目标:为了了解健康,在COVID-19大流行期间,残疾儿童的教育和社会护理服务发生了变化,哪些工作效果良好,哪些服务变化对专业人员和家庭都有影响。
方法:使用半结构化访谈的定性研究。
方法:电话和视频电话采访以及与在英格兰五个地方当局地区之一工作的专业人员的焦点小组。
方法:78健康,教育和社会护理专业人员在英格兰五个地方当局地区之一与儿童一起工作。
结果:在大流行的早期阶段,服务发生了重大中断,与家人的接触减少;尽管如此,专业人员能够反思他们互动的创新方式,并寻求支持和维护健康,向残疾儿童及其家庭提供教育和社会护理。随着候补名单的大幅增加,这以及大流行的持续时间被认为对工作人员的健康和福祉产生了负面影响,儿童和年轻人的健康和社会心理结果,和他们的父母照顾者。
结论:这项研究对服务恢复和未来紧急情况计划的关键学习是需要能够识别残疾儿童,对他们的需求和风险水平进行分类,评估失去服务的影响,并在服务之间保持清晰的沟通,以满足残疾儿童的需求。最后,服务需要与家庭合作,发展以儿童为中心的护理,以加强服务中断期间的复原力。
OBJECTIVE: To understand how health, education and social care services for disabled children changed during the COVID-19 pandemic, what did or did not work well and what the impacts of service changes were on both professionals and families.
METHODS: Qualitative study using semistructured interviews.
METHODS: Telephone and video call interviews and focus groups with professionals working in one of five local authority areas in England.
METHODS: 78 health, education and social care professionals working with children in one of five local authority areas in England.
RESULTS: There was a significant disruption to services and reduced contact with families during the early stages of the pandemic; nevertheless, professionals were able to reflect on innovative ways they interacted with and sought to support and maintain health, education and social care provision to disabled children and their families. As waitlists have substantially increased, this and the longevity of the pandemic were perceived to have had negative consequences for staff health and well-being, the health and psychosocial outcomes of children and young people, and their parent carers.
CONCLUSIONS: Key learning from this study for service recovery and planning for future emergencies is the need to be able to identify disabled children, classify their level of need and risk, assess the impact of loss of services and maintain clear communication across services to meet the needs of disabled children. Finally, services need to work collaboratively with families to develop child-centred care to strengthen resilience during service disruption.