 339 Journal Article, 2017 URL

Caffrey, L., Wyatt, D., Fudge, N., Mattingley, H., Williamson, C. & McKevitt, C. , Gender Equity Programmes in Academic Medicine: a realist evaluation approach to Athena SWAN processes, BMJ OPEN, 6, (9), 2016 Journal Article, 2016 TARA - Full Text URL DOI

Caffrey, L. (2016) , The BMJ's stance on qualitative research is epistemologically naïve, BMJ, 352, 2016 Journal Article, 2016 URL

Caffrey, L., McKevitt, C., & Wolfe, C. , Embedding Research in Health Systems: lessons from complexity theory, Health Research Policy and Systems, 14, (54), 2016 Journal Article, 2016 URL TARA - Full Text

Adams, M., Caffrey. L. & McKevitt, C. , Barriers and opportunities for enhancing patient recruitment and retention in clinical research: findings from an interview study in an NHS academic health science centre, Health Research Policy and Systems, 13, (8), 2015 Journal Article, 2015 URL

Caffrey, L. , The Importance of Perceived Organisational Goals: A Systems Thinking Approach to Understanding Child Safeguarding in the Context of Domestic Abuse, Child Abuse Review, 2015 Journal Article, 2015 URL TARA - Full Text

Caffrey, L. , Hearing the 'Voice' of the Child? The role of child contact centres in the family justice system, Child and Family Law Quarterly , 25, (4), 2013 Journal Article, 2013 URL TARA - Full Text

Murphy, C & Caffrey, L. , Supporting Child Contact: the need for child contact centres in Ireland, Dublin, One Family/Family Support Agency, 2009 Report, 2009 URL

Murphy, C., Keilthy, P. & Murphy, C. , Lone parents and employment: what are the real issues?, Dublin, One Family/Combat Poverty Agency, 2008 Report, 2008 URL

Non-Peer-Reviewed Publications

Stephanie Holt, Robbie Gilligan, Louise Caffrey & Eavan Brady, Through the Eyes of the Child: A Study of Tusla Child Protection and Welfare Intervention - A Research Briefing, Children and Youth Services Review, 2023, - Miscellaneous, 2023 DOI TARA - Full Text

Conlon, C., Antosik-Parsons, K., Flynn, S., Caffrey, L., Byrne, J. and Whiting, S., Lessons from Pivoting to Online Interviewing: Ethical and Technical Considerations for Qualitative Researchers following the COVID-19 Pandemic, Social Sciences Research Network, 2023 Report, 2023

Research Expertise

Description

Much of Louise's recent research stems from a core interest in the challenges of implementing public policy in organisations. Her research has sought to better understand, firstly why implementing policy is so challenging and, secondly, how we can better evaluate public policy initiatives and programmes so that evaluation findings are more useful for policy makers. Louise specialises in understanding public sector organisations as Complex Adaptive Systems (CAS) and using Systems and Realist Evaluation & Synthesis approaches. Her research has studied policy implementation in both child protection and health systems and explores overarching themes of system safety, inter-professional working and intended and unintended effects of performance management and measurement. She studies the implementation of specific programmes and initiatives including, Signs of Safety (a framework for child protection social work practice) and Athena SWAN (a gender equity initiative) and policy goals, including the creation of Health Research Systems, safety and child engagement in child contact centres and welfare-to-work policy for lone parents. Louise welcomes applications from PhD students in the following areas: Signs of Safety, Athena SWAN & other gender equity programmes, Policy implementation and system safety in child protection and health systems, Systems approaches to policy implementation, Realist evaluation and Realist Synthesis approaches, Use of Complexity Theory to understanding policy implementation or evaluation Current PhD student: Claire O'Reilly. Working title: Disability Inclusive, Humanitarian Food Programming: What works, for whom, and in what contexts? (Realist Evaluation). Co-supervised with Dr. Caroline Jagoe, Department of Clinical Speech and Language Studies

Projects

  • Title
    • A rapid review of the international evidence on the focus and effects of inspection of child and family services
  • Funding Agency
    • Department of Children Equality Disability Integration and Youth
  • Date From
    • 2023
  • Date To
    • 2024
  • Title
    • A documentary analysis of Child Protection and Welfare HIQA inspection reports in Ireland
  • Funding Agency
    • Department of Children Equality Disability Integration and Youth
  • Date From
    • 2024
  • Date To
    • 2025
  • Title
    • Realist Synthesis of Signs of Safety
  • Summary
    • Signs of Safety is a complex, integrated framework for doing children's services work. It has been implemented in more than 100 jurisdictions worldwide and in 2017 was introduced in Ireland as the national child protection framework. Realist Synthesis complements more established approaches to systematic review, which have been developed and used mainly for simpler interventions like clinical treatments or therapies. Using pre-existing literature, the study aims to provide an explanatory analysis of how and why Signs of Safety might work (or not) in particular contexts or settings. To do so it will use a broad array of literature and wider evidence to identify and test Signs of Safety's underlying causal mechanisms and to explore how those mechanisms might operate under varying conditions. louis is PI on this study.
  • Funding Agency
    • Resolutions Consultancy
  • Date From
    • 2019
  • Date To
    • 2020
  • Title
    • Knowledge for Use (K4U)
  • Summary
    • Knowledge for Use (K4U) is an innovative, interdisciplinary and multi-institutional ERC-funded research project that aims to show how to put scientific research and common knowledge together to build more decent societies. It is an international collaborative project led by Prof. Nancy Cartwright in Durham University. Louise is contributing to the child welfare case study on Signs of Safety
  • Funding Agency
    • ERC Horizon 2020
  • Date From
    • 2015
  • Date To
    • 2021
  • Title
    • An exploration of children and young people's experiences of child protection and welfare services in Tusla Child and Family Agency
  • Summary
    • A qualitive study exploring children's experiences of the child protection and welfare services in Ireland. It is a collaboration in the School of Social Work & Social Policy, led by Prof. Stephanie Holt.
  • Funding Agency
    • Tusla Child & Family Agency
  • Date From
    • 2022
  • Date To
    • 2023
  • Title
    • RESTORE (Towards Dynamic Resilience in Health System Performance and Reform )
  • Summary
    • The goal of the research is to support the effective and thorough implementation of the Sláintecare reform programme. The research will examine key challenges facing the progress of the reform in the light of health system shocks and burdens on staff. It will highlight strategies to facilitate success. The award is a HRB Senior Leader Award, led by Prof. Steve Thomas, the Edward Kennedy Chair of Health Policy and Management at TCD. Louise is contributing expertise on complex adaptive systems and Realist methodologies
  • Funding Agency
    • Health Research Board
  • Title
    • United Nations Module Design: Evaluation methods
  • Summary
    • We successfully bid to be rostered to design and teach evaluation methods to Untied Nations Secretariat Staff. I am Co-I on this project with my colleague Dr. Edurne Garcia Iriarte.
  • Funding Agency
    • United Nations Secretariat
  • Title
    • Towards Better Outcomes for Children and Families: Evaluation of the Implementation of an Outcomes Framework
  • Funding Agency
    • Irish Research Council

Recognition

Representations

Louise is a Fellow of the UK Higher Education Authority. Further information at: https://www.heacademy.ac.uk/individuals/fellowship Since 2013

Louise is an Associate on the K4U Horizon 2020 Study, led by Prof. Nancy Cartwright at Durham University. K4U's aim is to construct a radically new picture of how to use social science to build better policies. Further information: https://www.dur.ac.uk/k4u/ . March 2016 to present

UNICEF Reference Group for Review of Child Protection Systems in Four Countries in South Asia. I am providing guidance to the project on the use of a systems approach. February 2017 to November 2017

Awards and Honours

UCD Entrance Scholarship 2002

LSE PhD Scholarship 2010-2014