One size does not fit all:A systematic review of training outcomes on residential youth care professionals' skills

Despite the importance of training residential youth care professionals to increase their professional competences and, by doing so, enabling them to cope with the many stressors encountered during their work – such as the serious behaviour problems of the adolescents with whom they work – little attention has been paid so far to the influence of training on the behaviour and skills of residential professionals. This study aims to gain greater insight into the effects of training on the skills of these professionals. We conducted a systematic literature review using the PsycINFO, Eric, SocIndex and Academic Search Premier databases. Within the twelve studies retrieved, the outcomes of nine different training programmes were examined. These nine training programmes include The Solution Strategy (TSS), (Professional) Skills for Residential Child Care Workers (PSRCCW/SRCCW), Therapeutic Crisis Intervention (for Youth Care Workers) (TCIYCW/TCI), Child Teacher Relationship Training (CTRT), a Brief Training Program (BTP), Social Skills Training (SST), Behavior Analysis Services Program (BASP), Mental Health Training (MHT), and a Brief Training Manual (BTM). Our results demonstrate that positive changes in professional skills can be obtained after a training course. TSS (in both studies), PSFCCW, SRCCW, TCI, CTRT, BTP, SST, BASP and BTM programmes are associated with positive outcomes at the individual or organisational level. However, two studies also found negative outcomes related to decreases in the perceived recognition of youth care workers’ value to the agency and a decrease in the knowledge and skills that they learned through training after six months (TSS [Hickey, 1994] and PSRCCW). In addition, other outcomes were also found. The most common ‘other’ outcome was a variable training effect on the professionals’ skills. Although we did find positive (and some negative) training outcomes on the professionals’ skills, none of the studies specified the training elements which caused these changes. More thorough empirical studies using an experimental or repeated case study design are needed to identify effective training elements which could further improve the effectiveness of interventions targeting youths in residential youth care

Expectations of barriers to psychosocial care:Views of parents and adolescents in the community

Parents with a child suffering from psychosocial problems frequently experience barriers to psychosocial care, which may hinder access. Expectations of barriers may have the same effect, but evidence is lacking. The aim of this study is to examine parents' and adolescents' expectations of barriers regarding psychosocial care for the child, along with associated child and family characteristics. We obtained data on an age-stratified random sample of school children/pupils aged 4-18 via questionnaires (N = 666; response rate 70.3 %). Expectations of barriers to psychosocial care were measured with the "Barriers to Treatment Participation Scale-Expectancies" questionnaire (BTPS-exp). Results showed that 64 % of the parents of children below age 12, 59 % of the parents of adolescents (age 12-18), and 84 % of the adolescents expected one or more barriers. Parents and adolescents expected barriers most frequently with respect to irrelevance of treatment. Mainly parents with low educational level and their adolescents expected barriers regarding treatment, and quite a few characteristics of parents of adolescents were associated with expecting multiple barriers regarding treatment demands and issues, for example, single parents, parents of lower educational level and of adolescent boys, and parents of adolescents with psychosocial problems. We conclude that adolescents especially, but also their parents and parents of younger children, expect major barriers to psychosocial care, which may greatly hinder appropriate care seeking. This evidence may support professionals and policymakers in their attempts to improve access to psychosocial care

Finding keys:A systematic review of barriers and facilitators for refugee children's disclosure of their life stories

The systematic review presented in this article aims to reveal what supports and hampers refugee children in telling their, often traumatic, life stories. This is important to ensure that migration decisions are based on reliable information about the children’s needs for protection. A systematic review was conducted in academic journals, collecting all available scientific knowledge about the disclosure of life stories by refugee minors in the context of social work, guardianship, foster care, asylum procedures, mental health assessment, and therapeutic settings. The resulting 39 studies were thoroughly reviewed with reference to what factors aided or hampered the refugee children’s disclosure of their life stories. The main barriers to disclosure were feelings of mistrust and self-protection from the side of the child and disrespect from the side of the host community. The facilitators for disclosing life stories were a positive and respectful attitude of the interviewer, taking time to build trust, using nonverbal methods, providing agency to the children, and involving trained interpreters. Social workers, mentors, and guardians should have time to build trust and to help a young refugee in revealing the life story before the minor is heard by the migration authorities. The lack of knowledge on how refugee children can be helped to disclose their experiences is a great concern because the decision in the migration procedure is based on the story the child is able to disclose