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1.
Child Abuse Negl ; : 105357, 2021 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-34686361

RESUMO

BACKGROUND: When a child needs to be placed in substitute care by child protection services, social workers are encouraged to use kinship care (KC), mainly because of the greater stability associated with it. However, current state of knowledge on reunification and placement stability is essentially based on studies that combined children in KC and children in other types of substitute care setting. OBJECTIVES: This paper aims to describe longitudinally the placement trajectory of children placed in KC and to identify the factors associated with the type of exit from KC (move to another substitute care setting or reunification). METHOD: All children in a Québec child protection services agency who started a KC placement in 2014-15 under the age of 13 are observed for three years (N = 172). Data come from the child's casefile and from telephone questionnaires with the caseworker at the beginning and at the end of placement (or at the end of observation if the child has not exited). RESULTS: Several children remained in the same KC setting during the observation (39%). The others were reunified (34%) or moved to another substitute setting (27%). Multivariate regression analyzes indicated that reunification was mostly determined by higher frequency of parent-child contacts, less registrations in clinical programs and absence of parental mental health problems, while placement move was mostly associated with placement beginning as provisional measure, higher frequency of parent-child contacts and presence of parental mental health problems. CONCLUSIONS: This study highlights determinants of stability and permanency that may be specific to kinship placements.

2.
Child Abuse Negl ; : 105180, 2021 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-34274128

RESUMO

BACKGROUND: In the Canadian province of Quebec, placing children in foster care is an exceptional measure whose ultimate goal is family reunification. When child-protection workers decide that reunification is unlikely, they must design permanency plans that ensure continuity of care and stable relationships for the child. Most studies of this important decision-making process have focused on individual practitioners as if they acted alone. This process is collective, interactive, and influenced by various contextual elements. OBJECTIVE: The objective of this exploratory study was to examine the collective, interactive aspects of the decision-making process involved in permanency planning. PARTICIPANTS AND SETTING: The participants were key players involved in child-protection decisions at an Integrated University Health and Social Services Centre (CIUSSS). METHODS: The theoretical approach of this study combines Giddens's structuration theory with ethnomethodology. Data were collected through interviews with 16 key players and nine months of observing advisory-committee meetings. RESULTS: In making permanent placement decisions, the participants must engage in extensive interactions with one another. They must also apply various institutional (clinical, legal, and managerial) logics with differing goals and differing operational frameworks, the tensions among which make the process more complex and challenging. CONCLUSIONS: Our findings highlight the complexity of making permanent placement decisions and the importance of interaction and collaboration in this process. These findings suggest that management of this process should focus not on holding practitioners accountable and penalizing them for mistakes, but rather on providing adequate conditions for practice to facilitate thoughtful collective deliberation and learning and ethical decision-making.

3.
J Interpers Violence ; : 886260519900968, 2020 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-32024419

RESUMO

This qualitative study examines the perceptions of mothers, fathers, and adolescents on the relations they see between intimate partner violence, mental health and substances use parental problems that co-occur in their family, and the mothers' and fathers' associated parenting challenges. The sample was composed of 43 people (15 mothers, 16 fathers, and 12 adolescents) who were directly affected by the co-occurrence of intimate partner violence and mental health or substances use parental problems. The participants were recruited with the collaboration of public and community organizations in the Province of Québec (Canada). The data were collected through semi-structured interviews and combined with a table detailing the specific problems identified by the participants. A thematic content analysis method was employed to do the coding, and a summary of the results was returned to some participants who agreed to collaborate with the validation of the results. The analysis revealed numerous and diverse relations between the interviewees' co-occurring problems, but two principal patterns emerged. The first one was chiefly observed in the comments made by mothers and adolescents who saw the co-occurring problems as being the consequence of the intimate partner violence on the mother. The second pattern was largely observed in the fathers' comments, who explained that the substance use problems came before the intimate partner violence and acted as an aggravating factor. The co-occurrence of intimate partner violence with other parental problems strongly affected the mothers' and fathers' parenting, making it more difficult to meet the children's needs. Considering the complexity and diversity of the experiences and needs of the mothers, fathers, and children in co-occurring situations, future studies should evaluate the services provided to these families and the coordination between the different concerned organizations.

4.
Violence Against Women ; 24(9): 1023-1038, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29332543

RESUMO

This article reports findings from a participative and qualitative study conducted with children who had experienced domestic violence, focusing on their perspectives on their relationships with their mothers. Three focus groups and 46 individual interviews were conducted with children to gather their experiences. The research findings demonstrate that women's and children's victimizations are inextricably linked, and that domestic violence affects mother-child relationships. They also show that, despite the challenges and difficulties, children generally consider their mothers as very significant individuals in their lives, and have close relationships with them. The findings also reveal a dynamic of mutual protectiveness.


Assuntos
Filho de Pais Incapacitados/psicologia , Violência Doméstica/psicologia , Relações Mãe-Filho/psicologia , Adolescente , Criança , Vítimas de Crime/psicologia , Violência Doméstica/estatística & dados numéricos , Feminino , Grupos Focais , Humanos , Entrevistas como Assunto/métodos , Masculino , Mães/psicologia , Mães/estatística & dados numéricos , Ontário , Pesquisa Qualitativa
5.
Can J Public Health ; 106(7 Suppl 2): eS66-73, 2016 Mar 14.
Artigo em Francês | MEDLINE | ID: mdl-26978692

RESUMO

OBJECTIVES: Over the past twenty years, numerous community social pediatrics centres (CSPCs) have been established in Quebec. Because the needs of the children followed are so complex, collaboration with organizations in social services and public and community health networks is paramount. The purpose of this study is to document CSPCs'level of integration into these networks and the issues and challenges involved in such collaborations. METHOD: Telephone surveys were conducted with 75 respondents from public and community networks and with representatives from CSPCs that have been open for at last one year. Two questionnaires were used to document the depth and quality of connections and an open question helped identify certain collaboration-related issues and challenges. RESULTS: CSPCs perceive a higher level of collaboration with the social services and public health network than with the community network. Similarly, CSPCs want to collaborate more with the public network than with the community network. With respect to the quality of collaborations, the climate is more positive and the level of joint coordination is higher between CSPCs and the public network. Although they are similar, the issues related to collaboration can be seen differently in terms of challenges, depending on the stakeholders' network. CONCLUSION: Results are discussed in light of challenges that characterize the collaborations between CSPCs and the networks, which include the recognition of their identity and the funding of the organizations.


Assuntos
Redes Comunitárias/organização & administração , Comportamento Cooperativo , Pediatria/organização & administração , Criança , Necessidades e Demandas de Serviços de Saúde , Humanos , Saúde Pública , Quebeque , Serviço Social/organização & administração , Inquéritos e Questionários
6.
Can J Public Health ; 106(7 Suppl 2): eS38-44, 2016 Mar 14.
Artigo em Francês | MEDLINE | ID: mdl-26978695

RESUMO

OBJECTIVES: The Main dans la main initiative relies on collaboration between child protection and hospital-based social workers to help substance-abusing expectant mothers maximize their chances of caring for their newborn. The article describes the positive outcomes of this initiative for the women, based on the experiences and perception of the participants and social workers involved. METHOD: A case study was conducted with 21 participants using three data sources: 1) a semi-structured interview with the mothers at two points in time; 2) a semi-structured interview with social workers; and 3) the tools of the initiative. The data were analyzed based on content condensation and data presentation. RESULTS: A majority of participants experienced changes in their various spheres of life: personal (positive changes in substance-abuse habits), parental (improved self-confidence as a parent, reduced stress due to the fear of losing custody of their newborn), and social/relational (improved relationships with social support network and support services). CONCLUSION: The results confirm the relevance and potential for change of a short intervention model during the perinatal period based on inter-professional collaboration with substance-abusing expectant mothers. Further research is needed to validate the hypothesis on the effectiveness of this initiative.


Assuntos
Serviços de Proteção Infantil/organização & administração , Comportamento Cooperativo , Gestantes/psicologia , Serviço Hospitalar de Assistência Social/organização & administração , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Feminino , Humanos , Estudos de Casos Organizacionais , Gravidez , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , Transtornos Relacionados ao Uso de Substâncias/psicologia
7.
Can J Public Health ; 106(7 Suppl 2): eS21-30, 2016 Mar 14.
Artigo em Francês | MEDLINE | ID: mdl-26978696

RESUMO

OBJECTIVES: The objectives of this study were to 1) map the geographic distribution of rates of children reported to Montreal child protective services by ethnocultural group (Black, other visible minorities, not from visible minorities) and 2) estimate the relative contribution of different territorial characteristics to the rates for those groups. METHOD: The study covered the 505 Montreal-area census tracts for which complete data were available. The reporting rates by group (dependent variables) and various territorial characteristics such as poverty (independent variables) were mapped and subjected to multiple linear regression and geographically weighted regression. The results of the geographically weighted regression were then mapped. RESULTS: The geographic distribution and reporting rates varied greatly by group, with the Black children having the highest rates. Although territorial characteristics explained 51% of variance for the children who were not members of visible minorities, they were clearly less effective in predicting rates in the case of Black children (18%) and other minorities (18%). CONCLUSION: Already well-known territorial risk factors are at work in Montreal, but their influence is not equally strong in all census tracts nor, especially, in all ethnocultural groups. Therefore, when only the distribution and prediction of reports for all children as a whole are examined, important differences are underestimated. Access to and appropriateness of services offered to vulnerable families, including those of visible minorities, could, however, be improved with a better understanding of local dynamics.


Assuntos
Grupo com Ancestrais do Continente Africano/estatística & dados numéricos , Maus-Tratos Infantis/etnologia , Serviços de Proteção Infantil/estatística & dados numéricos , Mapeamento Geográfico , Grupos Minoritários/estatística & dados numéricos , Canadá , Criança , Humanos , Áreas de Pobreza , Fatores de Risco
8.
Can J Public Health ; 106(7 Suppl 2): eS45-56, 2016 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-26978697

RESUMO

OBJECTIVES: Study results on child maltreatment based on general population samples cannot be extrapolated with confidence to vulnerable immigrant or refugee families because of the specific characteristics and needs of these families. The aims of this paper are 1) to conduct an evidence review of the prevalence, risk factors and protective factors for child maltreatment in immigrant and refugee populations, and 2) to integrate the evidence in an analytical ecosystemic framework that would guide future research. METHODS: We used a 14-step process based on guidelines from Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the Canadian Collaboration for Immigrant and Refugee Health. We searched major databases from "the oldest date available to July 2014". The eligibility criteria for paper selection included qualitative or quantitative methodologies; papers written in English or French; papers that describe, assess or review prevalence, risk and protection factors for child maltreatment; and a studied population of immigrants or refugees. SYNTHESIS: Twenty-four articles met the criteria for eligibility. The results do not provide evidence that immigrant or refugee children are at higher risk of child maltreatment. However, recently settled immigrants and refugees experience specific risk factors related to their immigration status and to the challenges of settlement in a new country, which may result in high risk of maltreatment. CONCLUSION: Future research must incorporate more immigrant and refugee samples as well as examine, within an ecosystemic framework, the interaction between migratory and cultural factors with regard to the prevalence, consequences and treatment of child maltreatment for the targeted groups.


Assuntos
Maus-Tratos Infantis/estatística & dados numéricos , Emigrantes e Imigrantes/estatística & dados numéricos , Refugiados/estatística & dados numéricos , Canadá/epidemiologia , Criança , Humanos , Modelos Teóricos , Prevalência , Fatores de Proteção , Fatores de Risco
9.
Child Welfare ; 87(2): 59-76, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18972932

RESUMO

The aim of this descriptive study was to compare the report profiles of Caucasian, Aboriginal, and other visible minority children whose cases were assessed by child protective services in Canada. The results show that children of Aboriginal ancestry and from visible minority groups are selected for investigation by child protective services 1.77 times more frequently than are children in the general population. Physical abuse is reported and substantiated more often for Asian children, whereas neglect is chiefly an issue with Aboriginal and black children. Child vulnerability factors and parental and housing risk factors alone cannot explain the higher substantiation percentages, except for Aboriginal children, for whom the risks are higher than for the other groups. The individual and family profiles of Asian and black children appear to be significantly less of a burden than those of Aboriginals and Caucasians. These results may reflect a certain degree of racial bias in the identification and reporting of maltreatment cases to child protective services and in decisions about the substantiation of maltreatment.


Assuntos
Maus-Tratos Infantis/etnologia , Proteção da Criança/etnologia , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Índios Norte-Americanos/estatística & dados numéricos , Grupos Minoritários/estatística & dados numéricos , Adolescente , Canadá , Criança , Maus-Tratos Infantis/estatística & dados numéricos , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Incidência , Lactente , Masculino , Preconceito , Fatores de Risco
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