The “New Era” in Victorian Therapeutic Residential Care DOI
Patricia McNamara

Oxford University Press eBooks, Journal Year: 2022, Volume and Issue: unknown, P. 405 - 418

Published: Dec. 13, 2022

Abstract This chapter offers an overview of developments in policy, practice and research since the advent what was described as Victoria’s “new era” therapeutic residential care a decade ago. Not all have been positive. However, advances clearly made policy development. Raising leaving age Victoria is one most important because it has capacity to much improve post-care education training outcomes. Reducing size homes better meet individual need facilitate best possible matching young people another welcome Practice improvements such higher staff benchmarks more intensive responses families are also noteworthy. Perhaps gradual reframing Victorian opportunity for hope, healing, moving forward; too often deemed “last resort,” signaling person’s arrival at “end line” after dispiriting out-of-home-care journey.

Language: Английский

Navigating the barriers to supporting neurodevelopmental disorders in children in out-of-home care DOI Creative Commons

Catherine Scrivens,

Jayden Logan,

Natasha Reid

et al.

Children and Youth Services Review, Journal Year: 2023, Volume and Issue: 153, P. 107090 - 107090

Published: July 13, 2023

Children with neurodevelopmental disorders are currently overrepresented in the out-of-home-care (OOHC) system. This overrepresentation has created an increasing need for staff and carers to be equipped handle complexities these conditions entail. The aim of current study was gather information understand service needs, practices, knowledge within a private provider OOHC services Queensland. included identifying barriers implementation Australian National Clinical Assessment Framework, which aims facilitate appropriate screening, assessment intervention provision children young people OOHC. Twenty-five 15 caregivers participated online survey. Results demonstrated that both felt they needed additional training understanding supporting identified number accessing services. Barriers included: insufficient access (i.e., lack training, health records missing or incomplete pre-placement consultation) available resources (extensive wait times due reliance on public system red tape systemic issues). results also highlighted level unmet physical, developmental psychological needs care, third reporting concerns. Overall, provides critical recommendations future strategies interventions better meet Queensland

Language: Английский

Citations

2

Australian Foster Carers’ Views and Concerns Regarding Maternal Drug Use and the Safety of Breastmilk DOI Creative Commons
Stacy Blythe, Kath Peters, Emma Elcombe

et al.

Children, Journal Year: 2021, Volume and Issue: 8(4), P. 284 - 284

Published: April 7, 2021

Parental substance misuse and mental health issues are major factors associated with infant placement into out-of-home care. Such placements may result in disruption and/or cessation of breastfeeding. Provision breastmilk to infants care (OOHC) is desirable terms development, also supporting maternal caregiving. However, little known about how breastfeeding supported for This study used an online survey explore the facilitation context OOHC foster carers’ management expressed (EBM). Foster carers were generally open idea their receiving EBM from mothers. majority respondents concern regarding safety consumption due possibility harmful substances milk. Concerns handling prevalent. These concerns caused discard EBM. Findings suggest lack knowledge related use breastmilk. Better integration between social service systems, where voices mothers, child protection workers heard, necessary develop solutions enabling living access mother’s

Language: Английский

Citations

5

How can mental health practitioners collaborate with child welfare practitioners to improve mental health for young people in out of home care? DOI
Katherine Monson, Helen Herrman,

Kristen Moeller‐Saxone

et al.

Early Intervention in Psychiatry, Journal Year: 2021, Volume and Issue: 15(6), P. 1768 - 1776

Published: Jan. 21, 2021

Abstract Background Young people who grow up in out of home care have higher risk poor mental health outcomes than peers with their family‐of‐origin. Interagency collaboration is an important service‐level intervention to improve access healthcare. However, few descriptions provide guidance about between individual practitioners. Aim This substudy aimed contribute a larger study—the Ripple project—through exploring the experiences practitioners working across child welfare and services regarding young people; identify practices that might enhance collaborative work outcomes. Methods Practitioners from were purposively sampled participated focus groups. Recordings transcriptions groups analysed themes within A cross‐sector expert advisory group was involved this work. Results Focus convened 43 We identified four during analysis, these were: shared understanding history context problems; specific skills practices; self‐awareness workers carers; involving supporting carers. Conclusions number lead enhanced agencies interdisciplinary teams. Supporting adopt assist interagency working.

Language: Английский

Citations

4

Improving the mental health and mental health support available to adolescents in out-of-home care via Adolescent-Focused Low-Intensity Life Story Work: a realist review DOI Creative Commons
Simon P. Hammond,

Ella Mickleburgh,

Claire Duddy

et al.

BMJ Open, Journal Year: 2023, Volume and Issue: 13(10), P. e075093 - e075093

Published: Oct. 1, 2023

Life Story Work (LSW) is used to promote the mental health and well-being of children adolescents living in out-of-home care. LSW should be offered all but conventionally delivered high-intensity ways. Low-intensity approaches are more accessible there significant variation little guidance for supporting adolescents. We aimed create Adolescent-Focused Low-Intensity LSW. Realist review. MEDLINE, Embase, PsycINFO, Sociology Collection (ProQuest), CINAHL, CDAS, Web Science (SCIE, SSCI), Social Care Online grey literature sources. Searches were performed between December 2021 March 2022. Documents on care, and/or low-intensity interventions improve included. focusing parenting style contact with birth family excluded. analysed using a realist logic analysis. In consultation Content Expert Groups (comprising professionals care leavers), we developed an initial programme theory. Data relating challenging theory extracted context-mechanism-outcome-configurations developed, critiqued refined iterative fashion. Interpretations drawn from enhance 75 documents contributed Generally, studies small-scale lacked in-depth methods evaluation descriptions. Findings indicated important factors contribute development high-quality person-centred, begin now, involve co-construction, record everyday positive life events supported by trained carer(s). Context-mechanism-outcome-configurations these themes reported. Using this knowledge practice support social deliver better quality consistently. To address gaps our about impact LSW, further primary research needed strengthen understandings how intervention works (or not) different contexts. CRD42021279816.

Language: Английский

Citations

1

Emotional and behavioral problems among children and adolescents in a residential care institution in Colombo, Sri Lanka – Implications for service delivery DOI
Yasodha Maheshi Rohanachandra,

K. A. S. D. Nanayakkara,

Santhrasulochana Vipulanandan

et al.

Asian Journal of Psychiatry, Journal Year: 2022, Volume and Issue: 74, P. 103193 - 103193

Published: June 20, 2022

Language: Английский

Citations

2

Australian Residential Care DOI
Patricia McNamara,

Shelley Wall

Oxford University Press eBooks, Journal Year: 2022, Volume and Issue: unknown, P. 339 - 355

Published: Dec. 13, 2022

Abstract This chapter presents an overview of Australian efforts to reform the residential care sector. Concerns are forced removal Indigenous children and others from disadvantaged families as well abuse neglect in settings lack documentation efficacy. Current goals include preventing behavioral contagion some building a trauma-informed approach into care. Promising program initiatives identified, is national leadership for improving The concludes with matrix used throughout book, which provides information on current policy context, key trends initiatives, characteristics youth served, preparation personnel, promising programmatic innovations, present strengths challenges.

Language: Английский

Citations

2

Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project DOI Creative Commons
H. El Ouazzani, Simon Fortin, Nicolas Venisse

et al.

Research Square (Research Square), Journal Year: 2021, Volume and Issue: unknown

Published: Oct. 18, 2021

Abstract Background Environmental health promotion interventions may reduce endocrine disruptor (ED) exposure. PREVED (PREgnancy, preVention, Endocrine Disruptors) project was developed to improve knowledge, enhance risk perception and change exposure behavior. Our objective present the phases of using RE-AIM method. Methods intervention consisted 3 workshops during pregnancy. Reach, adoption, implementation were assessed with qualitative studies. Efficacy study a three-arm randomized controlled trial (RCT) on 268 pregnant women: i) control group (leaflet) ii) in neutral location iii) contextualized location. The main outcome percentage evolution participants who reported consuming canned food. Secondary outcomes psycho-social scores, ED presence urine colostrum. Results adoption centered upper-privileged women, but assessment showed that key features (highly practical intervention) seemed be carried out had initiated some behavior changes. A total women participated 230 (control group: 86 groups: 172). We found no significant differences consumption food having decrease bisphenol or parabens urine, we increase score overall psychosocial groups (respectively: +15.73 versus +21.03 intervention, p=0.003 +12.39 +16.20, p=0.02). difference butylparaben detection between (13% 3%, p=0.03). Conclusion is first research dedicated perinatal environmental education France. By sharing know-how/experience positive non-alarmist approach, it improved perception, which aiming Including precarious situations stay major issue. Trial registration number: Retrospectively registered 31 July 2017 (when participant enrolled this non-drug ClinicalTrials.gov therapeutic trials): NCT03233984 - URL: https://clinicaltrials.gov/ct2/show/NCT03233984

Language: Английский

Citations

2

The “New Era” in Victorian Therapeutic Residential Care DOI
Patricia McNamara

Oxford University Press eBooks, Journal Year: 2022, Volume and Issue: unknown, P. 405 - 418

Published: Dec. 13, 2022

Abstract This chapter offers an overview of developments in policy, practice and research since the advent what was described as Victoria’s “new era” therapeutic residential care a decade ago. Not all have been positive. However, advances clearly made policy development. Raising leaving age Victoria is one most important because it has capacity to much improve post-care education training outcomes. Reducing size homes better meet individual need facilitate best possible matching young people another welcome Practice improvements such higher staff benchmarks more intensive responses families are also noteworthy. Perhaps gradual reframing Victorian opportunity for hope, healing, moving forward; too often deemed “last resort,” signaling person’s arrival at “end line” after dispiriting out-of-home-care journey.

Language: Английский

Citations

0