没有信息就能提供创伤知情护理吗?- 爱沙尼亚寄养父母和寄宿照顾者的创伤意识体验

IF 1.7 Q2 FAMILY STUDIES Journal of Child & Adolescent Trauma Pub Date : 2024-03-20 DOI:10.1007/s40653-024-00620-x
Judit Strömpl, Ingrid Sindi, Merle Lust
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引用次数: 0

摘要

创伤知情护理(TIC)在爱沙尼亚儿童保护系统中是一个相对较新的话题,但它已成为替代护理的特别重点。爱沙尼亚儿童保护制度的重点是保护儿童免受虐待,而忽视了成年照顾者充分了解儿童创伤经历的权利。这使得创伤知情照护变得模糊不清。本文基于为一项更广泛的研究而开展的焦点小组讨论,该研究旨在为寄养父母和在寄宿替代照料机构中担任直接照料者的工作人员开发创伤信息通报培训课程奠定基础。寄养父母和工作人员参加了四个焦点小组,其中特别关注了他们在过渡性社区方面的经验。参与者踊跃分享了他们的经验,并在数据分析过程中使用了主题叙事分析法。参与者讲述的中心主题是需要了解儿童的创伤性过去。研究结果表明,进入替代照料机构的儿童的需求与寄养父母和寄宿照料机构工作人员满足这些需求的能力之间存在着复杂的相互作用。如果儿童的过去不为照料者所知,那么儿童从创伤中痊愈的过程就会变得复杂。这可能会导致儿童再次受到创伤,并阻碍他们了解过去的创伤。爱沙尼亚的儿童保护系统需要进一步认识到创伤对儿童行为的影响,以及如何帮助儿童治愈创伤。这与需要获得清晰准确的信息直接相关,而这是儿童的基本权利之一。
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Is Trauma-Informed Care Possible without Information? – Experience of Trauma Awareness among Estonian Foster Parents and Residential Caregivers

Trauma-informed care (TIC) is a relatively new topic in the Estonian child protection system, but it has become the particular focus of substitute care. The Estonian child protection system focuses on protecting children from maltreatment, and neglects the adult carers’ right to adequate information about the child’s trauma experience. This makes trauma-informed care vague. This article is based on focus groups conducted for a wider study that aims to develop the basis for a TIC training course for foster parents and staff members working as direct caregivers in residential substitute care. The foster parents and staff members participated in four focus groups, with special attention on their experiences with TIC. The participants eagerly shared their experiences, and thematic narrative analysis was used during the data analysis. The central theme of the participants’ stories was the need for information about the child’s traumatic past. The findings indicate that a complex interplay exists between the needs of children entering substitute care and the capacity of the foster parents and residential care staff to meet those needs. It is complicated for a child to heal from trauma if the child’s past is hidden from their carers. This could result in re-traumatisation and hinder the child from making sense of past trauma. Estonia’s child protection system needs greater awareness of the impact of trauma on the child’s behaviour and how to help the child heal. This is directly connected to the need for clear and precise information, which is one of the basic rights of the child.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
71
期刊介绍: Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.
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