Effectiveness of mental-health interventions for children and adolescents placed in residential care by the welfare services: A systematic review

IF 2.4 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review Pub Date : 2024-09-18 DOI:10.1016/j.childyouth.2024.107929

Rita Ramos Miguel, Laura Santos, Maria do Céu Salvador, Luiza Nobre Lima, Daniel Rijo

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引用次数: 0

Abstract

Background

Children and adolescents in residential youth care are a vulnerable population with great needs of mental health.

Purpose

The present study undertook a systematic review to seek available mental health interventions and investigate its effectiveness.

Methods

Following PRISMA guidelines, a systematic search was performed for publications between 1992 and July 2023 in seven databases and relevant journals for residential care. Methodological quality was assessed using the Mixed Methods Appraisal Tool. After multi-stage screening, 14 eligible articles were retrieved for analysis and a narrative synthesis performed.

Results

Thirteen interventions were identified, predominantly focusing on internalising difficulties, showing congruently positive results mostly on internalised-related outcomes. Most interventions were based on cognitive-behaviour therapy and outdoor-based therapies (surf-, animal assisted, and forest-therapy). Short-term interventions, delivered on a weekly basis in group format, were the most frequent delivery mode. Most studies managed to recruit a comparison group but follow-ups were generally absent. Poor reporting and lack of methodological rigor were common features of the reviewed studies.

Conclusions

This systematic review extends the state of the art regarding psychological interventions in residential youth care. Evidence-based interventions are still needed, and future research should focus on developing and rigorously testing more interventions within this care system.

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福利机构对寄宿儿童和青少年进行心理健康干预的有效性：系统回顾

背景接受寄宿式青少年护理的儿童和青少年是一个弱势群体，他们对心理健康有着极大的需求。目的本研究对现有的心理健康干预措施进行了系统性回顾，并对其有效性进行了调查。方法根据 PRISMA 指南，对七个数据库和相关期刊中 1992 年至 2023 年 7 月间有关寄宿式护理的出版物进行了系统性检索。采用混合方法评估工具对方法质量进行了评估。经过多阶段筛选，共检索到 14 篇符合条件的文章进行分析，并进行了叙述性综合。结果确定了 13 项干预措施，主要针对内化困难，并在与内化相关的结果上显示出一致的积极效果。大多数干预措施以认知行为疗法和户外疗法（冲浪疗法、动物辅助疗法和森林疗法）为基础。每周以小组形式进行的短期干预是最常见的实施模式。大多数研究都设法招募了一个对比组，但一般都没有进行随访。报告质量不高和方法不够严谨是受评研究的共同特点。我们仍然需要以证据为基础的干预措施，未来的研究应侧重于在这一护理系统中开发和严格测试更多的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Children and Youth Services Review Multiple-

CiteScore

6.30

自引率

6.10%

发文量

303

期刊介绍： Children and Youth Services Review is an interdisciplinary forum for critical scholarship regarding service programs for children and youth. The journal will publish full-length articles, current research and policy notes, and book reviews.