RESUMEN
The antinomy of closeness and distance is inherent in all pedagogical fields and particularly characterises everyday life in residential childcare facilities. In order to shed light on how young recipients of inpatient educational support perceive closeness and distance in different situations with professionals, group discussions were conducted with young people from inpatient educational support facilities and analysed using the documentary method.The analysis shows that the young people perceive different situations as characterised by closeness insofar as the role-specific asymmetrical character of the relationship with the caregivers becomes blurred and the roles diffuse. Taking the perspective of the addressees into account is part of the development of an adequate relation between closeness and distance and thus a prerequisite for dealing adequately with dilemmatic pedagogical situations.
Asunto(s)
Cuidadores , Cuidado del Niño , Niño , Humanos , Adolescente , Pacientes InternosRESUMEN
Out-of-home placement is a critical life event for affected children and adolescents. We explored the potential content and conditions for a group intervention aiming at coping with this critical life event by the means of three focus groups with n = 13 participants. The participants reported feelings of guilt, uncertainty concerning their future, experiences of loss, and lack of confidence. So far, standardized programs for sharing the participants' out-of-home care experiences had not been established in their child welfare programs. Under certain circumstances, the participants were willing to take part in a group intervention for this purpose. The intervention should aim at the autobiographical integration of the out-of-home placement as well as the promotion of general protection factors. Further qualitative research is needed to adjust the intervention in order to fit the needs of the target population.
Asunto(s)
Adaptación Psicológica , Protección a la Infancia , Adolescente , Niño , Grupos Focales , Cuidados en el Hogar de Adopción , Necesidades y Demandas de Servicios de Salud , Humanos , Investigación CualitativaRESUMEN
This paper examines the distribution of attachment representations among social work professionals using the Adult Attachment Projective Picture System (AAP; George, West, Pettem, 1997). In this sample, the influence of attachment on the occurrence of burnout syndrome is investigated, as this is considered as a trigger for further mental and physical illnesses. For this purpose, 79 social pedagogical professionals from the German-speaking part of Switzerland were examined over four time points using the Burnout Screening Scales - BOSS. The following distribution of attachment representations was found using the AAP: 25.3 % secure, 38.0 % insecure dismissing, 27.8 % insecure preoccupied, and 8.9 % unresolved trauma. This distribution differs significantly from other samples of non-clinical adults and psychotherapists. Interestingly, no general associations emerged between insecure attachment representations and burnout. A significant positive correlation was shown between "unresolved trauma" and the suspected diagnosis of "burnout occupation". The so far few but contradictory empirical findings on attachment representations among professionals require further research activities as well as an intensive sensitization with regard to attachment theory in basic and further training courses and a further establishment of self-awareness and supervision components in all psychosocial fields of work.
Asunto(s)
Apego a Objetos , Trabajadores Sociales , Adulto , Agotamiento Psicológico , Humanos , SuizaRESUMEN
Psychological Problems in Children and Adolescents for whom Children's Services Department was Utilized Previous research proved a greater prevalence of mental health problems among children in residential youth care. In the present study, based on the KiGGS study, the prevalence of mental health problems is analyzed using the German version of the Strengths and Difficulties Questionnaire (SDQ) for those children and adolescents seeking youth welfare services, compared to those children not seeking youth welfare service. The possible differences between these two groups were tested using multivariate regression. The study covers two survey periods of KiGGS at intervals of six years. The result shows a significantly higher prevalence for mental health problems in adolescents seeking youth welfare services. The regression analysis shows that the association with mental health problems in these children persists even after adjusting for socioeconomic and demographic factors. There are hardly any changes in the results within the trend analysis. This indicates a high temporal stability of the association.
Asunto(s)
Psiquiatría del Adolescente , Psiquiatría Infantil , Trastornos Mentales/epidemiología , Adolescente , Niño , Alemania/epidemiología , Humanos , Trastornos Mentales/diagnóstico , Encuestas y CuestionariosRESUMEN
The Influence of Personal Resources on Job Satisfaction Among Professionals in the Inpatient Care of Burdened Children and Adolescents Professionals in the inpatient care of burdened and partially traumatized children and adolescents are confronted with high demands in their everyday work. If these professionals do not have the necessary resources to carry out their work, their job satisfaction can be affected negatively. In the present study, the connections between the personal resources action competence, emotional competence, self-efficacy and self-care and job satisfaction were investigated on a sample of N = 543 professionals working in the (inpatient) care of children and adolescents. The survey was conducted as part of the accompanying research of an online course called "Trauma informed Care". Correlations as well as a multiple regression were calculated for the connections between personal resources and job satisfaction. Moderate to strong correlations were identified between personal resources and job satisfaction. The regression model revealed self-efficacy, followed by self-care, to be the most important predictor of job satisfaction. Less importance could be ascribed to emotional competence as a predictor of job satisfaction. Action competence showed no effects in the model. The results indicate the importance of personal resources for job satisfaction. These should be promoted in a targeted manner to increase job satisfaction and thus counteract the tendency of fluctuation and shortage of professionals in the area of child and youth welfare and thereby ensuring high quality care of the vulnerable population.
Asunto(s)
Personal de Salud/psicología , Recursos en Salud , Pacientes Internos , Satisfacción en el Trabajo , Adolescente , Niño , Humanos , Autocuidado , Autoeficacia , Encuestas y CuestionariosRESUMEN
Experiences with an intercultural training for professionals from child-welfare services working with children and adolescents following child abuse and neglect Abstract. Background: As part of a multicenter study evaluating measures to improve access to evidenced-based treatment for children and adolescents following child abuse and neglect, we introduced and evaluated migration-adapted services, including a one-day intercultural training. Key issues were the dissemination of information concerning migration and acculturation, trauma and mental health to immigrant families as well as the development of exercises on intercultural competence and culturally sensitive work. Method: Near the end of the research project we gathered experiences and opinions concerning the work with immigrant families using an online survey in a subgroup of case managers working in the project (professionals in child-welfare services). This article presents two case report illustrating the practical relevance of the training's content. Results: Overall, the training was rated positively. In the opinion of the case managers, especially language barriers and cultural diversity should be considered while working with immigrant families. The case reports show that the training sensitized and supported the case managers supported the case managers when dealing with differing illness concepts, differing illness concepts, culture-sensitive assessment, or work with language mediators. Conclusions: The case management work also demonstrated the limitations of the psychosocial care system; the further dissemination of intercultural knowledge is important.
Asunto(s)
Maltrato a los Niños/psicología , Protección a la Infancia , Barreras de Comunicación , Competencia Cultural/educación , Emigrantes e Inmigrantes/psicología , Adolescente , Niño , Diversidad Cultural , HumanosRESUMEN
Success Factors and Stumbling Blocks in the Cooperation with Child and Adolescent Psychiatry/Psychotherapy from the Perspective of Social Pedagogues In numerous current studies, experts describe a need for improved cooperation between employees of youth welfare and child and adolescent psychiatry/-psychotherapy. The present study investigates how social pedagogues working in youth welfare institutions perceive psychiatrists or psychologists working in child and adolescent psychiatry. Benefits and difficulties of the cooperation are described and potential areas of improvement as perceived by youth welfare employees are identified. The study presents quantitative and qualitative data and pursues a mixed-method approach. The qualitative evaluation is based on the content structuring qualitative content analysis according to Kuckartz (2012) and is complemented by descriptive data. The results are based on the responses of 221 social pedagogues in Switzerland. While 97.7 % of respondents perceive interdisciplinary collaborations for children with high psychological stress as ideal, they also mention various barriers that hinder effective and efficient cooperation. Many social pedagogues wish for the field of child and adolescent psychiatry to show a greater interest in their job profile, as well as more appreciation for the demanding work that they perform. Clarification of roles and responsibilities, a better flow of information and a direct person of contact are also deemed important aspects to improve upon. The study suggests practical approaches for a more effective cooperation.
Asunto(s)
Psiquiatría del Adolescente , Actitud del Personal de Salud , Psiquiatría Infantil , Comunicación Interdisciplinaria , Colaboración Intersectorial , Servicio Social , Adolescente , Niño , Protección a la Infancia , Humanos , Investigación Cualitativa , SuizaRESUMEN
Working in residential care is associated with high demands and high stress. As a result, employees may develop symptoms of burnout. These symptoms lead to absence from work and have a negative effect on the continuity and quality of the residential care. Until now, little is known about burnout risks in child welfare workers, although children and adolescents are especially dependent on continuous relationships and healthy caregivers. A better understanding of the relationship between burnout symptoms and work satisfaction may help to identify starting points for prevention and intervention. The present study assessed symptoms of burnout in a sample of 319 social education workers in residential care in Switzerland using the burnout-screening-scales (BOSS). Work satisfaction was assessed with a newly developed questionnaire based on concepts of trauma-sensitive care. The questionnaire was tested for reliability and factorial validity in the present study. In order to estimate the relationship between burnout symptoms and work satisfaction, correlations and relative risks were calculated. Almost one fifth (18 %) of the sample showed a risk of burnout. The principal component analysis of the questionnaire on work satisfaction revealed four factors: support by superiors, participation and transparency; communication and support within the team; gratification in the work; and institutional structures and resources. All four factors as well as the total score showed significant correlations with burnout symptoms. Among employees with a comparably lower work satisfaction, the risk of burnout was 5.4 times higher than among employees with a comparably higher work satisfaction. It is discussed how work satisfaction could be promoted and how, as a result, the quality and continuity of care for the children and adolescents could be improved.
Asunto(s)
Agotamiento Profesional/psicología , Satisfacción en el Trabajo , Tratamiento Domiciliario , Absentismo , Adolescente , Adulto , Agotamiento Profesional/diagnóstico , Niño , Protección a la Infancia , Femenino , Humanos , Delincuencia Juvenil/psicología , Delincuencia Juvenil/rehabilitación , Masculino , Persona de Mediana Edad , Problema de Conducta/psicología , Riesgo , Estadística como Asunto , Estrés Psicológico/complicaciones , Encuestas y Cuestionarios , Suiza , Carga de Trabajo/psicología , Adulto JovenRESUMEN
The German Competence Analysis Questionnaire (KANN): Autism-spectrum-disorders and/or ADHD Compared. Due to the frequent comorbidity of autism spectrum disorders (ASD) and attention-deficit hyperactivity disorders (ADHD) the investigation of similarities and differences between these two syndromes has been the focus of research in recent years. The main objective of the present paper is to compare the three clinical groups "ASD", "ADHD" and "ASD+ADHD" as well as a control group on the basis of competencies relevant to everyday and social life by using the German Competence Analysis Questionnaire (Kompetenzanalyseverfahren, KANN). The KANN is an external assessment tool used to determine observable personal resources (competencies) in children and adolescents. A total of n = 205 children and adolescents under the care of child and youth welfare services are analyzed. The results show that the clinical group "ADHD" is superior to the groups "ASD" (in this case statistically significant) and "ASD+ADHD" at the KANN-scale "Leisure Behavior & Peer Groups" and "Independence in Everyday Life". The similar KANN-profiles of the two autistic groups do not support - contrary to the additionally collected data of behavior disorders (CBCL/4-18) - the hypothesis of an additive symptom effect within the meaning of the loss of competencies for the combined diagnoses group "ASD+ADHD". Furthermore, the ability of the KANN scales to differentiate between a clinical and a non-clinical child and youth welfare group underlines the validity of the KANN.