心理健康与寄养照料者培训
Mental health and foster carer training.
作者信息
Minnis H, Pelosi A J, Knapp M, Dunn J
机构信息
Department of Child and Adolescent Psychiatry, Caledonia House, Yorkhill NHS Trust, Glasgow G3 8SJ, UK.
出版信息
Arch Dis Child. 2001 Apr;84(4):302-6. doi: 10.1136/adc.84.4.302.
Abstract
AIMS
To evaluate the impact of training foster carers on children's emotional and behavioural functioning.
METHODS
In a randomised controlled trial in 17 Scottish local council areas, with immediate and nine month follow up, 182 children and their foster families were randomly allocated to either standard services alone or standard services plus extra training for foster carers on communication and attachment. Main outcome measures were child psychopathology, attachment disorder, self esteem, and cost of foster care.
RESULTS
Over 60% of children had measurable psychopathology at baseline. The training was perceived as beneficial by participants. Scores for parent reported psychopathology and attachment disorders decreased by around 5%, self esteem increased by 2%, and costs by 22% in the intervention group. Results were non-significant.
CONCLUSIONS
Despite being well received by foster carers, the training was not sufficient to make a useful impact on the high level of psychopathology. This group may warrant more intensive interventions.
摘要
目的
评估培训寄养照顾者对儿童情绪和行为功能的影响。
方法
在苏格兰17个地方议会辖区进行的一项随机对照试验中，进行即时和九个月的随访，182名儿童及其寄养家庭被随机分配到仅接受标准服务或接受标准服务外加针对寄养照顾者的沟通和依恋方面的额外培训。主要结局指标为儿童精神病理学、依恋障碍、自尊和寄养照顾成本。
结果
超过60%的儿童在基线时有可测量的精神病理学症状。参与者认为培训有益。干预组中，家长报告的精神病理学和依恋障碍得分下降了约5%，自尊提高了2%，成本降低了22%。结果无统计学意义。
结论
尽管寄养照顾者对培训评价良好，但该培训不足以对高水平的精神病理学产生有效影响。这一群体可能需要更强化的干预措施。
相似文献
1
Mental health and foster carer training.心理健康与寄养照料者培训
Arch Dis Child. 2001 Apr;84(4):302-6. doi: 10.1136/adc.84.4.302.
2
A pragmatic randomised controlled trial of the fostering changes programme.促进变化计划的实用随机对照试验。
Child Abuse Negl. 2020 Oct;108:104646. doi: 10.1016/j.chiabu.2020.104646. Epub 2020 Aug 8.
3
Cognitive-behavioural training interventions for assisting foster carers in the management of difficult behaviour.认知行为训练干预措施，用于帮助寄养家庭照顾者管理困难行为。
Cochrane Database Syst Rev. 2005 Apr 18(2):CD003760. doi: 10.1002/14651858.CD003760.pub2.
4
Evaluating the long-term impact of the Fostering Changes training programme for foster carers in Wales, the Confidence in Care trial: study protocol for a randomised controlled trial.评估威尔士针对寄养家庭照料者的“促进改变”培训计划的长期影响，即“关爱中的信心”试验：一项随机对照试验的研究方案。
Trials. 2018 Jan 11;19(1):34. doi: 10.1186/s13063-017-2424-3.
5
Supporting the emotional needs of young people in care: a qualitative study of foster carer perspectives.关爱年轻人的情感需求：寄养照顾者观点的定性研究。
BMJ Open. 2020 Mar 10;10(3):e033317. doi: 10.1136/bmjopen-2019-033317.
6
Qualitative process evaluation of the Fostering Changes program for foster carers as part of the Confidence in Care randomized controlled trial.作为“信心照护”随机对照试验的一部分，对寄养照顾者的“培育变化”计划进行定性过程评估。
Child Abuse Negl. 2020 Nov;109:104768. doi: 10.1016/j.chiabu.2020.104768. Epub 2020 Oct 14.
7
The Reflective Fostering Programme-improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial.《反思式养育方案——通过对寄养父母的小组干预来提高寄养儿童的幸福感：一项随机对照试验》。
Trials. 2021 Nov 25;22(1):841. doi: 10.1186/s13063-021-05739-y.
8
The effectiveness of training and support for carers and other professionals on the physical and emotional health and well-being of looked-after children and young people: a systematic review.针对照顾者及其他专业人员开展的培训与支持对受照料儿童及青少年身心健康和福祉的有效性：一项系统综述
Child Care Health Dev. 2012 Mar;38(2):162-74. doi: 10.1111/j.1365-2214.2011.01247.x. Epub 2011 May 27.
9
Economic evaluation of treatments for children with severe behavioural problems.对患有严重行为问题儿童的治疗方法的经济评估。
J Ment Health Policy Econ. 2004 Dec;7(4):177-89.
10
Treatment foster care for improving outcomes in children and young people.治疗性寄养服务对改善儿童和青少年的状况。
Cochrane Database Syst Rev. 2008 Jan 23(1):CD005649. doi: 10.1002/14651858.CD005649.pub2.
引用本文的文献
1
Access to best-evidenced mental health support for care-experienced young people: Learnings from the implementation of cognitive therapy for PTSD.为有过受照料经历的年轻人提供最有证据支持的心理健康支持：从创伤后应激障碍认知疗法的实施中获得的经验教训。
Br J Clin Psychol. 2025 Mar;64(1):63-85. doi: 10.1111/bjc.12471. Epub 2024 Jul 16.
2
Effectiveness of Mental Health and Wellbeing Interventions for Children and Young People in Foster, Kinship, and Residential Care: Systematic Review and Meta-Analysis.心理健康和幸福感干预对寄养、亲属和住宿照料的儿童和青少年的有效性：系统评价和荟萃分析。
Trauma Violence Abuse. 2024 Oct;25(4):2829-2844. doi: 10.1177/15248380241227987. Epub 2024 Feb 16.
3
Interventions targeting the mental health and wellbeing of care-experienced children and young people in higher-income countries: Evidence map and systematic review.干预措施针对的是高收入国家有过照顾经历的儿童和青少年的心理健康和幸福感：证据图谱和系统评价。
Syst Rev. 2023 Jul 1;12(1):111. doi: 10.1186/s13643-023-02260-y.
4
Parenting interventions to support parent/child attachment and psychosocial adjustment in foster and adoptive parents and children: A systematic review.支持寄养和领养父母及子女之间亲子依恋和心理社会适应的养育干预措施：一项系统综述。
Campbell Syst Rev. 2022 Jan 5;18(1):e1209. doi: 10.1002/cl2.1209. eCollection 2022 Mar.
5
Evaluating the long-term impact of the Fostering Changes training programme for foster carers in Wales, the Confidence in Care trial: study protocol for a randomised controlled trial.评估威尔士针对寄养家庭照料者的“促进改变”培训计划的长期影响，即“关爱中的信心”试验：一项随机对照试验的研究方案。
Trials. 2018 Jan 11;19(1):34. doi: 10.1186/s13063-017-2424-3.
6
Program Components of Psychosocial Interventions in Foster and Kinship Care: A Systematic Review.寄养和亲属照顾中的心理社会干预计划内容：系统评价。
Clin Child Fam Psychol Rev. 2018 Mar;21(1):13-40. doi: 10.1007/s10567-017-0247-0.
7
Psychosocial screening and monitoring for children in foster care: Psychometric properties of the Brief Assessment Checklist in a Dutch population study.寄养儿童的心理社会筛查与监测：荷兰人群研究中简短评估清单的心理测量特性
Clin Child Psychol Psychiatry. 2018 Jan;23(1):9-24. doi: 10.1177/1359104517706527. Epub 2017 May 16.
8
Evidence-Based Parenting Interventions to Promote Secure Attachment: Findings From a Systematic Review and Meta-Analysis.基于证据的育儿干预措施促进安全依恋：系统评价和荟萃分析的结果
Glob Pediatr Health. 2016 Aug 22;3:2333794X16661888. doi: 10.1177/2333794X16661888. eCollection 2016.
9
Practitioner review: Children in foster care--vulnerabilities and evidence-based interventions that promote resilience processes.从业者综述：寄养儿童——易损性和促进适应力过程的循证干预。
J Child Psychol Psychiatry. 2012 Dec;53(12):1197-211. doi: 10.1111/j.1469-7610.2012.02594.x. Epub 2012 Aug 6.
10
The Computerized MacArthur Story Stem Battery--a pilot study of a novel medium for assessing children's representations of relationships.计算机化麦克阿瑟故事主干测验——一种评估儿童关系表征的新型媒介的初步研究。
Int J Methods Psychiatr Res. 2006;15(4):207-14. doi: 10.1002/mpr.198.
本文引用的文献
1
Psychiatric disorder among children at time of entering local authority care: questionnaire survey.进入地方政府照管时儿童的精神疾病：问卷调查
BMJ. 1999 Sep 11;319(7211):675. doi: 10.1136/bmj.319.7211.675.
2
Children's adjustment and prosocial behaviour in step-, single-parent, and non-stepfamily settings: findings from a community study. ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood.儿童在重组家庭、单亲家庭及非重组家庭环境中的适应与亲社会行为：一项社区研究的结果。ALSPAC研究团队。埃文亲子纵向研究。
J Child Psychol Psychiatry. 1998 Nov;39(8):1083-95.
3
Changing early childhood development through educational intervention.通过教育干预改变幼儿发展。
Prev Med. 1998 Mar-Apr;27(2):233-7. doi: 10.1006/pmed.1998.0280.
4
The Strengths and Difficulties Questionnaire: a research note.优势与困难问卷：一篇研究笔记。
J Child Psychol Psychiatry. 1997 Jul;38(5):581-6. doi: 10.1111/j.1469-7610.1997.tb01545.x.
5
Economic evaluations and interventions for children and adolescents with mental health problems.针对患有心理健康问题的儿童和青少年的经济评估与干预措施。
J Child Psychol Psychiatry. 1997 Jan;38(1):3-25. doi: 10.1111/j.1469-7610.1997.tb01503.x.
6
Child and adolescent anxiety disorders and early attachment.儿童和青少年焦虑症与早期依恋关系
J Am Acad Child Adolesc Psychiatry. 1997 May;36(5):637-44. doi: 10.1097/00004583-199705000-00014.
7
The development of communicative competence of securely and insecurely attached children in interactions with their mothers.安全型和不安全型依恋儿童在与母亲互动中交际能力的发展。
J Psycholinguist Res. 1997 Jan;26(1):69-88. doi: 10.1023/a:1025012221407.
8
Prevalence of psychiatric disorders in young people in the care system.受照料系统中青少年精神疾病的患病率。
BMJ. 1996 Dec 14;313(7071):1529-30. doi: 10.1136/bmj.313.7071.1529.
9
The foster carer experience in Ireland: findings from a postal survey.
Child Care Health Dev. 1996 Mar;22(2):85-98.
10
Mother-child emotional communication and preschoolers' security of attachment and dependency.
J Genet Psychol. 1994 Mar;155(1):119-21. doi: 10.1080/00221325.1994.9914765.
Zotero 插件