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Patterns of Multisystem Involvement in Adolescence: Implications for Health, Education and Social Services in the Northern Territory of Australia 青少年多系统参与模式:对澳大利亚北部地区卫生、教育和社会服务的影响
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-08-12 DOI: 10.1002/ajs4.70053
Vincent Y. F. He, Bernard Leckning, Tamika Williams, Gary Robinson, Steven Guthridge

Dual-system young people who crossover between child protection and youth justice systems experience a range of health and educational issues. However, very little research has examined the health and education needs of these young people, especially in Indigenous populations. A retrospective cohort study was established using individual-level linked records to examine the child protection, youth justice, health, and education (multisystem) involvement of young Aboriginal and non-Aboriginal people in the Northern Territory (NT) of Australia. Latent class analysis (LCA) was used to identify different groups within the study cohort of 2584 young people with shared patterns and levels of health, education, and social service system involvement from 10 to 17 years of age, inclusive. Three groups of young people were identified, with patterns of higher, more intensive levels of multisystem involvement being associated with a descending social gradient and increasing proportion of health and social service use across the population. A culturally responsive, trauma-informed approach to multiagency collaboration is needed to better support the most vulnerable young people in the NT based on shared priorities targeting educational engagement, strengthening families, and unmet mental health needs.

在儿童保护和青年司法制度之间交叉的双重制度青年面临一系列健康和教育问题。然而,很少有研究审查这些年轻人,特别是土著人口的年轻人的保健和教育需要。利用个人水平的相关记录建立了一项回顾性队列研究,以检查澳大利亚北领地(NT)年轻土著和非土著居民的儿童保护、青年司法、健康和教育(多系统)参与情况。潜在类别分析(LCA)用于确定2584名10至17岁(含)年轻人的研究队列中的不同群体,这些年轻人具有共同的健康、教育和社会服务系统参与模式和水平。确定了三组年轻人,其多系统参与程度更高、更密集的模式与整个人口的社会梯度下降和卫生和社会服务使用比例增加有关。需要对多机构合作采取对文化敏感和了解创伤情况的办法,以便在共同的优先事项基础上更好地支持北部地区最脆弱的年轻人,这些优先事项以教育参与、加强家庭和未满足的心理健康需求为目标。
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引用次数: 0
The Physical and Mental Health of Mothers of Aboriginal Children in Out-of-Home Care in Western Australia 在西澳大利亚接受家庭外照料的土著儿童母亲的身心健康
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-07-10 DOI: 10.1002/ajs4.70048
Fernando Lima, Melissa O'Donnell, Alison J. Gibberd, Kathleen Falster, Emily Banks, Jocelyn Jones, Robyn Williams, Francine Eades, Benjamin Harrap, Richard Chenhall, Olivia Octoman, Sandra Eades

There is a need to better understand the physical and mental health of mothers of Aboriginal children who enter out-of-home care to prevent removals. Evidence suggests that families involved in child protection systems often experience significant needs that may culminate in child removals. For Aboriginal families, these are compounded by the inter-generational trauma from colonisation which has resulted in health issues, poverty and family violence. This is a retrospective cohort study, using linked administrative data, involving all (17,060) mothers of Aboriginal children born in Western Australia between 2000 and 2013. The health outcomes of mothers whose child was placed in care (8%) were compared to those of mothers whose child was notified to child protection authorities (30%) or had no child protection involvement (62%). A higher proportion of mothers of children in care had mental health diagnoses, hospitalisations related to alcohol/drug issues and assault prior to child removal, compared to mothers of children never in care. Mothers of children in care experienced multiple health issues, including 27% experiencing three or more conditions within 5 years prior to child removal. There is an urgent need to provide appropriate support to these mothers, and for coordination and integration of service provision to address their needs.

有必要更好地了解接受家庭外照料的土著儿童的母亲的身心健康,以防止被移走。有证据表明,参与儿童保护系统的家庭往往有重大需求,最终可能导致儿童被带走。对土著家庭来说,殖民化造成的代际创伤导致了健康问题、贫穷和家庭暴力,使这些问题更加严重。这是一项回顾性队列研究,使用相关的行政数据,涉及2000年至2013年间在西澳大利亚出生的所有(17060)土著儿童的母亲。将儿童接受照料的母亲(8%)与将儿童通知儿童保护当局的母亲(30%)或未参与儿童保护的母亲(62%)的健康结果进行比较。与从未接受过护理的儿童的母亲相比,接受过心理健康诊断、因酗酒/吸毒问题住院以及在将儿童带走之前遭受殴打的儿童的母亲所占比例更高。照料儿童的母亲遇到多种健康问题,其中27%的母亲在儿童被带走前5年内出现三种或三种以上的疾病。迫切需要向这些母亲提供适当的支助,并协调和整合提供的服务,以满足她们的需要。
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引用次数: 0
AJSI Transitions From Out-Of-Home Care Special Issue Editorial by Philip Mendes, Lynne McPherson, Jemma Venables, Steven Roche and Jenna Bollinger 由菲利普·门德斯,林恩·麦克弗森,杰玛·维纳布尔斯,史蒂文·罗奇和詹娜·博林格撰写的AJSI从家庭外护理过渡特刊社论
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-07-10 DOI: 10.1002/ajs4.70051
Philip Mendes, Lynne McPherson, Jemma Venables, Steven Roche, Jenna Bollinger
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引用次数: 0
Deaths of Children in Out-of-Home-Care: What do Inquest Reports Reveal About the Framing of Child Protection Practice? 在家外照顾儿童的死亡个案:调查报告对儿童保护实务的架构有何启示?
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-07-02 DOI: 10.1002/ajs4.70050
Celine Harrison, Maria Harries, Mark Liddiard

In Western Australia (WA), a coronial inquest into the death of a child who had been in care is mandatory. An inquest is a public hearing, a fact-finding process to determine the cause of the death, prevent future deaths from occurring in similar circumstances and to comment on the public health implications. With these functions in mind, an analysis of the inquest reports regarding the deaths of children aged 13–18 years who were in care was undertaken. The aims were to make visible the representations and frames that describe child protection practice in relation to these children who were in out of home care, the complex problems faced by their families and the care and support provided to them by the child welfare system. We identified three frames: blame featuring individual responsibility and parental deficits, disengagement and service delivery failure as a missed opportunity. We conclude that what is needed in coronial inquests is a fuller representation of broader systemic issues that are inevitably consequential for child and family well-being. Highlighting social and structural inequalities, trauma, discrimination and racism could arguably maximise the potential for coronial findings to reflect the need for supportive practice and a more preventative approach.

在西澳大利亚州(西澳大利亚州),必须对受到照顾的儿童的死亡进行验尸调查。调查是一种公开听证会,是一种查明事实的过程,目的是确定死亡原因,防止今后在类似情况下发生死亡,并就其对公共卫生的影响发表评论。考虑到这些职能,对13-18岁受照料儿童死亡的调查报告进行了分析。其目的是使人们看到描述与这些在外照料的儿童有关的儿童保护做法的陈述和框架、他们的家庭所面临的复杂问题以及儿童福利系统向他们提供的照顾和支助。我们确定了三个框架:以个人责任和父母缺陷为特征的指责,脱离接触和错失机会的服务提供失败。我们的结论是,在验尸调查中需要的是更全面地代表更广泛的系统性问题,这些问题不可避免地会对儿童和家庭的福祉产生影响。强调社会和结构不平等、创伤、歧视和种族主义,可以说可以最大限度地提高冠状调查结果的潜力,以反映对支持性做法和更具预防性方法的需求。
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引用次数: 0
“They Know What's Best for the Poor Little Black Fellows, Like They Did All Them Years Ago”: Continued Paternalism and Pressure to Place in the Australian Child Protection System “他们知道什么对可怜的黑人孩子最好,就像他们多年前所做的那样”:澳大利亚儿童保护系统中持续的家长式作风和压力
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-06-10 DOI: 10.1002/ajs4.70035
James Beaufils, Tatiana Corrales, Aunty Deb Swan

Child protection systems in Australia have been criticised for racialized policies that result in the over-policing of First Nations families and the removal of First Nations children. Under current colonial structures, “protection from harm” is used to justify the removal of First Nations children from community—sometimes permanently—at the expense of culture under the justification of timely decision making to achieve “permanency.” This is inconsistent with First Nations worldviews and the United Nations Declaration on the Rights of Indigenous Peoples. It also contributes to the sustained and increasing over-representation of First Nations children in child protection and Out-of-Home Care (OOHC) systems in all Australian states and territories. Drawing on interviews with 32 First Nations and 5 non-indigenous people in the state of New South Wales, Australia, this paper explores participants' perceptions of the purpose of placements in statutory OOHC for First Nations children. The findings highlight issues at the systemic, policy and practice levels that result in permanency being equated with disconnection from family and culture, at the expense of restoration. A lack of consultation with community and an inability to participate in decision-making has led to the continuation of colonial policies that prioritise safety through removal and disconnection. We discuss how these policy changes neglect community advice, and entrench the view that “permanency” is best achieved via permanent care away from family and community. We conclude by discussing the importance of genuine self-determination for the wellbeing of First Nations children, families, and culture.

澳大利亚的儿童保护系统因种族化政策而受到批评,这些政策导致对第一民族家庭的过度监管,并将第一民族儿童带走。在当前的殖民结构下,“防止伤害”被用来为将第一民族儿童从社区中驱逐出去辩护——有时是永久性的——以牺牲文化为代价,以及时做出决定来实现“永久性”。这与第一民族的世界观和《联合国土著人民权利宣言》不符。它还有助于在澳大利亚所有州和地区的儿童保护和家庭外护理系统中持续和不断增加的第一民族儿童的代表性。本文通过对澳大利亚新南威尔士州32位土著居民和5位非土著居民的访谈,探讨了参与者对土著儿童法定OOHC安置目的的看法。调查结果突出了系统、政策和实践层面的问题,这些问题导致永久性移民等同于与家庭和文化的脱节,而牺牲了恢复的代价。由于缺乏与社区的协商和无法参与决策,导致殖民政策继续通过搬迁和断绝联系来优先考虑安全。我们讨论了这些政策变化是如何忽视社区建议的,并巩固了这样一种观点:“永久性”最好是通过远离家庭和社区的永久性护理来实现的。最后,我们讨论了真正的自决对第一民族儿童、家庭和文化福祉的重要性。
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引用次数: 0
Voiceless: Division, Distrust and Discrimination at the 2023 Voice Referendum 无声:2023语音公投中的分裂、不信任和歧视
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-06-05 DOI: 10.1002/ajs4.70030
Shaun Wilson, Shaun Ratcliff

The referendum on the Aboriginal and Torres Strait Islander Voice to Parliament in Australia resulted in defeat for the Yes case on October 14, 2023, by a margin of 40% to 60%. The referendum proposed a constitutional amendment to establish a representative body made up of Indigenous Australians to advise federal parliament on matters affecting the Indigenous community. Polling suggested that the referendum would defy the poor record of mid-term referendums, but the No campaign prevailed. Assessments of this defeat are important to understanding future prospects for reconciliation between Indigenous and non-Indigenous Australians. This article develops several hypotheses about factors driving the No result, testing them with a representative sample of 1204 voters conducted in October 2023. Results suggest that the No vote was driven by Coalition partisanship, low trust in media and politics, and most of all, weaker perceptions of No voters of the discrimination faced by Aboriginal and Torres Strait Islander Australians.

2023年10月14日,澳大利亚举行了土著人和托雷斯海峡岛民向议会发声的全民公投,结果是赞成票以40%对60%的比例被否决。全民公决提出了一项宪法修正案,以建立一个由澳大利亚土著居民组成的代表机构,就影响土著社区的事项向联邦议会提出建议。民调显示,这次公投将打破以往中期公投的糟糕记录,但反对阵营占了上风。对这次失败的评估对于了解土著和非土著澳大利亚人之间和解的未来前景非常重要。本文提出了几个关于导致“反对”结果的因素的假设,并在2023年10月对1204名选民进行了代表性样本测试。结果显示,投反对票的原因是联盟党派之争、对媒体和政治的信任度较低,最重要的是,投反对票的人对澳大利亚土著人和托雷斯海峡岛民所面临的歧视认识较弱。
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引用次数: 0
Australia's Wellbeing Framework: Is It Really ‘Measuring What Matters’? 澳大利亚的幸福框架:它真的是“衡量重要的东西”吗?
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-06-05 DOI: 10.1002/ajs4.70029
Kate Sollis, Paul Campbell, Nicholas Drake

Australia's newly established wellbeing framework, ‘Measuring What Matters’ (MWM), seeks to measure social progress and influence policy by reporting on 50 wellbeing indicators within five ‘themes’. In this article, we assess whether the MWM framework adequately measures what people in Australia value for their wellbeing by examining both the process of the framework's development and its content. Firstly, we consider whether the consultation process undertaken was adequate. Secondly, we examine whether the MWM indicators align with existing research on what people in Australia value for their wellbeing. We identified limitations across all aspects of the consultation examined: its comprehensiveness, reach, transparency and extent to which it genuinely incorporated community feedback into the framework. While the MWM framework was found to broadly align with existing research on what Australians value for their wellbeing, there were some notable divergences. We urge the Australian Government to undertake a comprehensive, wide-reaching, transparent and genuine consultation across Australia. Furthermore, we recommend that the Australian Government develop new indicators in consultation with the public. Enhancing the MWM framework will help establish it as a cornerstone of government decision making, and importantly, ensure that it does what it purports to do: measure what Australians value for their wellbeing.

澳大利亚新建立的幸福框架“衡量重要的事情”(MWM)旨在通过报告五个“主题”中的50个幸福指标来衡量社会进步并影响政策。在本文中,我们通过检查框架的发展过程及其内容,评估MWM框架是否充分衡量了澳大利亚人对其福祉的重视。首先,我们考虑所进行的协商过程是否充分。其次,我们检查了MWM指标是否与澳大利亚人对他们的幸福的价值的现有研究相一致。我们在审查的咨询中发现了所有方面的局限性:它的全面性、覆盖面、透明度以及它真正将社区反馈纳入框架的程度。虽然MWM框架被发现与澳大利亚人对幸福的重视程度的现有研究大体一致,但也存在一些明显的分歧。我们敦促澳大利亚政府在澳大利亚各地进行全面、广泛、透明和真诚的磋商。此外,我们建议澳大利亚政府与公众协商制定新的指标。加强MWM框架将有助于将其建立为政府决策的基石,重要的是,确保它能做到它所声称的:衡量澳大利亚人对他们的福祉的重视。
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引用次数: 0
Prevalence and Factors Associated With Alleged Offending Among Children Aged 10–13 Years in the Northern Territory of Australia 澳大利亚北部地区10-13岁儿童涉嫌犯罪的患病率及相关因素
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-06-01 DOI: 10.1002/ajs4.70034
Vincent Yaofeng He, Steven Roche, Jenny Williams, Tamika Williams, Steven Guthridge

Recent policy discourse in Australia focuses on the minimum age of criminal responsibility with minimal attention to prevention strategies. Guided by theory which views child development within nested environmental contexts and recognises the cumulative impact of risk factors, this retrospective cohort study uses de-identified linked administrative data to investigate the prevalence of, and factors associated with, alleged offending among children aged 10–13 years (recorded in police data). The study included all Northern Territory (NT) government school children who turned 10 between 1/7/2014 and 30/6/2015 (turning 14 before 1/7/2019) and remained in NT until age 14 (n = 2530). Results showed 10.3% of children had at least one alleged offence before age 14, with higher rates among Aboriginal children. High levels of ‘crossover’ with the child protection system was identified among alleged offenders with 87.8% subject to child protection notifications and 10.0% with experiences of out-of-home care. Mental health issues (20.3%), exposure to domestic violence (64.0%) and school changes (57.5%) were common among alleged offenders. The findings suggest alleged youth offending has multiple risk factors, requiring a paradigm shift towards multifaceted, prevention-focused and culturally responsive interventions. This includes early intervention, public health approaches and acknowledging the existence of institutional racism and intergenerational trauma.

澳大利亚最近的政策论述侧重于最低刑事责任年龄,很少关注预防战略。以在嵌套环境背景下观察儿童发展并认识到风险因素累积影响的理论为指导,本回顾性队列研究使用去识别关联的行政数据来调查10-13岁儿童(记录在警方数据中)涉嫌犯罪的流行程度及其相关因素。该研究包括2014年7月1日至2015年6月30日期间满10岁(2019年7月1日之前满14岁)的所有北领地(NT)公立学校儿童,并在北领地待到14岁(n = 2530)。结果显示,10.3%的儿童在14岁之前至少有过一次被指控的犯罪行为,其中土著儿童的比例更高。在被指控的违法者中,有87.8%的人受到儿童保护通知,10.0%的人有过户外照顾的经历,这些违法者与儿童保护系统“交叉”程度很高。心理健康问题(20.3%)、遭受家庭暴力(64.0%)和转学(57.5%)是被指控的罪犯中常见的问题。研究结果表明,所谓的青少年犯罪有多种风险因素,需要向多方面、以预防为重点和文化响应性干预转变。这包括早期干预、公共卫生办法和承认体制性种族主义和代际创伤的存在。
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引用次数: 0
‘Playing the Game’: How Aboriginal Families Navigate Child Protection Systems to Restore Their Children Home From Out-Of-Home Care “玩游戏”:原住民家庭如何利用儿童保护系统,使他们的孩子从户外照顾中恢复家园
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-05-27 DOI: 10.1002/ajs4.70027
B. J. Newton, Kimberly Chiswell, Caitlin Parker, Neika Tong, Shantelle Common

Reunification, or restoration of children from Out-of-Home Care (OOHC) is very rare. Using evidence generated from the New South Wales-based Aboriginal-led research Bring them home, keep them home, this paper examines and celebrates the resistance and resourcefulness of 20 Aboriginal families who navigated a child protection system designed to separate their children from them. Aboriginal families have described the struggle to have their children restored from OOHC following removal as being treated as a game, where the child protection system holds all the power, designs the rules which often change and are unclear, and operates on an uneven playing field. The findings uncover a variety of strategies families used to keep their families together and attempt to succeed in the game. While professionals and practitioners working in the child and family sector are part of the system, families identified practical ways that practitioners can play the game to support them by adopting a justice-doing approach, moving from a punitive role to one of advocacy and activism.

儿童从家庭外照料(OOHC)中团聚或恢复是非常罕见的。利用新南威尔士州原住民主导的“带他们回家,让他们回家”研究得出的证据,本文考察并庆祝了20个原住民家庭的反抗和足智多谋,这些家庭通过儿童保护系统将他们的孩子与他们分开。原住民家庭将他们的孩子从OOHC中恢复的斗争描述为被视为一场游戏,其中儿童保护系统掌握着所有权力,设计了经常变化且不明确的规则,并在不公平的竞争环境中运作。这些发现揭示了家庭用来保持家庭团结并试图在游戏中取得成功的各种策略。虽然在儿童和家庭部门工作的专业人员和从业人员是该系统的一部分,但家庭确定了从业人员可以通过采取公正做法来支持他们的实际方法,即从惩罚角色转变为倡导和行动主义角色。
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引用次数: 0
A Scoping Review of Access and Engagement With Mental Health Services by Young People From Culturally and Linguistically Diverse Communities in Australia 来自澳大利亚文化和语言多样化社区的年轻人获得和参与精神卫生服务的范围审查
IF 1.9 2区 社会学 Q2 SOCIAL ISSUES Pub Date : 2025-05-23 DOI: 10.1002/ajs4.70026
Abner Weng Cheong Poon, Prasheela Karan, Maria Cassaniti, Anthony B. Zwi, Ilan Katz

Culturally and linguistically diverse (CALD) young people encounter unique circumstances, which can lead to high levels of distress. However, an up-to-date comprehensive literature review synthesising knowledge concerning mental health issues faced by CALD young people is lacking. This scoping review aims to identify the barriers and facilitators of access and engagement with Australian mental health services experienced by CALD young people. Research databases were searched to identify studies concerning CALD young people aged 12–25, parents of CALD youth and mental health workers. A total of 15 original research papers in peer-reviewed journals and grey literature meeting inclusion criteria were examined. Using thematic analysis, we categorised data according to (1) subjective perceptions, (2) structural and service barriers and (3) service and community facilitators in accessing and engaging with mental health services. Subjective perceptions showed four barriers related to cultural concepts, trust, stigma and family involvement. Identified barriers were related to financial, transportation and complex, poor culturally responsive services, whilst facilitators focussed on flexible service delivery, capacity of practitioners and social relationships. Respecting young people's preference to involve parents, adopting community-integrated approaches and providing culturally responsive psychological and practical support are crucial to enhance mental health access and engagement.

文化和语言多样性(CALD)的年轻人面临着独特的环境,这可能导致高度的痛苦。然而,缺乏最新的综合文献综述,综合有关CALD年轻人面临的心理健康问题的知识。这项范围审查的目的是确定CALD年轻人获得和参与澳大利亚精神卫生服务的障碍和促进因素。检索了研究数据库,以确定有关12-25岁CALD青年、CALD青年的父母和精神卫生工作者的研究。共纳入15篇同行评议期刊的原创研究论文和符合纳入标准的灰色文献。使用专题分析,我们根据(1)主观看法、(2)结构和服务障碍以及(3)获取和参与精神卫生服务的服务和社区促进者对数据进行了分类。主观看法显示了与文化概念有关的四个障碍:信任、耻辱和家庭参与。已确定的障碍与金融、交通和复杂、文化响应差的服务有关,而促进者则侧重于灵活的服务提供、从业人员的能力和社会关系。尊重年轻人让父母参与的意愿,采取社区综合办法,提供符合文化的心理和实际支持,对于增进获得精神卫生服务和参与至关重要。
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引用次数: 0
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Australian Journal of Social Issues
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