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合理的努力?加拿大归因性认知障碍父母的虐待儿童调查和服务转介。

Reasonable Efforts? Child Maltreatment Investigations and Service Referrals of Parents With Ascribed Cognitive Impairments in Canada.

机构信息

505840Centre integre universitaire de sante et de services sociaux de l'Ouest-de-l'Ile-de-Montreal du Quebec, Notre Dame Ouest, Montreal, Quebec, Canada.

7497Brock University, Catharines, Ontario, Canada.

出版信息

Child Maltreat. 2022 Aug;27(3):501-510. doi: 10.1177/10775595211001109. Epub 2021 Mar 17.

DOI:10.1177/10775595211001109
PMID:33729027
Abstract

Parents with ascribed cognitive impairment (CI) are more likely than parents without CI to have their children removed by child protective services (CPS). Inequitable access to parenting and family supports and services is thought to be a contributing factor. Utilizing data on a 3-month sample of 15,980 child maltreatment investigations across Canada, including 1,244 cases featuring parents with CI, this study investigated service referrals and non-referrals. The results of this secondary data analysis suggest that, relative to need, parents with CI are less likely to be referred for matched services, including home based\reunification services post child removal. It is unclear whether disparate rates of referral are driven by a lack of inclusive services, and/or the conflation of parental CI with perceived parenting deficits. When perceived parenting deficits are attributed to parental CI, CPS may wrongly assume that these are irremediable. The findings highlight the need for building inter-sectoral service pathways in order to render appropriate assistance to parents with CI in the performance of their childrearing responsibilities.

摘要

有认知障碍(CI)的父母比没有 CI 的父母更有可能让他们的孩子被儿童保护服务(CPS)带走。人们认为,获得育儿和家庭支持及服务的机会不平等是一个促成因素。本研究利用了加拿大一项为期 3 个月的 15980 例儿童虐待调查的样本数据,其中包括 1244 例有认知障碍父母的案例,调查了服务转介和未转介的情况。这项二次数据分析的结果表明,与需求相比,有 CI 的父母获得匹配服务的可能性较小,包括孩子被带走后的家庭/ reunification 服务。目前还不清楚转介率的差异是否是由于缺乏包容性服务,以及/或父母 CI 与感知育儿缺陷的混淆所致。当感知到的育儿缺陷归因于父母的 CI 时,CPS 可能错误地认为这些是不可挽回的。研究结果强调需要建立跨部门服务途径,以便为有 CI 的父母履行育儿责任提供适当的帮助。

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