寻找长期结果:在英格兰,有虐待风险的儿童和年轻人需要什么早期干预措施?

S. McDermid, Georgia Hyde-Dryden, H. Ward
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引用次数: 5

摘要

保护儿童研究倡议(Davies & Ward, 2012)是由卫生部和现在的教育部委托进行的15项研究项目,每项研究都探索了保护儿童的不同方面。本文汇集了这些研究的结果,以探讨已被证明对面临虐待风险的儿童和青少年促进积极长期结果的策略类型。作者强调了当儿童遭受虐待时对他们造成的潜在伤害,并展示了为改善其长期结果而开发的一系列干预措施。本文提供了普遍、有针对性和密集的服务实例,为成功提供了强有力的证据基础。研究发现,最有效的强化干预措施是防止虐待的发生或再次发生,处理与虐待有关的潜在因素以及与改变过程有关的各个阶段。作者还研究了从业者在考虑干预选择时需要注意的补充问题,包括提供支持的一些障碍,例如证据基础的性质,不同机构合作为弱势儿童和家庭提供服务的程度,资源的可用性以及儿童和家庭在儿童福利系统不同部分之间移动的方式。如果从业者要最好地利用现有的干预措施,重要的是他们要选择那些有强有力的证据支持的干预措施,这些证据表明,在类似情况下的家庭已经取得了积极的成果
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Looking for long-term outcomes: what early interventions are needed for children and young people at risk of maltreatment in England?
The Safeguarding Children Research Initiative (Davies & Ward, 2012) was a programme of fifteen studies commissioned by the Department of Health and what is now the Department for Education, each of which explored a different aspect of safeguarding children. This paper brings together the findings of these studies to explore the types of strategies that have been shown to promote positive long-term outcomes for children and young people at risk of maltreatment. The authors ighlight the potential harm caused to children when they are exposed to maltreatment and demonstrate the range of interventions that have been developed to improve their long-term outcomes. The paper provides examples of universal, targeted and intensive services with a strong evidence base for success. The most effective intensive interventions are found to be those that prevent the occurrence or re-occurrence of altreatment, address the underlying factors associated with maltreatment and the various stages associated with the process of change. The authors also examine the supplementary issues practitioners need to be aware of when considering the choice of intervention, including some of the obstacles to providing support, such as the nature of the evidence base, the extent to which different agencies work together to provide services for vulnerable children and families, the availability of resources and the ways in which children and families move between different parts of the child welfare system. If practitioners are to make best use of the available interventions, it is important that they select those underpinned by robust evidence showing that positive outcomes have been achieved for families in similar circumstances
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