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1.
Am J Orthopsychiatry ; 93(5): 436-449, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37471020

RESUMO

Following COVID-19, young people who transitioned to adulthood from different types of alternative care (care leavers) experienced an exacerbation of the challenges they had before the pandemic. The purpose of this international survey was to explore the range of policy and service responses that have or have not been implemented around the world to support care leavers during COVID-19. Responses were collected from care-leaving researchers from 19 countries toward the end of 2020. Half of the participating countries reported that the state had issued directives about measures that should be taken to support care leavers following COVID-19 outbreak, but only three reported actual changes in legislation. Additionally, nongovernmental organizations (NGOs) in various countries took steps to guide and support care leavers, while two thirds reported on special initiatives that were mounted. The most common change in practices during COVID-19 was the postponement of exits from care, and the second was an increase in contact from workers. These findings are critically discussed in relation to the impact of policy changes on an already vulnerable group. In particular, we indicate that there appears to be a widening care gap: Some countries with stronger leaving care legal and policy frameworks pre-COVID-19 were more inclined to introduce additional supportive measures during the pandemic, whereas some with underdeveloped services tended not to increase the support. By contrast, other countries used this crisis to develop services that were not available before. The creativity and flexibility in the services provided during the COVID-19 outbreak are required on an ongoing basis and thus should be implemented overall. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
COVID-19 , Pacientes Desistentes do Tratamento , Transição para Assistência do Adulto , Pandemias , Humanos , Adolescente , Assistência ao Convalescente , Acessibilidade aos Serviços de Saúde
2.
Child Abuse Negl ; 122: 105366, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34715453

RESUMO

BACKGROUND: The reunification of children in out-of-home care has gained increasing attention from both researchers and policy makers in many jurisdictions in recent years. In Ireland, however, reunification has received little attention and there is a dearth of data, research, policy and guidance in this area. OBJECTIVE: This paper explores perspectives on, and experiences of, reunification in Ireland among respondents from a range of professional and practice backgrounds. The authors suggest that there are lessons to be learned from the Irish case for other jurisdictions with limited policy and research in the area of reunification. PARTICIPANTS & METHODS: The research was carried out using a qualitative approach. Semi-structured interviews were carried out with 12 respondents from a range of professional and practice backgrounds and/or experience of reunification in Ireland. FINDINGS: Findings suggest that there is a lack of clarity and a limited focus on the process of reunification for children in care in Ireland. This lack of focus on reunification and absence of national guidance appears to have resulted in some children 'drifting' through the care system with little exploration of the possibility to return home. Minimal emphasis on working with birth parents to support and enable them to resume caring for their children is reported. CONCLUSION: Findings suggest that future efforts in this area should focus on: 1) developing a comprehensive research agenda in relation to reunification; 2) ensuring reunification is clearly placed on the policy agenda in Ireland; and 3) establishing a framework for practice guidance and a specialised reunification service to promote working with birth parents.


Assuntos
Serviços de Assistência Domiciliar , Criança , Humanos , Irlanda
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