在家庭和家庭暴力、精神痛苦和/或父母药物使用的交叉点制定参与式实践指南

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2022-02-16 DOI:10.1108/add-12-2021-0017
Susan Heward‐Belle, Margaret Kertesz, C. Humphreys, Menka Tsantefski, Jasmin Isobe
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引用次数: 1

摘要

目的:众所周知,服务系统在整体应对生活在家庭暴力、父母心理健康和/或药物使用等共同发生的复杂情况下的儿童和家庭的需求方面的历史很差。本概念性文件的目的主要是描述用于制定指导方针的发展过程,以便在家庭暴力、心理健康、酒精和其他药物服务的交叉点为实践提供信息,确保在复杂情况下可以看到强制控制的策略。设计/方法/方法该指南是通过文献综述制定的,随后是由来自澳大利亚三个州的33个组织的从业人员、Safe & Together顾问和研究人员采用以实践为主导的研究方法。由向儿童和家庭提供干预措施的从业人员组成的实践社区是该方法的核心。为制定准则提供信息的数据包括文献审查、民族志说明、定性访谈、定量调查和反思。以实践为主导的研究使从业人员参与制定准则,以促进对遭受家庭暴力、药物使用和精神健康问题的家庭采取综合对策。综合办法借鉴了“安全与团结”模式,强调与妇女幸存者合作,以肇事者为中心,关注儿童安全和福祉,促进工人安全,跨机构合作,并影响组织变革。该过程使用基于从业者的示例演示了这种综合方法的有效性。创意/价值采用成功的迭代过程来制定指导方针,以支持跨多个部门和组织的整体和协作工作的文化变革。
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Participatory practice guideline development at the intersections of domestic and family violence, mental distress and/or parental substance use
Purpose It is well established that the service system has a poor history of responding holistically to address the needs of children and families living with co-occurring complexities such as domestic violence, parental mental health and/or substance use. The purpose of this conceptual paper is to primarily describe the developmental process used to create guidelines to inform practice at the intersections of domestic violence, mental health and alcohol and other drug services, ensuring that the tactics of coercive control are visible in contexts of complexity. Design/methodology/approach The guidelines were developed through undertaking a literature review, followed by a practice-led research approach with practitioners from 33 organisations across three Australian states, Safe & Together consultants and researchers. Communities of practice composed of practitioners providing interventions to children and families were central to the approach. Data that informed the development of the guidelines included a literature review, ethnographic notes, qualitative interviews, quantitative surveys and reflections. Findings Practice-led research engaged practitioners in the development of guidelines to promote an integrated response to working with families experiencing domestic violence, substance use and mental health issues. The integrated approach drew from the Safe & Together model, emphasising partnering with women survivors, pivoting to the perpetrator, focusing on children’s safety and well-being, promoting worker safety, collaborating across agencies and influencing organisational change. The process demonstrated the usefulness of this integrated approach, using practitioner-based examples. Originality/value Successful iterative processes to develop the guidelines were undertaken to support cultural change towards holistic and collaborative work across multiple sectors and organisations.
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来源期刊
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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