Exploring Clinicians' Suggestions for Addressing Discrimination Towards Children and Youth With Disabilities With Multiple Minoritized Identities

IF 2 4区 医学 Q2 PEDIATRICS
Sally Lindsay, Janice Phonepraseuth, Nicole Thomson, Jennifer N. Stinson, Sharon Smile
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引用次数: 0

Abstract

Background

Clinicians can help address the discrimination that children and youth with disabilities often encounter. However, they commonly report lacking training and experience in addressing multiple forms of discrimination, such as ableism and racism. A lack of knowledge could lead to stigma and inequities within healthcare. This study explores clinicians' suggestions for addressing multiple forms of discrimination among children and youth with disabilities.

Methods

This qualitative study involved in-depth interviews with a purposive sample of 15 paediatric rehabilitation clinicians and community service providers working with disabled youth who have multiple minoritized identities. We applied an inductive thematic analysis to the interview transcripts.

Results

Our findings highlighted the following four themes: (1) disability awareness and anti-ableism training and education; (2) enhancing inclusive programming, services and policies; (3) building connections to supports and resources; and (4) advocacy and incorporating lived experience perspectives.

Conclusion

The results underscore the need for clinicians to engage in more training and to facilitate access to resources for multiply minoritized youth with disabilities. Dedicated funding, resources and commitment at organizational, systems and policy levels are needed to address discrimination.

探讨临床医生对具有多重少数民族身份的残疾儿童和青少年歧视的建议
临床医生可以帮助解决残疾儿童和青少年经常遇到的歧视问题。然而,他们通常报告缺乏处理多种形式歧视的培训和经验,例如残疾歧视和种族主义。缺乏知识可能会导致医疗保健中的耻辱和不公平。本研究探讨临床医生的建议,以解决多种形式的歧视儿童和残疾青少年。方法对15名儿童康复临床医生和社区服务提供者进行深度访谈,这些儿童康复临床医生和社区服务提供者为具有多种少数民族身份的残疾青少年提供服务。我们对访谈笔录进行了归纳性主题分析。结果:(1)残障意识与反残障歧视培训与教育;(2)加强包容性规划、服务和政策;(3)建立与支持和资源的联系;(4)倡导和结合生活经验的观点。结论研究结果强调临床医生需要参与更多的培训,并促进多少数民族残疾青年获得资源。需要在组织、制度和政策层面提供专门的资金、资源和承诺,以解决歧视问题。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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