Sann A, Landua D
Nationales Zentrum Frühe Hilfen, Nockherstr. 2, 81541, München.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Oct;53(10):1018-28. doi: 10.1007/s00103-010-1124-x.
The objective of this survey is to record and describe the current development status of municipal support systems targeting early childhood prevention in Germany. Nearly all participating youth welfare offices and a large number of the participating public health departments report ongoing activities in setting up and strengthening such support systems. Most of them declare to be part of interdisciplinary networks acting across departments. However, comprehension of the actual implications of early prevention varies broadly among participants and is marked by two contradictory statements: early empowerment for all parents (to be) on the one hand and preventive child protection for families at risk on the other. Cooperation with many different partners is common and mostly found within the own system but sometimes also by crossing borders. Mandatory cooperation, however, is an exclusive attribute of the youth welfare system, originating from the legal requirements. One of the most striking results is the almost complete ignorance of the powers and resources of public health departments' by the youth welfare offices, mainly in charge for organizing municipal support systems for children and families. Improving the legal basis for funding and efforts for better qualification will be crucial for a sustainable development.
本次调查的目的是记录和描述德国针对幼儿预防的市政支持系统的当前发展状况。几乎所有参与调查的青少年福利办公室以及大量参与调查的公共卫生部门都报告称，在建立和加强此类支持系统方面正在开展相关活动。其中大多数部门宣称是跨部门行动的跨学科网络的一部分。然而，参与者对早期预防实际影响的理解差异很大，其特点是存在两种相互矛盾的说法：一方面是对所有父母进行早期赋权，另一方面是对有风险的家庭进行预防性儿童保护。与许多不同伙伴的合作很常见，大多是在自身系统内进行，但有时也会跨越界限。不过，强制合作是青少年福利系统独有的特征，这源于法律要求。最显著的结果之一是，主要负责组织针对儿童和家庭的市政支持系统的青少年福利办公室几乎完全忽视了公共卫生部门的权力和资源。改善资金的法律基础以及为提高资质所做的努力对于可持续发展至关重要。
