Systems, strategies, and interventions for sustainable long-term care and protection of children with a history of living outside of family care

Fluke, John D.; Goldman, Philip; Shriberg, Janet; Hillis, Susan D.; Yun, Katherine; Allison, Susannah; Light, Enid

doi:10.1016/j.chiabu.2012.09.005

Cited by 33 publications

(11 citation statements)

References 37 publications

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“…Many respondents were careful to say that while externally driven child protection systems may serve an important function, they might not match the local needs or context, and might also fail to access informal cultural networks that may be critical facets of improved child and family outcomes. These perspectives are consistent with those articulated in the peer‐reviewed literature (Fluke et al, ; Wessells, ) and in materials related to policy and practice (PEPFAR, ; USG APCA, ).…”

Section: Discussionsupporting

confidence: 82%

“…This definition echoes the vertical versus horizontal intervention debate that has long been a subject for conversation in public health (Kamath & Jense, ; Oliviera‐Cruz, Kurowski, & Mills, ). The importance of integrating stand‐alone services into a holistic framework is echoed by many in the field of child protection (Child Frontiers, ; Fluke & Wulczyn, ; World Vision International, ), with some areas of agreement on the necessary components to include in child protection system strengthening (Fluke, et al, ; World Vision International, ).…”

Section: Child Protection Systemsmentioning

confidence: 99%

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Social service systems for vulnerable children and families in low‐ and middle‐income countries: Establishing definitions and key components

Crea

Reynolds

Bunkers³

et al. 2017

Int J Soc Welfare

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Systems strengthening in low‐ and middle‐income countries has long been a topic of concern in global health. By comparison, until very recently, little attention has been paid to the importance of strengthening social service systems to provide a holistic perspective of children's and families' multifaceted strengths and vulnerabilities. This study has reviewed existing literature on the definitions and components of social service systems and provides an analysis of data from key informants in the field of global social welfare. Based on this information, a set of key components is presented and compared, derived from the literature and expert interviews. Existing challenges for the field include establishing consensus on terminology and critical components, implementing and documenting critical components, and linking these components to client outcomes.

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Section: Discussionsupporting

confidence: 82%

Section: Child Protection Systemsmentioning

confidence: 99%

Social service systems for vulnerable children and families in low‐ and middle‐income countries: Establishing definitions and key components

Crea

Reynolds

Bunkers³

et al. 2017

Int J Soc Welfare

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“…The impact of the introduction of pesticide regulations on the reduction of suicides in Sri Lanka provides an example of how this strategy has been effectively applied in LMICs, where the suicide rate of 47 deaths per 100,000 in 1995 was halved from 1996 to 2005, with a reduction of 19 769 suicides, as a result of the banning of all WHO toxicity Class pesticides in 1995 and the banning of endosulfan, a Class II toxicity pesticide in 1998 [ 14 ] Other multi-sectoral public policies with promising evidence to promote mental health and prevent MNS disorders in children and adults During childhood, child maltreatment is a risk factor for the development of MNS disorders [ 15 ]. Sufficient evidence from HICs [ 16 ] and some limited but promising evidence from LMICs indicates that the enactment of child protection laws for children living outside of the family have health and safety benefits for these children [ 17 ] [ 15 ], although further research to assess the benefits for children within their families of origin is indicated. Limited but promising evidence from Honduras also suggests that improved control of neurocysticercosis, (a common cause of epilepsy in LMIC) through deworming of humans, vaccination of pigs, improved sanitation, meat inspection, and improved pig farming, can lead to a reduction in symptomatic epilepsy in hyperendemic populations [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

Promotion, prevention and protection: interventions at the population- and community-levels for mental, neurological and substance use disorders in low- and middle-income countries

Petersen

Evans‐Lacko

Semrau

et al. 2016

Int J Ment Health Syst

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BackgroundIn addition to services within the health system, interventions at the population and community levels are also important for the promotion of mental health, primary prevention of mental, neurological and substance use (MNS) disorders, identification and case detection of MNS disorders; and to a lesser degree treatment, care and rehabilitation. This study aims to identify “best practice” and “good practice” interventions that can feasibly be delivered at these population- and community-levels in low- and middle-income countries (LMICs), to aid the identification of resource efficiencies and allocation in LMICs.MethodsA narrative review was conducted given the wide range of relevant interventions. Expert consensus was used to identify “best practice” at the population-level on the basis of existing quasi-experimental natural experiments and cost effectiveness, with small scale emerging and promising evidence comprising “good practice”. At the community-level, using expert consensus, the ACE (Assessing Cost-Effectiveness in Prevention Project) grading system was used to differentiate “best practice” interventions with sufficient evidence from “good practice” interventions with limited but promising evidence.ResultsAt the population-level, laws and regulations to control alcohol demand and restrict access to lethal means of suicide were considered “best practice”. Child protection laws, improved control of neurocysticercosis and mass awareness campaigns were identified as “good practice”. At the community level, socio-emotional learning programmes in schools and parenting programmes during infancy were identified as “best practice”. The following were all identified as “good practice”: Integrating mental health promotion strategies into workplace occupational health and safety policies; mental health information and awareness programmes as well as detection of MNS disorders in schools; early child enrichment/preschool educational programs and parenting programs for children aged 2–14 years; gender equity and/or economic empowerment programs for vulnerable groups; training of gatekeepers to identify people with MNS disorders in the community; and training non-specialist community members at a neighbourhood level to assist with community-based support and rehabilitation of people with mental disorders.ConclusionInterventions provided at the population- and community-levels have an important role to play in promoting mental health, preventing the onset, and protecting those with MNS disorders. The importance of inter-sectoral engagement and the need for further research on interventions at these levels in LMICs is highlighted.Electronic supplementary materialThe online version of this article (doi:10.1186/s13033-016-0060-z) contains supplementary material, which is available to authorized users.

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“…Therefore, help and control must be complementary aspects of taking charge in service provision. At the same time, operators must also consider that even empowered families, such as foster families who are rich in personal and family resources, might, in moments of stress, require support that allows them to address the vulnerabilities that threaten to cause them burn out (Murray et al 2011;Fluke et al 2012). …”

Section: Discussionmentioning

confidence: 98%

Comparing Maltreating and Foster Families in Italy

et al. 2015

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Maltreating and foster families belong to different research areas and have rarely been considered together. This exploratory study compared maltreating and foster families to demonstrate an integrated approach that overcomes the dichotomic view that often separates problematic families from those who have resources. This study had 81 participants: 48 maltreating parents and 33 foster parents and the children who were in foster care. We examined family functioning (FES), adult attachment styles (ASQ) and foster children's strengths and difficulties (SDQ) in maltreating and foster families to examine the differences and similarities between families. Both types of families had significant differences on the FES and ASQ scales. Maltreating families had a stronger orientation to succeed and a family profile that was more orientated towards independence. Maltreating parents had higher scores on the scale that measured discomfort with closeness than foster families. However, both family types had a high level of confidence. Many foster children had SDQ scores that were in the borderline and problem categories. These components may promote a theoretical view of an integrated model for family and children's problems that promotes children's welfare and supports maltreating parents. Practitioners can build on parent's strengths or protective factors and provide services to address less developed areas.

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Systems, strategies, and interventions for sustainable long-term care and protection of children with a history of living outside of family care

Cited by 33 publications

References 37 publications

Social service systems for vulnerable children and families in low‐ and middle‐income countries: Establishing definitions and key components

Social service systems for vulnerable children and families in low‐ and middle‐income countries: Establishing definitions and key components

Promotion, prevention and protection: interventions at the population- and community-levels for mental, neurological and substance use disorders in low- and middle-income countries

Comparing Maltreating and Foster Families in Italy

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