Abstract:
Service engagement is critical when working with children and families experiencing chronic adversities because of their socially marginalized status. Further, sociodemographic disparities exist in service engagement within service systems including Community-Based Behavioral Health; likely in part, a result of structural issues driving unresponsive service systems. Despite this knowledge, a large proportion of the family engagement literature continues to be approached through a deficit-based and family-centric lens leaving out important systemic considerations and furthering health inequities. Drawing from a Socio-Ecological Framework (Stokols, 1996), this study focuses on exploring the value of peer support providers (PSPs) to understand how sociocultural responsiveness functions under this service model. Individual interviews and focus group data were collected from both families and PSPs. Thematic analysis (Braun & Clarke in Qualitative Research in Psychology, 3(2), 77-101, 2006) was utilized to code and synthetize the data collected. Findings highlight the importance of capitalizing on meaningful and trusting relationships to foster family engagement in services. These findings solidify the understanding that family engagement is a function of crucial relationships between family, provider, and systems. This work also illustrates how PSPs organic embodiment of sociocultural responsiveness through cultural humility is an avenue through which family engagement can be sustained.
摘要:
在与由于其社会边缘化地位而遭受慢性逆境的儿童和家庭一起工作时,服务参与至关重要。Further,社会人口统计学差异存在于服务系统内的服务参与中,包括基于社区的行为健康;可能部分地,结构问题导致服务系统反应迟钝。尽管有这些知识,很大比例的家庭参与文献继续通过基于赤字和以家庭为中心的视角来处理,而忽略了重要的系统性考虑,并进一步加剧了健康不平等。借鉴社会生态框架(Stokols,1996),这项研究的重点是探索同伴支持提供者(PSP)的价值,以了解社会文化响应在这种服务模式下的功能。从家庭和PSP收集个人访谈和焦点小组数据。主题分析(Braun&Clarke心理学定性研究,3(2)、77-101,2006)用于编码和合成收集的数据。研究结果强调了利用有意义和信任的关系来促进家庭参与服务的重要性。这些发现巩固了这样一种理解,即家庭参与是家庭之间关键关系的函数,提供者,和系统。这项工作还说明了PSP如何通过文化谦逊有机地体现社会文化反应能力,这是维持家庭参与的途径。