为有特殊教育需要和残疾的儿童提供包容、公平和无障碍的学校假期俱乐部(SEND)的挑战和机遇。

IF 4.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lorna Hatch, Laura Tinner, Cecilia Khofi-Szeremley, Florence Darling, Sophie Clohessy, Jessica Tanner, Hannah Robinson, Russell Jago, Carolyn Summerbell, Laura Mazzoli-Smith, Miranda Pallan, Margaret A Defeyter, Marie Murphy
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引用次数: 0

摘要

背景:有特殊教育需要和残疾的儿童(SEND),特别是来自低收入家庭的儿童,在教育和健康结果方面存在不平等。对于低收入家庭来说,学校假期很困难,这促使英国政府推出了假日活动和食品(HAF)俱乐部等项目。很少有人知道这些假期俱乐部对患有SEND的孩子有多大的包容性,尽管这是一个特别受益的群体。这项研究是HAF计划的一个更广泛的项目,旨在探索包容性和无障碍度假俱乐部提供的挑战和机遇,并为HAF工具包提供建议。方法:采用两种定性方法获取参与者的经验:1)采访假日项目的工作人员和参与者的家长(工作人员n=28,家长n=10);2)在创意工作坊中与孩子有资格参加假期计划但没有参加的家长进行焦点小组讨论(n=22)。采用框架法和反身性主位分析法。方法:采用两种定性方法收集参与者的经验:(1)采访假日项目的工作人员和参与者的家长(工作人员n = 28,家长n = 10);(2)与子女有资格参加假期计划但未参加的家长在创意工作坊进行焦点小组讨论(n = 22)。采用框架法和反身性主位分析法。结果:研究结果揭示了SEND儿童进入和体验假日俱乐部的挑战和机遇。访问分主题包括:广告不明确,俱乐部是否欢迎患有SEND的儿童;父母经常隐瞒孩子的需要;可以运输;以及提供SEND所需的额外资源。经验分主题包括:为患有SEND的儿童提供食物;满足各种需要的培训和人员配备;以及儿童在SEND俱乐部的主流服务和专业服务提供者中的经历。所有参与小组都指出了假日俱乐部可以改进的地方,以确保SEND儿童获得愉快和公平的体验。然而,数据也说明了围绕残疾歧视和SEND儿童在社会上面临的广泛挑战的更广泛的辩论。此外,当前的经济环境和支持包容性度假俱乐部提供所需的额外资源支撑了大部分数据。强调了家长志愿者和外部投资等机会,这些机会可以最大限度地发挥当前政府资金的潜力。结论:我们的研究结果突出了SEND儿童在假日俱乐部的准入和体验方面的问题,并提供了促进包容性的潜在途径,包括如何调整工具包来具体改善HAF。实现包容性的度假俱乐部(财政或其他方面)存在相当大的挑战,但如果我们要减少不平等,解决这些问题应该是公共卫生的优先事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges and opportunities for inclusive, equitable and accessible school holiday clubs for children with special educational needs and disabilities (SEND).

Background: Children with special educational needs and disabilities (SEND), particularly those from families with low-income, experience inequities across educational and health outcomes. The school holidays are difficult for families with low-income, prompting UK government programmes including the Holiday Activity and Food (HAF) clubs. Little is known about how inclusive these holiday clubs are for children with SEND, despite this being a group who may particularly benefit. This study is embedded within a wider project on the HAF programme to explore the challenges and opportunities for inclusive and accessible holiday club provision and provides recommendations for the HAF Toolkit.

Methods: Participant experiences were captured using two qualitative methods: 1) interviews with holiday programme delivery staff and parents of attendees (staff n=28, parents n=10); 2) focus group discussions at creative workshops with parents whose children are eligible for the holiday programme but do not attend (n=22). The Framework Method and Reflexive Thematic Analysis were used.  METHODS: Participant experiences were captured using two qualitative methods: (1) interviews with holiday programme delivery staff and parents of attendees (staff n = 28, parents n = 10); (2) focus group discussions at creative workshops with parents whose children are eligible for the holiday programme but do not attend (n = 22). The Framework Method and Reflexive Thematic Analysis were used.

Results: Findings reveal challenges and opportunities around accessing and experiencing the holiday clubs for children with SEND. Access subthemes included: lack of clarity in advertising whether clubs welcome children with SEND; frequent non-disclosure from parents of their child's needs; accessible transportation; and additional resources needed for SEND provision. Experience subthemes included: food provision for children with SEND; training and staffing that covers the range of needs; and the experiences of children within mainstream provision versus specialist providers of SEND clubs. All participant groups illuminated areas where holiday clubs could be improved to ensure an enjoyable and equitable experience for children with SEND. However, wider debates around ableism and the challenges children with SEND face in society broadly were also illustrated in data. Further, the current economic context and the additional resources needed to support inclusive holiday club provision underpinned much of the data. Opportunities were highlighted such as parent volunteers and external investment, that could maximise the potential of the current government funding.

Conclusions: Our findings highlight issues in access and experience of holiday clubs for children with SEND and provide potential avenues for promoting inclusivity, including how adaptations to the Toolkit could specifically improve HAF. There are considerable challenges to achieving inclusive holiday clubs (financial or otherwise) but if we are to reduce inequities, addressing these should be a public health priority.

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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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