Bottino Clement J, Daniels Alexander, Chung Michelle, Dumais Christine
1 Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.
2 Harvard Medical School, Boston, MA, USA.
Clin Pediatr (Phila). 2019 Jul;58(8):851-856. doi: 10.1177/0009922819839233. Epub 2019 Apr 2.
We used Google Forms to survey 110 child life specialists on their experiences addressing family psychosocial issues. Most respondents were female (99%) and white (95%), with mean age 34 ± 10 years. Ninety-five percent reported addressing family psychosocial issues during the previous 3 months, including parental separation/divorce (71%), poverty/financial needs (64%), parental mental illness (59%), substance abuse at home (54%), homelessness/housing problems (54%), bullying (49%), physical neglect (46%), physical abuse (46%), unemployment (46%), emotional neglect (45%), and hunger/food insecurity (42%). Eighty-five percent of respondents reported addressing family psychosocial issues once per month or more often, with 80% providing coping strategies, 76% providing family support, 66% providing therapeutic play, and 66% providing psychological preparation. These findings indicate that child life specialists frequently address a range of family psychosocial issues. Further research is needed to clarify the role and impact of child life services on social determinants of health.
我们使用谷歌表单对110名儿童生活专家处理家庭心理社会问题的经历进行了调查。大多数受访者为女性（99%）且是白人（95%），平均年龄为34±10岁。95%的受访者报告在前三个月处理过家庭心理社会问题，包括父母分居/离婚（71%）、贫困/经济需求（64%）、父母精神疾病（59%）、家中药物滥用（54%） homeless/housing problems（54%）、欺凌（49%）、身体忽视（46%）、身体虐待（46%）、失业（46%）、情感忽视（45%）以及饥饿/粮食不安全（42%）。85%的受访者报告每月或更频繁地处理家庭心理社会问题，其中80%提供应对策略，76%提供家庭支持，66%提供治疗性游戏，66%提供心理准备。这些发现表明儿童生活专家经常处理一系列家庭心理社会问题。需要进一步研究以阐明儿童生活服务在健康的社会决定因素方面的作用和影响。 （注：原文中“homeless/housing problems”疑有误，可能是“homelessness/housing problems”，译文按此修正）
