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The perspectives of community-based practitioners on preventing baby removals : Addressing legitimate and illegitimate factors
Children and Youth Services Review ( IF 2.519 ) Pub Date : 2021-06-12 , DOI: 10.1016/j.childyouth.2021.106126
Emily Keddell , Kerri Cleaver , Luke Fitzmaurice

The removal of babies at or near birth is a significant health, ethical, personal and social justice issue affecting many families globally. While sometimes required, it can carry a risk of harm for babies, their families and communities, as well as refracting social inequities relating to class, gender, ethnicity, location and disability. This article reports the qualitative perceptions of community-based social workers in Aotearoa New Zealand about how to prevent baby removals. Preventing removal requires attention to the factors impacting on parenting capacity as well as factors relating to the decision-making ecology environment of child protection systems. Practitioner attributes of a whānau centred practice orientation, a focus on capability and advocacy, values of respect, and recognition of commitment to children, contributed to reducing the escalation of child protection intervention. An ability to mediate between the world of the child protection agency and the family, and recognising emotional responses were practitioner skills that also contributed to prevention. Organisational factors that helped prevent removal were the provision of flexible, intensive, holistic and accessible services; strategic service coordination between statutory and community-based services; and support offered early in the pregnancy by parenting-experienced practitioners. Family issues of poverty, drug use and intimate partner violence were exacerbated in families who were socially isolated, requiring community and social network development. In addition to these preventive factors, there were also also decision ecology factors that increased the risk of removal. These included organisational factors such as poor relationships between the statutory agency and community agencies, lack of the right types of service provision, and the tendency for reliance on recorded family histories in assessment leading to superficial and risk -averse judgements. Unrealistic expectations and changing expectations further estranged families from services and reduced the chances of avoiding removal. These perverse system factors were especially pernicious for those populations with heightened chances of system contact, particularly Māori and people living in poverty, exacerbating institutionalised racism. Implications are critically analysed with reference to the concept of legitimacy.



中文翻译:

以社区为基础的从业者对防止婴儿搬家的看法:解决合法和非法因素

在出生时或即将出生时移除婴儿是一个重要的健康、道德、个人和社会正义问题,影响到全球许多家庭。虽然有时需要,但它可能会给婴儿、他们的家庭和社区带来伤害的风险,并折射出与阶级、性别、种族、地点和残疾有关的社会不平等。本文报告了新西兰 Aotearoa 社区社会工作者对如何防止婴儿被带走的定性看法。防止搬迁需要关注影响育儿能力的因素以及与儿童保护系统决策生态环境相关的因素。以 whānau 为中心的实践取向的从业者属性、对能力和倡导的关注、尊重的价值观以及对儿童承诺的认可,有助于减少儿童保护干预的升级。在儿童保护机构和家庭之间进行调解的能力以及识别情绪反应是从业者的技能,也有助于预防。有助于防止搬迁的组织因素是提供灵活、密集、全面和无障碍的服务;法定服务和社区服务之间的战略服务协调;以及由有育儿经验的从业者在怀孕早期提供的支持。在社会孤立的家庭中,贫困、吸毒和亲密伴侣暴力等家庭问题更加严重,需要发展社区和社交网络。除了这些预防因素外,还有一些决策生态因素会增加清除风险。这些包括组织因素,例如法定机构和社区机构之间的不良关系、缺乏正确类型的服务提供以及在评估中依赖记录的家族史导致肤浅和风险规避判断的倾向。不切实际的期望和不断变化的期望进一步使家庭与服务疏远,并减少了避免搬迁的机会。这些反常的制度因素对那些与制度接触机会增加的人群尤其有害,尤其是毛利人和生活贫困的人,加剧了制度化的种族主义。参考合法性概念批判性地分析了其中的含义。缺乏正确类型的服务提供,以及在评估中依赖记录的家族史的倾向导致肤浅和规避风险的判断。不切实际的期望和不断变化的期望进一步使家庭与服务疏远,并减少了避免搬迁的机会。这些反常的制度因素对那些与制度接触机会增加的人群尤其有害,尤其是毛利人和生活贫困的人,加剧了制度化的种族主义。参考合法性概念批判性地分析了其中的含义。缺乏正确类型的服务提供,以及在评估中依赖记录的家族史的倾向导致肤浅和规避风险的判断。不切实际的期望和不断变化的期望进一步使家庭与服务疏远,并减少了避免搬迁的机会。这些反常的制度因素对那些与制度接触机会增加的人群尤其有害,尤其是毛利人和生活贫困的人,加剧了制度化的种族主义。参考合法性概念批判性地分析了其中的含义。不切实际的期望和不断变化的期望进一步使家庭与服务疏远,并减少了避免搬迁的机会。这些反常的制度因素对那些与制度接触机会增加的人群尤其有害,尤其是毛利人和生活贫困的人,加剧了制度化的种族主义。参考合法性概念批判性地分析了其中的含义。不切实际的期望和不断变化的期望进一步使家庭与服务疏远,并减少了避免搬迁的机会。这些反常的制度因素对那些与制度接触机会增加的人群尤其有害,尤其是毛利人和生活贫困的人,加剧了制度化的种族主义。参考合法性概念批判性地分析了其中的含义。

更新日期:2021-06-25
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