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遭受家庭暴力后儿童在家庭治疗服务中的状况如何?来自挪威家庭保护服务机构的一项研究。

Where is the Child in Family Therapy Service After Family Violence? A Study from the Norwegian Family Protection Service.

作者信息

Flåm Anna Margrete, Handegård Bjørn Helge

机构信息

Institute of Psychology, UiT The Arctic University of Norway, Huginbakken 32, 9037 Tromsö, Norway.

RKBU - North, UiT The Arctic University of Norway, Tromsö, Norway.

出版信息

Contemp Fam Ther. 2015;37(1):72-87. doi: 10.1007/s10591-014-9323-5.

Abstract

Extensive documentation on consequences of family violence laid the ground for a politically decided mandate for the Norwegian Family Protection Service (FPS) to prioritize families with children and violence. This study explores the practice of one of the country's larger FPS offices following this mandate and its kick-off start. Data from all cases in 1 year with families with children and violence were gathered (106) as to what were cases referred, services provided, main cross-points, dilemmas, and challenges. Descriptive statistical analyses were utilized and qualitative analysis conducted. The study shows success in supplying a direct, much used route both for private persons and main collaborative agencies, although all abusers need others as promoters for change. The service succeeds to pioneer brief treatment combined with taking a stand against violence. However, while services are provided fairly quickly when violence is reported, several changes are called for: A more violence-sensitive intake procedure, stronger cooperation with specialty mental health service and primary health service, extended use of assessment tools and outcome measures. Given the nature of violence, particularly follow up measures are required. However, first and foremost, the study calls for a better inclusion of the child. Despite mandated priority, a major neglect of children takes place. In line with the UN Convention on the Rights of the Child, the Norwegian Family Protection Services in a country complying with this Convention is obliged to take the child more successfully into account in its own right. Future efforts are required to safeguard child-focused services.

摘要

关于家庭暴力后果的大量文献为挪威家庭保护服务局(FPS)在政治上决定的一项任务奠定了基础,该任务要求其优先关注有儿童和暴力问题的家庭。本研究探讨了该国较大的一个FPS办公室在遵循这一任务及其启动后的实践情况。收集了某一年中所有涉及有儿童和暴力问题家庭的案例数据(共106个),内容包括转介的案例、提供的服务、主要交叉点、困境和挑战。采用了描述性统计分析并进行了定性分析。研究表明,尽管所有施虐者都需要他人推动改变,但该服务成功地为个人和主要合作机构提供了一条直接且常用的途径。该服务成功开创了简短治疗并坚决反对暴力的模式。然而,虽然在报告暴力行为后能较快提供服务,但仍需要进行一些改进:采用对暴力更敏感的接待程序,加强与专业心理健康服务机构和初级卫生服务机构的合作,扩大评估工具和结果测量的使用。鉴于暴力的性质,尤其需要后续措施。然而,最重要的是,该研究呼吁更好地纳入儿童因素。尽管有任务规定的优先次序,但儿童仍被严重忽视。根据《联合国儿童权利公约》,在一个遵守该公约的国家,挪威家庭保护服务局有义务切实将儿童作为独立个体更成功地纳入考量。未来需要做出努力来保障以儿童为中心的服务。

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