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英格兰 COVID-19 对儿童社会关怀的影响。

The impact of COVID-19 on Children's Social Care in England.

机构信息

NIHR Policy Research Unit in Health and Social Care Workforce, Policy Institute, King's College London, Virginia Woolf Building, 22 Kingsway, London, WC2B 6NR, UK.

NIHR Policy Research Unit in Health and Social Care Workforce, Policy Institute, King's College London, Virginia Woolf Building, 22 Kingsway, London, WC2B 6NR, UK.

出版信息

Child Abuse Negl. 2021 Jun;116(Pt 2):104739. doi: 10.1016/j.chiabu.2020.104739. Epub 2020 Sep 16.

Abstract

BACKGROUND

As a response to COVID-19 the population of England was asked to stay at home and work from there wherever possible. This included those working in children's social care (CSC) who have responsibility for child protection and other safeguarding duties.

OBJECTIVE

The study was designed to understand how CSC made the transition from being an office-based agency to one where the majority of social workers were based at home and to understand how CSC perceived the impact on children and their families. Participants and setting Senior members of CSC staff in 15 local authorities took part in the research in June 2020.

METHODS

Nine interviews were conducted by video call, three by telephone, and three consisted of initial written responses that were then followed by telephone calls.

RESULTS

Service delivery had been maintained across all the authorities with most visits being made virtually after assessments of risk had been conducted on all cases. Multiagency working had improved, with greater involvement of general practitioners and paediatricians. Overall activity in CSC had been lower than normal but as lockdown eased this was changing. Concerns were expressed about how to manage the response that would be required to meet the expected level of harm that had occurred but been hidden.

CONCLUSIONS

Responses to COVID-19 prompted widespread innovation and it will be an imperative to evaluate which initiatives have worked for children and families, as well as practitioners, and which should be discarded, sustained or reshaped.

摘要

背景

作为对 COVID-19 的回应,英国民众被要求尽可能留在家里工作。这包括那些负责儿童保护和其他保护职责的儿童社会关怀(CSC)工作者。

目的

该研究旨在了解 CSC 如何从一个以办公室为基础的机构过渡到大多数社会工作者都在家工作的机构,并了解 CSC 如何看待这对儿童及其家庭的影响。

参与者和设置

2020 年 6 月,15 个地方当局的 CSC 高级工作人员参与了这项研究。

方法

通过视频电话进行了 9 次访谈,通过电话进行了 3 次,通过初始书面回复进行了 3 次,然后通过电话进行了后续交流。

结果

所有当局的服务交付都得以维持,在对所有案件进行风险评估后,大多数家访都是通过虚拟方式进行的。多机构合作得到了改善,更多的普通科医生和儿科医生参与其中。CSC 的总体活动水平低于正常水平,但随着封锁的放松,这种情况正在改变。人们对如何管理预期的反应表示担忧,这些反应是为了应对已经发生但被隐藏的伤害。

结论

对 COVID-19 的反应引发了广泛的创新,评估哪些举措对儿童和家庭以及从业者有效,哪些应该被摒弃、维持或重塑,将是当务之急。

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