婴儿进入户外照顾:健康,发展需求和服务提供
Fernando Lima1, Stephanie Taplin2, Miriam Maclean1
1Australian Centre for Child Protection, University of South Australia, Perth, WA, Australia.
Child abuse & neglect
|December 3, 2023
概括
在家外照顾的婴儿表现出高度的发育脆弱性. 早期干预服务对于这些弱势儿童来说至关重要,以改善健康和社会情感结果.
科学领域:
- 儿童发展 儿童发展
- 公共卫生 公共卫生
- 社会服务社会服务.
背景情况:
- 进入家庭外护理的婴儿面临着发育迟缓和健康问题的风险增加.
- 儿童保护方面的担忧正在导致婴儿进入托儿所的数量增加.
- 早期的研究表明,这一群体对脆弱性的敏感性更高.
研究的目的:
- 评估在户外照顾的婴儿中发育脆弱性的患病率.
- 确定为发展需求提供服务的范围和可能性.
- 调查受护婴儿的脆弱性和服务获取之间的关系.
主要方法:
- 使用护理途径纵向研究 (POCLS) 数据进行的前性队列研究.
- 包含关联的行政儿童保护和健康记录.
- 标准化发育评估 (年龄和阶段问卷,简要婴幼儿社会情感评估) 和后勤回归分析被采用.
主要成果:
- 在护理中的婴儿中有很大一部分被确定为发育脆弱 (70%通过评估,36%通过健康指标).
- 在接受照顾的婴儿中,只有17%的婴儿接受了发育迟缓服务.
- 服务供应甚至对于那些被确定为脆弱的人来说也很低 (分别为评估和与健康有关的脆弱性20%和15%).
结论:
- 发育评估对于在家外照顾的婴儿至关重要,以确定脆弱性和延迟.
- 早期干预服务对于优化这一高风险群体的健康和社会情感结果至关重要.
- 解决服务差距对于支持照顾婴儿的发展轨迹至关重要.
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