Capturing invisibility: child welfare social worker's interventions and assessment planning in presentations of fetal alcohol spectrum disorder(s)

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2023-03-17 DOI:10.1108/add-01-2023-0004
W. C. Curran, Matthew C. Danbrook
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Abstract

Purpose Child welfare services (CWSs) globally continue to absorb high rates of children living with or suspected of fetal alcohol spectrum disorder (FASD). Such high prevalence rates render CWS with major ethical and moral dilemmas of meeting complex needs. Currently, many jurisdictions are challenged by diagnostic capacity and cost implications of formal FASD diagnosis. This paper aims to recommend a screening protocol to address management gap between FASD initial presentation and formal diagnosis. Design/methodology/approach This is a follow-up paper from a grounded-theory study of a sample (N = 18) of child welfare social workers (CWSWs), allied health professionals and foster parents. A stepwise protocol was developed through systematical interpretation of the final data. Findings The application of a five-step screening protocol would greatly support CWSW in meeting the needs of children with suspected FASD. This CWSWs-led assessment model incorporates a clinical evaluation to exclude neurodevelopmental conditions caused by known genetic disorders, followed by behavioral and neurocognitive psychosocial assessments. Research limitations/implications This study had several limitations. Firstly, as a specific social work-based sample, it is not necessarily representative of the wider population of social workers globally due to different cultural responses to FASD in CWSs. The transferability of findings will have to be considered due to cultural variations concerning FASD. Practical implications By offering a management and nonlabeling approach, this five-step screening protocol offers a delineated pathway for CWSW and addresses the major professional frustrations while seeking to plan safe care for a child suspected of having FASD. Social implications The research offers a pragmatic low-cost to society to alleviate the mounting social and monetary implications of FASD. A large percentage of children impacted by prenatal alcohol exposure do not qualify under formal clinical diagnostic guidelines. Leaving these children without intervention is problematic. The recommendation of this study addresses this critical gap in services. The primary aim is to alleviate the burden on this cohort of vulnerable children by offering nonlabeling neurodevelopmental screening. Originality/value The direct implications of FASD and how it impacts CWS are well documented. However, few studies focus on the critical interface of FASD and the role of CWSW responsible for planning their safe care. This paper offers a novel pragmatic and functional multistep protocol to aid CWSW in this complex area of practice.
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捕捉隐形:儿童福利社工对胎儿酒精谱系障碍的干预和评估计划
全球儿童福利服务机构继续接收患有或疑似患有胎儿酒精谱系障碍(FASD)的儿童的高比例。如此高的流行率使CWS在满足复杂需求方面面临重大的伦理和道德困境。目前,许多司法管辖区受到正式FASD诊断的诊断能力和成本影响的挑战。本文旨在推荐一种筛查方案,以解决FASD初始表现与正式诊断之间的管理差距。设计/方法/方法这是一篇对儿童福利社会工作者(CWSWs)、专职卫生专业人员和寄养父母样本(N = 18)进行基础理论研究的后续论文。通过对最终数据的系统解释,制定了分步方案。结果五步筛查方案的应用将极大地支持CWSW满足疑似FASD儿童的需求。这个由cwsws主导的评估模型包括临床评估,以排除由已知遗传疾病引起的神经发育疾病,然后是行为和神经认知社会心理评估。研究的局限性/意义这项研究有几个局限性。首先,作为一个特定的基于社会工作的样本,它并不一定代表全球更广泛的社会工作者群体,因为在cws中对FASD的文化反应不同。由于有关FASD的文化差异,必须考虑结果的可转移性。通过提供一种管理和非标签的方法,这个五步筛查方案为CWSW提供了一个明确的途径,并解决了在为疑似患有FASD的儿童寻求安全护理计划时的主要专业挫折。社会影响该研究为社会提供了一种实用的低成本方法,以减轻FASD对社会和货币的日益严重的影响。很大一部分受产前酒精暴露影响的儿童不符合正式的临床诊断指南。让这些孩子不加干预是有问题的。本研究的建议解决了服务方面的这一重大差距。主要目的是通过提供非标签神经发育筛查来减轻这一弱势儿童群体的负担。原创性/价值FASD的直接影响及其对CWS的影响已被充分记录。然而,很少有研究关注FASD的关键界面以及CWSW在计划其安全护理中的作用。本文提出了一种新颖的实用且功能强大的多步骤协议,以帮助CWSW在这一复杂领域的实践。
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来源期刊
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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