基于社区合作的寄养儿童健康初评。
Initial Health Outcomes of a Community-Based Collaboration for Children in Foster Care.
机构信息
PhD, is assistant professor, College of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street, Charleston, SC 29425, USA.
PhD, MSW, is associate professor, College of Social Work, Florida State University, Tallahassee, FL, USA.
出版信息
Health Soc Work. 2024 Jan 30;49(1):25-33. doi: 10.1093/hsw/hlad038.
Children entering foster care have complex health needs that can persist across the lifespan. Efforts to improve access to primary care services exist; however, few have been tested. This study evaluated the Missoula Foster Child Health Program, a tri-agency, community-based collaboration in Montana, to determine its impact on health outcomes for youth in care. Demographic, health outcome, and child welfare data were collected from 485 children (50 percent male, 50 percent female, aged 0-18). At program admission, children had unmet service needs, lacking a primary care provider (30 percent), a dental provider (58 percent), and required vaccinations (33 percent). Three-quarters of children had at least one health condition, and one-third had a behavioral health concern. Overall, children in the program had significant decreases in physical and behavioral health problems from admission to discharge. Older children and those with fewer placements were more likely to have positive health changes. Data are promising, representing positive health outcomes of a community-based model for children in care.
进入寄养的儿童具有复杂的健康需求，这些需求可能会持续一生。已经有努力来改善获得初级保健服务的机会；然而，经过测试的方法很少。本研究评估了蒙大拿州的密苏拉寄养儿童健康计划，这是一个三方机构的、基于社区的合作项目，旨在确定其对照顾中的青年健康结果的影响。从 485 名儿童（50%为男性，50%为女性，年龄在 0-18 岁之间）收集了人口统计、健康结果和儿童福利数据。在项目入院时，儿童存在未满足的服务需求，缺乏初级保健提供者（30%）、牙科提供者（58%）和所需疫苗接种（33%）。四分之三的儿童至少有一种健康状况，三分之一的儿童有行为健康问题。总体而言，从入院到出院，参与该计划的儿童的身体和行为健康问题显著减少。年龄较大的儿童和安置次数较少的儿童更有可能出现积极的健康变化。这些数据很有希望，代表了针对照顾中的儿童的基于社区的模式的积极健康结果。
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