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Perceptions of Family Environment and Wraparound Processes: Associations with Age and Implications for Serving Transitioning Youth in Systems of Care

机译:家庭环境和环绕过程的看法:与年龄的关联以及在护理系统中为过渡中的青年服务的含义

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摘要

Addressing the unique needs of youth transitioning to adulthood has long been viewed as a priority in implementation of systems of care (SOCs) and wraparound. Developmental research and “practice-based evidence” suggest that there are differences between transitioning youth and their younger peers in family environment and wraparound team processes. Although these differences are thought to have significant implications for wraparound practice, few studies have examined them empirically. The present research involves two studies examining differences across several age cohorts (i.e., 10–12, 13, 14, 15, 16–17 year-olds) ranging from early adolescent to transitioning youth in: (1) caregiver perceptions of role-related strain and family environment quality, and (2) facilitator, caregiver, and youth perceptions of wraparound processes. In Study #1, older age was associated with higher levels of caregiver strain. In Study #2, age was associated with differences between youth and other team members’ perceptions of wraparound processes, such that older youth perceived teams as less cohesive than others on their teams. These findings suggest that transitioning youth and their families merit special consideration in wraparound implementation and underscore the importance of considering the perceptions of transitioning youth in system change and practice improvement efforts (192 words).
机译:长期以来,解决青年人成年后的独特需求一直被视为实施护理系统(SOC)和环绕式系统的优先事项。发展研究和“基于实践的证据”表明,在家庭环境和环绕式团队流程中,过渡青年和他们的同龄人之间存在差异。尽管这些差异被认为对环绕操作有重大影响,但很少有研究从经验上对其进行检验。本研究涉及两项研究,研究了从青春期早期到过渡青年的几个年龄段(即10-12岁,13、14、15、15、16-17岁年龄段)之间的差异:(1)照顾者对与角色相关的看法压力和家庭环境质量,以及(2)促进者,照顾者和青年人对包裹过程的看法。在研究#1中,老年人与较高的护理压力有关。在研究#2中,年龄与青年和其他团队成员对环绕过程的理解之间的差异相关,因此年龄较大的青年认为团队的凝聚力不及团队中其他团队。这些发现表明,过渡时期的青年及其家庭在全面实施过程中应特别考虑,并强调了在系统变革和实践改进努力中考虑过渡时期青年的观念的重要性(192个字)。

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