独立检讨官员及社工对儿童参与“照顾儿童”检讨的看法

IF 1.4 Q2 SOCIAL WORK Journal of Childrens Services Pub Date : 2019-09-05 DOI:10.1108/JCS-01-2019-0003
Clive Diaz, Hayley Pert, N. Thomas
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引用次数: 9

摘要

目的本文报道的这项研究是英国一个地方当局对儿童参与护理审查和决策的研究的一部分。本文旨在概述11名社会工作者和8名独立审查官的观点,并探讨他们对儿童参与审查的看法。该文件考虑了年轻人有意义地参与决策的障碍,以及如何改进这一重要领域的实践,以便更清楚地听到儿童的声音,并在可能的情况下由专业人员采取行动。设计/方法/方法本文报告的数据来源于一个英国地方当局的定性横断面研究。整个研究涉及采访受照顾的儿童、IRO、社会工作者和高级管理人员,了解年轻人参与他们的审查的情况。其他地方也报道了对年轻人和高级管理人员的采访结果(Diaz和Aylward,2018;Diaz等人,2018);本文主要对社会工作者和税务局进行访谈。具体而言,作者有兴趣深入了解他们对以下研究问题的看法:儿童和年轻人在多大程度上有意义地参与评论?参与的障碍是什么?可以做些什么来提高儿童和年轻人对审查的参与度?在这一过程中,确定了七个主题,其中五个涉及有效参与的障碍,两个涉及似乎支持有效参与的因素。以下对这些内容进行了总结,并在以下章节中进行了进一步解释。有效参与的障碍:社会工作者和税务局的高工作量和随之而来的时间压力;社会工作者流动率高,工作人员缺乏经验;缺乏对参与的专业人员的了解和培训;儿童和年轻人对评论的负面体验以及随之而来的参与沉默;审查的结构和过程不以儿童为中心。有助于参与的因素:儿童与专业人员之间关系的质量;以及儿童或年轻人主持自己的审查会议。研究局限性/含义尽管这些发现反映了一个地方当局的实践,但它们与该领域其他研究的一致性表明,它们的适用范围更广。实际含义儿童主持自己的评论的做法是由英格兰西北部的儿童协会在20世纪90年代开创的(Welsby,1996),最近格洛斯特郡的IRO也在实施中取得了一些成功(见Thomas,2015,第47页)。这项研究的一个关键建议是进行研究,探索如何更广泛地发展和嵌入这种做法。先前的研究已经注意到,审查被视为一种行政程序和一种参与工具之间存在紧张关系(Pert等人,2014)。这项研究强调了从业者对年轻人主持自己的审查持保留意见,但它也举例说明了这项工作是如何成功完成的,以及如何提高儿童参与决策的程度。至少,年轻人必须在决定审查地点、时间、邀请谁以及议程上包括什么方面发挥作用。社会影响该文件强调,在这个地方当局,社会工作者的工作量非常高,再加上工作人员的高流动性和缺乏经验的劳动力,意味着受照顾的儿童很难有一个稳定的社会工作者。这通常意味着年轻人无法与社会工作者建立积极的工作关系,这对他们在决策中发挥有意义作用的能力产生了负面影响。原创性/价值最近很少有研究考虑到专业人士对儿童参与关键会议和决策的看法,因此这为这一重要工作领域提供了及时和有价值的贡献。
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Independent Reviewing Officers’ and social workers’ perceptions of children’s participation in Children in Care Reviews
Purpose The research reported here forms part of a study of children’s participation in children in care reviews and decision making in one local authority in England. The purpose of this paper is to outline the views of 11 social workers and 8 Independent Reviewing Officers (IROs) and explores their perceptions of children’s participation in reviews. The paper considers the barriers to young people participating meaningfully in decision making and how practice could be improved in this vital area so that children’s voices are more clearly heard and when possible acted upon by professionals. Design/methodology/approach The data reported here derive from a qualitative cross-sectional study in one English local authority. The entire study involved interviewing children in care, IROs, social workers and senior managers about young people’s participation in their reviews. Findings from the interviews with young people and senior managers have been reported elsewhere (Diaz and Aylward, 2018; Diaz et al., 2018); this paper focusses on the interviews with social workers and IROs. Specifically, the authors were interested in gaining insight into their views about the following research questions: To what degree do children and young people meaningfully participate in reviews? What are the barriers to participation? What can be done to improve children and young people’s participation in reviews? Findings During this process seven themes were identified, five of which concerned barriers to effective participation and two which concerned factors that appeared to support effective participation. These are summarised below and explained further in the following sections. Barriers to effective participation: social workers and IROs’ high caseloads and ensuing time pressures; high turnover of social workers and inexperienced staff; lack of understanding and training of professionals in participation; children and young people’s negative experiences of reviews and consequent reticence in taking part; and structure and process of the review not being child-centred. Factors which assist participation: quality of the relationship between the child and professionals; and the child or young person chairing their own review meeting. Research limitations/implications Although these findings reflect practice in one local authority, their consistency with other research in this area suggests that they are applicable more widely. Practical implications The practice of children chairing their own reviews was pioneered by The Children’s Society in North West England in the 1990s (Welsby, 1996), and has more recently been implemented with some success by IROs in Gloucestershire (see Thomas, 2015, p. 47). A key recommendation from this study would be for research to explore how this practice could be developed and embedded more widely. Previous research has noted the tension between the review being viewed as an administrative process and as a vehicle of participation (Pert et al., 2014). This study highlighted practitioner reservations about young people chairing their own reviews, but it also gave examples of how this had been done successfully and how it could improve children’s participation in decision making. At the very least, it is essential that young people play a role in deciding where the review is going to take place, when it will take place, who is going to be invited and what will be included on the agenda. Social implications The paper highlights that in this Local Authority caseloads for social workers were very high and this, combined with a high turnover of staff and an inexperienced workforce, meant that children in care struggled to have a consistent social worker. This often meant that young people were not able to build up a positive working relationship with their social worker, which negatively impacted on their ability to play a meaningful role in decision making. Originality/value There have been very few recent studies that have considered professionals’ perspectives of children’s participation in key meetings and decision making, so that this provides a timely and worthwhile contribution to this important area of work.
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