Macmillan Research Unit, School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Palliat Support Care. 2010 Sep;8(3):297-303. doi: 10.1017/S147895151000009X.
This article summarizes the findings from a 3-year independent evaluation of a regional Child Bereavement Service (CBS). The service was commissioned by a Primary Care Trust in Northern England, and funded by a British cancer charity, Macmillan Cancer Support. The need for a CBS was recognized by members of a Palliative Care Group who identified a gap in local services for bereaved children, who may be susceptible to short/long-term psychiatric/psychological disorders. The service was established to offer support for professionals working with bereaved children and their family.
Interventions provided by the service included pre/post bereavement support, individual work with the child and/or family, and group work. An evaluation (2004-2007), was conducted to inform service development utilizing semi-structured interviews with parents/carers of service users (n = 20), and semi-structured interviews with healthcare professionals (n = 8). Interviews were recorded, transcribed verbatim, and analyzed using grounded theory methods.
Referrals were higher than expected. Sixty per year were anticipated; however, in the first year alone, there were 255 referrals. Health and social care professionals who attended training courses, provided by the CBS staff, expressed confidence in providing bereavement support themselves, or by making appropriate referrals to the CBS. Parents and carers welcomed a service specifically for their children.
The CBS is a viable organization that supports bereaved children as expressed in this article.
本文总结了对英格兰北部一个地区儿童丧亲服务（CBS）进行的为期 3 年的独立评估结果。该服务由一家初级保健信托机构委托，由英国癌症慈善机构 Macmillan Cancer Support 提供资金。姑息治疗小组的成员认识到需要建立 CBS，因为他们发现当地为丧亲儿童提供的服务存在空白，这些儿童可能容易出现短期/长期精神/心理障碍。该服务的成立是为了为丧亲儿童及其家人提供专业人员的支持。
该服务提供的干预措施包括丧亲前后的支持、与孩子和/或家庭的个体工作，以及团体工作。利用对服务使用者的家长/照顾者（n=20）的半结构化访谈和对医疗保健专业人员（n=8）的半结构化访谈进行了评估（2004-2007 年），以提供服务发展信息。访谈进行了录音、逐字记录，并使用扎根理论方法进行了分析。
转介数量高于预期。预计每年有 60 人，但仅在第一年就有 255 人转介。参加 CBS 工作人员提供的培训课程的卫生和社会保健专业人员表示有信心自己提供丧亲支持，或通过向 CBS 进行适当转介来提供支持。家长和照顾者欢迎为他们的孩子提供专门的服务。
CBS 是一个可行的组织，正如本文所述，它为丧亲儿童提供支持。
