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Profiles of protection trajectories among children in residential care 寄宿照料儿童的保护轨迹概况
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-31 DOI: 10.1016/j.childyouth.2026.108790
Andrea Fuentes-González , Jesús Palacios , Rosa Rosnati , Maite Román

Introduction

Children entering the child welfare system frequently present histories of Adverse Childhood Experiences (ACEs), which impact their well-being. Once in out-of-home care, factors such as placement length and stability are known to influence children’s developmental outcomes. Identifying the distinct protection trajectory profiles is necessary to inform policy and optimize the care provided. However, research examining these trajectories specifically within residential care remains scarce.

Objectives

This study addresses that gap with two aims: (1) to identify patterns in the protection trajectories of children in residential care in Spain, and (2) to explore the association of initial factors with the different trajectories.

Method

The sample included 49 children who had been in residential care during childhood. Data was gathered from protection case-files and developmental and psychosocial adjustment assessments. A cluster analysis was conducted identifying three shared trajectory profiles.

Results

Profile 1 (trajectories ending in family-based care) included children who entered care at a younger age, spent less time in residential care homes, and presented fewer developmental difficulties. Profile 2 (unstable protection trajectories) was composed of children who experienced multiple placement changes, later entry into the child welfare system, a greater number of ACEs, and higher emotional difficulties. Profile 3 (prolonged and stable residential care trajectories) consisted of children with long but stable placements, many having diagnosed illnesses or disabilities.

Conclusions

These findings highlight the diversity of care experiences and offer insights for improving child protection practices and supporting decision-making within the child welfare system to promote stable and secure protection trajectories.
进入儿童福利系统的儿童经常出现不良童年经历(ace)的历史,这影响了他们的福祉。一旦进入家庭外护理,诸如安置时间长短和稳定性等因素已知会影响儿童的发展结果。确定不同的保护轨迹概况对于制定政策和优化所提供的护理是必要的。然而,研究这些轨迹,特别是在住宿护理仍然很少。本研究旨在解决这一差距,有两个目的:(1)确定西班牙寄宿照料儿童的保护轨迹模式,(2)探索初始因素与不同轨迹的关联。方法选取49例儿童为调查对象。数据收集自保护案件档案以及发展和社会心理适应评估。聚类分析确定了三个共享的轨迹剖面。结果资料1(以家庭为基础的护理结束的轨迹)包括在较年轻的年龄进入护理的儿童,在寄宿护理院里花费的时间较少,并且出现较少的发展困难。档案2(不稳定的保护轨迹)由经历多次安置变化、较晚进入儿童福利系统、较多ace和较高情感困难的儿童组成。概况3(长期和稳定的住院护理轨迹)由长期但稳定的安置儿童组成,许多儿童被诊断患有疾病或残疾。结论这些发现突出了儿童保育经验的多样性,并为改善儿童保护实践和支持儿童福利系统决策提供了见解,以促进稳定和安全的保护轨迹。
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引用次数: 0
Adapting a U.S.-based micro-savings program for Uganda: implementation process and lessons learned 为乌干达调整基于美国的小额储蓄项目:实施过程和经验教训
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-29 DOI: 10.1016/j.childyouth.2026.108792
Flavia Namuwonge , Abel Zemedkun Girma , Samuel Kizito , Peter Kalulu , Vicent Ssentumbwe , Proscovia Nabunya , Mary McKay , Fred M. Ssewamala

Background

This paper provides an overview of adapting a micro-savings program originally developed in the United States to a resource-limited setting in Uganda, highlighting this specific case of adapting a program from one country to another. The program involved opening Child Development Accounts (CDAs) to support saving among adolescents girls and their families. Guided by the asset theory and institutional theory, the paper discusses the challenges and opportunities faced during the adaptation and implementation process. The findings offer insights that can inform efforts to expand similar micro-savings programs in other resource-limited communities.

Methods

This paper utilizes data from the Suubi4Her study (2017–2022), a longitudinal intervention involving 1,260 adolescent girls in Southern Uganda. The analysis focused on saving behaviors among the entire sample and a subsample of 690 participants who opened CDAs. We examined self-reported and administrative savings outcomes over 30 months, encompassing bank savings behavior and savings beyond the initial deposit. Analyses also addressed key sociodemographic and psychosocial factors. A mixed-effect and adjusted logistic regression model were applied.

Results

At enrollment, the participant’s mean age was 15.37 years. The intervention improved bank saving behavior, evidenced by significant intervention-by-time interaction effects [χ2(2) = 43.38, p < 0.01], demonstrating a substantial increase in the odds of bank saving behavior in the intervention group at Wave 2 (OR = 78.85, 95% CI: 18.76, 331.51, p < 0.01) and Wave 3 (OR = 80.95, 95% CI: 19.31, 339.26, p < 0.01) compared to baseline within the control group. In the analysis of additional saving beyond the initial deposit, participants whose schools were located within 2 km of their home had significantly higher odds of saving (OR = 2.74, 95% CI: 1.72–4.37, p < 0.01), while older participants had lower odds (OR = 0.83, 95% CI: 0.68–0.99, p = 0.04). Living nearer to a bank was associated with increased odds of additional saving (OR = 1.74, 95% CI: 0.84–3.62, p = 0.13), though this association did not reach statistical significance.

Conclusions and implications

These findings suggest that, overall, CDA-based micro-saving programs implementation is possible even in resource limited communities like Uganda, and when given the opportunity, families living in low-income households can utilize the CDA “infrastructure” to save. Overall, for the saving intervention to yield its intended benefits, institutional barriers need to be addressed, including bringing the bank services to the people and providing financial literacy training to instill the culture of saving from a young age.
本文概述了将最初在美国开发的小额储蓄计划调整到乌干达资源有限的环境中的情况,重点介绍了将一个计划从一个国家调整到另一个国家的具体案例。该项目包括开设儿童发展账户(cda),以支持少女及其家庭的储蓄。本文以资产理论和制度理论为指导,探讨了适应和实施过程中面临的挑战和机遇。研究结果为在其他资源有限的社区推广类似的小额储蓄项目提供了参考。方法:本文利用Suubi4Her研究(2017-2022)的数据,这是一项涉及乌干达南部1260名青春期女孩的纵向干预研究。分析的重点是整个样本和690名开了cda的参与者的储蓄行为。我们检查了30个月的自我报告和行政储蓄结果,包括银行储蓄行为和初始存款以外的储蓄。分析还涉及关键的社会人口和社会心理因素。采用混合效应和调整后的logistic回归模型。结果入组时,参与者平均年龄为15.37岁。干预改善了银行储蓄行为,证明了显著的干预时间交互效应[χ2(2) = 43.38, p < 0.01],表明干预组在第2波(OR = 78.85, 95% CI: 18.76, 331.51, p < 0.01)和第3波(OR = 80.95, 95% CI: 19.31, 339.26, p < 0.01)与对照组的基线相比,银行储蓄行为的几率显著增加。在对初始存款以外的额外储蓄的分析中,学校位于离家2公里范围内的参与者储蓄的几率显著较高(OR = 2.74, 95% CI: 1.72-4.37, p < 0.01),而年龄较大的参与者的几率较低(OR = 0.83, 95% CI: 0.68-0.99, p = 0.04)。住得离银行近与额外储蓄的几率增加相关(OR = 1.74, 95% CI: 0.84-3.62, p = 0.13),尽管这种关联没有达到统计学意义。结论和意义这些发现表明,总体而言,即使在乌干达等资源有限的社区,基于CDA的小额储蓄计划的实施也是可能的,如果有机会,生活在低收入家庭的家庭可以利用CDA的“基础设施”进行储蓄。总的来说,为了使储蓄干预产生预期的效益,需要解决制度障碍,包括将银行服务带给人民,并提供金融知识培训,以从小就灌输储蓄文化。
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引用次数: 0
Internal attribution of poverty and social isolation among the Korean youth: the mediating effect of relative deprivation 韩国青年贫困和社会孤立的内在归因:相对剥夺的中介作用
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-24 DOI: 10.1016/j.childyouth.2026.108787
Soo-Bi Lee , Jae-Kyoung Lee
This study investigated the relationship between young adults’ perception of poverty and social isolation, with a particular focus on the mediating role of relative deprivation. Drawing on survey data from 521 individuals aged 19 to 39 in South Korea, this study employed cross-sectional regression analysis using PROCESS Macro Model 4 and bootstrapping methods to test the significance of mediation effects. The findings indicate that subjective perceptions of poverty, defined as attributing poverty to personal failings such as lack of effort or misfortune, do not directly influence social isolation. However, these perceptions were indirectly associated with isolation through their relationship with relative deprivation, which was in turn positively associated with social isolation. These results suggest that youth isolation should not be addressed solely through individual efforts or motivation. Instead, policies and psychosocial interventions should target the cognitive and emotional mechanisms underlying poverty perceptions and relative deprivation. By highlighting the cross-sectional associations among multidimensional inequality perceptions, social comparison, and social isolation, this study underscores the need for youth welfare policies that incorporate the perceptual and structural dimensions of poverty.
本研究调查了年轻人对贫穷的看法与社会孤立之间的关系,特别侧重于相对剥夺的中介作用。本研究利用韩国521名19 ~ 39岁个体的调查数据,采用PROCESS Macro Model 4和bootstrapping方法进行横断面回归分析,检验中介效应的显著性。调查结果表明,对贫穷的主观看法(定义为将贫穷归因于缺乏努力或不幸等个人缺点)并不直接影响社会孤立。然而,这些观念通过与相对剥夺的关系与孤立间接相关,而相对剥夺又与社会孤立呈正相关。这些结果表明,青年孤立不应仅仅通过个人努力或动机来解决。相反,政策和社会心理干预应针对贫困观念和相对剥夺背后的认知和情感机制。通过强调多维不平等观念、社会比较和社会孤立之间的横断面关联,本研究强调需要制定纳入贫困的感知和结构层面的青年福利政策。
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引用次数: 0
Others of the other: Examining migrant children’s delinquency through the exclusion–support matrix 其他的:通过排斥-支持矩阵研究流动儿童的犯罪
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-21 DOI: 10.1016/j.childyouth.2026.108780
Beyza Ünal , Mustafa Kocanci , Beyhan Aksoy , Kardelen Devrim Doruköz , Berk Uslu , Mete Kaan Namal
This study aims to analyze migrant children’s delinquency by examining their pathways into offending within a structural and multi-level framework. Based on a qualitative research design, data were collected through in-depth interviews with 15 professionals from NGOs working directly with migrant children in Türkiye. Thematic analysis revealed that intersecting factors such as discrimination, poverty, exclusion from education, peer influence, and limited access to services play a significant role in shaping children’s pathways to crime. The findings are interpreted through theoretical lenses, including labelling theory, strain theory, attachment theory, and the social exclusion approach, emphasizing that children’s involvement in crime stems not only from individual factors but also from structural vulnerabilities. As an original contribution, the study introduces the “Exclusion–Support Matrix,” a conceptual tool that categorizes children’s vulnerability levels across nine typologies, providing a strategic framework for targeted interventions. The matrix offers a grounded, ethically informed, and practice-based understanding of migrant children’s criminalization processes. It underscores the need for rights-based, intersectional, and holistic policy frameworks capable of reshaping child protection and integration strategies. Moreover, by revealing how children move dynamically between different levels of risk, the matrix highlights the importance of differentiated, theory-informed, and context-sensitive responses. The findings provide practical guidance for service providers and policymakers seeking to design inclusive, prevention-oriented strategies for migrant children, while the Exclusion–Support Matrix serves as a transferable framework for informing child protection and social inclusion policies.
本研究旨在分析流动儿童的犯罪行为,在一个结构和多层次的框架内考察他们的犯罪途径。在质性研究设计的基础上,通过对15名直接从事基耶省流动儿童工作的非政府组织专业人员的深度访谈收集数据。专题分析显示,歧视、贫穷、被排斥在教育之外、同辈影响和获得服务的机会有限等相互交织的因素在塑造儿童的犯罪道路方面发挥了重要作用。研究结果通过标签理论、应变理论、依恋理论和社会排斥理论等理论视角进行解释,强调儿童参与犯罪不仅源于个体因素,还源于结构性脆弱性。作为一项原创贡献,该研究引入了“排斥-支持矩阵”,这是一个概念工具,将儿童的脆弱性分为九种类型,为有针对性的干预提供了战略框架。该矩阵为移民儿童的定罪过程提供了一个有根据的、合乎道德的和基于实践的理解。报告强调需要建立以权利为基础的、交叉的和整体的政策框架,能够重塑儿童保护和融合战略。此外,通过揭示儿童如何在不同的风险水平之间动态移动,矩阵强调了差异化,理论知情和上下文敏感反应的重要性。研究结果为寻求为流动儿童设计包容性、以预防为导向的战略的服务提供者和政策制定者提供了实用指导,而排斥-支持矩阵则是为儿童保护和社会包容政策提供信息的可转让框架。
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引用次数: 0
Transgenerational transmission of trauma. Heterogeneity in the experiences of mothers who experienced out-of-home care (OHC) and adjustment of their children 创伤的跨代传递。经历过家庭外护理(OHC)的母亲的经历的异质性及其孩子的适应
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-19 DOI: 10.1016/j.childyouth.2026.108785
Ingrid Schoon, Samantha Parsons
This study examines heterogeneity in adult functioning among mothers with out-of-home care (OHC) experience, and the intergenerational transmission of trauma associated with maternal OHC. The study draws on the nationally representative UK Millennium Cohort Study (MCS). The analytic sample comprises n = 305 mothers (G1) who reported to have experienced OHC before the age of 17 and their children at age 17 (G2). Running a latent class analysis across a range of adult outcomes such as educational attainment, employment, finance, housing, physical and mental health we identified three groups of mothers with OHC experience. These included 27% mothers who reported relative positive adult adjustment (resilient mothers); a group comprising mainly impoverished mothers (39%) and a group of distressed mothers (34%) with relative high levels of mental health problems who are experiencing more chaotic home lives. The children of relative resilient mothers with OHC experience showed higher levels of academic attainment compared to children of mothers who encountered more problems in their transition to adulthood. However, all children of mothers with OHC experiences reported high levels of depression and risk of self-harm by age 17 – including those of resilient mothers. The findings highlight the capacity of mothers with OHC experience to break the vicious cycle, although there is also a long shadow of intergenerational trauma which needs to be addressed.
本研究探讨了具有家庭外护理经历的母亲成人功能的异质性,以及与母亲家庭外护理相关的创伤代际传播。这项研究借鉴了具有全国代表性的英国千年队列研究(MCS)。分析样本包括n = 305名报告在17岁之前经历过OHC的母亲(G1)及其17岁时的子女(G2)。通过对一系列成人结果(如教育程度、就业、财务、住房、身心健康)进行潜在阶层分析,我们确定了三组有OHC经历的母亲。其中包括27%的母亲报告了相对积极的成人适应(弹性母亲);一个主要由贫困母亲(39%)和痛苦母亲(34%)组成的群体,她们的心理健康问题相对较高,家庭生活更加混乱。与在成年过渡过程中遇到更多问题的母亲的孩子相比,有OHC经历的母亲的孩子表现出更高的学业成就水平。然而,所有有OHC经历的母亲的孩子在17岁之前都报告了高水平的抑郁和自残的风险——包括那些适应力强的母亲的孩子。调查结果强调了具有OHC经验的母亲打破恶性循环的能力,尽管也存在需要解决的代际创伤的长期阴影。
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引用次数: 0
Seeing the invisible: Educators contending with childhood neglect among their students 看到看不见的:教育工作者与学生的童年忽视作斗争
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-19 DOI: 10.1016/j.childyouth.2026.108784
Eran P. Melkman , Laura I. Sigad
Background: Although educators are arguably in the best position to recognize signs of child neglect in its earliest stages, there is a notable gap in research examining their role in this context.

Objective

This study examines the perspectives of educators in Israeli schools and explores how they experience, define and attribute meaning to childhood neglect among their students.

Methods

In-depth interviews were conducted with 31 Jewish female educators, including 22 teachers and 9 counsellors, who have encountered neglect within their professional role.

Results

The results show that educators experience neglect among their pupils in a multifaceted and contradictory manner. On the one hand, a spectrum of neglect types were encountered in schools. Physical neglect was the most frequently noted, marked by clear indicators such as inadequate food, hygiene and clothing. However, subtler often overlooked forms of neglect like supervisory, educational and emotional neglect, were also prevalent, though these were less visible and harder to detect. Further compounding educators’ ability to successfully identify and respond to neglect are the lack of a clear definition of neglect and the subjective nature of its identification, that often leave educators uncertain about when and how to report, particularly in cases influenced by broader socioeconomic factors.

Conclusions

This study calls for a more nuanced understanding of child neglect that considers both the overt and covert dimensions of the issue. It suggests that in order for educators to fulfil their critical role in identification and response, they require clearer guidelines and support from child welfare agencies.
背景:虽然教育工作者可以说是在早期阶段识别儿童忽视迹象的最佳位置,但在研究他们在这方面的作用方面存在显著差距。目的本研究考察了以色列学校教育工作者的观点,并探讨了他们如何经历、定义和赋予学生童年忽视的意义。方法对31名在工作中遭遇忽视的犹太女性教育工作者进行深度访谈,其中包括22名教师和9名辅导员。结果结果表明,教育工作者在学生中经历的忽视是多方面和矛盾的。一方面,在学校中遇到了一系列的忽视类型。身体上的忽视是最常见的,其明显标志是食物、卫生和衣服不足。然而,更微妙的、经常被忽视的忽视形式,如管理、教育和情感忽视,也很普遍,尽管这些忽视不太明显,也更难发现。由于缺乏对忽视的明确定义,以及对忽视的认定具有主观性,这使教育工作者无法确定何时以及如何报告,特别是在受到更广泛的社会经济因素影响的情况下。结论:这项研究要求对儿童忽视问题有更细致的理解,考虑到这个问题的显性和隐性两个方面。报告指出,为了使教育工作者在识别和应对方面发挥关键作用,他们需要更明确的指导方针和儿童福利机构的支持。
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引用次数: 0
Family experiences regarding treatments and therapies for children with developmental disabilities: A qualitative study 关于发育障碍儿童治疗和治疗的家庭经验:一项定性研究
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-18 DOI: 10.1016/j.childyouth.2026.108783
Yoomi Shin , Naeun Park , Hyunyoung Lee , Anna Lee

Background and purpose

Children with developmental disabilities (DDs) often benefit from multiple treatments and therapies, and family-centered care (FCC) is encouraged to optimize child and family outcomes. However, limited understanding exists concerning these families’ experiences. This study aimed to explore families’ experiences with treatments and therapies for children with DDs, based on the principles of FCC.

Methods

Focus group interviews were conducted with 19 parents of children with DDs in Korea. The semistructured interviews, guided by the FCC model, focused on key FCC components such as collaboration, education, family context, and policies. The data were analyzed using a directed content analysis approach.

Results

Four major themes emerged corresponding to the FCC components: (1) Running in a three-legged race: parents valued active collaboration with competent healthcare practitioners but encountered inconsistent communication and superficial feedback; (2) Guiding stars on the journey: while parents appreciated opportunities for learning and peer support, they reported receiving little emotional support from healthcare practitioners; (3) Weaving the family and therapy together: some families experienced psychological growth through treatments and therapies for their children, but these processes often imposed emotional and financial strain; (4) Maze of public support: parents expressed frustration with the fragmentation of formal support and inconsistent access to quality care.

Conclusions and implications

The findings demonstrate gaps in the implementation of FCC in therapeutic interventions for children with DDs. These insights indicate the need for more effective, family-centered approaches to enhance communication, provide emotional and practical support, and improve the fragmented public support systems.
背景和目的发育障碍儿童(dd)通常受益于多种治疗和疗法,鼓励以家庭为中心的护理(FCC)来优化儿童和家庭的结果。然而,对这些家庭的经历了解有限。本研究旨在探讨基于FCC原则的adhd儿童的家庭治疗和治疗经验。方法采用焦点小组访谈法,对19名儿童的父母进行调查。半结构化访谈在FCC模式的指导下,重点关注FCC的关键组成部分,如合作、教育、家庭背景和政策。使用定向内容分析方法对数据进行分析。结果与FCC组成部分相对应的四个主要主题:(1)三足赛跑:家长重视与有能力的医护人员的积极合作,但遇到不一致的沟通和肤浅的反馈;(2)在旅途中引导明星:虽然父母很欣赏学习和同伴支持的机会,但他们很少得到医疗从业者的情感支持;(3)将家庭和治疗结合起来:一些家庭通过对孩子的治疗和治疗经历了心理成长,但这些过程往往会带来情感和经济上的压力;(4)公众支持的迷宫:父母对正式支持的碎片化和获得高质量护理的不一致表示失望。结论和意义研究结果表明,FCC在儿童发育障碍治疗干预措施中的实施存在差距。这些见解表明,需要采取更有效的、以家庭为中心的方法来加强沟通,提供情感和实际支持,并改善支离破碎的公共支持系统。
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引用次数: 0
Strengthening social support in residential care: Evidence from the D’AR-TE project 加强住宿护理中的社会支持:来自D 'AR-TE项目的证据
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-18 DOI: 10.1016/j.childyouth.2026.108782
Paula Ferreira , Mara Ricardo
This study explores the promotion of social support as a key protective factor for the psycho-emotional and relational well-being of children and young people in residential care. Developed within the scope of the D’AR-TE Project, it aimed to analyse participants’ perceptions of the social support received from family, peers, and the care team, as well as the relational dynamics established. A mixed-method design was used, combining quantitative data from 18 male residents (aged 11–20) with qualitative interviews involving 12 participants and 17 care team members. Findings from the Perceived Social Support Scales (PSS-Family and PSS-Friends), indicated an increase in perceived support from both family and friends. Interview data revealed enhanced peer relationships, improved cooperation, and a stronger sense of group identity. Participants also reported strengthened emotional bonds with care workers, better communication, and improved behavioural self-regulation. The findings highlight the potential of arts-based and relationship-focused interventions to enhance emotional regulation, autonomy, and adaptability in residential care. Moreover, they suggest that promoting meaningful interpersonal connections can help mitigate internalising symptoms (e.g., anxiety, low self-esteem) and reduce externalising behaviours (e.g., aggression, defiance).
本研究旨在探讨社会支持的提升对儿童及青少年的心理情绪及关系健康的重要保护作用。在D ' ar - te项目范围内开发,旨在分析参与者对从家庭、同伴和护理团队获得的社会支持的看法,以及建立的关系动态。采用混合方法设计,将18名11-20岁男性居民的定量数据与12名参与者和17名护理团队成员的定性访谈相结合。来自感知社会支持量表(PSS-Family和PSS-Friends)的调查结果表明,来自家人和朋友的感知支持都有所增加。访谈数据显示同伴关系增强,合作改善,群体认同感增强。参与者还报告说,他们与护理人员的情感联系加强了,沟通更好了,行为自我调节能力也提高了。该研究结果强调了以艺术为基础和以关系为重点的干预措施在提高情绪调节、自主性和适应性方面的潜力。此外,他们认为,促进有意义的人际关系可以帮助减轻内化症状(如焦虑、低自尊)和减少外化行为(如攻击、蔑视)。
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引用次数: 0
Dynamics that challenge the provision of integrated care for youth at-risk: a systematic review 挑战为高危青年提供综合护理的动力:一项系统审查
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-17 DOI: 10.1016/j.childyouth.2026.108778
L.C.M. Veerman , L.A. Nooteboom , E.A. Mulder , R.R.J.M. Vermeiren

Background

Providing integrated care for youth at-risk and their families is a multifaceted challenge. Youth at-risk are young people experiencing multiple co-occurring challenges across life domains and engaging in behavior that pose risks to themselves or others. Although their needs necessitate integrated care, its implementation is hindered by dynamics between the characteristics of these young people and elements of integrated care. Our aim is to provide an overview of the dynamics shaping integrated care for youth at-risk.

Method

We conducted a systematic review following PRISMA guidelines. We identified eligible studies using a search strategy in PubMed, Cochrane, Web of Science, PsycINFO, and the Integrated Care Search tool. Two reviewers independently screened and extracted the data. We analyzed the included studies using a thematic analysis.

Results

Of the 5857 screened studies, 52 studies met the eligibility criteria. The results showed dynamics that occur on different levels. Between youth and professionals: as youth at-risk show high-risk and avoidant behavior, professionals tend to respond with control, reluctance to act, and stigmatization. The consequences of insufficient information sharing, the number of professionals involved, and staff turnover further disrupt their care. Between youth and organizations: organizations tend to avoid responsibility to care for youth at-risk, and several preconditions are required to provide care that meets the diverse and specific needs of youth at-risk. Between professionals from different organizations: organizations tend to operate individually, resulting in varying perspectives, lack of coordination, and difficulties to exchange information, ultimately disrupting care provision.

Conclusion

This systematic review shows that dynamics between youth at-risk, professionals, and organizations can disrupt the coherence and continuity that integrated care requires. The dynamics at play reflect the interdependence between youth at-risk, professionals, and organizations, as they shape one another’s actions and can ultimately lead to a cycle of avoidance. Strengthening integrated care therefore calls for a multi-level approach: professionals can support engagement through a context- and strengths-based approach, while organizations need to provide the conditions for collaboration and shared decision-making.
为有风险的青年及其家庭提供综合照顾是一项多方面的挑战。风险青年是指在生活领域中同时面临多种挑战,并从事对自己或他人构成风险的行为的年轻人。尽管他们的需要需要综合护理,但这些年轻人的特点与综合护理要素之间的动态关系阻碍了综合护理的实施。我们的目的是提供动态形成综合护理的青少年风险的概述。方法按照PRISMA指南进行系统评价。我们使用PubMed、Cochrane、Web of Science、PsycINFO和综合护理搜索工具的搜索策略来确定符合条件的研究。两名审稿人独立筛选和提取数据。我们使用专题分析来分析纳入的研究。结果在5857项筛选研究中,52项研究符合入选标准。结果显示了发生在不同层次上的动态。青少年与专业人士之间:由于青少年表现出高风险和回避行为,专业人士倾向于以控制、不愿行动和污名化来回应。信息共享不足、涉及的专业人员数量和人员流动的后果进一步扰乱了他们的护理。青年和组织之间:组织倾向于逃避照顾有风险青年的责任,并且需要几个先决条件来提供照顾,以满足有风险青年的多样化和特定需求。来自不同组织的专业人员之间:组织倾向于单独运作,导致观点不同,缺乏协调,信息交流困难,最终破坏护理提供。本系统综述表明,高危青少年、专业人员和组织之间的动态关系可能会破坏综合护理所需的连贯性和连续性。其中的动态反映了风险青年、专业人员和组织之间的相互依存关系,因为它们影响着彼此的行动,并最终导致回避的循环。因此,加强综合护理需要多层次的方法:专业人员可以通过基于背景和优势的方法支持参与,而组织需要为协作和共同决策提供条件。
{"title":"Dynamics that challenge the provision of integrated care for youth at-risk: a systematic review","authors":"L.C.M. Veerman ,&nbsp;L.A. Nooteboom ,&nbsp;E.A. Mulder ,&nbsp;R.R.J.M. Vermeiren","doi":"10.1016/j.childyouth.2026.108778","DOIUrl":"10.1016/j.childyouth.2026.108778","url":null,"abstract":"<div><h3>Background</h3><div>Providing integrated care for youth at-risk and their families is a multifaceted challenge. Youth at-risk are young people experiencing multiple co-occurring challenges across life domains and engaging in behavior that pose risks to themselves or others. Although their needs necessitate integrated care, its implementation is hindered by dynamics between the characteristics of these young people and elements of integrated care. Our aim is to provide an overview of the dynamics shaping integrated care for youth at-risk.</div></div><div><h3>Method</h3><div>We conducted a systematic review following PRISMA guidelines. We identified eligible studies using a search strategy in PubMed, Cochrane, Web of Science, PsycINFO, and the Integrated Care Search tool. Two reviewers independently screened and extracted the data. We analyzed the included studies using a thematic analysis.</div></div><div><h3>Results</h3><div>Of the 5857 screened studies, 52 studies met the eligibility criteria. The results showed dynamics that occur on different levels. Between youth and professionals: as youth at-risk show high-risk and avoidant behavior, professionals tend to respond with control, reluctance to act, and stigmatization. The consequences of insufficient information sharing, the number of professionals involved, and staff turnover further disrupt their care. Between youth and organizations: organizations tend to avoid responsibility to care for youth at-risk, and several preconditions are required to provide care that meets the diverse and specific needs of youth at-risk. Between professionals from different organizations: organizations tend to operate individually, resulting in varying perspectives, lack of coordination, and difficulties to exchange information, ultimately disrupting care provision.</div></div><div><h3>Conclusion</h3><div>This systematic review shows that dynamics between youth at-risk, professionals, and organizations can disrupt the coherence and continuity that integrated care requires. The dynamics at play reflect the interdependence between youth at-risk, professionals, and organizations, as they shape one another’s actions and can ultimately lead to a cycle of avoidance. Strengthening integrated care therefore calls for a multi-level approach: professionals can support engagement through a context- and strengths-based approach, while organizations need to provide the conditions for collaboration and shared decision-making.</div></div>","PeriodicalId":48428,"journal":{"name":"Children and Youth Services Review","volume":"183 ","pages":"Article 108778"},"PeriodicalIF":1.7,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146102898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A scoping review of policies and practices to support young people transitioning from out-of-home care in Asia 对支持亚洲年轻人从家庭外护理过渡的政策和做法进行范围审查
IF 1.7 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2026-01-17 DOI: 10.1016/j.childyouth.2026.108777
Rangga Radityaputra, Susan Baidawi, Philip Mendes
Young people transitioning from out-of-home care (OOHC), globally known as care leavers, are recognized as a vulnerable group relative to non-care-experienced young people. Previous literature from Indonesia reveals the need for policy and formal support for care leavers. This study is part of a doctoral study focusing on young people transitioning from out-of-home care in Indonesia, in which the first author, an Indonesian researcher, scopes the primary studies and peer-reviewed articles available in jurisdictions that have cultural, social, and geographical proximity with Indonesia.
This study used a scoping review method proposed by Arksey and O’Malley (2005). The authors searched six known databases. From 2,893 articles screened, 65 articles underwent a full-text review, and a total of 21 studies met the inclusion criteria for this scoping study.
Several themes emerged from the scoping review including: (1) Inadequate formal leaving care and aftercare support for care leavers; (2) Promising practices of leaving care and after care intervention; (3) Residential care settings (RCS) as major care arrangements and their impact on young people leaving out-of-home care in Asia; (4) Poor preparation and insufficient support within out-of-home care (OOHC) settings; (5) Stigma and cultural barriers after leaving care, especially for girls and young women; (6) The importance of informal support from others while transitioning into adulthood; (7) The significance of independent living skills for care leavers; and (8) Care leavers’ resilience, and coping mechanisms. Discussions and policy implications are further discussed.
从家庭外护理(OOHC)过渡的年轻人,在全球被称为护理离开者,被认为是相对于没有护理经验的年轻人的弱势群体。印度尼西亚以前的文献揭示了对护理离开者的政策和正式支持的必要性。本研究是一项博士研究的一部分,该研究的重点是印度尼西亚的年轻人从家庭外护理过渡,该研究的第一作者是一名印度尼西亚研究员,他对与印度尼西亚有文化、社会和地理邻近的司法管辖区的主要研究和同行评议文章进行了分析。本研究采用了Arksey和O 'Malley(2005)提出的范围审查方法。作者检索了六个已知的数据库。从筛选的2,893篇文章中,65篇文章进行了全文审查,共有21篇研究符合本范围研究的纳入标准。从范围审查中出现了几个主题,包括:(1)对护理离开者的正式离职护理和善后支持不足;(2)有希望的离开护理和护理后干预实践;(3)在亚洲地区,寄宿照顾机构作为主要的照顾安排及其对离开家外照顾的青少年的影响;(4)家庭外护理(OOHC)环境中的准备不足和支持不足;(5)离开护理后的耻辱和文化障碍,特别是对女孩和年轻妇女;(6)在向成年过渡期间,来自他人非正式支持的重要性;(7)独立生活技能对照顾者的意义;(8)照顾者的适应能力和应对机制。讨论和政策影响将进一步讨论。
{"title":"A scoping review of policies and practices to support young people transitioning from out-of-home care in Asia","authors":"Rangga Radityaputra,&nbsp;Susan Baidawi,&nbsp;Philip Mendes","doi":"10.1016/j.childyouth.2026.108777","DOIUrl":"10.1016/j.childyouth.2026.108777","url":null,"abstract":"<div><div>Young people transitioning from out-of-home care (OOHC), globally known as care leavers, are recognized as a vulnerable group relative to non-care-experienced young people. Previous literature from Indonesia reveals the need for policy and formal support for care leavers. This study is part of a doctoral study focusing on young people transitioning from out-of-home care in Indonesia, in which the first author, an Indonesian researcher, scopes the primary studies and peer-reviewed articles available in jurisdictions that have cultural, social, and geographical proximity with Indonesia.</div><div>This study used a scoping review method proposed by <span><span>Arksey and O’Malley (2005)</span></span>. The authors searched six known databases. From 2,893 articles screened, 65 articles underwent a full-text review, and a total of 21 studies met the inclusion criteria for this scoping study.</div><div>Several themes emerged from the scoping review including: (1) Inadequate formal leaving care and aftercare support for care leavers; (2) Promising practices of leaving care and after care intervention; (3) Residential care settings (RCS) as major care arrangements and their impact on young people leaving out-of-home care in Asia; (4) Poor preparation and insufficient support within out-of-home care (OOHC) settings; (5) Stigma and cultural barriers after leaving care, especially for girls and young women; (6) The importance of informal support from others while transitioning into adulthood; (7) The significance of independent living skills for care leavers; and (8) Care leavers’ resilience, and coping mechanisms. Discussions and policy implications are further discussed.</div></div>","PeriodicalId":48428,"journal":{"name":"Children and Youth Services Review","volume":"182 ","pages":"Article 108777"},"PeriodicalIF":1.7,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Children and Youth Services Review
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