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Children living in institutional care in northern India: A study 生活在印度北部机构照料中的儿童:一项研究
Q2 Social Sciences Pub Date : 2020-12-01 DOI: 10.1177/2516103220985873
Sonam Rohta
A very large number of children live without parental care in the entire world. Poverty is considered to be the main reason behind institutionalization of the children because 80% of children living in care have at least one parent alive. The present paper emphasizes on the trends of institutional care in India where the large population is poor. Keeping in view the socio-economic conditions of the country, it is an attempt to explore the challenges and living conditions of children in institutional care run by government and non-governmental organizations in the regions of Punjab and Chandigarh in northern India. The findings of the study are based on the empirical data that included around 177 institutionalized children both boys and girls between the age group of 5 and 18 years living in four different children’s institutions. The study also provides suitable recommendations for better alternative care in countries with large populations of vulnerable children.
全世界有很多儿童在没有父母照顾的情况下生活。贫困被认为是儿童被收容的主要原因,因为80%的受照顾儿童至少有一位父母在世。本文着重介绍了人口众多、贫困的印度机构护理的发展趋势。考虑到该国的社会经济条件,本报告试图探讨印度北部旁遮普邦和昌迪加尔地区政府和非政府组织管理的机构照顾中儿童的挑战和生活条件。这项研究的结果是基于经验数据得出的,这些数据包括居住在四个不同儿童机构的约177名5至18岁年龄段的被收容儿童,包括男孩和女孩。该研究还为弱势儿童人口众多的国家提供了更好的替代护理的适当建议。
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引用次数: 0
Life story work for children and young people with care experience: A scoping review 有护理经验的儿童和青少年的生活故事工作:范围审查
Q2 Social Sciences Pub Date : 2020-12-01 DOI: 10.1177/2516103220985872
S. Hammond, Julie K. Young, C. Duddy
This scoping review was undertaken to provide an overview of peer-reviewed empirical evidence concerning the undertaking of Life Story Work (LSW) with children and young people with care experience (CYPCE). Our search identified 1,336 potentially relevant publications. Of these, 24 empirical studies met our inclusion criteria and examined a wide range of practices in different countries. Using a thematic approach, key findings and characteristics related to current conceptualizations of LSW are explored and knowledge gaps identified. Our review shows that predominantly small-scale qualitative studies have been undertaken. These studies typically reported participants’ experiences and perspectives on pre-existing LSW practices (17 articles), or evaluations of innovative practices (7 articles). However, both lacked efficacy data. We identified numerous LSW practices that were consistently identified as providing “high-quality” experiences: young person-led approaches; consistent support to access and process personal information, including chronological facts, reasons for care entry and beyond; the use of artifacts; and assistance/training for carers supporting LSW. The included studies also identified practices that undermined LSW: rushed, incomplete accounts, using insensitive language that failed to include different voices from a young person’s past. The discussion appraises the findings through a critical lens and concludes that LSW is a clear priority for all and represents an intervention that has potential to help the unaddressed mental health needs of CYPCE. Unfortunately, without better evidence on how this intervention works best, for whom, over what period, and at what cost, practice cannot move forward. This paper challenges all stakeholders to realize this potential.
这一范围审查是为了提供同行评议的经验证据的概述,这些证据涉及与有照顾经验的儿童和年轻人(CYPCE)一起开展的生活故事工作(LSW)。我们的搜索确定了1336篇可能相关的出版物。其中,24项实证研究符合我们的纳入标准,并检查了不同国家的广泛实践。使用主题方法,探索与当前LSW概念化相关的主要发现和特征,并确定知识差距。我们的回顾显示,主要是进行了小规模的定性研究。这些研究典型地报告了参与者对已有的LSW实践的经验和观点(17篇文章),或者对创新实践的评估(7篇文章)。然而,两者都缺乏疗效数据。我们确定了许多被一致认为提供“高质量”体验的LSW实践:年轻人主导的方法;始终如一地支持访问和处理个人信息,包括时间顺序事实、进入护理的原因等;人工制品的使用;以及为支援生活福利人士的照顾者提供协助/培训。纳入的研究还发现了破坏LSW的做法:匆忙、不完整的描述,使用不敏感的语言,未能包括年轻人过去的不同声音。讨论通过一个关键的镜头评估了这些发现,并得出结论,LSW是所有人的明确优先事项,并代表了一种有可能帮助CYPCE未解决的心理健康需求的干预措施。不幸的是,如果没有更好的证据证明这种干预如何最有效,对谁,在什么时期,以什么代价,实践无法向前发展。本文要求所有利益相关者认识到这一潜力。
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引用次数: 7
Assessment of mental health difficulties in children and young people in care attending a specialist mental health service 评估接受专业心理健康服务的儿童和青少年的心理健康问题
Q2 Social Sciences Pub Date : 2020-11-10 DOI: 10.1177/2516103220971296
K. Eadie, Ashleigh Wegener, Warren Bergh
The purpose of this study is to test the validity of the Assessment Checklist measures in assessing complex mental health and behavioural difficulties of children and young people in care attending a specialist mental health service in Queensland, Australia. Fifty-eight consumers (53% male) with an average age of 8 years were assessed by carers on the Assessment Checklist for Children—Short Form and Strengths and Difficulties Questionnaire, and 44 consumers (36% male) with an average age of 13 years were assessed by carers on the Assessment Checklist for Adolescents—Short Form and Strengths and Difficulties Questionnaire. Results showed that the Assessment Checklist for Children—Short Form total score correlated with the Strengths and Difficulties Questionnaire total score. There were some correlations between subscales on both the measures. The Assessment Checklist for Adolescents—Short Form and Strengths and Difficulties Questionnaire correlated on very few domains. Domains of the Assessment Checklist measures that assess emotional dysregulation, trauma, interpersonal/attachment styles, sexual behaviour and food maintenance appear to provide additional clinical information about consumers that the standard Child and Youth Mental Health Service carer-report measure (Strengths and Difficulties Questionnaire) does not. It is recommended that the Assessment Checklist measures be used as an additional measure to assess the complexity of the children and young people in care who attend specialist mental health services.
本研究的目的是测试评估清单措施在评估复杂的心理健康和行为困难的儿童和青少年在澳大利亚昆士兰州的一个专门的心理健康服务。58名消费者(53%男性)的平均年龄为8岁,由保育员用《儿童短表评估表》和《优势与困难问卷》对其进行评估;44名消费者(36%男性)的平均年龄为13岁,由保育员用《青少年短表评估表》和《优势与困难问卷》对其进行评估。结果表明,《儿童评价表-短表》总分与《优势与困难问卷》总分存在显著的相关关系。两种测量方法的子量表之间存在一定的相关性。青少年评估清单-简短形式和优势和困难问卷在很少的领域相关。评估清单测量的领域评估情绪失调、创伤、人际/依恋类型、性行为和食物维持,似乎提供了关于消费者的额外临床信息,而标准的儿童和青少年心理健康服务护理人员报告测量(优势和困难问卷)没有。建议使用评估清单措施作为评估接受专业心理健康服务的儿童和青少年的复杂程度的额外措施。
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引用次数: 1
Impacts of child welfare worker and clientele characteristics on attitudes toward trauma informed-care 儿童福利工作者和案主特征对创伤知情照护态度的影响
Q2 Social Sciences Pub Date : 2020-10-21 DOI: 10.1177/2516103220963139
D. Collin-Vézina, D. Brend, Karen R. Black, I. Beeman, Steven M Brown
Background: There is increasing recognition of the need to integrate trauma-informed care (TIC) into child welfare practices, given the high rates of trauma experiences among children and youth across these settings. The implementation of TIC is facilitated by various elements, including worker attitudes, yet further research is needed to illuminate the factors that influence child welfare workers’ positive regard for TIC. Objectives: This study aims to explore the relationship between child welfare worker attitudes regarding TIC with workers’ and clients’ individual characteristics. Methods: N = 418 child welfare workers from 11 agencies completed two measures: a demographic questionnaire as well as the French translated version of the ARTIC-35 questionnaire comprised of five subscales. Linear mixed effects models were run for each ARTIC subscale, examining how child and worker factors affect attitudes toward TIC. Results: Participants indicated relatively positive attitudes toward TIC. Managerial staff in offender units scored higher on the subscale regarding their beliefs about the causes underlying child behaviors and on the subscale regarding beliefs about the secondary effects of trauma, than their counterparts in protection units serving boys. Managers scored higher than frontline staff on worker self-efficacy, response to problem behavior, and on-the-job behavior subscales. Workers with a community college degree—and not a university degree–indicated greater sense of self-efficacy. Conclusions: This study points to the importance of paying attention to the characteristics of both workers and clients that may influence inclination toward TIC principles, as a means to build effective integration of this approach in child-serving settings.
背景:鉴于在这些环境中儿童和青少年中创伤经历的高比例,人们越来越认识到将创伤知情护理(TIC)纳入儿童福利实践的必要性。儿童福利工作者对儿童谘询服务持积极态度的因素有很多,包括工作者的态度,但需要进一步的研究来阐明影响儿童福利工作者对儿童谘询服务持积极态度的因素。摘要目的:本研究旨在探讨儿童福利工作者对亲子关系的态度与工作者及案主个人特征的关系。方法:对来自11个机构的418名儿童福利工作者进行人口统计问卷和包含5个分量表的法语翻译版ARTIC-35问卷调查。对每个ARTIC子量表运行线性混合效应模型,检查儿童和工人因素如何影响对TIC的态度。结果:参试者对TIC持相对积极的态度。罪犯单位的管理人员在对儿童行为背后原因的信念和对创伤继发影响的信念的子量表上得分高于为男孩服务的保护单位的管理人员。管理者在员工自我效能感、问题行为反应和在职行为量表上得分高于一线员工。拥有社区学院学位而不是大学学位的员工表现出更强的自我效能感。结论:本研究指出了关注工作者和案主的特点的重要性,这些特点可能会影响对TIC原则的倾向,作为在儿童服务环境中建立有效整合这种方法的一种手段。
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引用次数: 8
Virtual parent-child visitation in support of family reunification in the time of COVID-19 虚拟亲子探视,支持2019冠状病毒病期间的家庭团聚
Q2 Social Sciences Pub Date : 2020-09-01 DOI: 10.1177/2516103220960154
J. Singer, D. Brodzinsky
When children are removed from their birth parents and placed in foster care, child welfare policy and practice prioritizes family reunification in permanency planning. Of the many services offered to families in support of reunification, parent-child visitation is one of the most important. The purposes of visitation are to maintain and support the parent-child relationship, facilitate improved parenting skills, and offer social workers opportunities to gauge the family’s progress in meeting reunification goals. Whether supervised or unsupervised, parent-child visitations most often involve face-to-face contact between family members. During periods of sheltering in place in response to COVID-19, however, face-to-face visits have been largely curtailed. In their place, child welfare agencies have begun using virtual visitation through various technology platforms such as smartphones, FaceTime, Zoom, WhatsApp, Facebook Messenger and Skype, often facilitated by foster parents. A number of questions have arisen, however, about the effectiveness of virtual visitations and how best to use them as a means of supporting reunification goals. In the present article, we examine existing data on how children respond to virtual communication with parents and extended family and what practical issues and training needs are encountered when implementing virtual visits in juvenile dependency cases.
当儿童离开亲生父母并被寄养时,儿童福利政策和做法将家庭团聚列为永久性规划的优先事项。在为家庭团聚提供的许多服务中,亲子探视是最重要的服务之一。探视的目的是维持和支持亲子关系,促进提高养育技能,并为社会工作者提供机会,评估家庭在实现团聚目标方面的进展情况。无论是否有人监督,亲子探视通常涉及家庭成员之间的面对面接触。然而,在为应对COVID-19而设立的避难所期间,面对面的访问在很大程度上减少了。取而代之的是,儿童福利机构已经开始通过智能手机、FaceTime、Zoom、WhatsApp、Facebook Messenger和Skype等各种技术平台进行虚拟探视,通常由养父母提供帮助。然而,关于虚拟访问的有效性以及如何最好地利用虚拟访问作为支持统一目标的手段,出现了一些问题。在本文中,我们研究了关于儿童如何应对与父母和大家庭的虚拟交流的现有数据,以及在青少年抚养案件中实施虚拟访问时遇到的实际问题和培训需求。
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引用次数: 26
Covid, racism and Black Lives Matter: A deadly constellation Covid,种族主义和黑人的命也重要:一个致命的星座
Q2 Social Sciences Pub Date : 2020-09-01 DOI: 10.1177/2516103220959814
Graham Music
This paper looks at how people from Black and Minority Ethnic groups have been disproportionately affected by COVID. The paper links this with both psycho-social factors and childhood stress and trauma. It looks at the effects of unconscious racism on the minds and physiology of those affected. The relationship between the impact of stress, trauma, racism and Adverse Childhood Experiences (ACEs) is discussed, and how ACEs are linked with very poor later physical and mental health outcomes. The article suggests that these issues are highly over determined but that for change to occur we need interventions at a range of levels, from the macro-political, psychosocial, individual and economic, including unconscious implicit biases.
本文着眼于黑人和少数民族群体如何受到新冠肺炎的不成比例的影响。这篇论文将其与心理社会因素以及童年时期的压力和创伤联系起来。它着眼于无意识种族主义对受影响者心理和生理的影响。讨论了压力、创伤、种族主义和不良童年经历(ACE)的影响之间的关系,以及ACE如何与后来非常糟糕的身心健康结果联系在一起。这篇文章表明,这些问题是高度确定的,但为了实现变革,我们需要从宏观政治、心理社会、个人和经济等一系列层面进行干预,包括无意识的隐性偏见。
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引用次数: 8
Parenting stress and risk of child maltreatment during the COVID-19 pandemic: A family stress theory-informed perspective COVID-19大流行期间的父母压力和儿童虐待风险:基于家庭压力理论的视角
Q2 Social Sciences Pub Date : 2020-09-01 DOI: 10.1177/2516103220967937
Qi Wu, Yanfeng Xu
The risk of child maltreatment is heightened during the pandemic due to multiple COVID-19 related stressors, such as physical and mental health concerns, economic stress, challenges in homeschooling, marital conflicts and intimate personal violence, and intensified child–parent relationships. Both parental internal (e.g., parenting styles) and external resources (e.g., social support), and parental perceptions toward stressors will affect how parents cope with these stressors, which may exacerbate or mitigate the risk of child maltreatment. Guided by family stress theory, this article identifies COVID-19 related stressors at the family level, and further elaborates on how these stressors are associated with child maltreatment via parents’ resources, perceptions, and coping strategies. Implications for future practice and research are discussed.
由于与COVID-19相关的多重压力因素,如身心健康问题、经济压力、在家上学的挑战、婚姻冲突和亲密个人暴力以及亲子关系加剧,在大流行期间,儿童遭受虐待的风险加剧。父母的内部资源(例如,养育方式)和外部资源(例如,社会支持)以及父母对压力源的看法都会影响父母如何应对这些压力源,从而可能加剧或减轻儿童虐待的风险。在家庭压力理论的指导下,本文从家庭层面确定了与COVID-19相关的压力源,并进一步阐述了这些压力源如何通过父母的资源、观念和应对策略与儿童虐待相关联。讨论了对未来实践和研究的启示。
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引用次数: 100
“Essential” services, risk, and child protection in the time of COVID-19: An opportunity to prioritize chronic need 新冠肺炎时期的“基本”服务、风险和儿童保护:优先考虑慢性需求的机会
Q2 Social Sciences Pub Date : 2020-09-01 DOI: 10.1177/2516103220968842
J. Caldwell, Ashleigh Delaye, Tonino Esposito, T. Petti, Tara Black, B. Fallon, N. Trocmé
In many North American jurisdictions, socioeconomically vulnerable families are more likely to be involved with child protection systems and experience ongoing challenges. The current public health response to the COVID-19 pandemic is having a disproportionate impact on these families via unemployment, “essential” work, isolation, and closures of childcare and schools, with negative implications for children’s developmental wellbeing. Experts warn that while child protection referrals have gone down, children who are at risk of maltreatment are less exposed to typical reporters (e.g., school professionals). At the same time, physical distancing measures are prompting many human service settings to shift toward virtual intervention with children and families. In this commentary, we suggest that a focus on short-term risk in the response to COVID-19 may obscure support for children’s long-term outcomes. We propose two policy considerations: (1) in the immediate term, that child protection workers be deemed “essential”; and (2) in the longer term, that permanent, universal basic income guarantees be implemented to support a baseline of predictability both in families’ material wellbeing and in fiscal budgets in the case of a future crisis. As we write, it is impossible to predict the longevity of these closures nor the extent of their impact on children and families. However, the present article mirrors commentary following previous crises noting the importance of going beyond immediate health risk mitigation to consider wellbeing with regard to children’s development and families’ socioeconomic needs in the long term.
在北美的许多司法管辖区,社会经济弱势家庭更有可能参与儿童保护系统,并面临持续的挑战。目前对新冠肺炎大流行的公共卫生应对措施通过失业、“必要”工作、隔离以及关闭儿童保育和学校对这些家庭产生了不成比例的影响,对儿童的发展福祉产生了负面影响。专家警告说,虽然儿童保护转介人数减少,但有虐待风险的儿童较少接触到典型的记者(如学校专业人员)。与此同时,物理距离措施促使许多人类服务环境转向对儿童和家庭的虚拟干预。在这篇评论中,我们建议,在应对新冠肺炎时关注短期风险可能会掩盖对儿童长期结果的支持。我们提出了两个政策考虑:(1)在短期内,儿童保护工作者被视为“必不可少”;以及(2)从长远来看,实施永久的、普遍的基本收入保障,以支持在未来危机中家庭物质福利和财政预算的可预测性基线。正如我们所写的,我们无法预测这些关闭的寿命,也无法预测它们对儿童和家庭的影响程度。然而,本文反映了之前危机后的评论,指出了超越即时健康风险缓解的重要性,从长远来看,考虑儿童发展和家庭社会经济需求方面的福祉。
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引用次数: 10
When it counts the most: Trauma-informed care and the COVID-19 global pandemic 最重要的时候:创伤护理和新冠肺炎全球大流行
Q2 Social Sciences Pub Date : 2020-08-04 DOI: 10.1177/2516103220942530
D. Collin-Vézina, D. Brend, I. Beeman
CONTEXT: Evidence from the COVID-19 crisis suggests that children and youth are more likely to be subjected to maltreatment and exposure to family violence, while experiencing limited access to the usual services that support vulnerable families and provide targeted services to meet their needs. The current global pandemic itself can also be experienced as a traumatic event. Trauma-informed care draws attention to the potential impacts, from the individual to the global, that myriad traumatic experiences can illicit and proposes using these understandings as foundational to the development and implementation of policy and practice. OBJECTIVE: The aim of this opinion paper is to offer insights to guide practices and policies during this unprecedented global crisis through a discussion of the Substance Abuse and Mental Health Services Administration (2014)’s six trauma-informed care principles: trustworthiness and transparency; safety; peer support; collaboration and mutuality; empowerment and choice; and cultural, historical and gender issues. FINDINGS: Specific recommendations based on these six principles and applied to the current situation are presented and discussed. These principles can serve both in the immediate crisis and as preventative measures against unforeseen future traumatic contexts. CONCLUSION: COVID-19 renews the imperative to maintain and strengthen trauma-informed practices and policies. We argue that never before has trauma-informed care been so important to promote the health and well-being of all and to protect our marginalized populations at greatest risk.
背景:新冠肺炎危机的证据表明,儿童和青年更有可能遭受虐待和家庭暴力,同时获得支持弱势家庭和提供有针对性服务以满足其需求的常规服务的机会有限。当前的全球疫情本身也可能是一个创伤事件。创伤知情护理提请人们注意从个人到全球的潜在影响,即无数创伤经历可能是非法的,并建议将这些理解作为制定和实施政策和实践的基础。目的:本意见书的目的是通过讨论药物滥用和心理健康服务管理局(2014)的六项创伤知情护理原则:可信度和透明度,为指导这场前所未有的全球危机中的做法和政策提供见解;安全同行支持;协作与互惠;赋权与选择;以及文化、历史和性别问题。调查结果:提出并讨论了基于这六项原则并适用于当前情况的具体建议。这些原则既可以在当前的危机中发挥作用,也可以作为预防未来不可预见的创伤环境的措施。结论:新冠肺炎重申了维持和加强创伤形成实践和政策的必要性。我们认为,创伤知情护理对于促进所有人的健康和福祉以及保护我们面临最大风险的边缘化人群来说,从未如此重要。
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引用次数: 47
Indiscriminate friendliness in foster children: Associations with attachment security, foster parents’ sensitivity, and child inhibitory control 寄养儿童的无差别友好:与依恋安全、寄养父母的敏感性和儿童抑制控制的关系
Q2 Social Sciences Pub Date : 2020-06-01 DOI: 10.1177/2516103220940325
Nikita K. Schoemaker, H. Vermeer, F. Juffer, R. Spies, E. van Ee, A. Maras, Lenneke R. A. Alink
Indiscriminate friendliness (IF) is atypical behavior often seen in postinstitutionalized and foster children. The current exploratory study examined the associations of children’s attachment security, parental sensitivity, and child inhibitory control with reported and observed IF in 60 family-reared, never-institutionalized foster children. IF was measured with a parent-report questionnaire (Indiscriminate Friendliness Questionnaire) and an observational measure (adapted version of the Stranger at the Door procedure; Bucharest Early Intervention Project). Attachment security and inhibitory control were related to reported IF (i.e., a secure attachment and poor inhibitory control were associated with higher levels of IF), but parental sensitivity was not. No associations were found between observed IF and attachment security, parental sensitivity, or inhibitory control. Thus, foster children with a secure attachment relationship may be more prone to socially interact with others including strangers, whereas better inhibitory control may serve as a buffer against IF but these results were found for reported IF only. More research is needed to gain more knowledge about different measures, other possible correlates, and underlying mechanisms of IF.
不分青红皂白的友善(IF)是一种非典型行为,常见于后收容和寄养儿童。目前的探索性研究调查了60名家庭抚养、从未被收容的寄养儿童中儿童的依恋安全性、父母敏感性和儿童抑制控制与报告和观察到的IF的关系。IF采用家长报告问卷(不分青红皂白的友谊问卷)和观察性测量(门口陌生人程序的改编版;布加勒斯特早期干预项目)进行测量。依恋安全性和抑制性控制与报告的IF有关(即,安全的依恋和不良的抑制性控制和较高水平的IF有关),但父母的敏感性与之无关。观察到的IF与依恋安全性、父母敏感性或抑制性对照之间没有发现关联。因此,具有安全依恋关系的寄养儿童可能更容易与包括陌生人在内的其他人进行社交互动,而更好的抑制性控制可能会对IF起到缓冲作用,但这些结果仅针对报告的IF。需要更多的研究来获得更多关于IF的不同测量、其他可能的相关性和潜在机制的知识。
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引用次数: 4
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Developmental Child Welfare
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