«Kan vi hjelpe når krisa rammer?»Barnevern, smittevern og store forskjeller i tjenestene under covid-19-pandemien

Krane, Vibeke; Ausland, Liv Hanson; Andvig, Ellen

doi:10.18261/issn.2464-3076-2021-02-02

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…Our participants’ description of VC as ‘not real therapy’ resembles findings of therapists’ descriptions of VC as ‘a filter for emotions’ [ 6 ]. Other studies have also pointed out that subtle cues, facial expressions and body language that might be essential for showing empathy, genuineness and engagement could be lost in virtual communication [ 9 , 26 ]. Moeller’s [ 46 ] review of adults’ experiences of VC is in line with this finding: all of the included studies found that patients mentioned that VC contact with the therapist was less personal and intense than in person.…”

Section: Discussionmentioning

confidence: 99%

“…However, structural inequality in access to technological solutions and disparities in knowledge of digital tools have been highlighted [9,21,24,25]. Digital solutions in CAMHS and CWS also pose confidentiality and safety risks as clients need a stable internet connection and privacy for a VC [20,22,26].…”

Section: Introductionmentioning

confidence: 99%

“…Several concerns have also been raised regarding the development and quality of the therapeutic relationship in VC [5,6,21]. Establishing a therapeutic relationship in VC risks losing some of the nuances of communication related to body language, facial expressions and subtle social cues [9,26,30]. There are also concerns that therapists in VC have limited access to risk assessment of the child's safety, care situation and need for CWS support.…”

Section: Introductionmentioning

confidence: 99%

“…During COVID-19, interdisciplinary collaboration in CAMHS and CWS was frequently modified to e-health solutions [1,26,31,32]. Studies show that these solutions increase participation of professionals, encourage more frequent meetings and enhance continuity in collaboration.…”

Section: Introductionmentioning

confidence: 99%

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‘It’s not like real therapy’: young people receiving child welfare services’ experiences of video consultations in mental healthcare in Norway: a mixed methods approach

Krane,

Kaasbøll,

Kaspersen

et al. 2023

BMC Health Serv Res

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Background Video consultations has been suggested to lower the threshold for child and adolescent mental healthcare treatment. This study explores how young people receiving child welfare services experience video consultations in child and adolescent mental healthcare. The study is part of a larger Norwegian study of access to health services for this target group. Methods The study has a mixed methods design including qualitative interviews and a quantitative survey, with young people receiving child welfare services. The qualitative interviews included 10 participants aged 15–19. The survey included 232 participants aged 16–24 of which 36 reported having received video consultations in mental healthcare. The interviews were analysed using thematic analysis. The survey data was presented as frequencies to clarify the distribution of positive and negative perceptions of video consultation. Results The results show that the participants experienced video consultations as more superficial and less binding, compared to in-person sessions. They raised concerns of the therapeutic relationship, however some found it easier to regulate closeness and distance. In the survey several reported that their relationship with the therapist got worse, and that it was much more difficult to talk on screen. Moreover, a large proportion (42%) claimed that video consultations did not fit their treatment needs overall. However, a minority of the participants found it easier to talk to the therapist on screen. Conclusions The study reveals important weaknesses and disadvantages of online therapy as experienced by young people receiving child welfare services. It is particularly worrying that their criticism involves the relational aspects of treatment, as children receiving child welfare services often have relational experiences which make them particularly sensitive to challenges in relationships. This study shows that youth involvement in decision making of video consultations in therapy has been rare. Clinicians should be aware of these young people’s doubts regarding the quality of video consultations in child and adolescent mental health care. Further studies should examine how user involvement can be incorporated in video consultations in therapy and how this could improve experiences and the quality of video consultations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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‘It’s not like real therapy’: young people receiving child welfare services’ experiences of video consultations in mental healthcare in Norway: a mixed methods approach

Krane,

Kaasbøll,

Kaspersen

et al. 2023

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

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Norwegian Child Welfare Managers’ perceptions of the impacts of COVID-19 infection control measures upon service functionality: A longitudinal study

Skrove,

Lonne,

Lichtwarck

et al. 2024

Children and Youth Services Review

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Predictors of child participation in child welfare emergency placements—A Norwegian case file study

Gresdahl,

Fauske,

Storhaug

2023

Child & Family Social Work

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BackgroundAlthough child participation has attained significant awareness in child welfare research, little is known about how this right is upheld in emergency cases. Therefore, the various degrees to which children participate in child welfare services' emergency cases and factors predicting such participation were explored.MethodDegrees of participation found in 148 case files (Mage = 11–12 years old, range; 3–18 years; 59% girls, 48% with minority backgrounds) from four Norwegian municipalities were regressed on 15 independent variables in a multinomial logistic regression.ResultsThe children's advancing age increases their probabilities of involvement in the decision‐making processes regarding emergency placements (p < 0.001). The children's minority backgrounds enhance their likelihood of being informed of the placement and having their opinions given weight in decision‐making processes (p = 0.010). The study, nevertheless, revealed that 39% of children in emergency placements are not involved in these processes.ConclusionsCase file documentation indicates inadequate involvement of children in emergency cases. Nevertheless, older children and those with minority backgrounds are more likely to participate, although the degree of their involvement varies. The study did not find a correlation between prior contact with child welfare services and child participation.

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«Kan vi hjelpe når krisa rammer?»Barnevern, smittevern og store forskjeller i tjenestene under covid-19-pandemien

Cited by 4 publications

References 14 publications

‘It’s not like real therapy’: young people receiving child welfare services’ experiences of video consultations in mental healthcare in Norway: a mixed methods approach

‘It’s not like real therapy’: young people receiving child welfare services’ experiences of video consultations in mental healthcare in Norway: a mixed methods approach

Norwegian Child Welfare Managers’ perceptions of the impacts of COVID-19 infection control measures upon service functionality: A longitudinal study

Predictors of child participation in child welfare emergency placements—A Norwegian case file study

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