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为发育障碍及行为具有挑战性的儿童和青少年的家庭照顾者提供支持。

Support for family carers of children and young people with developmental disabilities and challenging behaviour.

作者信息

McGill P, Papachristoforou E, Cooper V

机构信息

Tizard Centre, University of Kent, Canterbury, Kent, UK.

出版信息

Child Care Health Dev. 2006 Mar;32(2):159-65. doi: 10.1111/j.1365-2214.2006.00600.x.

Abstract

BACKGROUND

This study gathered information about perceptions of family carers of children and young people with developmental disabilities and challenging behaviour of the help, support and treatment received from services and professionals.

METHODS

A total of 66 family carers completed postal questionnaires on the nature of, and their satisfaction with, services, professional help and advice received in respect of their family member's challenging behaviour.

RESULTS

Most carers were dissatisfied with support and services received. Almost half reported receiving no professional input or none that was helpful. Over two-thirds reported receiving respite care but, in a third of these, the child had been excluded because of challenging behaviour.

CONCLUSIONS

Families of children with challenging behaviour often do not receive services and supports that they find helpful. Treatments provided are not always evidence based. The 'rationing' of services creates a danger of inequality of access. We need a more proactive approach to identifying and meeting the need for family support.

摘要

背景

本研究收集了有关发育障碍儿童及青少年的家庭照顾者的看法,以及他们从服务机构和专业人员那里获得的帮助、支持和治疗情况。

方法

共有66名家庭照顾者通过邮寄问卷的方式,反馈了他们家庭成员具有挑战性的行为所获得的服务、专业帮助及建议的性质和满意度。

结果

大多数照顾者对所获得的支持和服务不满意。近一半的照顾者表示没有得到专业指导,或者得到的指导毫无帮助。超过三分之二的照顾者表示获得了喘息服务,但其中三分之一的儿童因行为具有挑战性而被排除在外。

结论

有行为挑战的儿童家庭往往得不到他们认为有用的服务和支持。所提供的治疗并不总是基于证据。服务的“配给”造成了获得服务不平等的风险。我们需要一种更积极主动的方法来识别和满足家庭支持的需求。

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