Child welfare involvement and adjustment among care alumni and their children: A systematic review of risk and protective factors.
Child welfare involvement and adjustment among care alumni and their children: A systematic review of risk and protective factors.
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DOI：
10.1016/j.chiabu.2022.105776
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发表时间：
2022-09
影响因子：
4.8
通讯作者：
Seker, Sueheyla
中科院分区：
文献类型：
--
作者：
Jaggi, Lena;Jaramillo, Jamie;Drazdowski, Tess K.;Seker, Sueheyla
最近的研究和政策承认护理校友（即，（例如，以前接受家庭外照料的成年人[OHC]）作为一个在进入成年后处境不利的人群，与一般人群相比，往往与过早为人父母相结合。本系统综述的目的是概述父母OHC对父母（即父母调整，养育）及其子女（即OHC或儿童福利系统（CWS）参与，调整，发展的患病率）的影响，以及与这些结果相关的保护和风险因素。根据PRISMA系统性综述指南，从概念到2022年2月16日，在四个电子数据库中检索相关文章;并补充了相关参考文献的手动检索引文。通过定性总结对证据进行了综合。共纳入38项研究（19项定量研究，14项定性研究和5项混合方法研究）。研究证实，护理校友中早期为人父母的比例增加，他们的孩子患OHC的风险增加。然而，大多数儿童仍然与他们的照顾校友的父母，和一些家长会见了所需的支持，以科普具有挑战性的情况。定性研究指出，非常需要专门的服务，包括育儿计划，解决过去的创伤和依恋问题。他们还强调了潜在的保护因素。研究结果表明，护理校友的父母经历复合劣势，这可能会增加他们的孩子的OHC的风险。需要更多的研究儿童的调整，并对保护因素，可以利用设计有效的干预措施，减少跨代CWS的参与。
Recent research and policy recognize care alumni (i.e., adults formerly in out-of-home care [OHC]) as a population with a high accumulation of disadvantages well into adulthood, often in combination with early parenthood compared to the general population. The aim of this systematic review is to provide an overview on the impact of parental OHC on outcomes for both parents (i.e. parental adjustment, parenting) and their children (i.e. prevalence rates of OHC or child welfare system (CWS) involvement, adjustment, development), as well as protective and risk factors associated with those outcomes. Relevant articles were searched in four electronic databases from conception to 16 February 2022 according to PRISMA guidelines for systematic reviews; supplemented with hand-searched citations from relevant references. Evidence was synthesized via a qualitative summary. A total of 38 studies were included (19 quantitative, 14 qualitative, and 5 mixed-methods studies). Studies confirm increased rates of early parenthood among care alumni and an elevated risk of OHC among their children. However, most children remain with their care alumni parents, and some parents were met with the needed support to cope with challenging circumstances. Qualitative studies point to a great need for specialized services, including parenting programs that address past trauma and attachment issues. They also highlight potential protective factors Findings suggest that care alumni parents experience compounding disadvantage, which may increase their children’s risk of OHC. More research is needed on child adjustment, and on protective factors that can be leveraged to design effective interventions that decrease transgenerational CWS involvement.
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