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新冠疫情期间香港自闭症或发育迟缓儿童社会服务提供者及家庭的复原力——一项社区案例研究

The Resilience of Social Service Providers and Families of Children With Autism or Development Delays During the COVID-19 Pandemic-A Community Case Study in Hong Kong.

作者信息

Wong Paul Waiching, Lam Yanyin, Lau Janet Siuping, Fok Hungkit

机构信息

The Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.

The Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China.

出版信息

Front Psychiatry. 2021 Jan 22;11:561657. doi: 10.3389/fpsyt.2020.561657. eCollection 2020.

Abstract

Hong Kong is one of the earliest cities to have hampered by the COVID-19. When preventive public health measures are enforced, specific groups, who have already been facing inequality before the outbreak, are likely to become more overlooked and vulnerable. This community case study aims to describe the additional needs of families of children with autism spectrum disorder and other developmental issues, as well as unexpected difficulties and challenges social service professionals encountered when delivering service and their solutions toward these challenges. A focus group with 10 professionals providing the Caregiver Skills Training Program was conducted. Poor families of vulnerable children were found to be challenged, more than average, in finding daily necessities during the initial stage of the outbreak. Most vulnerable children displayed additional problematic behaviors and emotional problems during the quarantine. The social service professionals addressed the family needs by providing tangible resources and offering online training, workshops, and programs to meet their needs. Several important lessons were learned. First, technology know-how on conducting online training, workshop, and program could be a challenge to some social service professionals and the parents. Second, the professionals reported that they made huge efforts to produce guidelines in protecting services users' privacy, to equip themselves with necessary skills in executing privacy-protection measures, and to keep exploring for safer alternatives. Third, providing tele-services in online mode represented a different interaction pattern between social service professionals and service users, especially in the recruitment processes and group dynamics. In comparison with other cities, Hong Kong has responded to the COVID-19 efficiently and effectively based on the citizen's strict adherence to behavioral advice and the innovative altruistic efforts from the multi-sectors in the community.

摘要

香港是最早受到新冠疫情影响的城市之一。在实施预防性公共卫生措施时,那些在疫情爆发前就已面临不平等问题的特定群体,可能会变得更加被忽视且易受伤害。本社区案例研究旨在描述患有自闭症谱系障碍及其他发育问题儿童的家庭的额外需求,以及社会服务专业人员在提供服务时遇到的意外困难与挑战,还有他们应对这些挑战的解决方案。对10名提供照顾者技能培训项目的专业人员进行了焦点小组访谈。研究发现,弱势儿童的贫困家庭在疫情爆发初期比一般家庭更难找到生活必需品。大多数弱势儿童在隔离期间出现了更多行为问题和情绪问题。社会服务专业人员通过提供切实的资源以及开展线上培训、工作坊和项目来满足家庭需求。从中吸取了几个重要教训。其一,开展线上培训、工作坊和项目所需的技术知识对一些社会服务专业人员和家长来说可能是一项挑战。其二,专业人员报告称,他们付出了巨大努力来制定保护服务使用者隐私的指导方针,让自己具备执行隐私保护措施所需的技能,并不断探索更安全的替代方案。其三,以线上模式提供远程服务代表了社会服务专业人员与服务使用者之间一种不同的互动模式,尤其是在招募过程和群体动态方面。与其他城市相比,基于市民对行为建议的严格遵守以及社区多部门创新的利他努力,香港对新冠疫情做出了高效且有效的应对。

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