儿童福利系统对国家心理健康危机的反应
Afifa Adiba1, William David Lohr2, Wynne Morgan3
1Sheppard Pratt Health System, 6501 North Charles Street, Baltimore, MD 21204, USA; Department of Psychiatry and Behavioral Health, University of Maryland.
Child and adolescent psychiatric clinics of North America
|September 14, 2024
概括
2019年新冠肺炎疫情扰乱了儿童福利系统,增加了弱势青年,特别是美国印第安人和阿拉斯加土著儿童的风险. 解决心理健康危机为改善护理系统提供了机会.
科学领域:
- 儿童福利 儿童福利
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 2019年新冠肺炎 (COVID-19) 疫情在全国范围内对儿童福利系统产生了重大影响.
- 关键问题包括儿童虐待报告的减少,儿童延迟永久性,以及系统不成比例的增加.
- 寄养的年轻人面临着更高的风险,例如长时间入住医院急诊室和非传统的安置.
研究的目的:
- 检查COVID-19大流行对儿童福利系统的影响.
- 突出对弱势群体,包括美洲印第安人和阿拉斯加土著儿童的不成比例影响.
- 探索系统改进的机会,以应对国家心理健康危机.
主要方法:
- 这项研究涉及对现有文献和有关大流行期间儿童福利系统绩效的数据进行了审查.
- 分析的重点是报告趋势,永久性结果和安置稳定性.
- 特别注意的是影响美国印第安人和阿拉斯加土著儿童的差异.
主要成果:
- 疫情导致报告的儿童虐待和忽视案件显著下降.
- 对于寄养儿童来说,实现永久性的延迟加剧了.
- 美国印第安人和阿拉斯加土著儿童经历了放大负面影响,包括增加不成比例和安置不稳定.
结论:
- 疫情暴露并放大了儿童福利系统中现有的脆弱性.
- 迫切需要采取干预措施,以解决与儿童福利相关的儿童和家庭的心理健康需求.
- 系统性变化是必要的,以改善所有儿童的平等和结果,特别是来自边缘化社区的儿童.
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