Evaluation of residential care from the perspective of older adolescents in care. The need for a new construct: optimum professional proximity

Soldevila, Anna; Peregrino, Antônio Augusto de Freitas; Oriol, Xavier; Guiu, Gemma Filella

doi:10.1111/j.1365-2206.2012.00843.x

Cited by 22 publications

(26 citation statements)

References 24 publications

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“…Nonetheless, this theme is consistent with previous research that demonstrates that relational matters are usually the key elements in recovery and residential practice with adolescents (Rabley et al, 2014;Soenen et al, 2013;Soldevila et al, 2013). In this capacity, the present research builds upon previous studies.…”

Section: The Practitioner Facilitates Recovery Via the Relational Hubsupporting

confidence: 80%

“…The above Nonetheless, the literature consistently points out that the most healing aspects of a residential facility revolve around the therapeutic nature of staff-client relationships such as the physical and emotional availability of staff (Soenen et al, 2013), open communication, trust and fun (Rabley et al, 2014) and consistent emotional connection along with preparing the adolescents for discharge (Soldevila et al, 2013).…”

Section: Residential Treatment Carementioning

confidence: 99%

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The long sleep-over: the lived experience of teenagers, parents and staff in an adolescent psychiatric unit

Ward¹

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Adolescents are in a particular life cycle stage that involves numerous psychosocial changes. When this stage of life is compounded by serious mental health difficulties, the effects can have significant repercussions for both teenager and family. For some adolescents, an extended inpatient stay is necessary in order to address these difficulties. This research investigates the subjective experience of adolescents, their parents and staff who live, work and have a child in such a facility; the Barrett Adolescent Centre (BAC) located in Brisbane Australia. The qualitative study was completed by the sole social work practitioner who was employed at the Unit for over eight years.The Unit was a long stay residential facility and provided the opportunity to collect data over an extended period of time. The research therefore emerges from an insider, practitioner-researcher context. The primary research question focused on how the collective experiences of adolescent consumers, parents and staff can inform mental health practice in adolescent residential settings.A review of the literature suggests that there is a strong tendency to incorporate concepts from the adult mental health literature into adolescent mental health practice. The notion of recovery is an example, which is heavily influenced by conceptualisations of adult experience. Consequently, the aim of the present research was to better understand the participants holistically, but also in the appropriate developmental context; incorporating the social, emotional and experiential domains that form the lived experience of inpatient life. Broadly speaking, the key areas of interest included how the notion of recovery was experienced by the adolescents, the experiences of the parents during their child's inpatient stay, and the experiences of the staff while helping the adolescents.The research emphasises and values subjectivity as well as the interpretation of significant personal experience. Subsequently, the study is located within an interpretative phenomenological analysis frame. It is also informed by critical realism that posits that mental illness is an objectively real phenomenon, though experienced uniquely by each individual affected by it. Semi-structured interviews formed the basis of the data, involving the three population groups of adolescent inpatients, their parents and staff. A total of 13 adolescents, 10 staff and 8 parents were interviewed.Single interviews were utilised for all participant groups as well as a small focus group of the three primary staff professions; that of Allied Health, Nursing and Education. The use of photography was also utilised with the adolescents in order to explore various facets of the therapeutic milieu from their perspective. The adolescents were also offered successive interviews over a number of ii months to enrich the picture of inpatient life. Elements such as family, education, consumer-staff relations as well as the recovery process were investigated.Hermeneutical thematic analysis uncovered ric...

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Section: The Practitioner Facilitates Recovery Via the Relational Hubsupporting

confidence: 80%

Section: Residential Treatment Carementioning

confidence: 99%

The long sleep-over: the lived experience of teenagers, parents and staff in an adolescent psychiatric unit

Ward¹

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“…Third, given the increased emphasis on 'safe practice' , certain practices were favoured including the growth of record keeping. These all compromised the delivery of relationship based practice particularly, the intimate and relational aspects of their work with children including, for example, hugging and touching (Steckley, 2012;Soldevila, Peregrino, Oriol, & Filella, 2013).…”

Section: Discussion Implications and Concluding Thoughtsmentioning

confidence: 99%

Residential child care workers: Relationship based practice in a culture of fear

Brown

Winter

Carr

2018

Child & Family Social Work

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In a contemporary context dominated by reports of the historical institutional abuse of children and young people in residential children's homes, and where the voice of workers is largely absent, this study explores the views and experiences of 26 workers in the Republic of Ireland regarding relationship‐based practice. Using an exploratory, qualitative approach and informed by ‘appreciative inquiry’; semi‐structured interviews were undertaken with 26 residential care workers. The findings highlight that relationship‐based practice has not been fully understood and/or embraced in practice because of a culture of fear that has permeated the Irish residential childcare system. Using theoretical concepts associated with the sociology of fear, the paper explores their effects on practice and argues that these are amplified given the current low status of residential care workers, the impact of media reports and the influence of current discourses around professional practice in which ‘objective’ and ‘emotionally detached’ practice is viewed as synonymous with efficiency and effectiveness. The paper ends by considering implications for professional practice in residential childcare settings.

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“…También se observa cómo aquellos adolescentes acogidos en centro que informan estar satisfechos con sus educadores, directores y compañeros del centro muestran puntuaciones más altas en su bienestar subjetivo. Este resultado señala la importancia del establecimiento de una relación estable y de confianza con los educadores y directores, en la línea de los resultados de Soldevila et al (2013) y Melendro et al (2014). También estudios como los de Bravo y Del Valle (2003) ya señalaban que los adolescentes acogidos en centro confiaban más en sus amigos del centro y sus educadores que en los de la escuela y Martín (2015) también ha mostrado la importancia de las relaciones mantenidas dentro del contexto residencial.…”

Section: Discussionunclassified

“…Respecto a la relación con los educadores, Soldevila et al (2013), a partir de un estudio cualitativo con adolescentes acogidos en centro, señalaron que los adolescentes encontraban una falta de afecto positivo por parte de algunos educadores e identificaban este aspecto como una de las principales diferencias de vivir en un centro respecto de vivir en una familia.…”

Section: El Sistema De Protección Infantil En Cataluñaunclassified

¿Cómo influye el sistema de protección en el bienestar subjetivo de los adolescentes que acoge?

Llosada-Gistau

Montserrat

Casas

2017

SOCI

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Resumen. El bienestar subjetivo es un componente esencial de la calidad de vida. Conocemos muy poco sobre el bienestar subjetivo de los niños y niñas, y menos aún de los adolescentes de colectivos vulnerables como los que están acogidos por el sistema de protección. El objetivo de este trabajo es estudiar cómo influye el sistema de protección en el bienestar subjetivo de los adolescentes que acoge a partir de sus propias percepciones, evaluaciones y satisfacciones. Se trata de un estudio transversal realizado en Cataluña. La población de estudio fueron los adolescentes entre 12 y 14 años acogidos en centro residencial (n=379) y familia extensa (n=219). Se administró el cuestionario International Survey of Children's Well-Being (ISCWeB) que incluía tres escalas psicométricas: Overall Live Satisfaction (OLS), Students' Life Satisfaction Scale (SLSS) y la Personal Well-Being Index (PWI) utilizadas como indicadores de bienestar subjetivo. La mayoría de los adolescentes acogidos en familia extensa están satisfechos con el tipo de acogimiento por sólo la mitad de los que están acogidos en centro. Los adolescentes que llevan más tiempo en el mismo tipo de acogimiento, los que viven en centros de menor tamaño, así como aquellos que manifiestan estar satisfechos con sus acogedores, educadores y compañeros de centro, muestran medias de bienestar subjetivo más altas. Es muy importante tener en cuenta la opinión de los adolescentes acogidos por el sistema de protección si se pretende mejorar su bienestar subjetivo. La estabilidad y el vínculo afectivo con acogedores y educadores es clave en su bienestar. Palabras clave: Bienestar subjetivo; adolescentes tutelados; sistema de protección; acogimiento residencial; acogimiento familiar.[pt] Como o sistema de proteção influencia o bem-estar subjetivo dos adolescentes que acolhe?Resumo. O bem-estar subjetivo é um componente essencial da qualidade de vida. Sabe-se muito pouco sobre o bem-estar subjetivo das crianças e menos ainda daqueles adolescentes em situação de vulnerabilidade, como os que foram acolhidos pelo sistema de proteção. O objetivo deste trabalho é estudar como o sistema de proteção influencia o bem-estar subjetivo dos adolescentes que acolhe, a partir das suas próprias percepções, avaliações e satisfações. Trata-se dum estudo transversal realizado na Catalunha. Os participantes do estudo foram adolescentes entre 12 e 14 anos acolhidos em instituições (n = 379) e a viver numa família extensa (n = 219). Responderam ao questionário International Survey of Children's Well-Being (ISCWeB) que inclui três escalas psicométricas: Overall Live Satisfaction (OLS), Students' Life Satisfaction Scale (SLSS) e Personal Well-Being Index (PWI) utilizadas como Abstract Subjective well-being is an essential component of quality of life. Little is known about subjective well-being of children and even less about vulnerable groups such as adolescents in care. This paper aims at studying how the child protection system influences the subjective well-being of the adolescents in care on th...

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Evaluation of residential care from the perspective of older adolescents in care. The need for a new construct: optimum professional proximity

Cited by 22 publications

References 24 publications

The long sleep-over: the lived experience of teenagers, parents and staff in an adolescent psychiatric unit

The long sleep-over: the lived experience of teenagers, parents and staff in an adolescent psychiatric unit

Residential child care workers: Relationship based practice in a culture of fear

¿Cómo influye el sistema de protección en el bienestar subjetivo de los adolescentes que acoge?

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