国家对寄养儿童集体照顾改革的实施情况
Rachael J Keefe1,2,3, Colin J G Cepuran4, Keri Richmond3
1Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Pediatrics
|June 27, 2024
概括
家庭优先预防服务法案 (FFPSA) 的改革正在实施,合格住房治疗计划 (QRTP) 成为主要设置. 关键的挑战包括劳动力,资金和获得寄养护理,需要进一步的投资和监督.
科学领域:
- 儿童福利政策 儿童福利政策
- 寄养护理改革 寄养护理改革
- 住院治疗 住院治疗
背景情况:
- "家庭优先预防服务法案" (FFPSA) 要求对寄养青少年的集体照顾进行改革.
- 各国需要在2021年10月1日之前实施FFPSA集体护理改革.
- 合格住院治疗计划 (QRTP) 是这些改革的关键组成部分.
研究的目的:
- 了解FFPSA集体护理改革的基准实施情况.
- 识别障碍,成功,并为集体护理政策和实践提出建议.
- 为未来的群体护理政策和实践提供信息.
主要方法:
- 从2022年6月到9月进行了一项混合方法研究.
- 全国调查分发给州儿童福利机构的董事.
- 聚焦小组与青年,管理人员和QRTP领导人举行.
主要成果:
- 47个州报告了正在进行的FFPSA改革,减少集体护理和增加亲属护理.
- 现在,QRTP是主要的集体护理机构.
- 主要障碍包括劳动力限制,资金和获得治疗性寄养护理.
结论:
- 实施FFPSA需要额外的资金和技术援助.
- 监督,员工专业化和以年轻人为中心的方法至关重要.
- 建议对QRTP的性能和基于结果的监测.
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