Suchergebnisse

AbstractIndividuals in and leaving care within the UK experience numerous dilemmas that include a lack of supportive housing and potential homelessness, lower educational attainment and occupational status, and greater likelihood of moving into poverty. These adverse situations—all of which are interrelated—shape their present and future health status. Models of these processes usually focus on individual behaviours/characteristics, the consolidation of positive identities through the development of supportive networks, and specific social policies germane to this group. Although informative, these models neglect many key contextual factors that shape these outcomes. In this paper, we present a model of care‐leaving that incorporates developments in the political economy of health literature to show how differing welfare state arrangements shape health by mediating the distribution of economic and social resources over the life course for populations in general and for those in and leaving care specifically. The key recommendation suggested by this model is to focus upon developing public policies to address the vulnerable situations care leavers experience associated with skewed income distributions, lack of housing affordability, weak employment standards, and lack of access to higher education typical of liberal welfare states such as the UK.

In response to a request from a local community health centre, an inquiry was undertaken into the service needs and day-to-day lives of residents in five social housing complexes in the inner suburbs of Etobicoke, Toronto. Unlike other low-income communities embedded within larger wealthier communities, these complexes have little in the way of health care, social service, or recreational facilities. Focus groups revealed that anticipated issues of difficulty in accessing primary health care services, limited access to support services, and lack of recreational opportunities for youth were intensified by gentrification of neighbourhoods, ongoing experiences of racism and discrimination, a dearth of occupational opportunities for youth and political invisibility of these residents. These experiences of social exclusion are especially troubling when contrasted with the opportunities for health and well-being offered to many others in one of Canada's wealthiest urban communities. ; En réponse à une demande d'un centre de santé communautaire local, une enquête a été entreprise sur les besoins en services et la vie quotidienne de résidents de cinq complexes de logements sociaux dans la banlieue intérieure d'Etobicoke, à Toronto. Contrairement à d'autres communautés à faible revenu intégrées dans des communautés plus grandes et plus riches, ces complexes ont peu de soins de santé, services sociaux ou d'installations récréatives. Les groupes de discussion ont révélés que les problèmes anticipés de difficultés d'accès aux services de soin de santé primaires, d'accès limité aux services de soutien et de manque d'opportunités récréatives pour les jeunes étaient intensifiés par l'embourgeoisement des quartiers, les expériences continues de racisme et de discriminations, le maque d'opportunités professionnelles pour les jeunes et l'invisibilité politique de ces résidents. Ces expériences d'exclusion sociale sont particulièrement troublantes lorsqu'elles sont mises en contraste avec les opportunités de santés et de bien-être offertes à beaucoup d'autres dans l'une des communautés urbaines les plus riches au Canada.

Abstract
Purpose
Childhood exposure to intimate partner violence (IPV) is a pervasive problem worldwide. In addition to directly observing or indirectly experiencing IPV, children may be killed because of IPV. To date, research on child IPV-related deaths exists in various, disconnected areas of scholarship, making it difficult to understand how IPV contributes to child fatalities. As such, this scoping review located and synthesized research on child fatalities that resulted from IPV, seeking to understand the state of global research concerning the prevalence and circumstances of IPV-related child fatalities.

Methods
Using a combination of keywords and subject terms, we systematically searched PsycINFO, CINAHL Plus, PubMed, and seven research repositories. We located empirical studies published in English in peer-reviewed journals that reported findings concerning children (aged 0–17) who were killed because of IPV and/or people who killed children due to IPV. Among 9,502 de-duplicated records, we identified 60 articles that met review inclusion criteria. We extracted and synthesized information concerning research methods, circumstances and consequences of the fatalities, characteristics of people who committed IPV-related homicide of a child, and characteristics of children who died because of IPV.

Results
Studies were published from 1986–2022 and analyzed data from 23 countries. Most studies did not focus exclusively on IPV-related child homicides, and overall, studies reported sparse information concerning the contexts and circumstances of such fatalities. There were two predominant and distinct groups of children killed due to IPV: children killed by a parent or other adult caregiver and adolescents killed by an intimate partner. It was often difficult to ascertain whether the demographic characteristics of individuals who kill a child in the context of IPV and other contextual details might be similar to or different from child fatalities that occur under different circumstances or for other motivations.

Conclusions
This review highlighted that children die because of IPV. Findings indicated that such fatalities, while maybe difficult to predict, are often preventable if earlier intervention is made available and professionals are alert to key circumstances in which fatality risk is high. Future research and practice efforts should attend to understanding child fatalities resulting from IPV to identify critical intervention points and strategies that will save children's lives.

AbstractYoung people who are currently or were previously in state care have consistently been found to have much higher rates of mental health and neurodevelopmental difficulties than the general youth population. While a number of high‐quality reviews highlight what research has been undertaken in relation to the mental health of young people with care experience and the gaps in our knowledge and understanding, there is, until now, no consensus, so far as we aware, as to where our collective research efforts should be directed with this important group. Through a series of UK wide workshops, we undertook a consultative process to identify an agreed research agenda between those with lived experience of being in care (n = 15), practitioners, policy makers and researchers (n = 59), for future research regarding the mental health of young people with care experience, including those who are neurodiverse/have a neurodevelopmental difficulty. This consensus statement identified 21 foci within four broad categories: how we conceptualize mental health; under‐studied populations; under‐studied topics; and underused methodologies. We hope that those who commission, fund and undertake research will engage in this discussion about the future agenda for research regarding the mental health of young people with care experience.