This poor practice was the direct result of poor ministry management, ineffective quality assurance measures, inadequate funding and lax standards respecting social worker qualifications, training, supervision, case management and social workers' poor judgment.
The Inquiry concluded that British Columbia's child protection system requires fundamental reform. To that end, research was conducted into the delivery of child protection services, quality assurance, the qualifications and training of child protection social workers and governance of the child welfare system.