关键词: Child health Health policy Maternal health Public Health

Mesh : Child Female Humans Child Custody Correctional Facilities Delivery of Health Care Mothers Prisoners Prisons Models, Organizational

来  源:   DOI:10.1136/bmjgh-2023-012979   PDF(Pubmed)

Abstract:
BACKGROUND: Incarcerated mothers are a marginalised group who experience substantial health and social disadvantage and routinely face disruption of family relationships, including loss of custody of their children. To support the parenting role, mothers and children\'s units (M&Cs) operate in 97 jurisdictions internationally with approximately 19 000 children reported to be residing with their mothers in custody-based settings.
OBJECTIVE: This rapid review aims to describe the existing evidence regarding the models of service delivery for, and key components of, custodial M&Cs.
METHODS: A systematic search was conducted of four electronic databases to identify peer-reviewed literature published from 2010 onwards that reported quantitative and qualitative primary studies focused on custody-based M&Cs. Extracted data included unit components, admission and eligibility criteria, evaluations and recommendations.
RESULTS: Of 3075 records identified, 35 met inclusion criteria. M&Cs accommodation was purpose-built, incorporated elements of domestic life and offered a family-like environment. Specific workforce training in caring for children and M&Cs evaluations were largely absent. Our systematic synthesis generated a list of key components for M&C design and service delivery. These components include timely and transparent access to information and knowledge for women, evaluation of the impact of the prison environment on M&C, and organisational opportunities and limitations.
CONCLUSIONS: The next generation of M&Cs requires evidence-based key components that are implemented systematically and is evaluated. To achieve this, the use of codesign is a proven method for developing tailored programmes. Such units must offer a net benefit to both mothers and their children.
摘要:
背景:被监禁的母亲是一个边缘化的群体,她们在健康和社会上处于不利地位,经常面临家庭关系的破坏,包括失去孩子的监护权。为了支持育儿角色,母亲和儿童单位(M&C)在国际上的97个司法管辖区开展业务,据报告,约有19000名儿童与母亲一起居住在基于监护的环境中。
目的:本快速综述旨在描述有关以下方面的服务交付模式的现有证据:和关键组成部分,托管并购。
方法:对四个电子数据库进行了系统搜索,以确定从2010年开始发表的同行评审文献,这些文献报道了以监护为基础的并购为重点的定量和定性主要研究。提取的数据包括单元组件,入学和资格标准,评价和建议。
结果:在确定的3075条记录中,35符合纳入标准。M&C住宿是专门建造的,融入了家庭生活的元素,并提供了一个类似家庭的环境。在照顾儿童和M&C评估方面的具体劳动力培训基本上没有。我们的系统综合生成了M&C设计和服务交付的关键组件列表。这些组成部分包括妇女及时和透明地获取信息和知识,评估监狱环境对M&C的影响,和组织的机会和限制。
结论:下一代的M&C需要以证据为基础的关键组件,这些组件被系统地实施并被评估。为了实现这一点,使用codesign是开发定制方案的一种行之有效的方法。这些单位必须为母亲及其子女提供净福利。
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