Taking culture seriously: Can we improve the developmental health and well-being of Australian Aboriginal children in out-of-home care?
| Autor: | Shanti Raman, Paul Rex Hotton, P. Tran, S. Ruston, S. Thorne, S. Irwin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Occupational therapy medicine.medical_specialty Native Hawaiian or Other Pacific Islander Adolescent Psychological intervention Child Welfare Audit Indigenous Foster Home Care 03 medical and health sciences Child Development 0302 clinical medicine Nursing Risk Factors Intervention (counseling) Health care Developmental and Educational Psychology Humans Medicine 0501 psychology and cognitive sciences Child Abuse 030212 general & internal medicine Child Care Child business.industry 05 social sciences Public Health Environmental and Occupational Health Infant Culturally Competent Care Quality Improvement Child Preschool Pediatrics Perinatology and Child Health Well-being Female New South Wales business Speech-Language Pathology Delivery of Health Care Needs Assessment 050104 developmental & child psychology |
| Zdroj: | Child: Care, Health and Development. 43:899-905 |
| ISSN: | 0305-1862 |
| DOI: | 10.1111/cch.12488 |
| Popis: | Background Children in out-of-home care have well-documented health and developmental needs. Research suggests that Aboriginal children in care have unmet health and intervention needs. In metropolitan Sydney, Kari Aboriginal Resources Inc. (KARI), an Aboriginal organization, provides support to indigenous children in care, including clinical assessment and intervention. We wanted to determine the health and developmental needs of a subset of children in out-of-home care with KARI, who had been in stable care for at least a year. We wanted to identify child, carer, and intervention characteristics that contributed to children doing well. We also wanted to identify enablers and barriers to providing culturally competent intervention. Methods We used mixed methods. From the KARI clinic database over the past 3 years, we identified children who had been in stable care with KARI for >12 months. We compared clinical measures and outcomes for these children with results from previous audits. We carried out a group discussion and key informant interviews with therapists and caseworkers to identify risk and resilience factors for each child, as well as enablers and barriers to culturally competent intervention. Results The health and developmental profile of the 26 children identified as being in stable care was similar to that of previous audits. Most (88%) were getting speech pathology intervention; one third were getting occupational therapy and psychological intervention; most children and their carers attended cultural programmes. The majority of children (25/26) improved in their developmental health. Caseworkers and therapists identified risk and resilience factors related to child, carer, and home characteristics. They also identified elements of good practice; systemic issues prevented some interventions from being carried out. Conclusions There are challenges delivering a trauma-informed, culturally respectful service to Aboriginal children in out-of-home care in an urban setting, but it can be done if attention is paid to culture and the enablers and barriers are identified. |
| Databáze: | OpenAIRE |
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