Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neurosciences, McMaster University, 293 Wellington Street North, Hamilton, ON L8L 8E7, Canada.
Department of Pediatrics, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada.
Int J Environ Res Public Health. 2022 Oct 28;19(21):14071. doi: 10.3390/ijerph192114071.
While there have been ongoing calls to reform child welfare so that it better meets children's and families' needs, to date there have been no comprehensive summaries of child welfare reform strategies. For this systematic scoping review, we summarized authors' recommendations for improving child welfare. We conducted a systematic search (2010 to 2021) and included published reviews that addressed authors' recommendations for improving child welfare for children, youth, and families coming into contact with child welfare in high-income countries. A total of 4758 records was identified by the systematic search, 685 full-text articles were screened for eligibility, and 433 reviews were found to be eligible for this scoping review. Reviews were theoretically divided, with some review authors recommending reform efforts at the macro level (e.g., addressing poverty) and others recommending reform efforts at the practice level (e.g., implementing evidence-based parenting programs). Reform efforts across socioecological levels were summarized in this scoping review. An important next step is to formulate what policy solutions are likely to lead to the greatest improvement in safety and well-being for children and families involved in child welfare.
虽然一直有人呼吁改革儿童福利制度，使其更好地满足儿童和家庭的需求，但迄今为止，还没有对儿童福利改革策略进行全面总结。在本次系统范围界定审查中，我们总结了作者关于改善儿童福利的建议。我们进行了系统搜索（2010 年至 2021 年），并纳入了针对高收入国家中与儿童福利有接触的儿童、青年和家庭的作者提出的改善儿童福利建议的已发表综述。系统搜索共确定了 4758 条记录，对 685 篇全文文章进行了资格筛选，发现 433 篇综述符合本范围界定审查的条件。这些综述在理论上进行了划分，一些综述作者建议在宏观层面（例如，解决贫困问题）进行改革努力，而另一些作者则建议在实践层面（例如，实施基于证据的育儿计划）进行改革努力。本范围界定审查总结了跨越社会生态层面的改革努力。下一步的重要步骤是制定可能导致涉及儿童福利的儿童和家庭的安全和福祉得到最大改善的政策解决方案。
