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The sustainability of a community-based learning collaborative to improve the use of trauma-informed evidence-based practices 以社区为基础的学习合作的可持续性,以改善对创伤知情循证实践的使用
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.108001
Elizabeth Casline , Zabin Patel-Syed , Teresa Toranzo , Vanessa Ramirez , Amanda Jensen-Doss

Purpose

Most youth who experience trauma do not receive evidence-based trauma intervention. Efforts to increase use of trauma-informed evidence-based practices (EBPs) have identified the learning collaborative (LC) as an effective training and implementation model, yet few studies have evaluated sustainability outcomes. This study examined the sustainability of a community-based LC (CBLC) by describing provider, agency, and community-level use of trauma-informed EBPs, an average of 5.3 years after the training.

Methods

106 participants from 20 agencies completed a follow-up survey after a CBLC training. Participants were trained in Trauma-Focused Cognitive-Behavior Therapy (TF-CBT; clinical track), in Evidence-Based Treatment Planning (EBTP; broker/case manager track), or in strategies to support TF-CBT and EBTP implementation (senior leader track). Clinical and broker track participants reported on their current employment and EBP use within the past three months. Senior leaders for all 20 agencies provided information about the use of trauma-informed EBPs at their agencies.

Results

At the provider-level, only 36.5 % of the clinical track continued to use TF-CBT and 28.1 % of the broker track continued to use EBTP. Provider promotion to supervisory and leadership positions supported EBP sustainability. Agency-level outcomes indicated that 89 % of clinical agencies and 60% of broker agencies continued to use TF-CBT and EBTP. Although retention of providers within agencies was low, LC trained clinicians and brokers spread to twenty-four new agencies in the community providing psychotherapy and/or case management services to youth.

Conclusions

Findings suggest the CBLC model resulted in some sustained community-level changes as agencies continued to use the trauma-informed EBPs and trained providers spread to other agencies within the local community. Provider promotions also increased representation of CBLC trainees in leadership positions. Results suggest that measuring sustainability as a multi-level implementation outcome can lead to a better understanding of implementation success.
目的 大多数经历过心理创伤的青少年都没有接受过以证据为基础的心理创伤干预。为增加以创伤为导向的循证实践(EBPs)的使用而做出的努力已将学习合作(LC)确定为一种有效的培训和实施模式,但很少有研究对其可持续性成果进行评估。本研究通过描述提供者、机构和社区层面在培训后平均 5.3 年对基于创伤的 EBPs 的使用情况,考察了基于社区的 LC(CBLC)的可持续性。参加者接受了创伤认知行为疗法(TF-CBT;临床方向)、循证治疗规划(EBTP;经纪人/个案经理方向)或支持创伤认知行为疗法和循证治疗规划实施策略(高级领导方向)的培训。临床和经纪人方向的参与者报告了他们目前的就业情况和过去三个月内 EBP 的使用情况。结果在提供者层面,只有 36.5% 的临床路径参与者继续使用 TF-CBT,28.1% 的经纪人路径参与者继续使用 EBTP。提供者晋升到主管和领导岗位支持了 EBP 的可持续性。机构层面的结果表明,89% 的临床机构和 60% 的中介机构继续使用 TF-CBT 和 EBTP。结论研究结果表明,CBLC 模式带来了一些持续的社区层面的变化,因为各机构继续使用创伤知情的 EBPs,并且经过培训的提供者扩展到了当地社区的其他机构。提供者的晋升也增加了 CBLC 受训者在领导岗位上的代表性。结果表明,将可持续性作为一个多层次的实施成果来衡量,可以更好地了解实施的成功与否。
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引用次数: 0
Caregiver-child agreement in posttraumatic symptoms and outcomes in the child and family traumatic stress intervention 在儿童和家庭创伤压力干预中,照顾者和儿童在创伤后症状和结果方面的一致意见
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.108000
Carla S. Stover , Hilary Hahn , Kaitlin R. Maciejewski , Carrie Epstein , Steven Marans

Background

Agreement between caregiver and child reports of posttraumatic stress symptoms is often quite poor. Lack of agreement about symptoms, as well as failure of mutual recognition and understanding of symptoms, can impact treatment outcomes.

Objective

This study examines change in caregiver and child agreement about child posttraumatic stress symptoms (PTSS) before and after a brief and early intervention for children exposed to a traumatic event.

Method

The Child and Family Traumatic Stress Intervention (CFTSI) is a brief (5–8 session) trauma-focused mental health treatment designed to reduce trauma symptoms in the aftermath of recent traumatic experiences that involves a focus on caregiver and child recognition of and communication about the child’s PTSS. We report on results of a naturalistic treatment study of CFTSI implementation without a comparison group that includes 1,190 child-caregiver dyads from 13 community-based clinical settings. Pre- and post-treatment reports of child PTSS were assessed using caregiver and child reports on the Child Posttraumatic Symptom Scale. A mixed effects analysis was conducted to examine change in caregiver and child discrepancy from pre to post CFTSI intervention.

Results

There was a significant discrepancy between caregiver and youth agreement in PTSS at baseline that was significantly reduced post-CFTSI treatment. Change in discrepancy was similar regardless of child age and gender. Higher caregiver PTSS at pretreatment was associated with less change in discrepancy.

Conclusion

This study suggests CFTSI may reduce the discrepancy between caregiver and child reports of the child’s PTSS. Reduced discrepancy implies an increased recognition of, and communication about, children’s PTSS, which may be a mechanism through which CFTSI reduces child PTSS following a recent traumatic event.
背景照顾者和儿童对创伤后应激症状的报告往往不一致。本研究探讨了在对遭受创伤事件的儿童进行简短的早期干预前后,照顾者和儿童对儿童创伤后应激症状(PTSS)的一致意见的变化情况。方法儿童与家庭创伤应激干预(CFTSI)是一种以创伤为重点的简短心理健康治疗方法(5-8 次疗程),旨在减轻近期创伤经历后的创伤症状,其中包括重点关注照顾者和儿童对儿童创伤后应激症状的认识和沟通。我们报告了一项关于 CFTSI 实施情况的自然疗法研究结果,该研究不设对比组,包括来自 13 个社区临床机构的 1,190 个儿童-照顾者二人组。我们使用儿童创伤后症状量表(Child Posttraumatic Symptom Scale)中的照顾者和儿童报告来评估治疗前和治疗后的儿童创伤后症状报告。结果在基线时,照顾者和青少年在 PTSS 方面的一致性存在显著差异,而在接受 CFTSI 治疗后,这种差异显著减少。无论儿童的年龄和性别如何,差异的变化情况相似。这项研究表明,CFTSI 可以减少照顾者和儿童对儿童 PTSS 报告之间的差异。差异的减少意味着对儿童创伤后应激障碍的认识和沟通得到加强,这可能是 CFTSI 在近期创伤事件后减少儿童创伤后应激障碍的机制。
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引用次数: 0
The role of parenting in autonomy and executive function development among young children experiencing homelessness 父母对无家可归幼儿自主性和执行功能发展的作用
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.107997
Rebecca Distefano , Kayla M. Nelson , Alyssa R. Palmer , Ann S. Masten , Stephanie M. Carlson
A large body of research has shown homelessness is a risk factor for academic difficulties. However, some children experiencing homelessness begin kindergarten well-prepared and continue to succeed; this variability has motivated a search for protective factors supporting academic achievement in the context of homelessness. Two such factors might be children’s autonomy and executive function (EF), which allow children to take control of their own learning. The current study examined links between autonomy and EF skills, as well as the role of parenting in their development among young children experiencing homelessness. Participants included 78 parents and their children (Mage = 53 months) residing in emergency housing. Children were given an autonomy assessment and both cool and hot EF tasks; parent–child dyads completed a problem-solving task to measure autonomy-supportive parenting. Results indicated that child autonomy was significantly correlated with both cool and hot EF. Cool EF was related to academic skills. Autonomy-supportive parenting was significantly linked only to children’s cool EF above and beyond parental warmth, suggesting this dimension of parenting may play a unique role in the development of cool EF in the context of homelessness.
大量研究表明,无家可归是导致学业困难的一个危险因素。然而,一些无家可归的儿童在幼儿园开始时准备充分,并继续取得成功;这种变化促使人们寻找支持无家可归儿童学业成绩的保护性因素。其中两个因素可能是儿童的自主性和执行功能(EF),这使儿童能够控制自己的学习。本研究考察了无家可归幼儿的自主性和执行功能技能之间的联系,以及父母在其发展过程中所起的作用。研究对象包括 78 名居住在紧急住房中的父母及其子女(年龄 = 53 个月)。对儿童进行了自主性评估,并进行了冷态和热态 EF 任务;亲子二人组完成了一项解决问题的任务,以衡量支持自主性的养育方式。结果表明,儿童的自主性与冷态和热态 EF 都有明显的相关性。冷EF与学习技能有关。除了父母的温暖之外,自主支持型养育方式只与儿童的冷EF有明显联系,这表明在无家可归的情况下,这种养育方式可能在冷EF的发展中发挥独特的作用。
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引用次数: 0
Living arrangements and mental health of children and adolescents with vision impairments during the COVID-19 pandemic: Evidence from China COVID-19大流行期间视力障碍儿童和青少年的生活安排和心理健康:来自中国的证据
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.107987
Paicheng Liu , Xiaoxuan Zheng , Jianxin Cheng , Yaqi Zhang , Yuxuan Yang

Background

Although studies have reported the negative effect of COVID-19 on children’s mental health, few studies worldwide have included children with disabilities. The mental health of visually impaired children, in particular, remains poorly understood. This study therefore investigated the mental health of children with vision impairments during the COVID-19 lockdown.

Methods

We administered a questionnaire survey to visually impaired students. Data were collected between July 28 and November 20, 2022. We administered 249 questionnaires and obtained 227 valid questionnaires. A sample of Chinese children and adolescents with vision impairments (N = 227, aged 6–18 years, 46 % girls) was employed to examine the relationship between children’s living arrangements and their mental health during the COVID-19 pandemic.

Results

Compared to living with their father or other people, living with their mother reduced children’s depression score by 7.258 (p < 0.01), but this effect was greater among boys than among girls. Among children who lived with their mother, the depression scores of the younger and older groups fell by 11.657 (p < 0.01) and 5.393 (p < 0.01), respectively. Parents’ marital and economic status moderated the relationship between children’s living arrangements and mental health.

Conclusions

The mental health of visually impaired children living with their mother was notably better than that of those living with their father or other family. The government and society should pay close attention to visually impaired children and adolescents from economically disadvantaged families who lack maternal care.
背景虽然有研究报告称 COVID-19 对儿童的心理健康有负面影响,但全球范围内很少有研究将残疾儿童包括在内。尤其是对视力受损儿童的心理健康仍然知之甚少。因此,本研究调查了在 COVID-19 封锁期间视障儿童的心理健康情况。数据收集时间为 2022 年 7 月 28 日至 11 月 20 日。我们共发放了 249 份问卷,获得 227 份有效问卷。结果与与父亲或其他人同住相比,与母亲同住的儿童抑郁得分降低了7.258(p <0.01),但这种影响在男孩中大于女孩。在与母亲同住的儿童中,年龄较小和年龄较大组的抑郁得分分别下降了 11.657 分(p < 0.01)和 5.393 分(p < 0.01)。结论 与母亲一起生活的视障儿童的心理健康状况明显优于与父亲或其他家人一起生活的视障儿童。政府和社会应密切关注缺乏母爱的经济困难家庭的视障儿童和青少年。
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引用次数: 0
Integrated health and social care for pregnant women and young families in a vulnerable situation in the Netherlands: Professionals’ views on cross-sectoral collaboration 为荷兰处于弱势的孕妇和年轻家庭提供综合医疗和社会关怀:专业人员对跨部门合作的看法
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.107988
Nicole Smeets-Curvers , Mandy Stijnen , Polina Putrik , Maria Jansen

Purpose

This qualitative study investigated the perspective of professionals from the medical, social, and public health care sectors with regard to: cross-sectoral collaboration in providing integrated health and social care during the first thousand days of life (preconception up to children aged two years) for pregnant women and young families in a vulnerable situation. This knowledge is needed for the enhancement of cross-sectoral collaboration and the implementation of integrated care.

Methods

Professionals (n = 35) were recruited from three deprived municipalities in South-Limburg, the Netherlands. Semi-structured interviews gained insight into professionals’ views, by using a theoretical framework based on the ‘National model for integrated care for childhood overweight and obesity’.

Results

Professionals stressed the importance of addressing both medical and social risk factors in pregnant women and young families in a vulnerable situation. However, their interpretation of vulnerability differed, hindering collaborative working. Furthermore, cross-sectoral collaboration was restricted by lack of formal cooperation agreements between sectors, and unclear referral lines from the medical to the social sector. Professionals often did not know the expertise and role of other sectors. Digital information and referral systems are not connected between the sectors which acts as an inhibiting factor.

Discussion/Conclusion

This study highlights the need and ways to facilitate collaborative working between the medical, social, and public health care sectors in delivering integrated care. Recommendations include: 1) Enforcing implementation strategies aimed at facilitating collaborative working: formal regulations, structured agreements, and use of consistent definitions and protocols to facilitate integration; 2) Strengthen informal connections between professionals by the Solid Start local coalitions; 3) Align all professionals, also those not directly involved in the Solid Start local coalition, with the goals and vision of the coalition; 4) Implement a joint digital file or IT referral system to improve cross-sectoral collaboration; 5) Enhance collaboration between sectors at case level through multidisciplinary consultation.
目的 本定性研究调查了来自医疗、社会和公共卫生保健部门的专业人员对以下问题的看法:在生命的头一千天(受孕前至两岁儿童),为处于弱势的孕妇和年轻家庭提供综合医疗和社会保健方面的跨部门合作。从荷兰南林堡的三个贫困市镇招募了专业人员(35 人)。结果专业人员强调了解决处于弱势的孕妇和年轻家庭的医疗和社会风险因素的重要性。然而,他们对脆弱性的解释却不尽相同,从而阻碍了合作。此外,由于各部门之间缺乏正式的合作协议,以及从医疗部门到社会部门的转诊路线不明确,跨部门合作受到了限制。专业人员往往不了解其他部门的专业知识和作用。讨论/结论 本研究强调了促进医疗、社会和公共卫生保健部门在提供综合护理方面开展合作的必要性和方法。建议包括1)执行旨在促进合作的实施策略:正式规定、结构化协议、使用一致的定义和协议,以促进整合;2)通过 "扎实起步 "地方联盟加强专业人员之间的非正式联系;3)使所有专业人员(包括未直接参与 "扎实起步 "地方联盟的人员)与联盟的目标和愿景保持一致;4)实施联合数字档案或信息技术转介系统,以改善跨部门合作;5)通过多学科咨询,在病例层面加强各部门之间的合作。
{"title":"Integrated health and social care for pregnant women and young families in a vulnerable situation in the Netherlands: Professionals’ views on cross-sectoral collaboration","authors":"Nicole Smeets-Curvers ,&nbsp;Mandy Stijnen ,&nbsp;Polina Putrik ,&nbsp;Maria Jansen","doi":"10.1016/j.childyouth.2024.107988","DOIUrl":"10.1016/j.childyouth.2024.107988","url":null,"abstract":"<div><h3>Purpose</h3><div>This qualitative study investigated the perspective of professionals from the medical, social, and public health care sectors with regard to: cross-sectoral collaboration in providing integrated health and social care during the first thousand days of life (preconception up to children aged two years) for pregnant women and young families in a vulnerable situation. This knowledge is needed for the enhancement of cross-sectoral collaboration and the implementation of integrated care.</div></div><div><h3>Methods</h3><div>Professionals (n = 35) were recruited from three deprived municipalities in South-Limburg, the Netherlands. Semi-structured interviews gained insight into professionals’ views, by using a theoretical framework based on the ‘National model for integrated care for childhood overweight and obesity’.</div></div><div><h3>Results</h3><div>Professionals stressed the importance of addressing both medical and social risk factors in pregnant women and young families in a vulnerable situation. However, their interpretation of vulnerability differed, hindering collaborative working. Furthermore, cross-sectoral collaboration was restricted by lack of formal cooperation agreements between sectors, and unclear referral lines from the medical to the social sector. Professionals often did not know the expertise and role of other sectors. Digital information and referral systems are not connected between the sectors which acts as an inhibiting factor.</div></div><div><h3>Discussion/Conclusion</h3><div>This study highlights the need and ways to facilitate collaborative working between the medical, social, and public health care sectors in delivering integrated care. Recommendations include: 1) Enforcing implementation strategies aimed at facilitating collaborative working: formal regulations, structured agreements, and use of consistent definitions and protocols to facilitate integration; 2) Strengthen informal connections between professionals by the Solid Start local coalitions; 3) Align all professionals, also those not directly involved in the Solid Start local coalition, with the goals and vision of the coalition; 4) Implement a joint digital file or IT referral system to improve cross-sectoral collaboration; 5) Enhance collaboration between sectors at case level through multidisciplinary consultation.</div></div>","PeriodicalId":48428,"journal":{"name":"Children and Youth Services Review","volume":"166 ","pages":"Article 107988"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School absenteeism for children exposed to maternal incarceration and other adversities 面临母亲监禁和其他逆境的儿童的旷课问题
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.108007
Megan F. Bell , Matthew J. Spittal , Leonie Segal , Susan Dennison , Stuart A. Kinner , Sharon Dawe , David B. Preen
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引用次数: 0
Children with disabilities: Left behind or forgotten? Empirical evidence from Botswana using multidimensional poverty measures 残疾儿童:落在后面还是被遗忘?博茨瓦纳使用多维贫困衡量标准的经验证据
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.107985
Khaufelo Raymond Lekobane, Thabile Anita Samboma
The 2030 Agenda for Sustainable Development recognises the importance of multidimensional poverty and disability. Although there is compelling evidence suggesting that people with disabilities have a higher probability of being poor, studies that compare children with disabilities with those without disabilities remain scarce and limited to developed countries. Using the 2015/16 Botswana multi-topic household survey, we examined the link between childhood disability and multidimensional child poverty in Botswana. The study employs the conceptual framing of the capability and human rights-based approaches. Results reveal significant disparities in poverty levels between children with and those without disabilities across demographic, economic and geographical variables, with children with disabilities experiencing higher poverty levels than the rest of the children population. We conclude that children with disabilities in Botswana are left out and argue that deliberate efforts should be put in place to implement existing and develop new inclusive policies that ensure equal opportunities for children with disabilities in order not to be left behind. The paper provides policy implications for childhood disability and multidimensional child poverty research in Botswana.
2030 年可持续发展议程》认识到多维贫困和残疾问题的重要性。尽管有令人信服的证据表明,残疾人陷入贫困的概率更高,但将残疾儿童与非残疾儿童进行比较的研究仍然很少,而且仅限于发达国家。我们利用 2015/16 年博茨瓦纳多主题家庭调查,研究了博茨瓦纳儿童残疾与多维度儿童贫困之间的联系。本研究采用了基于能力和人权的方法的概念框架。结果显示,在人口、经济和地理变量方面,残疾儿童和非残疾儿童之间的贫困水平存在显著差异,残疾儿童的贫困水平高于其他儿童。我们得出的结论是,博茨瓦纳的残疾儿童被遗漏了,因此我们认为,为了避免残疾儿童被遗漏,应有意识地实施现有的包容性政策并制定新的政策,确保残疾儿童享有平等的机会。本文为博茨瓦纳的儿童残疾和多维儿童贫困研究提供了政策启示。
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引用次数: 0
Knowledge of and access to contraceptive information and services among teenagers with child welfare involvement: A descriptive study across the transition to high school 涉及儿童福利的青少年对避孕信息和服务的了解及获取途径:高中过渡时期的描述性研究
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.108004
Katie Massey Combs , Sarah J. Racz , Heather Taussig
Despite disproportionate rates of childbearing among youth with child welfare involvement, few studies have examined whether this population receives contraceptive information and knows how to access services. This longitudinal study examines responses from 245 youth with child welfare involvement (i.e., youth with an open child welfare case due to maltreatment) before and after the transition to high school. The same youth were interviewed at the end of 7th or 8th grade and roughly 2.5 years later about whether they received contraceptive information or education, if they knew how to access contraceptive services, if they received services, and sources of that information/services. By 10th /11th grade, most participants reported knowing how to access contraception and over half of females had received contraception. However, 18 % of females and 54 % of males had never received contraceptive education or information by 10th/11th grade. Schools were the dominant (often only) source of contraceptive education or information for males, while medical providers and schools were more common for females. Males were less likely than females to receive contraceptive education or information, know how to access services, or receive services. Contraception was perceived as, and in many cases was, accessible once youth were in high school. However, contraceptive information and education was received late and was incomplete for many youths irrespective of biological sex; for males, it was often never received. Implications for adults working with this population are discussed.
尽管涉及儿童福利的青少年的生育率过高,但很少有研究对这一人群是否获得避孕信息以及如何获得服务进行调查。这项纵向研究考察了 245 名涉及儿童福利的青少年(即因虐待而未结儿童福利案件的青少年)在升入高中前后的反应。这些青少年在 7 年级或 8 年级结束时以及大约 2.5 年后接受了采访,内容包括他们是否接受过避孕信息或教育、是否知道如何获得避孕服务、是否接受过服务以及信息/服务的来源。到十年级/十一年级时,大多数参与者都表示知道如何获得避孕药具,超过一半的女性接受过避孕药具。然而,18% 的女性和 54% 的男性在十年级/十一年级时从未接受过避孕教育或避孕信息。学校是男性获得避孕教育或信息的主要来源(往往是唯一来源),而医疗机构和学校对女性来说更为常见。与女性相比,男性接受避孕教育或信息、知道如何获得服务或接受服务的可能性较低。人们认为,在很多情况下,只要青少年上了高中,就可以获得避孕药具。然而,对于许多青少年来说,无论其生理性别如何,他们接受避孕信息和教育的时间都很晚,而且也不完整;对于男性来说,他们往往从未接受过避孕信息和教育。本文讨论了对从事这一人群工作的成年人的影响。
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引用次数: 0
The social and emotional wellbeing of children in out-of-home care: A scoping review exploring structural and social factors 家庭外照料儿童的社会和情感福祉:探究结构性和社会性因素的范围研究
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.107991
Karen Healy , Laura Simpson Reeves , Madonna Boman , Iryna Kolesnikova , Jenny Povey , Jemma Venables , Janeen Baxter , Kate Thompson
The social and emotional wellbeing of children in out-of-home care (OOHC) is a matter of concern to child protection authorities, carers, families, and the children themselves. A growing body of research suggests that children in OOHC experience higher rates of social and emotional adversity compared to the general population and this, in turn, has flow-on effects for many other life outcomes, such as educational attainment, employment, family relationships, and health and wellbeing throughout their life course. Further, it is established that children in OOHC are disproportionately drawn from families and communities subject to structural disadvantage. This is an important consideration given that structural disadvantage is a known contributor to lower social and emotional wellbeing across the life course.
In this paper we explore the extent to which social and structural factors are recognised in the definition and operationalisation of social and emotional wellbeing in contemporary research about children in OOHC. We use a scoping review methodology to examine the peer-reviewed research on social and emotional wellbeing of children in OOHC published over the past 10 years (2014–2023). We identify five themes in this literature. We find most of the research on social and emotional wellbeing of children in OOHC focuses on the mental health, and emotional and behavioural components of wellbeing, with limited engagement with social and structural components of wellbeing. The social dimensions of wellbeing are largely concerned with one-on-one interactions between children and their immediate social network, such as interactions with carers, family, school, and neighbourhood. We consider the implications of these findings for recommendations to improve the social and emotional wellbeing of children in OOHC to include the impacts of structural disadvantage on the wellbeing of children in OOHC.
家庭外照料(OOHC)儿童的社会和情感福祉是儿童保护机构、照料者、家庭和儿童本身都关心的问题。越来越多的研究表明,与普通人群相比,接受家庭外儿童照料的儿童在社会和情感方面遭遇逆境的比例更高,而这反过来又会对许多其他生活结果产生影响,如教育程度、就业、家庭关系以及一生中的健康和幸福。此外,可以确定的是,老年保健中心的儿童不成比例地来自处于结构性不利地位的家庭和社区。在本文中,我们将探讨在有关海外高龄健康儿童的当代研究中,社会和结构因素在社会和情感幸福的定义和操作中得到认可的程度。我们采用范围审查方法,对过去 10 年(2014-2023 年)发表的、经同行评议的关于奥兰治健康中心儿童的社会和情感幸福的研究进行了审查。我们在这些文献中确定了五个主题。我们发现,大部分关于大洋洲健康中心儿童的社会和情感福祉的研究都侧重于福祉的心理健康、情感和行为组成部分,而对福祉的社会和结构组成部分的研究则很有限。幸福感的社会维度主要涉及儿童与其直接社会网络之间的一对一互动,如与照顾者、家人、学校和邻里之间的互动。我们考虑了这些研究结果对提出建议的影响,这些建议旨在改善 OOHC 儿童的社会和情感福祉,包括结构性不利条件对 OOHC 儿童福祉的影响。
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引用次数: 0
“What is the point of being able to enter a building if the service or activity is not adapted?”: Leisure opportunities for people with severe disabilities’ "如果服务或活动没有经过调整,那么能够进入建筑物又有什么意义呢?重度残疾人的休闲机会
IF 2.4 2区 社会学 Q1 FAMILY STUDIES Pub Date : 2024-11-01 DOI: 10.1016/j.childyouth.2024.107993
Marta Mira-Aladrén , Javier Martín-Peña , Marta Gil Lacruz
Leisure and relationships are crucial for human development, especially in the youth stage, and are recognised rights. Notwithstanding, young people with disabilities encounter many barriers to access these activities, especially those with severe disabilities. We aim to analyse their experiences and those of their families in this area. We conducted a reflexive thematic analysis of 25 interviews held with young people with severe disabilities and/or their guardians from different areas of Aragón (Spain). We detected difficulties, such as access to resources, and the relevance of family support and its impact. Aggravating factors, such as being institutionalised, being a migrant or having multidisability were assessed. After discussing participants’ proposals with current research, we proposed measures to improve social inclusion in the leisure of young people with severe disabilities, such as recognising the leisure assistant figure, the training for and more professionals, or the incorporation of the intersectional perspective into specialised social services.
休闲和人际关系对人的发展至关重要,尤其是在青年阶段,也是公认的权利。尽管如此,残疾青少年,尤其是重度残疾青少年,在参加这些活动时仍会遇到许多障碍。我们旨在分析他们及其家人在这方面的经历。我们对与来自阿拉贡(西班牙)不同地区的重度残疾青少年和/或其监护人进行的 25 次访谈进行了反思性专题分析。我们发现了一些困难,如获取资源、家庭支持的相关性及其影响。我们还评估了一些不利因素,如被收容、移民或患有多种残疾。在将参与者的建议与当前的研究进行讨论后,我们提出了改善重度残疾青少年休闲的社会融入措施,如承认休闲助理的地位、培训更多的专业人员或将交叉视角纳入专门的社会服务。
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引用次数: 0
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Children and Youth Services Review
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