The Experience of Power Relationships for Young People in Care. Developing an Ethical, Shortitudinal and Cross-National Approach to Researching Everyday Life

Forschungsarbeiten in unterschiedlichen Ländern haben gezeigt, dass junge Menschen, die in Pflegeeinrichtungen leben, häufig negative Dominanzerfahrungen machen. In diesem Beitrag befassen wir uns mit Methoden, die geeignet sind, Machtbeziehungen in den Blick zu nehmen, wenn es darum geht, die Perspektiven von Jugendlichen auf ihr Alltagsleben zu erfassen. Hierzu berichten wir zunächst die Ergebnisse aus einem Review der internationalen Methodenliteratur inkl. ethischer Fragen, die in diesem Kontext relevant werden. Hiervon ausgehend skizzieren wir unseren Ansatz, mit dem wir versucht haben, jungen Menschen mit einem qualitativen und länderübergreifenden Shortitudinal-Design zur Selbstermächtigung im Forschungsprozess zu verhelfen. Insgesamt haben 16 Personen aus französischen und englischen Pflegeeinrichtungen an der Studie teilgenommen. Wir zeigen, wie wir ihnen Kontrolle zurückgegeben haben: über ihre Nutzung der Forschungsinstrumente, über die Themen, die diskutiert wurden und über die Räume, in denen Daten generiert wurden. Deutlich wird, in welcher Weise die Wahlen der Jugendliche die Bereiche reflektieren, in denen sie sich als machtvoll erleben. Die hierzu erforderlichen Methoden erlaubten uns insoweit Einsichten, wie es Jugendlichen gelingen kann, innerhalb der zumeist restriktiven Alltagsbedingungen in Pflegeeinrichtungen eigene Spielräume zu schaffen bzw. zu wahren.Across national contexts, research shows that young people who live in child protection facilities often have negative experiences of power relations. In this article we look for a suitable method which takes account of power relations while investigating young people's perspectives on their everyday lives. We first present the results of an international methodological literature review concerned with the study of everyday life of young people, including ethical discussions arising among researchers. Drawing on this, our own research devised a shortitudinal, qualitative and cross-national approach which was designed to empower young participants during the research process. Sixteen young people living in care in France and in England participated in this project. Here we discuss the ways in which this approach functioned to give participants control—over the use they made of the research tools, over the topics that were discussed, and over the spaces in which research data were generated. Some of the data show how young people's choices reflect the areas where they feel powerful. We argue that using this method enabled insights into the ways in which young people were able to create or protect agentic spaces within the constrained everyday lives of child protection

Beyond contact: European perspectives on work with families of children placed away from home

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Diversity, dialogue, and identity in designing globally relevant social work education

This article reflects on how to design social work education for internationally diverse cohorts of students. It draws on insights from a Master program for social work practitioners from around the world that has been delivered by a partnership of five European universities since 2013. Three particular issues are explored: developing curricula that achieve a local–global balance and emphasize the significance of context sensitivity in social work; the need for teaching approaches that promote dialogue, critical analysis, and student well-being; the importance of providing students with a strong identity, value base, and connection to the global social work profession. The article is targeted at social work educators involved in international and cross-country teaching as well as scholars interested in debates about the balance of local–global dimensions in social work

Beyond contact: work with families of children placed away from home in four European countries

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L’implication des parents dans l’éducation de leur enfant placé. Approches européennes. The involvement of parents in the upbringing of their child placed in care: European approaches

In child protection, just like other childcare systems, the principle of parental involvement is coming to the fore in official discourse. In practice, however, a child's placement in a foster or institutional home means that parents are discredited and kept at a distance. Drawing from research conducted in four European countries, this paper aims to understand the meaning of this involvement, and how parents can be part of their child's upbringing despite their being in care. Practitioners and institutions play a crucial role in the way in which they talk to parents, share tasks with them, and organize time spent together between parents and their children

Beyond contact? Policy approaches to work with families of looked after children in four European countries

In England, placement within the looked after system is not viewed as a desirable long-term solution for most children, and policy has prioritised continued contact with parents, and swift return home, wherever possible. This review examines policy approaches to work with families of looked after children in England and in three other European countries: Denmark, France and the Netherlands, aiming to identify areas for shared learning in relation to this challenging area of policy and practice. The research highlights relationships between care populations and policy understandings of the purpose of work with families, including understandings of children's and/or parents’ rights

Retrospective multicentric study on Campylobacter spp. bacteremia in France: the Campylobacteremia study

International audienceAbstract Background Campylobacter spp. bacteremia is a severe infection. A nationwide 5-year retrospective study was conducted to characterize its clinical features and prognostic factors. Methods Patients diagnosed with Campylobacter spp. bacteremia in 37 French hospitals participating in the surveillance network of the National Reference Center for Campylobacter and Helicobacter were included from January 1, 2015, to December 31, 2019. The goal was to analyze the effects of a delay of appropriate antibiotic therapy and other risk factors on 30-day mortality, antibiotic resistance, patient characteristics and prognosis according to the Campylobacter species. Findings Among the 592 patients, Campylobacter jejuni and Campylobacter fetus were the most commonly identified species (42.9 and 42.6%, respectively). The patients were elderly (median age 68 years), and most had underlying conditions, mainly immunodepression (43.4%), hematologic malignancies (25.9%), solid neoplasms (23%) and diabetes (22.3%). C. jejuni and Campylobacter coli were associated with gastrointestinal signs, and C. fetus was associated with secondary localizations. Among the 80 patients (13.5%) with secondary localizations, 12 had endocarditis, 38 vascular, 24 osteo-articular and 9 ascitic fluid infections. The thirty-day mortality rate was 11.7%, and an appropriate antibiotic treatment was independently associated with 30-day survival (odds ratio [OR]=0.47, 95% CI [0.24–0.93], p=0.03). The median efficient therapy initiation delay was quite short (2 days, IQR [0–4]) but it had no significant impact on 30-day mortality (p=0.78). Interpretation Campylobacter spp. bacteremia mainly occurred in elderly immunocompromised individuals with variable clinical presentations according to the species involved. Appropriate antimicrobial therapy was associated with improved 30-day survival