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Implementing and Evaluating Manualized Interventions in U.S. Organizations Serving Youth with Foster Care Experience: Lessons Learned from the Field 在为有寄养经历的青少年提供服务的美国机构中实施和评估手册化干预措施:从实地汲取的经验教训
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-25 DOI: 10.1007/s10560-024-00989-6
Amy M. Salazar, Sara S. Spiers, Jenna Thompson, Jaidyanne Podsobinski, Maddy Day

The goal of the current study is to glean lessons learned from the Fostering Higher Education (FHE) intervention evaluation study to provide concrete strategies for helping other youth-serving organizations overcome barriers to participating in manualized intervention implementation and evaluation. Specifically, this study assesses lessons learned in organizations that serve youth with foster care experience regarding (1) implementing FHE in relation to (a) site preparation, (b) implementation, and (c) pursuing racial equity in practice; and (2) participating in research/evaluation. This study involves qualitative analyses of surveys, emails, and meeting notes from FHE implementation staff, supervisors, administrative staff, and TA providers across three study sites in the United States. Surveys assessed lessons learned by site implementation staff during the FHE implementation and evaluation process, as well as quarterly assessments of the technical assistance for implementation and evaluation provided to FHE implementation sites by the research team. Emails and meeting notes provided insights into sites’ implementation- and research/evaluation-related experiences and challenges as they were happening during the study. Communication/collaboration were key for the success of both implementation and evaluation of FHE, while training and technology were also key for implementation, and project timing and understanding the value of research were important for evaluation participation. Key themes regarding the pursuit of racial equity in FHE practice included the importance of collective learning, independent practice, and client-centered program delivery. A variety of recommendations for other youth-serving organizations interested in implementing and evaluating manualized interventions are provided based on the study’s findings.

本研究的目的是从 "寄养高等教育"(FHE)干预评估研究中汲取经验教训,为帮助其他青少年服务机构克服参与人工干预实施和评估的障碍提供具体策略。具体来说,本研究评估了有寄养经历的青少年服务机构在以下方面的经验教训:(1) 实施 "促进高等教育",包括(a) 场地准备、(b) 实施和(c) 在实践中追求种族平等;(2) 参与研究/评估。本研究对美国三个研究机构的家庭健康教育实施人员、督导人员、行政人员和技术援助提供者的调查、电子邮件和会议记录进行了定性分析。调查评估了研究点实施人员在家庭健康教育实施和评估过程中吸取的经验教训,以及对研究小组向家庭健康教育实施点提供的实施和评估技术援助的季度评估。通过电子邮件和会议记录,可以深入了解研究期间各实施地点在实施和研究/评估方面的经验和挑战。沟通/合作是家庭保健教育实施和评估成功的关键,而培训和技术也是实施的关键,项目时间安排和对研究价值的理解对参与评估非常重要。在家庭保健和教育实践中追求种族平等的关键主题包括集体学习、独立实践和以客户为中心的项目实施的重要性。根据研究结果,为其他有意实施和评估手册化干预措施的青少年服务机构提供了各种建议。
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引用次数: 0
Exploring Retrospective Place Attachment Toward Foster Homes 探索对寄养家庭的回溯性地方依恋
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-21 DOI: 10.1007/s10560-024-00983-y
Taylor Shorting, Lindsay J. McCunn, Karissa Sawyer

Place attachment is the cognitive-emotional bond individuals develop for physical locations. It can develop toward residential settings and is often associated with positive emotions and psychological and physical comfort. Literature in social work, and other social sciences, lack an exploration of the physical features that contribute to the development of place attachment toward residences for children in foster care. Using a retrospective mixed-methods design, this study examines the physical attributes of North American foster care environments that did—or did not—encourage place attachment in foster children between the ages of 7–12. Participants recalled a low level of place attachment toward their foster residences; place attachment and participants’ ease of recall of a foster residence were positively correlated. Perceived impact of the physical environment on sense of comfort in a foster home was neutral. Three open-ended items revealed themes concerned with "furniture,” “entertainment,” specific “structural features,” and “outdoor attributes” contributed to the development of place attachment toward past residences, while “inadequate space,” “aesthetics and ambience,” and “lack of cleanliness and organization” did not contribute to place attachment. “Outdoor attributes,” “adequate space,” and “entertainment” were noted as desirable in foster residences to facilitate the development of place attachment. This study may guide social workers and government administrators in understanding links between the physical attributes of foster homes and children’s psychoemotional responses. It adds to a small but growing number of studies at the intersection of social work and environmental psychology that may improve quality of life for children in foster care.

场所依恋是个人对物理场所产生的认知-情感联系。它可以在居住环境中形成,通常与积极情绪、心理和生理舒适度有关。社会工作和其他社会科学领域的文献缺乏对有助于寄养儿童对居住地产生场所依恋的物理特征的探讨。本研究采用回顾性混合方法设计,对北美寄养环境的物理属性进行了研究,这些物理属性对 7-12 岁寄养儿童的场所依恋起到或没有起到促进作用。据参与者回忆,他们对寄养住所的地方依恋程度较低;地方依恋与参与者对寄养住所的容易回忆程度呈正相关。物质环境对寄养家庭舒适感的影响呈中性。三个开放式项目显示,与 "家具"、"娱乐"、特定的 "结构特征 "和 "室外特征 "有关的主题有助于形成对过去寄养家庭的依恋,而 "空间不足"、"美学和氛围 "以及 "缺乏清洁和组织 "则对依恋没有影响。"室外活动"、"充足的空间 "和 "娱乐 "被认为是寄养住所中促进地方依恋发展的理想因素。这项研究可以指导社会工作者和政府管理人员了解寄养家庭的物质条件与儿童心理情感反应之间的联系。这项研究为社会工作和环境心理学交叉领域的少量研究增添了新的内容,这些研究可能会改善寄养儿童的生活质量。
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引用次数: 0
Need for Foster Homes, Foster Parent Recruitment, and Licensure: Comparing Foster Parent and Child Welfare Worker Perspectives 寄养家庭的需求、寄养父母的招募和执照:比较寄养父母和儿童福利工作者的观点
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-19 DOI: 10.1007/s10560-024-00991-y
Morgan E. Cooley, Martie Gillen, Heather M. Thompson, Marianna L. Colvin

Unfortunately, the retention rate of foster parents is low, and multiple challenges exist for agencies in maintaining long-term foster parents. Research examining perceptions of recruiting and licensing foster parents may provide some insight into supporting future foster parent recruitment and training for child welfare professionals. This study utilized administrative data from the state of Florida to examine and compare the perspectives of foster parents and child welfare workers regarding the recruitment and licensing of foster homes. This cross-sectional administrative survey included a total of 1,249 foster parents and child welfare workers in the state of Florida. Descriptive statistics and Mann-Whitney U tests were used to examine the perspectives of foster parents and child welfare workers across multiple questions related to the need for foster homes and recruitment and licensing processes. Results indicate that caseworkers and foster parents in this sample generally held different perspectives across most of the questions related to the need for foster homes, recruitment and licensing practices. Implications for recruiting and licensing foster homes and the need for consistent and accurate messaging to both foster parents and child welfare workers are discussed. More research is needed to explore recruitment and licensing processes, particularly research-supported strategies that have not been well-tested among foster care samples.

遗憾的是,寄养父母的保留率很低,福利机构在维持长期寄养父母方面面临多重挑战。对寄养父母的招募和许可的看法进行研究,可以为今后支持寄养父母的招募和儿童福利专业人员的培训提供一些启示。本研究利用佛罗里达州的行政数据,考察并比较了寄养父母和儿童福利工作者对寄养家庭招聘和许可的看法。这项横断面行政调查共包括佛罗里达州的 1249 名寄养父母和儿童福利工作者。调查采用了描述性统计和曼-惠特尼 U 检验法,考察了寄养父母和儿童福利工作者对有关寄养家庭需求、招募和许可程序的多个问题的看法。结果表明,在大多数与寄养家庭需求、招募和许可程序相关的问题上,样本中的个案工作者和寄养父母普遍持有不同的观点。本文讨论了寄养家庭招募和许可的影响,以及向寄养父母和儿童福利工作者提供一致、准确信息的必要性。还需要开展更多的研究来探讨招募和许可程序,特别是研究支持的策略,因为这些策略还没有在寄养样本中得到很好的验证。
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引用次数: 0
Fostering Self-Determination: A Review and Research Agenda Advancing Self-Determination Theory as a Unifying Framework for Youth Well-Being in Foster Care Research 培养自决能力:回顾与研究议程 推动自我决定理论成为寄养研究中青少年福祉的统一框架
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-13 DOI: 10.1007/s10560-024-00987-8
Catelyn N. Smeyne, Carlie D. Trott, Stacie Furst-Holloway, Farrah Jacquez

Young people in the United States foster care system face unique challenges related to their involvement in the system, often stemming from placement instability, disconnected policy and action, and an overburdened child welfare system. These experiences often result in limited opportunities for self-advocacy and change, difficulties forming quality relationships with peers and important adults, and barriers to academic and independent living success. There is a dire need for theoretically grounded, empirical work that can guide lawmakers, social workers, clinicians, foster/kinship parents, and youth in foster care themselves towards more positive, self-determined experiences within and beyond the system. This review advances Self-Determination Theory (SDT; Deci & Ryan, Deci and Ryan, The Journal of Mind and Behavior 1:33–43, 1980) as an under-utilized yet particularly well-suited theoretical framework to guide research that will achieve these aims. After introducing the SDT framework and its clear relevance to critical issues in foster care research, this review articulates an SDT-guided research agenda centered on advancing youths’ well-being, specifically by promoting the achievement of SDT’s three core psychological needs of autonomy, competence, and relatedness. This review also identifies future directions for research applying the SDT framework as a means to better understand and advance the “best interests” of young people in the foster care system.

美国寄养系统中的青少年面临着与寄养系统有关的独特挑战,这些挑战往往源于安置不稳定、政策与行动脱节以及儿童福利系统负担过重。这些经历往往导致自我主张和改变的机会有限,难以与同龄人和重要的成年人建立良好的关系,并阻碍学业和独立生活的成功。我们急需以理论为基础的实证研究,以指导立法者、社会工作者、临床医生、寄养/亲子关系父母以及寄养青少年自身在福利制度内外获得更积极的、自我决定的经历。本综述提出了自我决定理论(SDT;Deci & Ryan, Deci and Ryan, The Journal of Mind and Behavior 1:33-43, 1980),将其作为一个未得到充分利用但却特别适合指导研究的理论框架,以实现这些目标。在介绍了 SDT 框架及其与寄养研究中关键问题的明确相关性之后,本综述阐述了以 SDT 为指导的研究议程,该议程以促进青少年福祉为中心,特别是通过促进实现 SDT 的三个核心心理需求(自主性、能力和相关性)。本综述还确定了应用 SDT 框架的未来研究方向,以更好地理解和促进寄养系统中青少年的 "最大利益"。
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引用次数: 0
Patterns of Vicarious Police Contact and Youths’ Stress and Attitudes About the Police 模仿警察接触的模式与青少年的压力和对警察的态度
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-13 DOI: 10.1007/s10560-024-00985-w
Luke Muentner, Alexander Testa, Rebecca L. Fix, Dylan B. Jackson

Youth of color residing in urban areas face elevated risks of vicarious police contact which can intensify feelings of fear, anger, and cynicism toward law enforcement. However, little is known as to how vicarious police stops are patterned across youths’ social circles and how these diverse vicarious exposures shape youths’ attitudes toward and stress about police. The current study analyzed data from the Survey of Police-Adolescent Contact Experiences, a cross-sectional survey of Black youth aged 12–21 in Baltimore City, Maryland (n = 345). Youth self-reported whether they knew anyone who has been stopped by police and selected their relation to who was stopped. They also reported how often they, themselves, engaged in efforts to avoid police, how stressed they were about police violence in their community, and their attitudes of policy legitimacy. The study used descriptive statistics, OLS regression, and ancillary attenuation analyses using the Karlson-Holm-Breen method. Results showed that over 50% of youth knew someone stopped by police, with 12% reporting four or more known persons. Analyses indicated that knowing more individuals stopped by police was associated with increased avoidance and stress while being linked to decreased perceptions of police legitimacy – findings particularly salient for those with four or more known persons stopped by police. Additionally, knowing a friend stopped by police significantly increased both police avoidance and stress levels. These findings underscore the importance of understanding vicarious police contact patterns within youths’ social circles and their implications for stress and attitudes about the police, emphasizing the need to foster positive police-youth relationships and address stress-related outcomes.

居住在城市地区的有色人种青少年面临着更高的警察替代接触风险,这可能会加剧他们对执法人员的恐惧、愤怒和嘲讽情绪。然而,对于青少年的社交圈中如何形成警察拦截的替代模式,以及这些不同的替代接触如何影响青少年对警察的态度和压力,我们却知之甚少。本研究分析了 "青少年与警察接触经历调查"(Survey of Police-Adolescent Contact Experiences)的数据,这是一项针对马里兰州巴尔的摩市 12-21 岁黑人青少年的横断面调查(n = 345)。青少年自我报告他们是否认识被警察拦截过的人,并选择他们与被拦截者的关系。他们还报告了自己躲避警察的频率、对社区警察暴力的压力以及对政策合法性的态度。该研究使用了描述性统计、OLS 回归以及使用卡尔森-霍尔姆-布林方法进行的辅助衰减分析。结果显示,50% 以上的青少年认识被警察拦下的人,12% 的青少年报告有四个或更多的认识的人。分析表明,认识更多被警察拦截的人与回避和压力增加有关,同时与对警察合法性的看法下降有关--对于那些认识四个或更多被警察拦截的人的分析结果尤为突出。此外,认识被警察拦截的朋友也会显著增加对警察的回避和压力水平。这些发现强调了了解青少年社交圈中与警察的间接接触模式及其对压力和对警察态度的影响的重要性,强调了促进积极的警青关系和解决压力相关结果的必要性。
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引用次数: 0
Father–Child Relationship Quality and Social Functioning Among Children at Risk for Child Maltreatment 有虐待儿童风险的儿童中的父子关系质量和社会功能
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-13 DOI: 10.1007/s10560-024-00982-z
Susan Yoon, Dalhee Yoon, Uwe Wernekinck, Seungjin Lee, Choong Rai Nho, Ick-Joong Chung

Despite the considerable growth and advancement in fatherhood research, relatively little is known about the effects of father–child relationship quality on social functioning among children who experience child maltreatment. Applying the strengths-based perspective, the current study sought to examine the association between father–child relationship quality and social functioning (social competence and positive peer relationships) among at-risk children, and to determine whether these associations are moderated by perpetrator type. This study included a sample of 681 US children (age 12 years) drawn from the Longitudinal Studies of Child Abuse and Neglect. We conducted a series of ordinary least squares multiple regression analyses. Higher-quality father–child relationships were associated with higher levels of social competence (B = 0.19, SE = 0.06, p = .002) and positive peer relationships (B = 0.05, SE = 0.02, p = .005). Significant interaction effects were found. The positive association between father–child relationships and peer relationships was significantly stronger among children with a history of maltreatment perpetrated by fathers with or without mothers (B = 0.16, SE = 0.05, p = .002). Findings highlight the importance of positive father–child relationships in building social resilience among children who experience maltreatment. Practitioners working with youth who are at risk for maltreatment should consider engaging fathers in services to support the development of strong father–child relationships.

尽管父爱研究取得了长足的发展和进步,但人们对父子关系质量对遭受虐待儿童的社会功能的影响却知之甚少。本研究采用基于优势的视角,试图考察父子关系质量与高危儿童的社会功能(社交能力和积极的同伴关系)之间的关联,并确定这些关联是否会受到施虐者类型的调节。这项研究从儿童虐待和忽视纵向研究中抽取了 681 名美国儿童(12 岁)作为样本。我们进行了一系列普通最小二乘法多元回归分析。较高质量的父子关系与较高水平的社交能力(B = 0.19,SE = 0.06,p = .002)和积极的同伴关系(B = 0.05,SE = 0.02,p = .005)相关。发现了显著的交互效应。在父亲有虐待史或母亲没有虐待史的儿童中,父子关系和同伴关系之间的正相关性明显更强(B = 0.16,SE = 0.05,p = .002)。研究结果凸显了积极的父子关系在培养受虐待儿童的社会适应能力方面的重要性。为有受虐待风险的青少年提供服务的从业人员应考虑让父亲参与到服务中来,以支持建立稳固的父子关系。
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引用次数: 0
Flourishing After Foster Care: Examining Factors Affecting Flourishing in Transition Age Youth in the United States 寄养后的幸福生活:研究影响美国过渡年龄青少年成功的因素
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-10-05 DOI: 10.1007/s10560-024-00990-z
Amanda Cruce, Paige Sable, Deborah J. Moon

It is often unclear what leads to long term success for young adults that spent time in foster care. In this study we examined individual and systemic factors, including time in foster care, involvement in leadership programs, and health insurance coverage, seeking their impact on flourishing. Drawing on a national sample of 379 young adults that spent time in foster care, the survey examined individual and systemic factors that could increase flourishing in early adulthood. Study results reveal that Transitional Age Youth (TAY) who spent time in foster care experience significantly less flourishing compared to the general population (t = − 12.85, df = 337, p < 0.001). Additionally, sexual and gender minority youth within the foster care system report lower levels of flourishing than their heterosexual peers (t(336) = 13.1, p < 0.001). Multiple regression analysis indicates that flourishing is negatively impacted by race, with African American TAY experiencing significantly lower flourishing (β = − 0.52, p < 0.01), and by sexual orientation, with sexual minority youth also reporting reduced flourishing (β = − 2.26, p < 0.001). Moreover, the length of time in foster care, particularly for those who spent 16–18 years in care, was associated with decreased flourishing (β = − 1.65, p < 0.01). Health insurance emerged as the only positive factor, significantly enhancing flourishing outcomes (β = 1.41, p < 0.001). This study contributes to a better understanding of disparities for marginalized populations, emphasizing the critical role of access to healthcare services in promoting flourishing among vulnerable young adults.

人们往往不清楚是什么导致了曾在寄养家庭生活过的年轻人取得长期成功。在这项研究中,我们考察了个人和系统因素,包括寄养时间、参与领导力项目和医疗保险覆盖范围,以寻求它们对蓬勃发展的影响。这项调查以全国 379 名曾在寄养家庭生活过的青少年为样本,研究了可提高成年早期成长的个人和系统因素。研究结果显示,与普通人相比,在寄养家庭度过的过渡年龄青年(TAY)的成长经历明显较少(t = - 12.85, df = 337, p <0.001)。此外,寄养系统中的性少数群体和性别少数群体青少年的兴旺程度也低于异性恋青少年(t(336) = 13.1, p <0.001)。多元回归分析表明,种族和性取向对青少年的蓬勃发展有负面影响,非裔美国青少年的蓬勃发展水平明显较低(β = - 0.52,p < 0.01),性取向对青少年的蓬勃发展也有负面影响,性取向少数群体青少年的蓬勃发展水平也较低(β = - 2.26,p < 0.001)。此外,寄养时间的长短,尤其是寄养期为 16-18 年的青少年,也与他们的兴旺程度下降有关(β = - 1.65,p < 0.01)。医疗保险则是唯一的积极因素,它能显著提高蓬勃发展的结果(β = 1.41,p < 0.001)。这项研究有助于更好地了解边缘化人群的差异,强调了获得医疗保健服务在促进弱势青少年蓬勃发展中的关键作用。
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引用次数: 0
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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Child and Adolescent Social Work Journal
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