除了虐待儿童之外:家庭问题被带到儿童福利系统
Lindsey Palmer1, Tenesha Littleton2, Sarah Font3
1University of Utah, College of Social Work.
概括
大多数儿童保护服务 (CPS) 的转介源于忽视,而不是虐待. 父母使用物质,儿童行为问题和未满足的需求是常见的问题,经常同时发生,突出需要更好的心理健康和物质使用治疗.
科学领域:
- 儿童福利研究
- 公共卫生
- 社会工作研究
背景情况:
- 儿童保护服务 (CPS) 系统遇到的原因不仅仅是身体或性虐待.
- 尽管与忽视相关的担忧很常见,但在学术和公共话语中代表性不足.
- 了解这些转诉的具体性质对于有效的干预至关重要.
研究的目的:
- 描述家庭担忧的类型和重叠记录在儿童福利转移的原因,而不是虐待.
- 分析儿童福利系统中指控的频率和模式.
主要方法:
- 利用了2021年宾夕法尼亚州儿童福利系统提供的145,745名儿童的基于人口的数据.
- 专注于因排除身体或性虐待指控而提出的指控.
- 分类和分析记录的家庭问题,包括父母的物质使用,儿童的行为问题,和未满足的物质需求.
主要成果:
- 父母吸毒 (28%),儿童行为问题 (24%) 和未满足的物质需求 (23%) 是最常见的指控.
- 一半的转诊涉及多个类别的指控 (并发症).
- 只有34%的转诊是有根据的,表明需要服务干预,儿童行为健康问题最有可能是独立报告的.
结论:
- 没有一个单一的因素推动了大量的CPS转诊;多重重叠的担忧普遍存在.
- 增加父母和青少年有效的心理健康和物质使用治疗的机会,可以减少在危机管理中依赖心理医疗.
- 解决药物使用和行为健康等根本问题是缓解CPS系统参与的关键.
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