University of Kentucky, College of Medicine - Department of Psychiatry, United States of America.
University of Kentucky, College of Medicine - Department of Psychiatry, United States of America.
Child Abuse Negl. 2022 Feb;124:105444. doi: 10.1016/j.chiabu.2021.105444. Epub 2021 Dec 14.
Research is needed to facilitate better understanding of how different groups have been impacted by COVID-19, especially those in already strained service systems such as foster care. These inquiries will support further response, recovery and preparedness efforts.
This qualitative study addressed how professionals and caregivers in foster care described being affected by COVID-19 in order to support future research and planning for foster care systems in this pandemic context.
A sample of foster parents and foster care professionals (N = 357) from a mostly rural, southeastern state in the U.S. participated in the study.
Qualitative analysis was conducted of 357 open-ended responses regarding the impact of COVID-19 from a survey distributed in August 2020.
The coding process resulted in the identification of 15 distinct themes: Isolation & Loss of Social Support, Work Changes/Stressors, School Issues, Childcare Issues, No Impact/Positive Changes, Financial Problems, Fear of Contagion, Negative Child Welfare Impacts, Mental Health Problems/Stress, Loss of Faith/Trust & Societal Frustrations, Health & Mental Healthcare Access Issues, PPE & Testing Issues, Grief & Loss, and Marital Problems. Secondary impacts rather than direct physiologic effects of the virus were primarily reported.
This study underscores the various challenges facing foster care systems, and how the pandemic context is exacerbating many of these issues. Further research is needed to ensure the implementation of adequately complex and nuanced responses that target needs and avoid creating further problems for foster care.
需要开展研究,以更好地了解不同群体受到 COVID-19 的影响情况,尤其是那些已经承受巨大压力的服务系统,如寄养照料系统。这些研究结果将为今后的寄养照料系统应对、恢复和准备工作提供支持。
本定性研究旨在了解寄养照料专业人员和照料者如何描述自身受到 COVID-19 的影响,以便在这一大流行背景下为寄养照料系统的未来研究和规划提供支持。
本研究在美国东南部一个以农村为主的州,选取了 357 名寄养父母和寄养照料专业人员作为样本,参与了这项研究。
对 2020 年 8 月发布的一项调查中,357 名寄养父母和寄养照料专业人员关于 COVID-19 影响的 357 条开放式回复进行了定性分析。
通过编码过程,确定了 15 个不同的主题:隔离和社会支持丧失、工作变化/压力、学校问题、儿童保育问题、无影响/积极变化、经济问题、对传染的恐惧、对儿童福利的负面影响、心理健康问题/压力、丧失信仰/信任和社会挫折、获得医疗保健服务的机会问题、个人防护设备和检测问题、悲伤和丧失、婚姻问题。主要报告的是病毒的间接影响,而非直接生理影响。
本研究强调了寄养照料系统面临的各种挑战,以及大流行背景如何使许多问题恶化。需要进一步研究,以确保实施足够复杂和细致的应对措施,以满足需求,并避免为寄养照料带来进一步的问题。