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Poverty is the problem – not parents: so tell me, child protection worker, how can you help? 贫困才是问题所在,而不是父母。所以告诉我,儿童保护工作者,你能如何帮助他们?
Q2 Social Sciences Pub Date : 2020-08-14 DOI: 10.1017/cha.2020.39
Kylie Bennett, A. Booth, S. Gair, Rose J Kibet, R. Thorpe
Abstract Families who attract the attention of child protection services most often have ongoing lived experiences of poverty, gender-based domestic and family violence, problematic substance use and, sometimes, formally diagnosed mental health conditions. Without broader contextual knowledge and understanding, particularly regarding ongoing poverty, decision-making by child protection workers often leads to the removal of children, while the family’s material poverty and experiences of violence remain unaddressed. Case studies are a common tool to succinctly capture complex contexts. In this article, we make explicit, through case examples and analysis, how poverty is almost always the backdrop to the presence of worrying risk factors before and during child protection intervention. Further, we expose the existential poverty that parents live with after they lose their children into care and which invariably exacerbates material poverty. In the final section, we consider the multi-faceted organisational poverty that blights the work environment of child protection workers, and we suggest strategies for improved practice with families living in poverty.
摘要吸引儿童保护服务机构注意的家庭通常有持续的贫困、基于性别的家庭暴力、有问题的药物使用,有时还有正式诊断的心理健康状况。如果没有更广泛的背景知识和理解,特别是在持续贫困方面,儿童保护工作者的决策往往会导致儿童被带走,而家庭的物质贫困和暴力经历仍未得到解决。案例研究是简洁地捕捉复杂背景的常用工具。在这篇文章中,我们通过案例和分析,明确指出在儿童保护干预之前和期间,贫困几乎总是令人担忧的风险因素存在的背景。此外,我们还揭露了父母在失去孩子后所面临的生存贫困,这必然会加剧物质贫困。在最后一节中,我们考虑了破坏儿童保护工作者工作环境的多方面组织贫困,并提出了改善贫困家庭实践的策略。
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引用次数: 6
Evaluation of the Cradle to Kinder programme for Aboriginal mothers and their children: perspectives from the women and their workers 对土著母亲及其子女从摇篮到幼童方案的评价:妇女及其工作人员的观点
Q2 Social Sciences Pub Date : 2020-08-07 DOI: 10.1017/cha.2020.40
Renée O’Donnell, Muriel Bamblett, Gabrielle Johnson, Sue Hunter, K. Stringer, Shantai Croisdale, Bengianni Pizzirani, D. Ayton, Melissa Savaglio, H. Skouteris
Abstract This research was undertaken on the lands of the Wurundjeri people of the Kulin nation. We pay our respects to Elders of the past, present and emerging, and also acknowledge the generous contribution to this research made by women and their families and Victorian Aboriginal Child Care Agency (VACCA) staff. Aboriginal Cradle to Kinder (AC2K) is a home-visiting and advocacy programme focussed on promoting Aboriginal maternal and child health during both pre- and postnatal stages of parenthood which was delivered by VACCA, an Aboriginal Community Controlled Organisation. While there have been some feasibility assessments conducted on AC2K, no study to date has evaluated the impact of this programme from the perspective of neither the women nor the staff who deliver the programme. The aim of this study, therefore, was to evaluate how both the women and the staff evaluated the AC2K programme, namely the strengths, limitations and recommendations of the programme. Through consultation with VACCA, this study used a qualitative approach using interpretative phenomenological analysis to explore the processes underpinning the programme coupled with participants’ experiences of the programme. A co-design process was used in the development of interview questions, and a total of seven women and six workers participated in semi-structured interviews. The results revealed three superordinate themes across both participant groups: cultural connection (i.e. how well the programme facilitates cultural connection), system complexities (i.e. caseloads, staff turnover and child protection [CP] difficulties) and programme features (i.e. parenting enhancement and unique programme benefits). The processes, and the programme more broadly, were evaluated positively by both the women and staff who supported its delivery. Specifically, a greater connection to culture, increased parenting skills and unique programme benefits were reported. However, there were recommendations on how the programme could be further strengthened, including negotiable caseloads with the Department and improved partnership with CP. These changes can help to further improve the experiences of both the women and their workers when engaging in Aboriginal specific maternal health and well-being supports.
本研究是在库林民族的Wurundjeri人的土地上进行的。我们向过去、现在和即将到来的长者表示敬意,并感谢妇女及其家人和维多利亚土著儿童保育机构(VACCA)工作人员对这项研究的慷慨贡献。土著人从摇篮到幼稚病(AC2K)是一项家访和宣传方案,重点是促进土著人母亲和儿童在父母身份的产前和产后阶段的健康,该方案由土著人社区控制组织VACCA提供。虽然对消除性别歧视问题进行了一些可行性评估,但迄今为止还没有研究从执行方案的妇女和工作人员的角度评价该方案的影响。因此,这项研究的目的是评价妇女和工作人员如何评价消除妇女歧视方案,即该方案的优点、局限性和建议。通过与VACCA的协商,本研究采用定性方法,利用解释性现象学分析,结合参与者对项目的体验,探索支撑项目的过程。访谈问题的开发采用了共同设计过程,共有7名女性和6名工人参加了半结构化访谈。结果揭示了两个参与者群体的三个主要主题:文化联系(即计划促进文化联系的程度),系统复杂性(即案件数量,员工流动和儿童保护[CP]困难)和计划特点(即育儿增强和独特的计划福利)。支助方案执行的妇女和工作人员对这些进程和更广泛的方案作出了积极评价。具体来说,与文化有更大的联系,提高了养育技能和独特的方案效益。不过,也就如何进一步加强该方案提出了建议,包括与卫生部协商的案件数量以及改善与加拿大社区的伙伴关系。这些变化有助于进一步改善妇女及其工作人员在参与土著特有的产妇保健和福利支助时的经验。
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引用次数: 4
Going down with the ship: a daughter’s observations on hoarding 随波逐流:一个女儿对囤积的观察
Q2 Social Sciences Pub Date : 2020-07-15 DOI: 10.1017/cha.2020.11
Abstract This essay is a first-person narrative of the author’s experience as the child of a hoarder. It is published anonymously to protect the privacy of those discussed.
这篇文章以第一人称叙述了作者作为一个囤积者的孩子的经历。为了保护被讨论者的隐私,本文匿名发表。
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引用次数: 0
Parents’ experiences and use of parenting resources during the transition to parenthood 父母在为人父母期间的经历和对养育资源的使用
Q2 Social Sciences Pub Date : 2020-07-03 DOI: 10.1017/cha.2020.33
R. Sanders, J. Lehmann, F. Gardner
Abstract The purpose of this paper is to report on new parents’ experiences of using the available range of parenting resources that help to guide parenting choices and practices. Using a semi-structured interview schedule, 30 participants were asked about their engagement with parenting resources. The types of resources considered most salient to the participants of this study in Victoria, Australia, included professional services, peers, family and friends, and written material. On the whole, these parents valued expert opinion when they encountered problems but experienced a level of frustration when they did not ‘feel heard’ by professionals or when faced with mixed messages. While they reported some resistance to overt advice offered by family and friends, especially if the information was considered ‘out-dated’, they relied heavily on informal advice and support from peers, even if this was supported only by anecdotal evidence.
摘要本文的目的是报告新父母使用现有育儿资源的经验,这些资源有助于指导育儿选择和实践。使用半结构化的访谈时间表,30名参与者被问及他们对育儿资源的参与程度。澳大利亚维多利亚州这项研究的参与者认为最突出的资源类型包括专业服务、同龄人、家人和朋友以及书面材料。总的来说,这些父母在遇到问题时重视专家意见,但当他们没有“感觉到”被专业人士“听到”或面对混杂的信息时,他们会感到一定程度的沮丧。虽然他们报告说,他们对家人和朋友提供的公开建议有一定的抵制,特别是如果这些信息被认为“过时”,他们在很大程度上依赖于来自同龄人的非正式建议和支持,即使这只有轶事证据支持。
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引用次数: 1
Children in hoarded homes: A call for protection, prevention, intervention and compassionate care 封闭家庭中的儿童:呼吁保护、预防、干预和关爱
Q2 Social Sciences Pub Date : 2020-07-03 DOI: 10.1017/cha.2020.19
S. Chabaud
Abstract This is a call for action to protect and assist children of hoarding parents. Action that minimises harm to children living in hoarded homes also promotes family safety and health. Optimal care involves the whole family system, both children and parents. Prevention of harm through early identification and intervention for hoarding can reduce the burden of a disorder that often increases in severity over a lifetime and deprives humans of a full and safe life. Helping children and their parents severely affected by hoarding disorder is for the public good. Public policy and funded programmes can reduce long-term and immense costs to children, families and the many systems hoarding affects. Specifically, public policy can facilitate and fund outreach, education, coordination of providers of health, social and public services, and research-driven methods for assessment and intervention on behalf of children, individuals and families. Releasing people from the grips of hoarding disorder can enable them to devote generative resources to themselves, their families and their communities. Ultimately, prevention of hoarding through early assessment and intervention for minors and young adults is the most efficient, long-term and cost-effective method for minimising harm. When unidentified, hoarding disorder intensifies, people go into hiding, risk increases and opportunity for detection and intervention decreases. Informing the public about hoarding disorder must be followed with sufficient resources to address it, otherwise, helplessness ensues, and people will likely remain in the hidden world it governs.
摘要这是一个呼吁采取行动保护和帮助囤积儿童的父母。将对居住在囤积房屋中的儿童的伤害降至最低的行动也促进了家庭安全和健康。最佳护理涉及整个家庭系统,包括儿童和父母。通过早期识别和干预囤积来预防伤害,可以减轻疾病的负担,这种疾病的严重程度往往会在一生中增加,并剥夺人类充分和安全的生活。帮助受囤积症严重影响的儿童及其父母是为了公共利益。公共政策和资助的方案可以减少儿童、家庭和囤积影响的许多系统的长期和巨大成本。具体而言,公共政策可以促进和资助外联、教育、卫生、社会和公共服务提供者的协调,以及以研究为导向的代表儿童、个人和家庭的评估和干预方法。将人们从囤积症中解放出来,可以使他们将生成资源投入到自己、家人和社区中。最终,通过对未成年人和年轻人进行早期评估和干预来预防囤积是将危害降至最低的最有效、长期和最具成本效益的方法。当身份不明时,囤积障碍加剧,人们躲藏起来,风险增加,发现和干预的机会减少。在向公众通报囤积障碍之后,必须有足够的资源来解决它,否则,无助感随之而来,人们很可能会留在它所统治的隐藏世界中。
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引用次数: 0
The perspective of children of hoarding parents (COHP) 囤积父母(COHP)儿童的视角
Q2 Social Sciences Pub Date : 2020-07-01 DOI: 10.1017/cha.2020.26
Cecilia A. Garrett
Abstract The perspective herein is based upon the lived experience of adult Children of Hoarding Parents (COHP). The weight of parental hoarding on COHP is not derived solely from the physical adversity of living within a hoarded home but also comes with the social and psychological challenges they carry into adulthood. The view of hoarding as a family disorder with lasting impact evokes research questions including the exploration of the relationship between childhood adversity and parental hoarding, and the application of attachment theory to hoarding behaviours and family relationships. These types of research studies may lead to policy adoption and programme development for early identification of and intervention within families where parental hoarding represents a threat to child welfare.
本文的研究视角是基于成年囤积父母(COHP)子女的生活经验。父母的囤积对高人格障碍患者的影响不仅来自于生活在一个囤积的家庭中的生理逆境,还来自于他们成年后所面临的社会和心理挑战。囤积作为一种具有持久影响的家庭障碍的观点引发了研究问题,包括探索童年逆境与父母囤积之间的关系,以及依恋理论在囤积行为和家庭关系中的应用。这些类型的研究可能导致采取政策和制定方案,以便在父母囤积对儿童福利构成威胁的家庭中及早发现和进行干预。
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引用次数: 1
Family and social functioning in adults with hoarding disorder 成人囤积障碍的家庭和社会功能
Q2 Social Sciences Pub Date : 2020-06-15 DOI: 10.1017/cha.2020.20
E. Davidson, Mary E. Dozier, Tina L. Mayes, Kylie A. Baer, Catherine R. Ayers
Abstract Hoarding is associated with problems engaging in social activities, lower social support, increased isolation and poses substantial challenges to family functioning. The aim of this investigation was to explore the relationship between hoarding severity and family and social functioning variables in 60 treatment-seeking adults with hoarding disorder (HD). Participants completed a battery of self-report measures during a baseline assessment completed prior to treatment. Forty-seven percent of participants reported they live alone. Forty-eight percent of participants reported that family and friends never visit them in their home, and 33% indicated they never had visitors to their home, not even service workers or repair people. Twelve percent of participants indicated they never visit with family or friends outside of their home; however, 55% of participants endorsed phoning family or friends more than 9 times each month. Increased clutter and hoarding severity was associated with a lower frequency of family and friends visiting in the home. Family competence and conflict were both positively associated with hoarding severity. Our results shed light on family and social impairment in HD and their relationship with symptom severity; however, additional research should examine social dysfunction among non-treatment-seeking individuals who may be more impaired or isolated.
摘要囤积与参与社会活动的问题、社会支持的减少、孤立的加剧有关,并对家庭运作构成重大挑战。本研究的目的是探讨60名患有囤积症(HD)的寻求治疗的成年人的囤积严重程度与家庭和社会功能变量之间的关系。参与者在治疗前完成的基线评估中完成了一系列自我报告措施。47%的参与者表示他们独自生活。48%的参与者报告说,家人和朋友从来没有来过他们家,33%的人表示他们从来没有访客,甚至没有服务人员或维修人员。12%的参与者表示,他们从未在家外与家人或朋友见面;然而,55%的参与者支持每月给家人或朋友打9次以上的电话。杂物和囤积严重程度的增加与家人和朋友拜访家中的频率较低有关。家庭能力和冲突都与囤积的严重程度呈正相关。我们的研究结果阐明了HD的家庭和社会障碍及其与症状严重程度的关系;然而,更多的研究应该检查那些可能更受损或更孤立的不寻求治疗的个体的社会功能障碍。
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引用次数: 3
An overview of hoarding difficulties in children and adolescents 儿童和青少年囤积困难综述
Q2 Social Sciences Pub Date : 2020-06-15 DOI: 10.1017/cha.2020.29
Stuart R. C. Whomsley
Abstract This paper considers how what has been learned about hoarding difficulties in adults can be applied to working with children and adolescents and how our knowledge of child development can improve how we help the younger person with this problem. In particular, attachment relationships to objects and organisational difficulties will be focused upon. The importance of earlier interventions, earlier in life, to prevent problems in the future is stressed. Future directions including a research agenda are put forward.
摘要本文考虑了如何将成人囤积困难的知识应用于儿童和青少年的工作,以及我们对儿童发展的了解如何提高我们帮助年轻人解决这一问题的能力。特别是,对对象的依恋关系和组织困难将受到关注。强调了在生命早期采取早期干预措施以预防未来出现问题的重要性。提出了包括研究议程在内的未来方向。
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引用次数: 0
Future research directions in children and hoarding 儿童与囤积症的未来研究方向
Q2 Social Sciences Pub Date : 2020-06-03 DOI: 10.1017/cha.2020.13
Andrew G. Guzick, Sophie C. Schneider, E. Storch
Abstract Despite a rapidly growing understanding of hoarding disorder (HD), there has been relatively limited systematic research into the impact of hoarding on children and adolescents. The goal of this paper is to suggest future research directions, both for children with hoarding behaviours and children living in a cluttered home. Key areas reviewed in this paper include (1) the need for prospective studies of children with hoarding behaviours and those who grow up with a parent with HD; (2) downward extensions of cognitive-behavioural models of adult HD that emphasise different information processing and behavioural biases in youth HD; (3) developmental research into the presentation of emerging HD in childhood compared with adulthood presentations of the disorder, with consideration of typical childhood development and unique motivators for childhood saving behaviours; (4) developmentally sensitive screening and assessment; and (5) the development of evidence-based treatments for this population. The paper concludes with a discussion of methodological suggestions to meet these aims.
摘要尽管人们对囤积症(HD)的了解迅速增长,但对囤积对儿童和青少年影响的系统研究相对有限。本文的目的是为有囤积行为的儿童和生活在杂乱家庭中的儿童提出未来的研究方向。本文综述的关键领域包括:(1)对有囤积行为的儿童和与HD父母一起长大的儿童进行前瞻性研究的必要性;(2) 成人HD认知行为模型的向下扩展,强调青年HD的不同信息处理和行为偏见;(3) 儿童期新发HD表现与成年期该疾病表现的比较发展研究,考虑到典型的儿童发展和儿童拯救行为的独特动机;(4) 对发育敏感的筛查和评估;以及(5)为这一人群开发循证治疗方法。论文最后讨论了实现这些目标的方法建议。
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引用次数: 3
Right brain to right brain therapy: how tactile, expressive arts therapy emulates attachment 右脑对右脑疗法:触觉、表现力艺术疗法如何模拟依恋
Q2 Social Sciences Pub Date : 2020-06-01 DOI: 10.1017/cha.2020.30
Melissa Urquhart, F. Gardner, M. Frederico, R. Sanders
Abstract The impact of a manipulative art therapy technique combined with an attuned therapeutic relationship which aims to replicate the experience of nurturing touch in infancy is explored in this paper. The current literature will be reviewed in relation to the interface between attachment-related trauma and the use of expressive art and play therapy in the context of relevant clinical experience. Specific experiences of clinical practice with children and associated therapeutic outcomes are used to illustrate the potential of this combination. In addition, we argue for further investigation of therapeutic benefits inherent in manipulative art and play in replication of the regulating role of touch with children who have experienced early relational trauma.
摘要本文探讨了手法艺术治疗技术与协调的治疗关系相结合的影响,旨在复制婴儿时期培养触摸的经验。目前的文献将在相关临床经验的背景下,就依恋相关创伤与表达艺术和游戏疗法的使用之间的接口进行综述。儿童临床实践的具体经验和相关的治疗结果被用来说明这种组合的潜力。此外,我们主张进一步研究操纵艺术固有的治疗益处,并在复制早期经历过关系创伤的儿童的触摸调节作用中发挥作用。
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引用次数: 1
期刊
Children Australia
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