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Advancing Our Understanding of Complex Intervention Development in Social Work: Co-Producing Support for Youth Transitioning from Out-of-Home Care 推进我们对社会工作中复杂干预发展的理解:共同为脱离家庭照顾的青少年提供支持
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-05 DOI: 10.1007/s10560-024-00986-9
Tina M. Olsson, Martin Bergström, Magda Välikoski, Matilda Karlsson, Therése Skoog

Research on intervention development has expanded over the past decade. However, much of the extant literature on complex intervention development is confined to healthcare and public health broadly or intervention science specifically with scant attention to the process within other fields known for their extensive provision of social interventions such as social work or community-based services. This paper aims to advance understanding of the complex intervention development process within social work using an example from the Swedish municipal social services. We use the Guidance for Reporting Intervention Development Studies (GUIDED) to describe the development and content of My Choice-My Way! an intervention to support youth transitioning from out-of-home care. Youth in out-of-home care is an extremely vulnerable group and one of social welfare services’ core user populations. Coproduction processes were used to develop a theory-, evidence-, and implementation-based approach to intervention development. Implications for future development within social work are discussed.

在过去的十年中,有关干预发展的研究不断扩大。然而,关于复杂干预发展的现有文献大多局限于广义上的医疗保健和公共卫生领域,或具体到干预科学领域,而很少关注其他以广泛提供社会干预(如社会工作或社区服务)而闻名的领域的干预发展过程。本文以瑞典市政社会服务为例,旨在加深对社会工作中复杂干预措施开发过程的理解。我们使用《干预发展研究报告指南》(GUIDED)来描述 "我的选择-我的方式!"的发展和内容,这是一项支持青少年从家庭外照料过渡的干预措施。接受家庭外照料的青少年是一个极其脆弱的群体,也是社会福利服务的核心用户群之一。共同生产过程被用来开发一种以理论、证据和实施为基础的干预措施开发方法。本文讨论了社会工作未来发展的意义。
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引用次数: 0
To Belong: Narratives About Family Belonging Among Children in Foster Families or Where Custody has been Transferred 归属:寄养家庭或监护权被转移的儿童关于家庭归属感的叙述
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-09-21 DOI: 10.1007/s10560-024-00981-0
Sara Larsson, Elisabeth Punzi, Therése Wissö

Background

In 1983, 2001, 2002 and 2020 Swedish legislation has sought to strengthen children’s rights to family belonging in foster care, as well as their voices in decision making. The aim of this study was to understand how children in long-term foster families and children whose custody has been transferred experience family belonging within these different legal contexts. Methods: Six participants aged 11–17 years were recruited. The data were collected through narrative interviews. Both verbal and visual methods were used in data collection and narrative analysis was used to capture a comprehensive understanding of the stories. Findings: It is suggested that a sense of family belonging can be understood through the following themes: “To spend time”, “To share experiences”, “To be seen, cared for, and supported”, “To resemble someone”, and “To know or not to know”. Conclusion: Practical implications of the findings are discussed in relation to planning, guidance, and decision-making within foster care. The results, if implemented in practice, could have an impact on how to discuss foster children’s sense of family belonging within the foster care system.

背景1983年、2001年、2002年和2020年,瑞典立法试图加强儿童在寄养家庭中的家庭归属权,以及他们在决策中的发言权。本研究旨在了解长期寄养家庭中的儿童和监护权被转移的儿童如何在这些不同的法律背景下体验家庭归属感。研究方法招募了六名 11-17 岁的参与者。数据通过叙述性访谈收集。在数据收集过程中使用了口头和视觉方法,并通过叙事分析来全面了解这些故事。研究结果研究认为,家庭归属感可以通过以下主题来理解:"花时间"、"分享经历"、"被看见、被关心和被支持"、"与某人相似 "和 "知道或不知道"。结论本文讨论了研究结果对寄养服务中的规划、指导和决策的实际影响。这些结果如果在实践中得到落实,可能会对如何讨论寄养儿童在寄养系统中的家庭归属感产生影响。
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引用次数: 0
Insights for Clinical Providers and Community Leaders: Unaccompanied Immigrant Children’s Mental Health Includes Caregiver Support 对临床医疗工作者和社区领导者的启示:孤身移民儿童的心理健康包括护理人员的支持
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-09-06 DOI: 10.1007/s10560-024-00980-1
Johanna Creswell Báez, Padma Swamy, Adriana Gutierrez, Ana Ortiz-Mejias, Jacquelyn Othon, Nohemi Garcia Roberts, Sanghamitra Misra

The numbers of unaccompanied immigrant children (UCs) seeking asylum in the United States (U.S.) has grown dramatically in the last couple of years. However, there is limited research on the lived experiences and mental health needs of caregivers who support UCs throughout the process of integrating into their new lives in the U.S. This study explores the lived experience and mental health needs of UCs and their caregivers with the goal of guiding best practices for community providers. This qualitative action research study included interviewing UCs, their caregivers, healthcare professionals, mental health providers, and community leaders in Houston, Texas (N = 36). Seven key themes emerged highlighting the comprehensive needs of UCs in the community, the prioritization of legal support over health needs, and the unique cultural and developmental challenges UCs face. Caregivers’ narratives underscored their critical role in supporting UCs, marked by financial strain, guilt, and the struggle to provide a secure and nurturing environment amidst post-migration challenges. This research underscores the urgency for holistic, culturally attuned, and trauma-informed community services that address both UCs and their caregivers’ needs.

过去几年中,在美国寻求庇护的孤身移民儿童(UCs)人数急剧增加。本研究探讨了孤身移民及其照顾者的生活经历和心理健康需求,旨在为社区提供者的最佳实践提供指导。这项定性行动研究包括采访得克萨斯州休斯顿的 UC、他们的照顾者、医疗保健专业人员、心理健康服务提供者和社区领袖(36 人)。研究提出了七个关键主题,强调了社区中 UC 的综合需求、法律支持优先于健康需求,以及 UC 面临的独特文化和发展挑战。照顾者的叙述强调了他们在支持 UCs 方面的关键作用,其特点是经济压力、内疚以及在移民后的挑战中努力提供一个安全和养育环境。这项研究强调,当务之急是提供全面的、与文化相适应的、以心理创伤为基础的社区服务,以满足 UC 及其照顾者的需求。
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引用次数: 0
The Role of Resilience as a Mediating Factor between Adverse Childhood Experience and Mental Health in Adolescents Receiving Child Welfare Services in Nova Scotia 复原力作为新斯科舍省接受儿童福利服务的青少年童年不利经历与心理健康之间的调解因素的作用
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-08-26 DOI: 10.1007/s10560-024-00979-8
Mehrdad Shahidi, Michael Ungar, Miryam Wedyaswari, Mahnaz Shojaee

While the relationship between adverse childhood experiences (ACEs) and mental health problems (depression, suicidal thoughts, PTSD, and functional impairments) among youth is well studied, there is less known about the mediating role played by resilience for youth receiving child welfare services. This study explored the mediating effects of resilience in relationship to ACEs and mental health outcomes for youth receiving child welfare services. Participants and setting: The study included 251 participants (14–19 years of age, 58% female) receiving child welfare services from the government of Nova Scotia, Canada. A cross-sectional design was used with seven measures administered to youth through phone interviews. Risk exposure was measured using the ACEs scale while resilience was assessed with the CYRM-17. Mental health outcomes included depression symptoms (BDI-II), suicidal thoughts (SBQ-R), post traumatic stress reactions (PTSRS), and functional impairment (IATSS). Structure equation modelling (SEM) and general linear model (GLM) were used to analyze the data. Resilience directly affects mental health outcomes (β = − 0.409, p < .001) and indirectly mediates the effect of ACEs on outcomes (β = 0.236, P < .001). Resilience showed different patterns in terms of sex and education. The youth who identified themselves as non-binary and were not enrolled in an educational program had lower levels of resilience. Resilience decreases the risk of mental health problems among youth receiving child welfare services. The impact of resources to build relational, caregiver, and social-contextual resilience may be influenced by a youth’s sexual identity and engagement in education.

尽管对青少年的童年不良经历(ACEs)与心理健康问题(抑郁、自杀倾向、创伤后应激障碍和功能障碍)之间的关系已有深入研究,但对接受儿童福利服务的青少年的抗逆力所起的中介作用却知之甚少。本研究探讨了抗逆力对接受儿童福利服务的青少年的 ACE 和心理健康结果的中介作用。参与者和环境:研究包括 251 名接受加拿大新斯科舍省政府儿童福利服务的参与者(14-19 岁,58% 为女性)。研究采用横断面设计,通过电话访谈对青少年进行了七项测量。风险暴露采用 ACE 量表进行测量,复原力则采用 CYRM-17 进行评估。心理健康结果包括抑郁症状(BDI-II)、自杀想法(SBQ-R)、创伤后应激反应(PTSRS)和功能障碍(IATSS)。数据分析采用了结构方程模型(SEM)和一般线性模型(GLM)。复原力直接影响心理健康结果(β = - 0.409,P < .001),并间接介导 ACE 对结果的影响(β = 0.236,P < .001)。复原力在性别和教育程度方面表现出不同的模式。自认为非二元性且未参加教育计划的青少年的抗逆力水平较低。抗逆力会降低接受儿童福利服务的青少年出现心理健康问题的风险。建立关系、照顾者和社会环境复原力的资源的影响可能会受到青少年的性别认同和教育参与度的影响。
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引用次数: 0
Examining the Protective Impact of Peer Relationships on Negative Self-Esteem among High-Risk Adolescents: The Interplay of Gender and Ethnicity 研究同伴关系对高风险青少年消极自尊的保护作用:性别与种族的相互作用
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-08-26 DOI: 10.1007/s10560-024-00978-9
Tola Seng, Eunju Lee, Mi Jin Choi

This study examines to what extent peer relationships mitigate the effects of emotional maltreatment on self-esteem among adolescents who remained with their parents after a child maltreatment investigation. Its second aim is to explore how gender, race, and ethnicity moderate the association between peer relationships and self-esteem. The study sample consists of adolescents between 11 and 17 living with a biological parent after the initial CPS investigation from the National Survey of Child and Adolescent Well-being II. The analysis is limited to the cases with valid responses on youth-reported emotional maltreatment, negative self-esteem, and peer relationships at Wave 2 and demographic data and child welfare involvement in Wave 1, yielding 393 adolescents. Findings confirm the protective effects of peer relationships and the adverse effects of emotional maltreatment on self-esteem. The impact of peer relationships is significantly more robust among female and Hispanic adolescents. Implications for practice include peer-based interventions and preventive services.

本研究探讨了同伴关系在多大程度上减轻了情感虐待对青少年自尊心的影响,这些青少年在接受虐待儿童调查后仍与父母在一起。研究的第二个目的是探讨性别、种族和民族如何调节同伴关系与自尊之间的关系。研究样本由《全国儿童和青少年福利调查 II》(National Survey of Child and Adolescent Well-being II)中接受 CPS 初步调查后仍与亲生父母生活在一起的 11 至 17 岁青少年组成。分析对象仅限于在第二波中对青少年报告的情感虐待、负自尊和同伴关系做出有效回答的案例,以及在第一波中对人口统计学数据和儿童福利参与情况做出有效回答的案例,共计 393 名青少年。研究结果证实了同伴关系的保护作用和情感虐待对自尊的负面影响。同伴关系对女性和西班牙裔青少年的影响明显更大。对实践的影响包括基于同伴的干预和预防服务。
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引用次数: 0
Cautions About Research Linking Abortion Restrictions to Child Maltreatment 关于将限制堕胎与虐待儿童联系起来的研究的注意事项
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-08-07 DOI: 10.1007/s10560-024-00977-w
Monica Faulkner, Katie Massey Combs, Amy Dworsky, Svetlana Shpiegel, Kristen Ethier

The United States Supreme Court’s decision in Dobb’s v. Jackson Women’s Health Organization has heightened interest in the link between restrictions on abortion access and child maltreatment. Connecting decreased access to abortion to increases in child maltreatment and subsequent foster care entries presents substantive challenges related to the magnitude of any effect of abortion restrictions, methodological challenges related to limitations of existing sources of national child welfare data, and conceptual challenges related to the structure and function of child welfare systems. In this paper, we explore these substantive, methodological and conceptual challenges. Specifically, we consider both the actual impact of abortion restrictions on the occurrence of abortions and the complexities that studying the link between abortion restrictions and child maltreatment presents. We caution researchers about making causal links between abortion restrictions and either child maltreatment or foster care entries without sufficiently documenting limitations of national sources of child welfare data and accounting for multiple confounding factors.

美国最高法院在 "Dobb's 诉杰克逊妇女健康组织 "一案中做出的判决使人们更加关注限制堕胎与虐待儿童之间的联系。将堕胎机会的减少与儿童虐待及随后的寄养需求的增加联系起来,面临着与堕胎限制的影响程度有关的实质性挑战、与现有全国儿童福利数据来源的局限性有关的方法论挑战,以及与儿童福利系统的结构和功能有关的概念性挑战。在本文中,我们将探讨这些实质性、方法论和概念上的挑战。具体而言,我们既考虑了堕胎限制对堕胎发生率的实际影响,也考虑了研究堕胎限制与儿童虐待之间的联系所带来的复杂性。我们提醒研究人员,在没有充分记录全国儿童福利数据来源的局限性并考虑多种混杂因素的情况下,不要将堕胎限制与儿童虐待或寄养入托之间建立因果联系。
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引用次数: 0
Juggling Competing Responsibilities: Experiences with Parenting, Child Welfare, and Substance Use Treatment during the COVID-19 Pandemic 兼顾各种责任:在 COVID-19 大流行期间的育儿、儿童福利和药物使用治疗经历
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-08-03 DOI: 10.1007/s10560-024-00976-x
Yibin Yang, Ruth Paris, Harper Hansen, Ashley Short Mejia

The COVID-19 pandemic posed substantial challenges to all parents and families with children. However, women with substance use disorder (SUD) raising young children were particularly burdened, primarily stemming from their responsibilities and challenges concerning family and parenting, child welfare involvement, and substance use recovery. This qualitative study sought to elucidate the complex intersection among parenting, child welfare, and substance use treatment for pregnant and postpartum women raising young children during the pandemic. Participants were 35 women enrolled in a clinical trial of a therapeutic parenting intervention within a prenatal clinic for people with SUD. They were interviewed remotely using a semi-structured Coronavirus Pandemic Qualitative Interview protocol developed for the study. Following a thematic analysis approach, two coders analyzed transcribed interviews through line-by-line coding using NVivo 12. Findings revealed that participants encountered both similar and distinct challenges compared to the general population of families with young children during the pandemic. Like other families, they expressed struggles with typical life tasks and concerns over children’s health and development. Distinct to families managing substance use recovery, they described adverse interactions with the child welfare system, conflicting feelings about changes in substance use treatment, and positivity amidst uncertainty. Findings provide insight into the difficulties faced by families involved in the child welfare system managing parental SUD and recovery. Furthermore, they highlight the need to address more effectively the often-hidden struggles faced by this population through specialized interventions and greater collaborations among various services.

COVID-19 大流行给所有父母和有子女的家庭带来了巨大的挑战。然而,抚养年幼子女的患有药物使用障碍(SUD)的妇女的负担尤其沉重,这主要源于她们在家庭和养育子女、参与儿童福利以及药物使用康复方面的责任和挑战。这项定性研究旨在阐明大流行病期间,养育幼儿的孕妇和产后妇女在养育子女、儿童福利和药物使用治疗之间的复杂交集。35 名妇女参加了一项临床试验,在产前诊所为药物滥用患者提供治疗性育儿干预。她们接受了为本研究制定的半结构化冠状病毒大流行定性访谈协议进行的远程访谈。按照主题分析方法,两名编码员使用 NVivo 12 对转录的访谈内容进行了逐行编码分析。研究结果显示,与一般有幼儿的家庭相比,参与者在大流行期间遇到了相似和不同的挑战。与其他家庭一样,他们也表达了对典型生活任务的挣扎以及对儿童健康和发展的担忧。与药物使用康复家庭不同的是,他们描述了与儿童福利系统的不利互动、对药物使用治疗变化的矛盾感受,以及在不确定性中的积极态度。研究结果让我们深入了解了儿童福利系统中涉及父母药物滥用和康复的家庭所面临的困难。此外,研究结果还强调,有必要通过专门的干预措施和加强各种服务之间的合作,更有效地解决这一人群所面临的经常被掩盖的困境。
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引用次数: 0
Promoting and Protecting the Developing Self-identity of the Young, Transracially Adopted Child in South Africa 促进和保护南非年轻的跨种族领养儿童不断发展的自我认同
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-07-27 DOI: 10.1007/s10560-024-00974-z
Maynette Heyns, Melanie Moen, Michelle Finestone, Sifiso Shabangu

Purpose

Transracial adoption (TRA), where parents from one race adopt a child from another race, usually occurs with Black children being adopted by White parents in South Africa.

Method

Using multiple case studies (seven children) and a qualitative research design, the self-identity (personal and social) of six- to ten-year-old TRA children was explored. Data were collected from the adoptive parents and teachers by means of semi-structured interviews and the Child Behaviour Checklist. Additionally, parents completed a questionnaire and a Likert-style response scale. Participating children were assessed by an independent psychologist using three projective techniques. The data generated were thematically analysed.

Results

There were six emergent themes, all conducive to healthy self-identity development by securing primary identity motivators of belonging and acceptance. The children exhibited advanced communicative skills and a novel approach to group membership, increasing their social accessibility and inclusion. A distinctive theme was a desire for a dedicated personal space and possessions symbolizing permanence in the family. The universal adoptive elements of loss and rejection was confirmed, possibly more prevalent due to an observable adoptive status and physical dissimilarity from the adoptive family. Intentional parenting promoting healthy self-identity was apparent. Lastly, the importance of placing the children in an accommodating and sensitive school environment was noted.

Discussion

While not a comparative study, and with only seven children, it appears that these TRA children, with the acquisition of positive social skills and a sensitive and purposeful home and school environment, possessed the building blocks necessary to nurture a healthy self-identity.

目的跨种族领养(TRA)是指一个种族的父母领养另一个种族的儿童,通常发生在南非白人父母领养黑人儿童的情况中。方法通过多个案例研究(七个儿童)和定性研究设计,探索六至十岁跨种族领养儿童的自我认同(个人和社会)。通过半结构化访谈和儿童行为检查表,从养父母和教师那里收集数据。此外,家长还填写了一份调查问卷和一个李克特式反应量表。一名独立的心理学家使用三种投射技术对参与研究的儿童进行了评估。结果有六个新出现的主题,这些主题都有助于通过确保归属感和被接纳感这一主要身份动机来促进健康的自我身份发展。孩子们表现出了高超的交际技能,并以新颖的方式加入群体,从而提高了他们的社会亲和力和融入度。一个独特的主题是,他们渴望拥有一个专门的个人空间和象征家庭永恒的财产。失落感和排斥感这一普遍的收养因素得到了证实,可能由于可观察到的收养身份以及与收养家庭的身体差异,这种情绪更为普遍。父母有意识地促进健康的自我认同也是显而易见的。讨论虽然这不是一项比较研究,而且只有 7 个孩子,但这些 TRA 儿童在获得了积极的社交技能以及敏感和有目的性的家庭和学校环境后,似乎具备了培养健康的自我认同所需的基石。
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引用次数: 0
Exposure to Violence Within Dating, Peer, and Community Contexts Among African American and Hispanic/Latine Adolescents in High-Burden, Urban Communities 城市高负担社区中的非裔美国青少年和西班牙裔/拉丁裔青少年在约会、同伴和社区环境中遭受暴力的情况
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-07-27 DOI: 10.1007/s10560-024-00975-y
Rachel C. Garthe, Deborah Gorman-Smith, Shongha Kim, Marion Malcome, Jun Sung Hong, Qihao Zhan

Purpose: Exposure to violence within peer and community contexts, including peer victimization, peers’ dating violence and aggression, exposure to community violence, and having friends in gangs, are independently associated with an increased risk of adolescent dating violence. However, research examining these experiences together in relation to dating violence is limited, particularly among racial and ethnic minority adolescents living in disadvantaged urban communities. The current study aims to address these gaps, examining how exposure to violence within peer and community contexts are related to dating violence within a sample of African American and Hispanic/Latine adolescents living in urban communities of concentrated disadvantage. Method: Data from 233 dating adolescents (55% African American; 45% Hispanic/Latine) between the ages of 13 and 17 (M = 15.48) from 30 urban communities with high levels of concentrated disadvantage were analyzed. Data was obtained via verbally administered surveys. Multilevel logistic regression analyses were conducted. Results: Adolescents reported high levels of violence within their peer, community, and dating contexts. Peer victimization and exposure to community violence emerged as salient risk correlates, as both were associated with higher odds of dating violence victimization and perpetration. Perceptions of peers’ dating violence were associated with higher odds of dating violence perpetration. Having friends in gangs was associated with higher odds of dating violence victimization. Discussion: The current study examined violence within adolescents’ peer and community contexts, finding distinct risks for dating violence victimization and perpetration. These findings inform future directions for dating violence prevention programming to consider, particularly for African American and Hispanic/Latine adolescents in urban disadvantaged communities.

目的:暴露于同伴和社区环境中的暴力,包括同伴受害、同伴的约会暴力和攻击行为、暴露于社区暴力以及有朋友加入帮派,这些都与青少年约会暴力风险的增加有独立联系。然而,将这些经历与约会暴力联系在一起的研究却很有限,尤其是针对生活在城市贫困社区的少数民族青少年的研究。本研究旨在填补这些空白,通过抽样调查生活在城市弱势社区的非裔美国人和西班牙裔/拉丁裔青少年,研究在同伴和社区环境中接触暴力与约会暴力之间的关系。研究方法:分析了来自 30 个贫困人口高度集中的城市社区的 233 名 13 至 17 岁(M=15.48)的约会青少年(55% 为非洲裔美国人;45% 为西班牙裔/拉丁裔美国人)的数据。数据通过口头调查获得。进行了多层次逻辑回归分析。结果显示青少年报告说,他们在同伴、社区和约会环境中遭受的暴力程度很高。同伴受害和接触社区暴力是突出的风险相关因素,因为两者都与约会暴力受害和施暴的较高几率有关。对同伴约会暴力的看法与约会暴力实施几率较高有关。有朋友加入帮派与约会暴力受害几率较高有关。讨论:本研究考察了青少年在同伴和社区环境中的暴力行为,发现了约会暴力受害和施暴的不同风险。这些发现为今后的约会暴力预防计划提供了参考方向,尤其是针对城市贫困社区的非裔美国人和西班牙裔/拉丁裔青少年。
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引用次数: 0
The Lived Experience of Youth in Congregate Care: Youth Perceptions of Safety, Relationships, and Support Through Qualitative Inquiry with 10 Young Adults 集中托养青少年的生活体验:通过对 10 名青少年进行定性调查,了解他们对安全、关系和支持的看法
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-07-05 DOI: 10.1007/s10560-024-00969-w
Sarah Parmenter, Karla Shockley McCarthy, Juan Lorenzo Benavides, Öznur Bayar, Kathryn Maguire Jack, Susan Yoon

This study explores the reported experiences of youth in congregate care facilities, focusing on their perceptions of support, relationships, and safety during their time in care. In-depth interviews were conducted with 10 young adults, previously placed in group homes or residential facilities in Ohio, to identify themes related to their experiences. Three main themes resulted from the analysis: (1) lack of agency, (2) importance of relationships, and (3) coping and transitioning in congregate care. The findings revealed that participants felt a total lack of control over the decisions made on their behalf, and they felt powerless to advocate for their needs. Furthermore, participants reported a lack of support from facility staff, and they faced barriers in maintaining connections with their families. Despite these challenges, many participants demonstrated resilience and gained positive insights from their experiences in congregate care. This study highlights the need for improved support systems, increased focus on youth self-advocacy, and a better understanding of the complex experiences faced by youth in congregate care settings.

本研究探讨了青少年在集中看护机构中的经历,重点关注他们在看护期间对支持、人际关系和安全的看法。研究人员对俄亥俄州曾被安置在集体之家或寄宿机构的 10 名青少年进行了深入访谈,以确定与他们的经历有关的主题。分析得出三大主题:(1) 缺乏代理权;(2) 人际关系的重要性;(3) 在集中照料中的应对和过渡。研究结果表明,参与者对代表他们做出的决定完全没有控制权,他们感到无力为自己的需 求代言。此外,参与者还表示缺乏机构工作人员的支持,在与家人保持联系方面也面临障碍。尽管面临这些挑战,许多参与者仍表现出了坚韧不拔的精神,并从他们在集中照料机构的经历中获得了积极的启示。这项研究强调了改善支持系统、更加关注青少年自我倡导以及更好地了解青少年在集中照料环境中所面临的复杂经历的必要性。
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引用次数: 0
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Child and Adolescent Social Work Journal
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