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[德语国家的幼儿干预计划——殊途同归]

[Early childhood intervention programmes in German-speaking countries-different paths to the same goal].

作者信息

Weigl Marion, Haas Sabine

机构信息

Nationales Zentrum Frühe Hilfen, Gesundheit Österreich GmbH, Stubenring 6, 1010, Wien, Österreich.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024 Dec;67(12):1368-1374. doi: 10.1007/s00103-024-03972-9. Epub 2024 Nov 25.

Abstract

In German-speaking countries, early childhood intervention programmes-known as "Frühe Hilfen"-are generally understood as an overall concept of health promotion measures that particularly target early intervention in pregnancy and early childhood and are primarily aimed at families in stressful life situations. This article provides an overview of early intervention services in Germany, Austria, Switzerland, Liechtenstein and South Tyrol.While various models have been implemented in Germany and continue to co-exist to this day, a standardised model has been established in Austria. South Tyrol and Liechtenstein also orientate themselves on this model. Although there is now also a concept for Switzerland, it has so far only been implemented in individual cantons. Germany, Austria and South Tyrol have so far enshrined the concept in law. In Germany, Austria and Liechtenstein, a national centre has been commissioned to provide ongoing professional and scientific support and quality development. Coordinating units are active at the level of federal states (Germany and Austria) and regions (South Tyrol), although they have different responsibilities in some cases. The core element of voluntary and free outreach family support is provided by a multi-professional team according to the Austrian model and by defined professional groups in Germany (family midwives and family health and paediatric nurses). The available data and results from the accompanying research show that Frühe Hilfen is achieving its goal. Families are relieved and access to specific support services is facilitated. Families who are considered socially or socio-economically disadvantaged can largely be reached.

摘要

在德语国家,被称为“早期帮助”的幼儿干预项目通常被理解为一种健康促进措施的整体概念,特别针对孕期和幼儿期的早期干预,主要面向生活处于压力状况下的家庭。本文概述了德国、奥地利、瑞士、列支敦士登和南蒂罗尔的早期干预服务。虽然德国已经实施了多种模式且至今仍并存,但奥地利已建立了标准化模式。南蒂罗尔和列支敦士登也以该模式为导向。尽管瑞士目前也有一个概念,但迄今为止仅在个别州实施。德国、奥地利和南蒂罗尔迄今已将这一概念写入法律。在德国、奥地利和列支敦士登,已委托一个国家中心提供持续的专业和科学支持以及质量提升。协调单位在联邦州(德国和奥地利)和地区(南蒂罗尔)层面发挥作用,不过在某些情况下它们的职责有所不同。自愿且免费的外展家庭支持的核心要素由一个多专业团队按照奥地利模式提供,在德国则由特定的专业群体(家庭助产士以及家庭健康和儿科护士)提供。现有数据以及相关研究结果表明,“早期帮助”正在实现其目标。家庭得到了缓解,获得特定支持服务的渠道更加便利。在很大程度上能够覆盖那些被视为社会或社会经济上处于不利地位的家庭。

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