A Study of the Closed Childcare Institution Service in Estonia

IF 1.4 4区 医学 Q2 SOCIAL WORK Child and Adolescent Social Work Journal Pub Date : 2023-11-11 DOI:10.1007/s10560-023-00951-y
Karmen Toros, Ingrid Sindi, Rafaela Lehtme, Astra Schults, Kadi Liik, Koidu Saia
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Abstract

This article presents empirical findings about children’s experiences in the closed childcare institution service (CCIS) in Estonia and the assistance children receive from their own perspectives and those of parents and practitioners. The study draws on the lived experiences of 12 children/young people, four parents, and 26 practitioners working with children in need in the CCIS system through interviews conducted May–August 2022. Four main themes emerged from the data analysis: negative factors arising from the child’s development environment, inadequate early identification and inefficient networking as risk factors in aggravating the need for assistance, shortcomings in the organisation of services, suitability and unsuitability of the service. The results of this study indicate that most of the children’s problems and difficulties originated in the home environment, the family’s inability to cope, and a lack of parental ability. The ‘journey’ toward the CCIS began, in part, because timely services and support were unavailable. On the one hand, the children’s relationship – more precisely, the supporting relationship – with their child protective worker was inadequate, but on the other, it turned out that there were no suitable services available before referral to the CCIS, and the children’s and families’ difficulties were therefore not identified at an early stage. Negative experiences among families and children in need reduce their openness to assistance, which makes further intervention difficult. Systemic support, including quality of relationships, interagency collaboration, and practical support by practitioners, is the basis for improving permanence, positive navigation of difficulties, and stability as well as promoting resilience.

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爱沙尼亚封闭式托儿机构服务研究
本文提出了关于儿童在爱沙尼亚封闭托儿机构服务(CCIS)的经验,以及儿童从他们自己和父母和从业人员的角度获得的援助的实证研究结果。该研究通过对CCIS系统中12名儿童/青少年、4名家长和26名从事有需要儿童工作的从业人员的访谈,总结了他们的生活经历。数据分析产生了四个主要主题:儿童发展环境产生的消极因素、早期识别不足和网络效率低下是加剧援助需求的风险因素、服务组织的缺陷、服务的适宜性和不适宜性。本研究结果显示,大多数儿童的问题和困难源自家庭环境,家庭无法应对,缺乏父母的能力。走向CCIS的“旅程”开始的部分原因是无法获得及时的服务和支持。一方面,儿童与儿童保护工作者的关系-更确切地说,是支持关系-是不充分的,但另一方面,在转介到儿童保护中心之前,发现没有合适的服务,因此儿童和家庭的困难没有在早期发现。有需要的家庭和儿童的消极经历减少了他们对援助的开放态度,这使进一步的干预变得困难。系统支持,包括关系质量、机构间协作和实践者的实际支持,是提高持久性、积极应对困难和稳定性以及促进复原力的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
89
期刊介绍: The Child and Adolescent Social Work Journal (CASW) features original articles that focus on social work practice with children, adolescents, and their families. Topics include issues affecting a variety of specific populations in special settings.  CASW welcomes a range of scholarly contributions focused on children and adolescents, including theoretical papers, narrative case studies, historical analyses, traditional reviews of the literature, descriptive studies, single-system research designs, correlational investigations, methodological works, pre-experimental, quasi-experimental and experimental evaluations, meta-analyses and systematic reviews. Manuscripts involving qualitative, quantitative, and mixed methods are welcome to be submitted, as are papers grounded in one or more theoretical orientations, or those that are not based on any formal theory. CASW values different disciplines and interdisciplinary work that informs social work practice and policy. Authors from public health, nursing, psychology, sociology, and other disciplines are encouraged to submit manuscripts. All manuscripts should include specific implications for social work policy and practice with children and adolescents. Appropriate fields of practice include interpersonal practice, small groups, families, organizations, communities, policy practice, nationally-oriented work, and international studies.  Authors considering publication in CASW should review the following editorial: Schelbe, L., & Thyer, B. A. (2019). Child and Adolescent Social Work Journal Editorial Policy: Guidelines for Authors. Child and Adolescent Social Work Journal, 36, 75-80.
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