"There are carers, and then there are carers who actually care"; Conceptualizations of care among looked after children and care leavers, social workers and carers.


Journal

Child abuse & neglect
ISSN: 1873-7757
Titre abrégé: Child Abuse Negl
Pays: England
ID NLM: 7801702

Informations de publication

Date de publication:
06 2019
Historique:
received: 08 08 2018
revised: 13 03 2019
accepted: 16 03 2019
pubmed: 22 4 2019
medline: 17 6 2020
entrez: 22 4 2019
Statut: ppublish

Résumé

Looked after children and care leavers (LACCL) are some of the most vulnerable and marginalized young people in our communities. Existing research demonstrates that this group often interprets care in terms of genuineness and tends to feel uncared for. Less work exists from the perspective of social workers and formal carers. This study aims to explore how care is perceived and practiced among LACCL and those with a duty of care for them. We use a theoretical lens of care ethics to compare and contrast understandings in order to explore how they affect the delivery and receipt of care. There were 44 participants from four local authorities in north-east England including nineteen LACCL aged 12-20, eight social workers, and nineteen formal carers. Twenty-eight semi-structured 1:1 interviews, four dyad interviews and three focus group interviews. LACCL desired care that felt familial, went beyond minimum standards and involved understanding. Social workers had to manage LACCL expectations and build relationships by both rationing care according to role constraints whilst sometimes going 'above and beyond' statutory care. Carers conceptualized care in terms of dedication and discipline but felt limited in their ability to achieve care in this way. Bridging different conceptualizations of care is necessary to achieve integrated support for these vulnerable young people whilst also helping them to develop key skills for later adult life. A deeper understanding of frameworks of care has implications for social worker and formal carer training and practice.

Sections du résumé

BACKGROUND
Looked after children and care leavers (LACCL) are some of the most vulnerable and marginalized young people in our communities. Existing research demonstrates that this group often interprets care in terms of genuineness and tends to feel uncared for. Less work exists from the perspective of social workers and formal carers.
OBJECTIVE
This study aims to explore how care is perceived and practiced among LACCL and those with a duty of care for them. We use a theoretical lens of care ethics to compare and contrast understandings in order to explore how they affect the delivery and receipt of care.
PARTICIPANTS & SETTING
There were 44 participants from four local authorities in north-east England including nineteen LACCL aged 12-20, eight social workers, and nineteen formal carers.
METHOD
Twenty-eight semi-structured 1:1 interviews, four dyad interviews and three focus group interviews.
RESULTS
LACCL desired care that felt familial, went beyond minimum standards and involved understanding. Social workers had to manage LACCL expectations and build relationships by both rationing care according to role constraints whilst sometimes going 'above and beyond' statutory care. Carers conceptualized care in terms of dedication and discipline but felt limited in their ability to achieve care in this way.
CONCLUSION
Bridging different conceptualizations of care is necessary to achieve integrated support for these vulnerable young people whilst also helping them to develop key skills for later adult life. A deeper understanding of frameworks of care has implications for social worker and formal carer training and practice.

Identifiants

pubmed: 31005828
pii: S0145-2134(19)30104-8
doi: 10.1016/j.chiabu.2019.03.018
pii:
doi:

Banques de données

ISRCTN
['ISRCTN80786829']

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

219-229

Subventions

Organisme : Medical Research Council
ID : MR/K02325X/1
Pays : United Kingdom
Organisme : Department of Health
ID : PHR/14/183/08
Pays : United Kingdom

Informations de copyright

Crown Copyright © 2019. Published by Elsevier Ltd. All rights reserved.

Auteurs

Rebecca Brown (R)

Institute of Health and Society, Newcastle University, Medical Faculty, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. Electronic address: rebecca.brown@newcastle.ac.uk.

Hayley Alderson (H)

Faculty of Medicine, University of New South Wales, Level 8, The Bright Alliance, High St & Avoca Street, Randwick, NSW 2031, Australia. Electronic address: hayley.alderson@newcastle.ac.uk.

Eileen Kaner (E)

Institute of Health and Society, Newcastle University, Medical Faculty, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.

Ruth McGovern (R)

Institute of Health and Society, Newcastle University, Medical Faculty, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.

Raghu Lingam (R)

Faculty of Medicine, University of New South Wales, Level 8, The Bright Alliance, High St & Avoca Street, Randwick, NSW 2031, Australia.

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Classifications MeSH