Empowering vulnerable parents through a family mentoring program
Empowering vulnerable parents through a family mentoring program
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DOI：
10.1071/py14174
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发表时间：
2016-01-01
影响因子：
1.3
通讯作者：
Joss, Nerida
中科院分区：
文献类型：
--
作者：
Ayton, Darshini;Joss, Nerida
有证据表明，辅导方案可以通过角色示范、社会支持和发展新技能的机会来培养积极的关系。保健专业人员或志愿人员为高危家庭提供育儿支助和陪伴的家访方案受到保健和福利部门的重视。这些方案往往侧重于新妈妈和直接的育儿问题，而不涉及影响家庭福祉和功能的更广泛的社会健康决定因素。在这里，我们报告的评估创造机会和铸造希望（教练）计划，家庭辅导计划，为弱势父母。COACH旨在通过解决住房、就业、保健、财政和社会支助等社会决定因素，打破世代贫穷的循环。混合方法的方法被用来评估该计划，涉及半结构化的采访与家长（n=12），调查与导师（n=27）和客户端的案例报告审查（n=27）。父母的住房和就业状况、家庭动态、社会支持和心理健康都得到了改善，吸毒和酗酒的情况也减少了。辅导员介绍了在育儿战略、财务管理和家庭技能方面提供的指导。与当地学校、保健服务和福利机构的伙伴关系对于家庭转诊过程至关重要，从而建立了社区支助和护理网络。COACH的辅导模式突出了通过家庭环境和更广泛的社会和经济因素来解决儿童健康的社会决定因素的灵活和长期方案的好处。
Evidence suggests that mentoring programs can foster positive relationships through role modelling, social support and opportunities to develop new skills. Home visiting programs, where a health professional or volunteer provides parenting support and companionship to at-risk families, have received attention from the health and welfare sector. These programs tend to focus on new mothers and immediate parenting concerns, and do not address broader social determinants of health that impact on the well being and functionality of the family. Herein we report on an evaluation of the Creating Opportunities and Casting Hope (COACH) program, a family mentoring program for vulnerable parents. COACH seeks to break cycles of generational poverty by addressing social determinants, such as housing, employment, health, finances and social support. A mixed-methods approach was used to evaluate the program, involving semistructured interviews with parents (n=12), surveys with mentors (n=27) and client case report review (n=27). Parents experienced improvements in their housing and employment situations, family dynamics, social support and mental health, and decreased drug and alcohol use. Mentors described providing guidance on parenting strategies, financial management and domestic skills. Partnerships with local schools, health services and welfare agencies were vital in the referral processes for families, thereby building a community network of support and care. The COACH model of mentoring highlights the benefits of a flexible and long-standing program to address the social determinants of child health through the family environment and wider social and economic factors.