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1.
Placement in out-of-home care (OHC) indicates serious childhood adversity and is associated with multiple adverse outcomes. Each year 0.5% of children in England live in OHC but evidence is lacking on the cumulative proportion who enter during childhood and how this varies over time. We measured the proportion of children born between 1992 and 2011 who entered OHC, including variation in rates of entry over time, and explored the determinants of these changes using decomposition methods. We also described changes in placement type, duration and stability. By age 18, 3.3% of children born 1992–94 entered OHC. This proportion varied by ethnicity (1.6% of White vs. 4.5% of Black children born 2001–03 entered OHC by age 9, 95% CI [1.5–1.7] and [4.4–4.6], p < 0.001) and increased over time (0.8% of children born 2009–11 entered OHC by age 1 vs. 0.5% born 1992–94, 95% CI [0.7–0.9] and [0.4–0.6], p < 0.001). This overall increase was driven primarily by the increased rate of entry among White children and not by concurrent changes in the population's ethnic composition. The proportion of children entering OHC in England is increasing and characteristics of the care they receive are changing with earlier intervention and longer, more stable placements. Further research is required to understand the reasons for these changes in practice and whether they are cost-effective, sustainable, and improve outcomes for children and society. 相似文献
2.
Exiting and re-entering out-of-home care (OHC) is considered a disruption to permanence which may have long-lasting, negative consequences for children due to a lack of stability and continuity. Each year approximately one-third of children in OHC in England exit, but information is lacking on rates of re-entries and associated factors. Using national administrative data, we calculated rates of re-entry among children exiting OHC from 2007 to 2012, identified key child and care factors associated with re-entry using Cox proportional hazards modelling, and developed a simple probability calculator to estimate which groups of children are most likely to re-enter OHC within three months. Between 2007 and 2012 re-entries to OHC in England decreased (from 23.3% to 14.4% within one year of exit, p < 0.001), possibly due to concurrent changes in the way children exited OHC. Overall, more than one-third of children exiting OHC in 2008 re-entered within five years (35.3%, N = 4076), but rates of re-entry varied by child and care characteristics including age, ethnicity, mode of exit, and placement stability. Based on these associated factors, we developed a calculator that can estimate the likelihood of rapid re-entry to OHC for a group of children and could be used by social care practitioners or service planners. Our findings provide insight into which groups of children are most likely to re-enter OHC, who may benefit from additional support or ongoing monitoring. 相似文献
3.
R. Millward E. Kennedy K. Towlson H. Minnis 《Emotional and Behavioural Difficulties》2013,18(4):273-279
The great majority of children living in foster or residential care have been abused and neglected. Mental health problems are common and the nature of these problems may be rooted in early attachment relationships. The carers of 82 children in care in Scotland and 125 children from local schools completed questionnaires on mental health problems including Reactive Attachment Disorder. More than half (53%) of the children in care fulfilled criteria for mental health problems compared with 13% of the control group, and children living in care scored significantly higher for conduct problems, emotional problems (anxiety and depression), hyperactivity, problems with peer relations and Reactive Attachment Disorder. This has important implications for service development for this vulnerable group of children. 相似文献
4.
The significant mental health needs of young people in out-of-home care has been well-documented. However, there is little empirical evidence on the timing or development of these difficulties, once these young people have been removed from the maltreatment-environment. Such information may provide useful clinical insight in to how problems develop and persist and whether intervention timings may allow for the prevention of later mental health problems. The current service-data study explored the emotional and behavioural symptom trajectories of 207 young people under the long-term care of a local authority in the South West of England, over their first five years in the care system. Data were extracted from the yearly carer-completed strengths and difficulties questionnaire – providing an index of emotional problems, peer problems, conduct problems and hyperactivity. Trajectories were analysed using growth mixture modelling. For most domains the largest trajectories were chronic symptom profiles, where young people were rated in the abnormal range from their first year in care and remained in this range across the full five years. These young people had significantly more placement moves than their peers on resilient trajectories. There was some evidence that later age of removal was associated with more chronic internalising problems. Overall, findings demonstrate the significant mental health needs of young people in care and particularly highlight that, in many cases, the removal from the adverse environment is simply not enough to expect a young person in care to be resilient to their earlier experiences. 相似文献
5.
Children residing in long-term out-of-home care have high rates of clinical-level mental health difficulties. However, the stability of these children’s difficulties throughout their time in care is uncertain. This paper reports estimates of the seven- to nine-year stability of carer-reported scores on the Child Behavior Checklist (CBCL) and Assessment Checklists for Children (ACC) and Adolescents (ACA) for 85 children in long-term foster or kinship care. Prospective score changes on the CBCL total problems and ACC-ACA shared-item scales were assigned to one of four change groups: ‘sustained mental health’; ‘meaningful improvement’; ‘no meaningful change’; and ‘meaningful deterioration’. On each of the two measures, more than 60% of children manifested either sustained mental health or meaningful improvement in their mental health, while less than a quarter showed meaningful deterioration. Mean mental health scores for the aggregate sample did not change over the 7–9 year period. Findings discount the presence of a uniform, population-wide effect—suggesting instead, that children’s mental health follows several distinct trajectories. Rather than asking whether long-term care is generally therapeutic or harmful for the development of previously maltreated children, future investigations should focus on the questions “…what are the systemic and interpersonal characteristics of care that promote and sustain children’s psychological development throughout childhood, and what characteristics are developmentally harmful?” and “…for which children is care therapeutic, and for which children is it not?” 相似文献
6.
BackgroundLooked after children and care leavers (LACCL) are some of the most vulnerable and marginalized young people in our communities. Existing research demonstrates that this group often interprets care in terms of genuineness and tends to feel uncared for. Less work exists from the perspective of social workers and formal carers.ObjectiveThis study aims to explore how care is perceived and practiced among LACCL and those with a duty of care for them. We use a theoretical lens of care ethics to compare and contrast understandings in order to explore how they affect the delivery and receipt of care.Participants & settingThere were 44 participants from four local authorities in north-east England including nineteen LACCL aged 12–20, eight social workers, and nineteen formal carers.MethodTwenty-eight semi-structured 1:1 interviews, four dyad interviews and three focus group interviews.ResultsLACCL desired care that felt familial, went beyond minimum standards and involved understanding. Social workers had to manage LACCL expectations and build relationships by both rationing care according to role constraints whilst sometimes going ‘above and beyond’ statutory care. Carers conceptualized care in terms of dedication and discipline but felt limited in their ability to achieve care in this way.ConclusionBridging different conceptualizations of care is necessary to achieve integrated support for these vulnerable young people whilst also helping them to develop key skills for later adult life. A deeper understanding of frameworks of care has implications for social worker and formal carer training and practice. 相似文献
7.
This study examined teachers’ reports of early teacher–child relationships by focusing on their assessments of the severity and the causes of children's social behaviors. Eighty-one kindergarten teachers filled out questionnaires about socially inhibited, hyperactive, and average children (n = 237) selected from their own classes. Multilevel analyses indicated that teachers reported less close and more dependent relationships for the inhibited and hyperactive versus the average children, and more conflictual relationships for the hyperactive versus the average children. These differences were largely mediated by teachers’ perceptions of children's personal behavior problems. In addition, we found that the teachers’ control attributions for children's social behaviors increased the link between children's perceived (personal and social) problems and relationship closeness. Results further support the idea that teachers’ relationship reports are personal, evaluative accounts rather than objective measures of teacher–child interactions. 相似文献
8.
Anecdotal evidence and statistics indicate that transition to secondary school for children who are “Looked After” is likely to present challenges. The present study aimed to find out the key factors that support Looked After children through this transition, as perceived by the main stakeholders. Data were gathered in two stages, using semi-structured interviews, from Year 6 and Year 7 children and their teachers and carers. Analysis of the results indicates that many different factors may support or hinder the transition, ranging from within-child factors such as resilience and social skills to systemic factors such as the extent of multi-agency working and school admission policies. Four key principles emerged from the results, which may be used to inform tailored transition packages to support children in this vulnerable group through transition. They emphasise the importance of planning and information sharing between key stakeholders, minimising difference, and offering holistic and individualised support. 相似文献
9.
OBJECTIVE: To assess HIV-related drug and sex risk behaviors and evaluate factors associated with change in risk behaviors among runaway and homeless adolescents, 244 street youth were recruited from a community drop-in center serving high-risk youth. METHOD: Using a cross-sectional design, approximately half of study participants received training in a peer-based intervention that included principles derived from the health belief model, while the remaining subjects received no intervention. Subjects were interviewed at baseline, immediately following the intervention (for those receiving the training) and 3 months later. Logistic regression and analysis of covariance were used to analyze intervention effects. RESULTS: Compared to youth in the control condition, runaways receiving the intervention significantly increased their knowledge about HIV. Contrary to the health belief model, in multivariate analyses knowledge and greater perceived chance for HIV were associated with high risk behavior. On the other hand, lower concern about HIV infection was also associated with high risk behavior, supporting the health belief model. CONCLUSIONS: Despite the intervention's success in increasing knowledge of HIV and AIDS, the association between knowledge, perceived likelihood of infection and high risk behaviors suggest that, without other alternatives, runaways will maintain their risks. The association noted between lower concern and high risk behaviors underscores the challenge faced in developing effective interventions with this population. 相似文献
10.
以《他们》中的朱尔斯、莫琳和《妈妈走了》中的克莱尔、尼基为代表,在欧茨的家庭小说中,子女的逃离往往是一个普遍现象。通过对这些典型人物的分析,可以知道致使他们逃离的原因多种多样,逃离的结局也各不相同。 相似文献
11.
Violence in families of adolescent runaways 总被引:1,自引:0,他引:1
Adolescents who run away from home frequently give many reasons for their behavior, but rarely has an examination of physical maltreatment as a precipitating factor for leaving home been carefully conducted. The Conflict Tactics Scale, a measure of how families resolve conflicts, was completed by 199 adolescents who ran away to a youth shelter. Some 78% of the adolescents self-reported significant physical violence directed toward themselves by a parent in the one year prior to their running away. There were no significant effects of age or sex on the amount of physical violence. A comparison between runaway adolescents and adolescents labeled abused reveals no significant differences in at-risk child abuse scores. An argument is presented for crisis counselors and youth shelter workers to more carefully examine and treat family violence in adolescents who run. 相似文献
12.
This study examined the prevalence and characteristics of family abduction episodes occurring in a nationally representative sample of US children ages 0–17. It drew on the experiences of 13,052 children and youth from the aggregation of three cross-sectional waves (2008, 2011, and 2014) of the National Surveys of Children Exposed to Violence. The overall prevalence rate was 4.1% for a lifetime and 1.2% for a past year episode. Rates were higher for younger than older children. Parents constituted 90% of the abductors with females outnumbering males 60% to 40%, although men outnumbered women as perpetrators for certain types of abductions. A bit less than half of the episodes (43%) were reported to police. The experience of a lifetime family abduction had an independent association with traumatic stress symptoms independent of exposure to other kinds of victimization including child maltreatment and witnessing family violence. 相似文献
13.
通过问卷法、访谈法调查了育龄家庭大孩对二孩的接纳度,了解到大孩从本质上并不讨厌二孩的到来.大孩出现的一系列反常行为的主要原因是父母与大孩沟通太少,让大孩感觉失去爱.而要解决这些问题需要家长做好沟通,给大孩安全感,让大孩参与二孩的养育,给予大孩足够的陪伴. 相似文献
14.
性侵害对儿童身心发展的影响在很大的范围内变动。本文从影响治疗效果的因素、受害儿童治疗方法的研究、受害儿童治疗效果的元分析研究三个方面对性侵害受害儿童的治疗研究进展情况进行了归纳和总结,并在此基础上提出了今后的研究方向。 相似文献
16.
20世纪80年代兴起于中国的深度报道既是西方新闻理论与实践影响的产物,也是中国报纸文体本身继承与发展的结果。其中19世纪70年代《申报》对杨乃武与小白菜案件的报道是我国深度报道的源头;黄远生的解释性通讯是我国解释性报道的开端;20世纪20、30年代的调查性报告是我国调查性报道的滥觞。 相似文献
17.
儿童教育关系着儿童本身的发展,关系着家庭的幸福和国家的未来。农村家庭中,父母同样很重视儿童的教育,但在具体的教育过程中,却存在很多问题,给儿童成长带来不良影响甚至是非常严重的影响。具体表现在:家长素质低下,无丝毫教育意识,家长育儿观念错误,家长没有意识到自己对子女教育的责任,家长给幼儿起不良示范作用,家长没有自我成长。 相似文献
18.
汶川大地震后儿童心理干预要注意的几个问题 总被引:1,自引:0,他引:1
高亚兵 《浙江教育学院学报》2008,(3):31-34
结合灾后儿童应激发展阶段特点和国内学者对唐山大地震孤儿心理健康的远期调查研究,提出汶川大地震后儿童心理干预要采取科学、及时、有效的策略,要注意对不同应激阶段儿童心理干预的策略不同、对不同类型儿童心理干预的侧重点不同、发挥儿童自身恢复力以避免“心理变异”的产生等三大问题,以尽快治愈儿童当前严重的心理创伤以及减少远期心理障碍后遗症。 相似文献
19.
National and state child care policies are shaped in part by studies of child care quality. The majority of these studies focus on variables that influence child outcomes. Katz suggests that this is but one of four perspectives on child care quality, and that parents, children, and child care staff have perspectives on child care quality that have not been adequately addressed. This article reviews the variables, measures, and studies associated with each of these four perspectives. The authors argue that given the preponderance of studies conducted from the professional/researcher perspective, more effort should be directed to studying child care quality from parents' children's, and child care staff members' viewpoints. 相似文献
20.
Lisa Nyree Edwards 《Educational Psychology in Practice》2016,32(1):54-72
Whilst outcomes for looked after children (LAC) have been extensively discussed, less attention has been paid to the experiences of teachers of this group of children. It is accepted that Emotional Labour (EL) is commonplace in the teaching profession but no research has investigated how, and to what extent, teachers experience emotional labour during interactions with LAC. Fourteen Key Stage Two teachers of LAC participated in the current study by completing semi-structured interviews. Results indicate that participants experience emotional labour during interactions with LAC and that this may be mediated, to a degree, by factors including role constructions, perceptions of support and self-perceived role facilitators such as perception of a professional duty. The potential benefit of educational psychologists understanding better, and supporting, the impact of emotional labour on teachers of LAC is subsequently discussed. 相似文献