Child Protection and Practice最新文献

Systematic review: Impact of juvenile incarceration 系统回顾：青少年监禁的影响

Child Protection and Practice

Pub Date : 2024-11-08 DOI: 10.1016/j.chipro.2024.100083

E. Ackerman, J. Magram, T.D. Kennedy

Background

The juvenile justice system was established with the intent of rehabilitation (Fagan & Zimring, 2000). However, despite these intentions, the reality of juvenile incarceration is that it often fails in this rehabilitative process, with numerous studies highlighting the adverse outcomes associated with confinement (Lambie & Randell, 2013; Gatti et al., 2009).

Objective

The aim of this systematic review was to consolidate current knowledge and provide a comprehensive understanding of how juvenile incarceration affects various domains of life including mental and physical health, adaptive functioning, educational attainment, employment, and recidivism.

Participants

Many of the studies reviewed used samples from larger longitudinal projects (1970s-2000s) and were later filtered to focus on individuals incarcerated during adolescence. Additionally, some studies included a broader range of participants with any justice system contact, such as arrests, serving as a useful comparison group to those incarcerated.

Method

The Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were followed to conduct our review (PRISMA; Moher et al., 2009). A modified checklist was used to outline the inclusion and exclusion criteria for individual studies.

Results

Two electronic databases were searched, including PsycINFO and PubMed/MEDLINE. Thirty-four full-text articles were reviewed for quality, and sixteen were excluded due to either the (a) sample population, (b) lack of statistical outcomes, or (c) omission of the association between juvenile incarceration and outcomes. Guided by methodological quality criteria, eighteen studies were included in the review.

Conclusions

Juvenile incarceration and subsequent interactions that occur within correctional settings, create a cascading effect that shape long-term trajectories often marked by diminished opportunities for positive development and an increase in adverse outcomes. The findings of this review underscore the systemic challenges and shortcomings within the juvenile justice system.

背景建立少年司法系统的初衷是为了让他们改过自新（Fagan & Zimring, 2000）。然而，尽管有这些意图，青少年监禁的现实情况是，它往往无法实现这一改造过程，许多研究都强调了与监禁相关的不良后果（Lambie & Randell, 2013; Gatti et al、本系统综述旨在整合现有知识，全面了解青少年监禁如何影响生活的各个领域，包括身心健康、适应功能、教育程度、就业和累犯。此外，一些研究的参与者范围更广，他们与司法系统有任何接触，如被捕，可作为被监禁者的有用对比组。方法在进行综述时，我们遵循了《系统综述和荟萃分析首选报告项目》（PRISMA；Moher 等，2009 年）指南。结果检索了两个电子数据库，包括 PsycINFO 和 PubMed/MEDLINE。对 34 篇全文进行了质量审查，其中 16 篇因以下原因被排除在外：（a）样本人群；（b）缺乏统计结果；或（c）忽略了青少年监禁与结果之间的关联。在方法质量标准的指导下，18 项研究被纳入综述。结论青少年监禁以及随后在惩教环境中发生的互动会产生连带效应，形成长期轨迹，其特点往往是积极发展的机会减少，不良后果增加。本研究的结论强调了少年司法系统中存在的系统性挑战和缺陷。

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引用次数: 0

Attitudes towards parents with a diagnosis of borderline personality disorder in child protection settings 对儿童保护机构中被诊断患有边缘型人格障碍的父母的态度

Child Protection and Practice

Pub Date : 2024-11-05 DOI: 10.1016/j.chipro.2024.100081

Dana Laird , Dianna R. Bartsch , Sophie C. Dahlenburg

Background

Parents diagnosed with borderline personality disorder (BPD) have been linked to high rates of child protection involvement. Research has shown that this diagnosis carries a significant amount of stigma. In the absence of standardised procedures for parenting capacity assessments within the child protection sector, the risk of stigma contributing to the decision-making process is high.

Objective

This study examined if there were differences in how students and practitioners rated parenting capacity based on parenting scenarios where a parent had a diagnosis of BPD compared to a parent diagnosed with postnatal depression.

Participants and setting

The sample included 122 current, past, and prospective child protection workers who were recruited via social media and a local University.

Methods

Participants completed an online survey which included demographic questions and rated parenting capacity based on two vignettes involving two scenarios (one where a parent had a diagnosis of borderline personality disorder and post-natal depression in the other), along with general attitudes towards people with a diagnosis of BPD.

Results

The parent in the BPD vignette was assessed as having poorer parenting capacity compared to the parent in the postnatal depression scenario. Interestingly, there was no significant association between the assessment of parenting capacity and participants general attitudes and skills towards people with a diagnosis of BPD. Differences between the ratings of professionals and students are described.

Conclusions

Further training providing psychoeducation BPD is recommended to reduce the potential impact of stigma on decision-making, particularly for professionals within child protection settings.

背景被诊断出患有边缘型人格障碍（BPD）的父母参与儿童保护的比例很高。研究表明，这种诊断带有很大的耻辱感。本研究考察了学生和从业人员在父母被诊断为 BPD 的情况下，与父母被诊断为产后抑郁症的情况下，对父母养育能力的评价是否存在差异。参与者和环境样本包括 122 名现任、前任和未来的儿童保护工作者，他们是通过社交媒体和当地一所大学招募的。方法参与者完成了一项在线调查，其中包括人口统计学问题，并根据涉及两种情景的两个小故事（一种是父母一方被诊断为边缘型人格障碍，另一种是父母一方被诊断为产后抑郁症）以及对被诊断为边缘型人格障碍患者的一般态度对养育能力进行评分。有趣的是，对育儿能力的评估与参与者对被诊断为 BPD 患者的一般态度和技能之间没有明显的关联。结论建议进一步开展提供 BPD 心理教育的培训，以减少污名化对决策的潜在影响，尤其是对儿童保护环境中的专业人员。

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引用次数: 0

The use of technology and mobile health apps in child maltreatment interventions: Perspectives of TF-CBT therapists and SafeCare providers 在儿童虐待干预中使用技术和移动健康应用程序：TF-CBT 治疗师和安全护理提供者的观点

Child Protection and Practice

Pub Date : 2024-10-26 DOI: 10.1016/j.chipro.2024.100075

Manderley Recinos , Kathryn O'Hara , Ashwini Tiwari , Daniel J. Whitaker , Christine Wekerle , Shannon Self-Brown

Background

Previous research has demonstrated positive effects of using technology as an augmentation to evidence-based youth mental health treatment and parenting programs, however, limited research has examined the use of technology in evidence-based child maltreatment (CM) prevention and treatment.

Objectives

The purpose of this paper is twofold: 1) to understand the application of technology and mobile health apps in CM prevention and treatment programs and 2) examine the acceptability of CM programs with an evidence-informed app, JoyPop™, developed to promote resilience through emotion regulation.

Participants and Setting

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) therapists (N = 12) and SafeCare© providers (N = 12) were recruited and participated in virtual semi-structured interviews.

Method

Participants tested the JoyPop™ app over one week and were interviewed to assess their perspectives about and experiences using technology and mobile health apps in practice (aim 1) and the potential use of JoyPop™ as a program augmentation (aim 2). Data collection and analysis was guided by qualitative descriptive analysis.

Results

Participants reported that technology and apps supporting positive coping strategies, including JoyPop™, are relevant to the goals of CM programs and can be used enhance client engagement and skill uptake. Participants noted that JoyPop™'s features more strongly align with the components of TF-CBT than Safecare. Limitations of technology use in practice are discussed.

Conclusions

Supplementing CM programs with technology and mobile health apps may be used to bolster client engagement and positive outcomes. Future research is needed to address the efficacy and client acceptance of technology and app usage in practice.

背景以往的研究表明，使用技术作为循证青少年心理健康治疗和育儿项目的辅助手段具有积极的效果，但是，在循证儿童虐待（CM）预防和治疗中使用技术的研究却很有限。本文的目的有两个：1）了解技术和移动健康应用程序在儿童虐待预防和治疗项目中的应用；2）使用循证应用程序 JoyPop™ 研究儿童虐待项目的可接受性，该应用程序的开发目的是通过情绪调节提高儿童的适应能力。方法参与者对 JoyPop™ 应用程序进行了为期一周的测试，并接受了访谈，以评估他们对在实践中使用技术和移动健康应用程序的看法和经验（目标 1），以及将 JoyPop™ 作为项目辅助工具的可能性（目标 2）。结果参与者表示，支持积极应对策略的技术和应用程序（包括 JoyPop™）与中医项目的目标相关，可用于提高客户参与度和技能吸收率。参与者指出，与 Safecare 相比，JoyPop™ 的功能更符合 TF-CBT 的组成部分。讨论了在实践中使用技术的局限性。结论使用技术和移动健康应用程序对心理咨询项目进行补充，可以提高客户的参与度和积极效果。未来的研究需要解决在实践中使用技术和应用程序的有效性和客户接受度问题。

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引用次数: 0

Silent group sandplay activates healing 无声的集体沙盘游戏激活康复

Child Protection and Practice

Pub Date : 2024-10-26 DOI: 10.1016/j.chipro.2024.100078

Lindi Redfern, Michelle Finestone

Background

This paper describes the effect of silent group Sandplay (SP) with early adolescents as observed and reported in circumstances of deprivation, neglect and abuse.

Objective

The objective was to explore with childcare staff, group SP as an intervention with early adolescent participants.

Participants and setting

Nine childcare staff participated in an in-depth SP exploration involving a series of six group SP sessions with five children at a child protection organisation in a resource-constrained context.

Methods

Group SP offered in a particular way in a protective child and youth care environment facilitated an opportunity for inner processing and self-discovery. In-depth semi-structured interviews with childcare staff conducted both before and after group SP provided descriptions of the SP experience for both children and adult participants.

Results

The before-SP reports of the children's behaviour and demeanour highlighted wounding and after-SP observations indicated healing patterns. The before-SP topics included overwhelmedness, vulnerability, constrained resources, the need for change and culturally appropriate, accessible interventions. Themed descriptions after SP included a newfound desire to play and activation of healing for both child and adult participants. Healing processes indicated a desire to play, cooperation, openness, increased awareness, adaptation, grounding and belonging. The implications are potentially far-reaching in terms of the accessibility, efficiency and cultural suitability of providing group SP in child protection and community-based settings, particularly in contexts of deprivation, neglect and abuse.

背景本文描述了在贫困、忽视和虐待的环境中观察和报告的无声团体沙盘游戏（SP）对早期青少年的影响。目的与儿童保育人员一起探索团体沙盘游戏作为对早期青少年参与者的干预措施。参与者和环境九名儿童保育人员参与了一项深入的 SP 探索，在资源有限的情况下，对一家儿童保护机构的五名儿童进行了六次小组 SP 课程。方法在保护性儿童和青少年保育环境中，以特定方式提供的小组 SP 为内心处理和自我发现提供了机会。对儿童保育人员进行的半结构式深度访谈，在团体心理辅导之前和之后都对儿童和成人参与者的心理辅导体验进行了描述。结果在团体心理辅导之前，对儿童行为和举止的报告凸显了创伤，而在团体心理辅导之后，对儿童行为和举止的观察显示了愈合模式。SP 前的主题包括不堪重负、易受伤害、资源有限、需要改变以及文化上适当的、可获得的干预措施。SP 后的主题描述包括儿童和成人参与者对游戏和激活愈合的新渴望。愈合过程表明了对游戏、合作、开放、提高意识、适应、接地和归属的渴望。这对在儿童保护和社区环境中，特别是在贫困、忽视和虐待的环境中提供团体 SP 的可及性、效率和文化适宜性具有深远的影响。

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引用次数: 0

Evaluating bias of child maltreatment referrals in encounters for unintentional ingestions 评估无意误食事件中儿童虐待转介的偏差

Child Protection and Practice

Pub Date : 2024-10-26 DOI: 10.1016/j.chipro.2024.100077

Gabriella Giugliano , Danae L. Massengill , Gia Badolato , Xian Zhao

Background

Unintentional ingestions commonly result in presentation to the pediatric emergency department (PED). No standardized recommendations exist regarding when to call Child Protective Services (CPS) for unintentional ingestions, which allows for the possibility of biased decision-making.

Objective

Identify patient and visit level characteristics associated with CPS referral status in unintentional ingestion encounters.

Participants and Setting

Retrospective cross-sectional study of children ≤6 years old presenting with unintentional ingestion to a metropolitan PED from 2015 to 2021.

Methods

ICD-10-CM codes were used to identify unintentional ingestion visits in the electronic health record. CPS referral was determined by manual chart review. Bivariable and multivariable logistic regression models identified patient and visit level characteristics associated with CPS referral. Socioeconomic status (SES) was classified based on zip code, the Child Opportunity Index data, and insurance.

Results

Of 3,836 charts reviewed, 808 met inclusion criteria. CPS referrals were made in 109 (13.5%) visits. Compared to non-Hispanic white patients, non-Hispanic Black patients had 7.37 (95% CI:1.38, 39.26) higher adjusted odds of being referred to CPS after adjusting for triage level, age, and ingestion type. Patients in the Lowest SES group had a 3.01 (95% CI:1.42, 6.40) higher adjusted odds when compared to the Middle/Highest SES group.

Conclusion

This study found that CPS referrals in unintentional ingestions occur more often in those identifying as non-Hispanic Black and in those in the Lowest SES group, suggesting clinician bias may impact the decision regarding referrals. To mitigate subjective decision-making, we propose creating standardized, objective CPS referral criteria for unintentional ingestions.

背景无意摄入通常会导致儿童急诊科（PED）就诊。关于无意摄食何时呼叫儿童保护服务机构（CPS），目前尚无标准化建议，这可能导致决策出现偏差。目标确定与无意摄食就诊中 CPS 转诊状态相关的患者和就诊级别特征。通过人工病历审查确定 CPS 转诊。双变量和多变量逻辑回归模型确定了与 CPS 转诊相关的患者和就诊级别特征。社会经济地位（SES）根据邮政编码、儿童机会指数数据和保险进行分类。有 109 人次（13.5%）转介到 CPS。与非西班牙裔白人患者相比，在对分诊级别、年龄和摄入类型进行调整后，非西班牙裔黑人患者被转诊至 CPS 的调整后几率为 7.37 (95% CI:1.38, 39.26)。与中等/最高社会经济地位组相比，最低社会经济地位组患者的调整后几率要高出 3.01 (95% CI:1.42, 6.40)。结论本研究发现，非西班牙裔黑人和最低社会经济地位组患者更常因无意摄入而被 CPS 转诊，这表明临床医生的偏见可能会影响转诊决定。为了减少主观决策，我们建议针对无意摄入制定标准化、客观的 CPS 转介标准。

{"title":"Evaluating bias of child maltreatment referrals in encounters for unintentional ingestions","authors":"Gabriella Giugliano , Danae L. Massengill , Gia Badolato , Xian Zhao","doi":"10.1016/j.chipro.2024.100077","DOIUrl":"10.1016/j.chipro.2024.100077","url":null,"abstract":"<div><h3>Background</h3><div>Unintentional ingestions commonly result in presentation to the pediatric emergency department (PED). No standardized recommendations exist regarding when to call Child Protective Services (CPS) for unintentional ingestions, which allows for the possibility of biased decision-making.</div></div><div><h3>Objective</h3><div>Identify patient and visit level characteristics associated with CPS referral status in unintentional ingestion encounters.</div></div><div><h3>Participants and Setting</h3><div>Retrospective cross-sectional study of children ≤6 years old presenting with unintentional ingestion to a metropolitan PED from 2015 to 2021.</div></div><div><h3>Methods</h3><div>ICD-10-CM codes were used to identify unintentional ingestion visits in the electronic health record. CPS referral was determined by manual chart review. Bivariable and multivariable logistic regression models identified patient and visit level characteristics associated with CPS referral. Socioeconomic status (SES) was classified based on zip code, the Child Opportunity Index data, and insurance.</div></div><div><h3>Results</h3><div>Of 3,836 charts reviewed, 808 met inclusion criteria. CPS referrals were made in 109 (13.5%) visits. Compared to non-Hispanic white patients, non-Hispanic Black patients had 7.37 (95% CI:1.38, 39.26) higher adjusted odds of being referred to CPS after adjusting for triage level, age, and ingestion type. Patients in the Lowest SES group had a 3.01 (95% CI:1.42, 6.40) higher adjusted odds when compared to the Middle/Highest SES group.</div></div><div><h3>Conclusion</h3><div>This study found that CPS referrals in unintentional ingestions occur more often in those identifying as non-Hispanic Black and in those in the Lowest SES group, suggesting clinician bias may impact the decision regarding referrals. To mitigate subjective decision-making, we propose creating standardized, objective CPS referral criteria for unintentional ingestions.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"3 ","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How could you help me? Children's voices on violence in child welfare files: A thematic analysis 您能如何帮助我？儿童福利档案中儿童对暴力的声音：专题分析

Child Protection and Practice

Pub Date : 2024-10-26 DOI: 10.1016/j.chipro.2024.100076

Sara Quarles van Ufford , Ulla-Karin Schön , Maria Heimer , Hanna Linell

Background

A significant number of children experience violence, frequently from parents or other caregivers. Yet, many of these children lack access to community support, largely due to the challenges they face in disclosing abuse. Even when children do disclose abuse, it does not necessarily lead to their receiving the help needed. Recognizing children as epistemic subjects is essential both for ensuring their access to adequate support and for advancing knowledge about child abuse.

Objective

This study aimed to explore children's voices on violence in child welfare files to enhance our understanding of their experiences of violence.

Participants and setting

The sample consisted of 120 children who provided abuse information in Swedish child welfare investigations into physical and sexual abuse.

Method

Data were collected from child welfare files and analyzed qualitatively using thematic analysis.

Results

Six themes were identified—acts of violence, emotions, context, disclosure, agency, and abuse dynamics—all of which informed the overarching theme: Children's voices highlight violence as a specific problem characterized by power and control dynamics that significantly impact their lives.

Conclusions

The collective findings indicate that mechanisms of violence extend beyond physical acts, emphasizing the need for Child Welfare Services (CWS) to recognize child abuse as a distinct issue characterized by dynamics of power and control. These dynamics significantly affect children's health and their capacity to assert their own interests. Failure to address these aspects risks underestimating the severity of the violence and impeding the provision of adequate support.

背景大量儿童遭受暴力侵害，经常是来自父母或其他照顾者的暴力侵害。然而，这些儿童中的许多人得不到社区的支持，这主要是由于他们在揭露虐待行为时所面临的挑战。即使儿童揭露了虐待行为，也不一定能得到所需的帮助。认识到儿童是认识主体对于确保他们获得足够的支持和增进有关虐待儿童的知识都是至关重要的。方法从儿童福利档案中收集数据，并使用主题分析法对数据进行定性分析。结果确定了六个主题--暴力行为、情感、背景、披露、机构和虐待动态--所有这些主题都为总体主题提供了依据：儿童的声音强调了暴力是一个以权力和控制动态为特征的特殊问题，对他们的生活产生了重大影响。结论综合研究结果表明，暴力的机制并不局限于身体行为，强调儿童福利服务机构（CWS）需要认识到虐待儿童是一个以权力和控制动态为特征的特殊问题。这些动态因素严重影响了儿童的健康及其维护自身利益的能力。如果不解决这些方面的问题，就有可能低估暴力的严重性，阻碍提供适当的支持。

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引用次数: 0

Sudden death of a two-month-old infant: A case report emphasizing safe sleep practices 两个月大婴儿猝死：强调安全睡眠措施的病例报告

Child Protection and Practice

Pub Date : 2024-10-19 DOI: 10.1016/j.chipro.2024.100073

Nefise Zülal Öz , Nicel Yıldız Silahlı , Liljana Mehmetaj

A rare case of sudden cardiopulmonary arrest in a two-month-old infant during overnight breastfeeding is presented in this case report. The infant's respiratory distress prompted an emergency response, highlighting the complexities of managing critical situations in neonates. The report provides a comprehensive overview of the clinical presentation, resuscitation efforts, and laboratory findings. It emphasizes the importance of continuous education on safe sleep practices, breastfeeding techniques, and cultural factors that influence sleep safety. The aim is to raise awareness, foster understanding, and emphasize the necessity of a holistic approach to preventing adverse events in the vulnerable neonatal population. The case emphasizes the importance of establishing a safe sleeping environment by avoiding risk factors such as prone sleeping positions and soft bedding. It also highlights the need for culturally sensitive education. Additionally, the case addresses the challenges related to maternal alertness during night feeds and the controversial practice of bed-sharing. The report highlights the importance of healthcare providers in sharing information, conducting research, and involving communities to encourage a culture of sleep safety that protects the well-being of infants. Continuous education and awareness are crucial in this joint effort to safeguard the most vulnerable members of society.

本病例报告介绍了一例罕见病例，一名两个月大的婴儿在隔夜母乳喂养期间突发心肺骤停。该婴儿的呼吸窘迫引发了紧急反应，突显了处理新生儿危急情况的复杂性。报告全面概述了临床表现、复苏工作和实验室结果。报告强调了持续开展有关安全睡眠实践、母乳喂养技巧以及影响睡眠安全的文化因素的教育的重要性。其目的是提高人们的认识，促进理解，并强调有必要采取综合方法来预防新生儿中易发生的不良事件。案例强调了通过避免俯卧姿势和柔软被褥等风险因素来建立安全睡眠环境的重要性。案例还强调了开展文化敏感性教育的必要性。此外，该病例还讨论了与产妇夜间喂奶时的警觉性有关的挑战以及有争议的分床睡做法。报告强调了医疗保健提供者在分享信息、开展研究和社区参与方面的重要性，以鼓励形成一种保护婴儿福祉的睡眠安全文化。在保护社会中最脆弱成员的共同努力中，持续的教育和宣传至关重要。

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引用次数: 0

Child sex trafficking: A model of survivor inclusion and survivor-informed practice 儿童性贩卖：幸存者融入和幸存者知情实践模式

Child Protection and Practice

Pub Date : 2024-10-16 DOI: 10.1016/j.chipro.2024.100074

Corry Azzopardi , Alex Arruda , Atieno Miguna , Rhonelle Bruder

Survivor inclusion is a fundamental component to the success of efforts to combat child sex trafficking. Recognizing, honoring, and leveraging the wisdom that comes from lived experience with adversity, and centering the voices of survivors of sex trafficking, can help to balance power relations and inform more effective interventions. This critical discussion article responds to appeals for meaningful and ethical engagement of survivor leaders in program development, implementation, and evaluation. We propose a trauma-informed, anti-oppressive, empowerment-based model of survivor inclusion and survivor-informed practice grounded in guiding principles and practice strategies derived from lived experience. This work emerged from a unique collaboration between a diverse group of survivor advisors and pediatric health care program specializing in child sex trafficking. It serves as a survivor-led resource for anti-trafficking and child maltreatment organizations across sectors as they move toward building survivor-centered approaches to care for children exposed to sex trafficking.

幸存者的融入是打击儿童性贩运工作取得成功的基本要素。承认、尊重和利用来自逆境生活经验的智慧，以性贩卖幸存者的声音为中心，有助于平衡权力关系，为更有效的干预措施提供信息。这篇批判性讨论文章响应了让幸存者领导者以有意义和道德的方式参与项目开发、实施和评估的呼吁。我们提出了一种基于创伤、反压迫、赋权的幸存者融入模式，以及以指导原则和源自生活经验的实践策略为基础的幸存者知情实践。这项工作是由一群不同的幸存者顾问和专门从事儿童性贩卖的儿科医疗保健项目共同合作完成的。它为各部门的反人口贩运和儿童虐待组织提供了以幸存者为主导的资源，帮助他们建立以幸存者为中心的方法，以关爱遭受性贩运的儿童。

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引用次数: 0

Parental education and attitudes towards institutionalization of children in West Java, Indonesia 印度尼西亚西爪哇的父母教育和对儿童机构化的态度

Child Protection and Practice

Pub Date : 2024-10-15 DOI: 10.1016/j.chipro.2024.100072

Michelle Andrina , José Ignacio Nazif-Muñoz , Rebecca Smith , Alice Shirley , Tata Sudrajat , Andri Yoga Utami , Mónica Ruiz-Casares

Background

In low- and middle-income countries, orphanages are often perceived as a means to secure education for children. Consequently, many parents send their children to orphanages, unaware of the potential risks involved.

Objective

This study aims to explore caregivers' attitudes toward child institutionalization in the context of placing children in orphanages.

Participants

Data were collected from 736 caregivers of children aged 0–7 years in Cianjur, West Java, Indonesia, in 2017.

Methods

Descriptive analysis and logistic regression were used to assess caregivers’ attitudes and the likelihood of agreeing or disagreeing with six statements about child institutionalization.

Results

The study found that most caregivers agreed that poor children are better off being raised in orphanages, but parents remain responsible for the child even after placement. Logistic regression showed that caregivers with higher levels of formal education were less likely to agree with placing children in orphanages compared to caregivers with lower levels of formal education.

Conclusions

This study highlights the importance of higher formal education in reducing caregiver support for institutionalization.

背景在中低收入国家，孤儿院通常被视为确保儿童接受教育的一种手段。因此，许多家长将孩子送进孤儿院，却不知道其中的潜在风险。本研究旨在探讨在将儿童送进孤儿院的背景下，照料者对儿童福利院化的态度。参与者数据收集自2017年印度尼西亚西爪哇Cianjur地区736名0-7岁儿童的照料者。方法采用描述性分析和逻辑回归评估照顾者的态度以及同意或不同意有关儿童福利院的六种说法的可能性。结果研究发现，大多数照顾者同意贫困儿童最好在孤儿院抚养，但即使在安置后，父母仍要对儿童负责。逻辑回归显示，与正规教育水平较低的护理人员相比，正规教育水平较高的护理人员不太可能同意将儿童安置在孤儿院。

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引用次数: 0

Does participation in a court-based trauma-focused evaluation program influence permanency outcomes for children involved in the child welfare system? 参与以法庭为基础、以创伤为重点的评估项目是否会影响儿童福利系统所涉儿童的永久性结果？

Child Protection and Practice

Pub Date : 2024-10-15 DOI: 10.1016/j.chipro.2024.100071

Kathleen A. Kemp , Crosby A. Modrowski , Kaitlin Sheerin , Miyah Grant , Charlene Collibee

Background

Children involved in the child welfare system, especially those in out-of-home care, experience high rates of mental health symptoms. Mental health symptoms have been linked to worse permanency outcomes in this population.

Objective

The present study aimed to evaluate whether children who received a trauma-focused evaluation, compared to children who received usual care, experienced differential permanency outcomes, as well as other court-related outcomes (e.g., legal system involvement).

Participants and setting

One-hundred and twenty-five children (58% female, Mage = 10.61) from a family court in the Northeastern United States participated in a trauma-focused evaluation program.

Methods

Data for the current study were collected via a retrospective chart. Participants were recruited at a family court of a Northeastern state. Between-groups differences on court-related outcomes were assessed using logistic regression and Kaplan Meier estimates.

Findings

There were no significant differences between children who received the trauma-focused evaluation program versus usual care in the likelihood for guardianship changes, termination of parental rights, new child welfare petitions or new juvenile legal petitions. The groups significantly differed in the likelihood of case closure; children who received the trauma-focused evaluation program were more likely to experience case closure compared to children who received usual care. Additionally, on average, children who received the trauma-focused evaluation program achieved case closure almost 8 months sooner.

Conclusions

The findings suggest that initiatives aimed at identifying mental health concerns and linking children placed in out-of-home to relevant mental health services care can have a significant and positive impact on permanency outcomes.

背景卷入儿童福利系统的儿童，尤其是接受家庭外照料的儿童，出现心理健康症状的比例很高。本研究旨在评估与接受常规护理的儿童相比，接受以心理创伤为重点的评估的儿童是否会经历不同的永久性结果，以及其他与法庭相关的结果（如：法律系统参与）、美国东北部一个家事法庭的 125 名儿童（58% 为女性，Mage = 10.61）参加了以创伤为重点的评估项目。本研究的数据是通过回顾性图表收集的，参与者是在美国东北部某州的一个家事法庭招募的。研究结果在监护权变更、父母权利终止、新的儿童福利申请或新的青少年法律申请的可能性方面，接受创伤焦点评估项目的儿童与接受常规护理的儿童之间没有显著差异。在结案的可能性方面，各组之间存在明显差异；与接受常规护理的儿童相比，接受以创伤为重点的评估项目的儿童更有可能结案。结论研究结果表明，旨在识别心理健康问题并将被安置在家庭外的儿童与相关的心理健康服务护理联系起来的措施可以对永久性结果产生重大而积极的影响。

{"title":"Does participation in a court-based trauma-focused evaluation program influence permanency outcomes for children involved in the child welfare system?","authors":"Kathleen A. Kemp , Crosby A. Modrowski , Kaitlin Sheerin , Miyah Grant , Charlene Collibee","doi":"10.1016/j.chipro.2024.100071","DOIUrl":"10.1016/j.chipro.2024.100071","url":null,"abstract":"<div><h3>Background</h3><div>Children involved in the child welfare system, especially those in out-of-home care, experience high rates of mental health symptoms. Mental health symptoms have been linked to worse permanency outcomes in this population.</div></div><div><h3>Objective</h3><div>The present study aimed to evaluate whether children who received a trauma-focused evaluation, compared to children who received usual care, experienced differential permanency outcomes, as well as other court-related outcomes (e.g., legal system involvement).</div></div><div><h3>Participants and setting</h3><div>One-hundred and twenty-five children (58% female, <em>M</em>age = 10.61) from a family court in the Northeastern United States participated in a trauma-focused evaluation program.</div></div><div><h3>Methods</h3><div>Data for the current study were collected via a retrospective chart. Participants were recruited at a family court of a Northeastern state. Between-groups differences on court-related outcomes were assessed using logistic regression and Kaplan Meier estimates.</div></div><div><h3>Findings</h3><div>There were no significant differences between children who received the trauma-focused evaluation program versus usual care in the likelihood for guardianship changes, termination of parental rights, new child welfare petitions or new juvenile legal petitions. The groups significantly differed in the likelihood of case closure; children who received the trauma-focused evaluation program were more likely to experience case closure compared to children who received usual care. Additionally, on average, children who received the trauma-focused evaluation program achieved case closure almost 8 months sooner.</div></div><div><h3>Conclusions</h3><div>The findings suggest that initiatives aimed at identifying mental health concerns and linking children placed in out-of-home to relevant mental health services care can have a significant and positive impact on permanency outcomes.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"3 ","pages":"Article 100071"},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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