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The structure, function, task, and effectiveness of hospital-based child protection teams in Taiwan
Chia-Jung Chen1, Joh-Jong Huang2, Shih-Min Wang3
1Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Taiwan.
Insights
Child protection teams (CPTs) in Taiwan need improved structure and function, particularly in collaboration and incentives. Enhancing inter-agency work and support systems is crucial for effective child maltreatment care.
Area of Science:
- Pediatrics
- Child Welfare
- Public Health
Background:
- Child protection teams (CPTs) aim to safeguard at-risk children, but their effectiveness and specific tasks remain unclear in Taiwan.
- Understanding the implementation status and needs of hospital-based CPTs is essential for improving child protection services.
Purpose of the Study:
- To explore the implementation status and needs of hospital-based Child Protection Teams (CPTs) in Taiwan.
- To evaluate the structure, functions, tasks, and effectiveness of CPTs using a newly developed evaluation tool.
Main Methods:
- A descriptive correlational study involving 153 CPT members in Taiwan.
- A self-developed evaluation tool with validated psychometric properties (content validity, factor analysis, reliability, internal consistency).
Main Results:
- CPT implementation status scores ranged from 2.77-2.93 (out of 4), with lowest scores for collaboration (1.97) and incentive (1.93).
- High needs (7.96-8.12 out of 10) were identified across dimensions, especially for support, cohesion, and incentives.
- A weak correlation was found between implementation status and identified needs.
Conclusions:
- Hospital-based CPTs in Taiwan require strengthened structure and function to improve implementation.
- Enhancing inter-agency collaboration and establishing incentive mechanisms are critical for effective CPTs.
- Closer work with community agencies is necessary to ensure quality care for maltreated children and their families.
Background:
Child protection teams (CPTs) are established in many countries with an intent to safeguard children at risk for maltreatment. However, the tasks and effectiveness of CPTs in Taiwan and many countries remain unclear.
Objective:
A two-step, descriptive correlational study aimed to explore the implementation status and needs concerning the structure, functions, tasks, and effectiveness of hospital-based CPTs using a self-developed evaluation tool in Taiwan.
Participants And Setting:
Five experts and 10 CPT members were evaluated the psychometric properties of the evaluation tool. The main study participants comprised 153 CPT members in Taiwan in 2020.
Methods:
Content validity, factor analysis, test-retest reliability, and internal consistency were used to evaluate the psychometric properties of the instrument. Descriptive and correlational statistics were to describe the implementation status and needs of the structure, functions, tasks, and effectiveness of hospital-based CPTs and their relationships.
Results:
The psychometric properties of the tool were acceptable and satisfactory. The mean scores for each dimension of CPT implementation status were 2.77-2.93 (potential range 0-4) with the lowest for collaboration (mean = 1.97) and incentive (mean = 1.93). The average need scores for each dimension ranged 7.96-8.12 (potential range 0-10), indicating high needs for each dimension, particularly in support, cohesion, and incentive. The implementation status was significantly, weakly correlated with the needs.
Conclusions:
There is a need to further strengthen the structure and function of the CPTs and to improve its implementation in Taiwan. It is important to improve inter-agency collaboration and to establish an incentive mechanism for hospital CPTs. Working closely with community agencies is also needed to provide a good quality of care to the maltreated child and the family.
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