Academic literature on the topic 'Out-of-Home Care'

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Journal articles on the topic "Out-of-Home Care"

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Hanauer, Scott. "Trauma-Informed Out-of-Home Care." Journal of Child and Youth Care Work 25 (November 17, 2020): 66–84. http://dx.doi.org/10.5195/jcycw.2015.72.

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Lehmann, Jennifer. "Reflections on Out-of-Home Care." Children Australia 40, no. 4 (December 2015): 280–85. http://dx.doi.org/10.1017/cha.2015.42.

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This paper is a reflective commentary that highlights some of the issues that impacted upon my thinking and perspectives as a social worker working in the child, youth and family sector. The paper takes the form of a narrative with some accounts of incidents that were memorable and challenged the ways I thought about myself and issues we face in the sector. My concerns are that, while there are many aspects of the work done in this sector in the past that we don't want to repeat, there are also features of service delivery that we overlook in the contemporary tendency to want quick solutions and pursue trends. The conclusions I have come to include the need for community-based, co-located services for parents and children who need supports and out-of-home care responses (OOHC).
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Gunn, Walter J. "Injuries and Poisonings in Out-of-Home Child Care and Home Care." Archives of Pediatrics & Adolescent Medicine 145, no. 7 (July 1, 1991): 773. http://dx.doi.org/10.1001/archpedi.1991.02160070075025.

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Sciacchitano, Katherine. "How Home Care Workers Came Out of the Shadows." Dissent 61, no. 1 (2014): 81–85. http://dx.doi.org/10.1353/dss.2014.0000.

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Tilbury, C. "The Regulation of Out-of-Home Care." British Journal of Social Work 37, no. 2 (March 13, 2006): 209–24. http://dx.doi.org/10.1093/bjsw/bcl012.

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Lee, Sang Jung, Eun Mi An, and Ick-Joong Chung. "Assessing Satisfaction of Children in out-of-Home Care: Development of Korean out-of-Home Care Satisfaction Scale." Child Indicators Research 13, no. 4 (December 12, 2019): 1217–33. http://dx.doi.org/10.1007/s12187-019-09688-6.

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AbstractIn order to offer client-centered services, it is important to measure children’s service satisfaction and reflect their needs to out-of-home care practices and policies. However, a reliable measure that assesses children’s satisfaction about out-of-home care is not found in Korea. This study aimed to develop a Korean out-of-home care satisfaction scale. The study sample consisted of 484 children from institutional care, group homes, and foster homes in Korea. Half of the sample was chosen randomly for exploratory factor analysis (EFA) based on 16 items from the Korean Foster Care Improvements Project. The other half of the sample was used for confirmatory factor analyses (CFA). EFA yielded two-factor structures that consist of eight items for each factor. Confirmatory factor analyses supported the two-factor structures with reasonable fit, and all items loaded significantly on the factors. The Korean out-of-home care satisfaction scale could be used as a tool to assess children’s satisfaction with out-of-home care services, which could allow social workers to reflect children’s needs immediately into practice and help policymakers make more informed decisions about out-of-home care services and programs.
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Segal, Steven P. "Home First: Stability and Opportunity in Out-of-Home Care." Psych 5, no. 1 (February 15, 2023): 148–93. http://dx.doi.org/10.3390/psych5010014.

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In this report, the concept of “Home First” is introduced for those children who require long-term, non-kin placements. The term “Home First” connotes a placement engendering stability and continuity; this concept is introduced in conjunction with an evaluation of the historical, theoretical, and empirical evidence surrounding different forms of out-of-home placement, including group-care placements and foster family care. In light of these observations and studies, this report will argue that stability is a major factor, perhaps a necessary if not a sufficient condition, in successful child development. It will argue for the initiation of a new focus on the creation of long-term positive and stable residential placements within the out-of-home care system and show that such placements can and have contributed to the development of healthy, happy, and successful adulthoods. This report offers a bio-psycho-social perspective on child development in out-of-home care. It provides a brief overview of the multiple bio-psycho-social theoretical perspectives that inform us on the necessary role of stability in growth and development and the contribution of instability to dysfunction. This report considers stability in out-of-home care in relation to its associated outcomes and those factors believed to enhance or detract from these outcomes. It reviews the history of substitutive care provision for children and youth and the role of the “stability objective” in that history. Finally, it looks at how child welfare system priorities have influenced stability, and it offers some suggestions for ensuring more stable growth and development in child placement provision.
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Valentine, Bruce, and Mel Gray. "Keeping Them Home: Aboriginal Out-of-Home Care in Australia." Families in Society: The Journal of Contemporary Social Services 87, no. 4 (October 2006): 537–45. http://dx.doi.org/10.1606/1044-3894.3569.

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Kotch, J. B., V. M. Dufort, P. Stewart, J. Fieberg, M. McMurray, S. O'Brien, E. M. Ngui, and M. Brennan. "Injuries among children in home and out-of-home care." Injury Prevention 3, no. 4 (December 1, 1997): 267–71. http://dx.doi.org/10.1136/ip.3.4.267.

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Zhou, A. Z., and M. Chilvers. "Infants in Australian Out-of-Home Care." British Journal of Social Work 40, no. 1 (May 12, 2008): 26–43. http://dx.doi.org/10.1093/bjsw/bcn058.

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Dissertations / Theses on the topic "Out-of-Home Care"

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Terry, Jennifer Margaret. "Resilience in children in out-of-home care." University of Western Australia. School of Social and Cultural Studies, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0189.

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This study explores the notion of resilience and, in particular, its efficacy as a framework to assist and guide professionals in their work with children placed in the care of the State, many of whom have experienced situations of severe disadvantage, including abuse and neglect, prior to their admission to the out-of-home care system. The further distress and/or trauma for children, which is engendered by separation from their families and placement with strangers, is exacerbated by circumstances of transience and instability that many children experience during their care journeys. The study examines the care system as a circumstance of adversity and seeks to find out how specialist practitioners working in the care environment understand the notion of resilience and whether they operationalise the concept in their practice to assist children in care. The study is set within a critically reflective perspective, informed by a hermeneutic process that assists in building a deeper understanding of both the notion of resilience and the care system through the lived experiences of practitioners and interpretation of the literature on both topics. An unanticipated finding that emerged from research discussions conducted with practitioners revealed that their experiences of working within the care system created a sense of adversity for them and challenged their resilience, with many parallels between their responses and their observations of the distress and trauma of children in care. The necessity to understand these practitioners? experiences more deeply led to a further exploration of literature that described the impact of working in such adverse settings. This exploration uncovered the notion of vicarious traumatisation, a phenomenon that affects workers who are in continual contact with the trauma of others. An indepth discussion of this concept is provided outlining its relevance to this study. The implications of the impact of the adversity of the care environment on professionals are summarised in the final chapter of the study together with recommendations in the areas of both practice and research.
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Demaerschalk, Evelien. "Immigrant adolescents in out-of-home care in Norway." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-21725.

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In Norway, first generation immigrant adolescents are overrepresented in out-of-home care by Child Welfare Services (CWS). More than Norwegians, immigrant adolescents themselves take the initiative to contact CWS. In this, immigrant girls seek more CWS help than boys. In this paper, a light is shone upon the lives of immigrants who were once in out-of-home care. The studies presented point to a large impact of migration and family breakdown. Many depict a chaotic family situation with a single mother, large household responsibilities and family relations filled with generational conflicts and violence. The immigrants describe an overall positive out-of-home care experience yet are hesitant to recommend others to take the same step. The possible influence of the child-centric focus of Norwegian CWS workers is discussed. As well as the need for prevention measures such as building a support network for immigrant mothers and organizing school support for immigrant adolescents. This paper concentrates on the need to put the overrepresentation of first generation immigrant adolescents on the policy agenda. More studies are to be carried out to point out the most appropriate and least harmful care for immigrant adolescents.
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Murphy, Jenifer. "The education of youths placed in out-of-home care /." Electronic version (PDF), 2006. http://dl.uncw.edu/etd/2006/murphyj/jenifermurphy.pdf.

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Bell, Tessa. "Resilience and Risk Among Maltreated Children in Out-of-Home Care." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31506.

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Resilience is defined as positive adaptation and functioning following exposure to significant risk or adversity (e.g., maltreatment). It is an important topic of investigation in child welfare due to the number of children with such adverse life experiences. While the definition of positive adaptation varies in the literature, maltreatment researchers often define it in terms of the low frequency of behavioural problems, with the consideration that resilience in a child may be fluid across domains of functioning and/or across time. The current dissertation examined resilience among maltreated school-age children living in out-of-home care through three interrelated studies. The first examined multilevel correlates of behavioural resilience among a sample of 5 to 9 year old children living in out-of-home care. The second used developmental trajectory modeling to examine behavioural functioning across time among a sample of school-age children living in out-of-home care (with a particular focus on trajectories of resilience), and the third used semi-structured interviews to gain the often-neglected perspectives on resilience of child welfare workers. Findings across all three studies revealed several factors within various levels of the ecological model that contribute to resilience, including child internal developmental assets and relationships and social support. Furthermore, findings teased apart the distal impact of child welfare workers and agencies. The current dissertation contributes to the existing literature by informing researchers and professionals working within the child welfare sector about the factors that are important for promoting resilience among vulnerable children in out-of-home care with the aim of improving the well-being of this population.
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Martell, Nasstajjia. "Caregiver closeness and outcomes for children in out-of-home care." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10147323.

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Children placed in out-of-home care experience challenges while in foster care. The purpose of this study was to examine the relationship between children placed in out-of-home care and the bond and closeness with their caregivers. Secondary data from the Midwest Study About the Crime During the Transition to Adulthood: How Youth Fare as They Leave Out-of-Home Care in Illinois, Iowa, and Wisconsin was used to develop a quantitative study on related variables. Findings indicated no significant relationship between outcomes for children in foster care and caregiver closeness.

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Barnsley, Shannon E. "An Examination of Factors Contributing to Resilience among Children and Youths in Out of Home Care in Ontario." Thèse, Université d'Ottawa / University of Ottawa, 2011. http://hdl.handle.net/10393/19922.

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Objective – Some of the most vulnerable children and youths in our country are those in out of home care, and these children demonstrate higher rates of psychopathology and fare more poorly in school and in social relationships than their peers. Typically, when studying at risk populations, negative outcomes are examined, thereby ignoring those who do well despite their vulnerability. These children, who demonstrate positive patterns of functioning and development despite their exposure to adversity, are considered resilient. The objective of this study was to identify factors associated with a resilient outcome among children and youths in out of home care. Method – The study sample was comprised of 417 children 10 to 15 years old in Ontario who had been removed from their homes of origin and placed in out of home care. Predictor variables were selected based on previous research findings in the area of resilient outcome. In the cross-sectional study, a series of sequential logistic regression analyses were conducted to identify factors associated with a resilient outcome among children in out of home care. These children were then followed one year later. In the longitudinal study, another series of sequential logistic regression analyses were used to identify variables that were related to future resilient outcomes among the same children in out of home care. Results – The findings showed that many of the independent variables predicted resilient outcome on the different dimensions. Furthermore, overall resilient outcome was best predicted by the foster parental report of high sociability. Conclusion – The findings in the present study confirmed that there exists a subset of resilient children among children in out of home care. The findings allowed for the identification of some factors related to resilient outcome among this population. The practical implications of these findings are discussed.
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Söderqvist, Åsa. "The (re)construction of home : Unaccompanied children’s and youth’s transition out of care." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-34617.

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This dissertation focuses on how perceptions of ethnicity and culture become meaningful in relation to the transition from care into independent living, studied from unaccompanied youths’, professionals’, and a methodological perspective. The findings from interviews with unaccompanied youth with experience of leaving care showed that thoughts about their ethnic minority background are constantly present in the young men’s lives. Their stories about preparing to leave care show a continuous attempt to make adjustments in order to fit into the Swedish society (Study I). The results based on interviews with professionals and observations at two residential care units indicated that ‘home’ is sometimes used as a metaphor when describing the residential care units. The home metaphor affected the staff in ways that it sometimes became difficult to separate private and professional matters. The clash between the residential care unit and the desire to create a home environment highlights the issue that programs executed in Sweden for unaccompanied young people were originally not made for them (Study II). Study III emphasised how transnational relationships form the unaccompanied youths view of past, present, and future time. This study highlighted the importance of how the professionals need to understand the unaccompanied children and youth and their situation as flexible (Study III). Finally, methodological reflections about research concerning ethnicity indicated the importance of reflecting on one’s own perceptions, the role as a researcher, and the benefits and limitations these different roles may have in the research process (Study IV). The research was conducted using qualitative methods. The data collection methods entailed interviews with the youth (Study I), individual interviews, focus-groups, and observations with professionals (Study II and III), and discussions based on the data collected for study I-III (Study IV). Altogether, 11 youths (18-22 years) and about 20 professionals at the residential care units participated in the studies. Qualitative content analysis was used to analyse the individual interviews and the focus-groups. All interviews were transcribed verbatim for analysis. The empirical data from observations consisted of notes taken during everyday situations, as well as from short conversations with the professionals. The notes were analysed using qualitative content analysis. The combined results of study I-III were used as empirical data for the analysis in study IV. This dissertation shows that (re)constructing a home is a central part of the care-leaving process for a migrant about to resettle in a new country. The greatest challenge the unaccompanied youth have to conquer during the transition from care to independent living is to fight against exclusion. The main purpose in (re)constructing a home appears to be the same for the youth and the professionals, namely, to reach a sense of safety and belonging. However, different conditions and points of departure may make it hard to agree on details such as what the meaning of belonging actually is, and if it is possible to develop a tailor-made solution. Researching issues of ethnicity comes with the responsibility to avoid reinforcing an ‘us’ versus ‘them’ and, in so doing, reinforce stereotypes.
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Koeslich, Svenja. "Mental Health Presentations of Clinic‐Referred Children in Out-of‐Home Care." Thesis, University of Canterbury. Health Science, 2011. http://hdl.handle.net/10092/6496.

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This dissertation examines the mental health presentations of clinic-referred children in state ordered out-of-home care and compares these to the presentations of clinic-referred children from the general population. The results of this study will inform the design of a more comprehensive research project assessing the differences between the psychopathology of clinic-referred children in out-of-home care and children from the general population. The overall goal is for researchers and clinicians to be able to better understand the underlying determinisms of the psychopathology of children in out-of-home care. Three samples were used for the between-group comparisons. The Children in Care Study (CICS) sample consists of 213 clinic-referred children in out-of-home care between the ages of four and eleven years. Firstly, this group was compared to 800 clinic-referred children, between six and eleven years, from the general population. For this analysis, the CICS sample was adjusted to match this group’s age range. Secondly, the entire CICS sample was compared to 1201 clinic-referred children, between the ages of four and eleven, from the general population. Mental health presentations were measured using the Child Behaviour Checklist (CBCL). A within-subject comparison was conducted comparing the CICS sample’s CBCL DSM-oriented scores to the children’s caregiver-reported diagnosis. Results indicated that clinic-referred children in care presented with significantly fewer internalising symptoms than clinic-referred children from the general population. Clinic-referred children in care displayed greater correlations among their CBCL subscale scores than other clinic-referred children, which may suggest greater symptom complexity. Additionally, there appeared to be poor concordance between caregiver-reported psychiatric diagnoses and CBCL DSM-oriented scores for clinic-referred children in out-of-home care. Overall, the mental health presentations measured by the CBCL indicated that the differences between the two populations were relatively small in terms of their severity. However, clinic-referred children in care presented with less severe internalising problems than other clinic-referred children. Further research is needed to explore the issues underlying diagnostic dis-concordance and the complexity of the mental health presentations of children in state ordered care.
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den, Dunnen Wendy. "A Systemic Analysis of the Child Welfare System: Understanding the Strengths and Needs of In-Home and Out-Of-Home Children and Examining the Role of Foster Child Factors on the Fostering Experience." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35671.

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This dissertation addresses gaps in the child welfare literature from a systemic perspective. The extant literature focuses primarily on children in care, which excludes 90% of children and families involved with the system. In addition, foster parent retention has become an area of primary concern because there are fewer individuals who are willing to foster. Research that examines all children involved with the child welfare system and ways to improve foster parent experiences is imperative to address these areas of need. The two studies herein address these gaps in the literature by examining children who are in contact with the child welfare system but largely remain out of care, children who are in care, and foster caregivers. The first study compared two groups of children in the Ontario child welfare system: those who remain with their natural family and those in out-of-home care. The emotional and behavioural functioning, prosocial behaviour, education, health, and resources (internal and external) of these two groups of children were examined and relatively few significant differences were identified. However, it was found that, despite having comparable mental health and educational functioning, children who remained in their natural homes had significantly fewer external resources than children in out-of-home care. Children in out-of-home care may have increased access to community resources despite having similar needs to children who remain in their natural home environments. Additional research is needed to replicate and better understand these findings so that the child welfare system can best meet the needs of its children. The second study examined how foster child characteristics, as well as other foster parent and agency factors, impact Canadian foster parents’ experience of fostering, particularly related to agency workers, the fostering system, training, and foster children and their placements. Results identified that foster children’s needs and maltreatment histories, as reported by foster parents, were not significantly associated with perceptions about fostering. The factors that were the most highly associated with positive perceptions about fostering were increased practical and emotional support. These findings indicate that child welfare agencies can improve foster parents perceptions about fostering by providing sufficient practical and emotional support. A monitoring system that allows foster parents to provide regular feedback would be beneficial in continuing to evaluate their fostering experiences, assess the impact of interventions targeting foster parent support, and address any areas of concern. As a whole, the results of this dissertation highlight the importance of providing both children and foster parents in the child welfare system with appropriate supports that promote positive child functioning and foster parent experiences.
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Barker, Jayne. "Out-of-home care for children and youth with serious emotional disturbances." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0016/MQ49159.pdf.

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Books on the topic "Out-of-Home Care"

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McNamara, Patricia, Carme Montserrat, and Sarah Wise, eds. Education in Out-of-Home Care. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0.

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Mendes, Philip, and Pamela Snow, eds. Young People Transitioning from Out-of-Home Care. London: Palgrave Macmillan UK, 2016. http://dx.doi.org/10.1057/978-1-137-55639-4.

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Care, CWLA Task Force on Out-of-Home. Out-of-home care: An agenda for the nineties : report and recommendations of the CWLA Task Force on Out-of-Home Care. Washington, DC: Child Welfare League of Amercia, 1990.

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Rogers, Helen. Child protection and out-of-home care performance indicators. Canberra: Australian Institute of Health and Welfare, 2006.

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Equit, Claudia, and Jade Purtell. Children's Rights to Participate in Out-of-Home Care. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003319368.

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Treating children in out-of-home placements. New York: Haworth Press, 1998.

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Child Welfare League of America. Standards for health care services for children in out-of-home care. Washington, DC: The League, 1988.

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Care, Wisconsin Task Force on Health Care for Children in Out-of-Home. Quality health care services for children in out-of-home care: Task Force on Health Care for Children in Out-of-Home Care report to the Legislature. [Madison, Wis.?]: State of Wisconsin, Dept. of Health and Family Services, Division of Children and Family Services [and] Division of Health Care Financing, 2001.

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DeWoody, Madelyn. Independent living services for youths in out-of-home care. Washington, D.C: Child Welfare League of America, 1993.

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Courtney, Mark E. Children in out-of-home care in Wisconsin: 1990 through 1999. [Madison, WI]: Wisconsin Dept. of Health and Family Services, Division of Children and Family Services, Office of Policy, Evaluation, and Planning, 2001.

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Book chapters on the topic "Out-of-Home Care"

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Mercer, Barbara L. "Out-of-Home Care." In Handbook of Children in the Legal System, 126–51. New York: Routledge, 2021. http://dx.doi.org/10.4324/9780429397806-6.

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Deitz, Milissa, and Lynette Sheridan Burns. "Out-of-Home Care in Australia." In Foster Youth in the Mediasphere, 35–52. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-17953-2_3.

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Davis, Inger P. "Out-of-Home Care for Adolescents." In International Series in Social Welfare, 135–65. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4984-3_6.

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Fernandez, Elizabeth, and Paul Delfabbro. "Reunification in out-of-home care." In Child Protection and the Care Continuum, 223–40. Milton Park, Abingdon, Oxon ; New York, NY : Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9781003121305-14.

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Jurczyszyn, Reeny, and Dee Michell. "We Can Do It and So Can Our Future Care Leavers! Care Leavers at University." In Education in Out-of-Home Care, 255–66. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0_18.

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Mei-ching, Mooly Wong. "Breaking the Cycle of Disadvantage: Educational Needs of Out-of-Home Care Children in Hong Kong." In Education in Out-of-Home Care, 169–81. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0_12.

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Gardiner, Julian, Chrissy Bolton, Alastair G. Sutcliffe, and Edward Melhuish. "The Educational Progress of Children in Out of Home Care in the UK." In Education in Out-of-Home Care, 61–74. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0_5.

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Montserrat, Carme, Joan Llosada-Gistau, Ferran Casas, and Rosa Sitjes. "Different Perceptions Regarding the Education of Children in Care: The Perspectives of Teachers, Caregivers and Children in Residential Care." In Education in Out-of-Home Care, 197–210. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0_14.

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Wilson, Jacqueline Z., Andrew Harvey, Pearl Goodwin-Burns, and Joanna Humphries. "The “Perfect Score”: The Burden of Educational Elitism on Children in Out-of-Home Care." In Education in Out-of-Home Care, 211–23. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0_15.

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Wise, Sarah. "Is Quality Good Enough for Out-of-Home Care Children? Early Childhood Education and Care Experiences of Australian Children in Out-of-Home Care at Age 3 to 5 Years." In Education in Out-of-Home Care, 91–104. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0_7.

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Conference papers on the topic "Out-of-Home Care"

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Shewchuk, Samantha. "An Evaluation of a Cross-Sector Policy for Improving the Outcomes of Youth in Out-of-Home Care." In 2020 AERA Annual Meeting. Washington DC: AERA, 2020. http://dx.doi.org/10.3102/1580497.

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Chou, Chih-Hung, Ta-Wen Kuan, Jhing-Fa Wang, An-Chao Tsai, and Pen-Yuan Yo. "A Statistical Out-of-Speaker Detection Approach for Smart Home Voice-Control Scenario of Protective Warming Care on FPGA." In ASE BD&SI '15: ASE BigData & SocialInformatics 2015. New York, NY, USA: ACM, 2015. http://dx.doi.org/10.1145/2818869.2818927.

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Allagha, Mohammad, Oskar Kruschitz, Katherina Voss, Stefanie Binder, and Kevin Truckenthanner. "Digital Matching for live-in care." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002579.

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In Austria, 25,000 to 30,000 people being cared for by live-in caregivers. Live-in caregivers are defined as workers who are employed to provide care services to elderly and disabled people living in their private households. Activities in home care are predominantly carried out by immigrant women because of the special conditions that home care provides. These conditions can have many positive aspects for both the care workers and the care recipients, if they are well and appropriately matched to the skills of the caregivers and the needs of the persons being cared for. The live-in caregivers in Western countries come mostly from Eastern Europe. On the one hand, because of the worldwide shortage of qualified care workers and, on the other hand, due to the higher wages in contrast to their home countries and the prospects that such a position brings with it.However, they can also bear risks of dependency on their employers, leading to isolation, on-call work, and the risk of exploitation, while putting live-in care workers in a particularly vulnerable position with respect to immigration policy. Working conditions are often extremely harsh, with fees and contracts strictly regulated by recruiting agencies.Live-in care workers are an important but forgotten sector of long-term care. Without improving their working conditions, we will not be able to provide affordable, quality care to citizens, who are very urgently in need of this service. Even though this is often the only affordable solution for affected families. In order to improve the working conditions and to ensure that the caregivers continue to be employed in households that best match their skills and aspirations, we have created a new live-in care matching platform. Before creating the platform, we conducted focus group interviews to find out what is important to the stakeholders.Together with families of people in need of care and care workers, we developed a platform that meets the requirements of both sides and optimally supports both sides in the placement process. Here, both caregivers and persons in need of care (or their families) have the opportunity to disclose what they value, what skills they possess and what special features there are by answering a questionnaire. Using an innovative matching algorithm, the platform selects the ideal combination of caregivers and persons in need of care. In this paper, we will analyze the results of the focus group interviews in more detail, elaborate on the lessons learned and discuss which attributes play a particular role in the matching process based on our algorithm. In the future, the process should be simplified for both parties and will serve as a validation for the stakeholders
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Assunção, Silvaleide Ataides, Ianca Leandra Santos, and Rosemar Macedo Sousa Rahal. "PALLIATIVE CARE IN BREAST CANCER: CHALLENGES IN MEDICAL PRACTICE AND PROMOTING QUALITY OF LIFE." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2070.

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Objectives: Breast cancer is the main neoplasm affecting women, and in many cases, curative treatment is not feasible. In this context, it is important to work with other forms of assistance that provide symptom relief and better quality of care for these patients. Therefore, the objective of this work is to portray the importance of attention and care to patients with breast cancer, whose cure is not possible, since it generates better acceptance of the situation and a more humanized end, with less suffering, pain, and anguish. Methodology: This is a descriptive research carried out based on a review of the medical literature available through a survey of publications from the past 12 years in the PubMed, Lilacs, and MedLine databases. The following descriptors were used: palliative care, home care, and breast cancer. Results: From the analysis performed, it can be seen that approximately 30% of patients diagnosed with breast cancer have some depressive disorder. This fact occurs due to the shock of the news of having an extremely serious disease, due to the disorders arising from the treatment or the progression of the disease itself. When assessing patients with breast cancer, who have palliative care at home, this percentage drops to approximately 9%, meaning an abrupt improvement in the quality of life of these people, resulting from multiprofessional home treatment. Conclusion: Given this situation, it is observed that home care, though insufficiently explored, has a good response for terminally ill patients. Therefore, it appears that palliative care should be better explored by both the public and private health systems, as this tool is capable of mitigating the adversities caused by cancer and improving the quality of life of patients and their families in this difficult stage.
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Dæhlen, Marianne, Antti Kääriälä, Marie Berlin, Mette Lausten, and Heikki Hiilamo. "THE EDUCATIONAL DISADVANTAGE AMONG VULNERABLE YOUTHS: HOW EARLY SCHOOL LEAVING AMONG YOUTH PLACED IN OUT-OF-HOME CARE VARIES ACROSS FOUR NORDIC COUNTRIES." In 12th annual International Conference of Education, Research and Innovation. IATED, 2019. http://dx.doi.org/10.21125/iceri.2019.0151.

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Chang Kim, Hyo, Sang Min Ko, and Yong Gu Ji. "A Study on the Behavioral Characteristics of the Elderly Living in a Smart Home." In Applied Human Factors and Ergonomics Conference. AHFE International, 2021. http://dx.doi.org/10.54941/ahfe100586.

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The purpose of this study is to investigate behavioral of the elderly living in smart home using the diary study method and to analyze the characteristic required according to behavior and smart home service. For the research of the characteristics of service-use, the seven types of main smart home services were chosen by analyzing previous research. We carried out a diary study with ten elderly people over the age of 65 in smart home environment. They recorded their every behavior for one week by themselves. Diary study items consist of four parts: 1) time, 2) activity, 3) device, 4) place. The result of this study, findings of behavioral characteristics of the elderly reveal that most of them spend their time on personal care, socializing and leisure activities. While elderly generally did not fully utilize smart home functions, there was high usage frequency and preference for automatic intelligence service compared to manual. Therefore, smart home services related to these characteristics should be considered as a top priority.
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"Maternal health seeking behaviors and health care utilization in Pakistan." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/xzpo9700.

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Background: Direct estimations of maternal mortality were carried out in Pakistan for the first time. Maternal health and health issues, maternal mortality and the specific causes of death among women must be studied to improve the health care of women and better utilization of maternal health services for better public health. Objective: The main objectives of this study are to analyze maternal health, morbidity and mortality indicators. The causes of death and health care utilization will be highlighted, hence, useful recommendations can be made to reduce maternal deaths and to attain the Sustainable Development Goal 3.1. Method: Utilizing the data of Pakistan Maternal Mortality Survey 2019, crosstabs and frequency tables are constructed and multivariant analysis was conducted to find out the most effective factors contributing to the deaths. IBM SPSS and STATA were used for the analysis. Results and Conclusion: 40% population surveyed was under 15, age 65 or above. Average household members were 6-7. Drinking water facility was majorly improved in both urban and rural areas. Hospital services in rural areas were mostly (54%) in the parameter of 10+ kms and Basic Health Units were mainly found inside the community. Very few urban households were in the poorest quantile while very few rural households were in the wealthiest quantile. Women education distribution showed that a high percentage of women (52%) were uneducated and only a 12% had received higher education. Maternal mortality ratio (MMR) for the 3-year period before the survey was 186 deaths per 100,000 live births while pregnancy related mortality rate was 251 deaths per 100,000 live births, which was higher compared to the MMR. Maternal death causes were divided into direct and indirect causes, where major causes were reported to be obstetric Hemorrhage (41%), Hypertensive disorders (29%), Pregnancy with abortive outcome (10%), other obstetric pregnancy related infection (6%) and non-obstetric (4%). 37% women who died in the three years before the survey sought medical care at a public sector health facility while 26% at private sector and 5% at home. A majority (90%) of women who had pregnancy complications in the 3 years before the survey received ANC from a skilled provider. Keywords: Maternal health, antenatal care, maternal mortality rates, pregnancy related diseases
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Miron, Oana, Anca Ivanov, Adriana Mocanu, Magdalena Stârcea, Laura Trandafir, and Ingrith Miron. "DIFFICULTIES IN THE THERAPEUTIC MANAGEMENT OF COMPLICATED PNEUMONIA IN CHILDREN." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.12.

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Background: Pneumonia remains an important cause of morbidity and mortality at pediatric age (estimated by UNICEF at 3 million child deaths per year worldwide). Although the etiology of pneumonia is well known, in many patients the exact pathogen is not identified after routine diagnostic workup. We present three cases with complications. that were diagnosed and treated in our Pneumology Clinic. The aim of this case series is to point out the challenges in diagnosing and managing such diseases in children. The evolution of the three cases was difficult, all children needed ICU care. Cultures collected for all of them were negative, probably secondary to the fact that they received antibiotic treatment at home, before carrying out tests. Yet, after receiving broad-spectrum antibiotics and supportive treatment the evolution was favorable in the end. Conclusion: Despite progresses that were made in the last century concerning the antibiotic treatment in pneumonia there are still cases that develop severe complications that require multidisciplinary approach.
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Sun, Ye, and Zhen Liu. "Human-Centric LED Lighting System Using Ubiquitous Physiological Monitoring." In ASME 2015 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/detc2015-47530.

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The aging population, prevalence of chronic diseases, and depression are some of the major challenges of current healthcare. The smart home monitoring provides a solution of human-centric out-of-hospital care and calls for more attention to improve the comfort of patients. Among home technologies, electric lighting system is ubiquitous and affecting many aspects of human physiology, including not only visual system but also non-image-forming system. The exposure to light can influence various states of human and lead to effective comforting. This paper presents a human-centric smart lighting system controlled by human state using ubiquitous physiological sensor networks. The proposed system, acting as an intelligent home monitoring component, can naturalistically detect human’s state such as intensiveness, sleepiness, and depression. Vital signals including ECG and its secondary parameters can be acquired by non-intrusive physiological sensors and wirelessly transmitted to a control system. The color of LED can be controlled by the detected human state and adjusted to emotional comfort. The results show that different colors of light can influence human’s state.
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Bosch-Frigola, Irene, Fernando Coca-Villalba, María-José Pérez-Lacasta, and Misericordia Carles-Lavila. "THE COSTS OF CARE PROCESSES GENERATED BY THE CARE OF PATIENTS WITH DIABETES MELLITUS AS A NON-COMMUNICABLE DISEASE AND WHO SUFFER FROM EATING DISORDERS (ANOREXIA AND BULIMIA) AND SUBSTANCE ABUSE." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021o013.

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INTRODUCTION:Diabetes Mellitus (DM) daily care requires personal effort.Patients must strictly:follow nutritional advice,implement lifestyle changes,and routinely and promptly take the drugs prescribed by health professionals among other guidelines.Eating Disorders(ED),such as anorexia and bulimia,are serious pathologies which can seriously affect the health of DM patients if they are not caught in time.However,if abuse of addictive substances is added to the scenario,the consequences for the health of the individual concerned can be very serious. OBJECTIVES:To analyse the variation in the cost of care processes of patients with DM(across all age groups)who also present with an ED and abuse addictive substances(caffeine,tobacco,alcohol,hallucinogens,cocaine,and opiates).These patients’ hospitalisation patterns will be considered for the time period between 2016 and 2018,and will include:type of discharge and admission,the origin of the patient,the type of care,and the patient’s needs during their hospital stay. MATERIAL AND METHODS: Database was provided by Grupo RECH–Red Española de Costes Hospitalarios–www.rechosp.org.The variables analysed included the main diagnoses of the aforementioned health problems.The following types of care were included:hospitalisation at home,in-house hospitalisation,major outpatient surgery,and emergencies,along with the type of patient discharge. METHODOLOGY:Descriptive statistics and Factorial Analysis of Mixed Data methodology(FAMD)were used to cluster the costs by main diagnoses due,jointly,to DM,ED,and the consumption of addictive substances.FactoMineR package has been used to obtain the outputs. RESULTS:There are significant increases in costs related to a patient's main diagnoses when dual pathology is included in the analysis.FAMD shows that surgical costs are similar to the use of substances such as caffeine,nicotine,hallucinogens and opiates,with alcohol standing out;that ward costs increase significantly for alcohol use;and that caffeine intake and hallucinogens are relevant in laboratory costs. CONCLUSIONS:These health problems generate distinct patterns of costs facing hospitals.They need to be identified and diagnosed before they become more serious making it necessary to establish the appropriate attention for the patient in time.
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Reports on the topic "Out-of-Home Care"

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Arden, Carol. Specialized Out-of-Home Care Project: An Outcome Study. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2135.

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Knight, Ruth, and Sari Rossi. Children in out-of-home care and their educational outcomes: a literature review. Queensland, Australia: Queensland University of Technology, October 2018. http://dx.doi.org/10.5204/rep.eprints.122389.

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Walsh, Wendy. Informal kinship care most common out-of-home placement after an investigation of child maltreatment. University of New Hampshire Libraries, 2013. http://dx.doi.org/10.34051/p/2020.189.

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Mattingly, Marybeth, Melissa Wells, and Michael Dineen. Out-of-home care by state and place: higher placement rates for children in some remote rural places. University of New Hampshire Libraries, 2010. http://dx.doi.org/10.34051/p/2020.104.

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Wiener, Joshua M., Mary E. Knowles, and Erin E. White. Financing Long-Term Services and Supports: Continuity and Change. RTI Press, September 2017. http://dx.doi.org/10.3768/rtipress.2017.op.0042.1709.

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This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
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Oza, Shardul, and Jacobus Cilliers. What Did Children Do During School Closures? Insights from a Parent Survey in Tanzania. Research on Improving Systems of Education (RISE), May 2021. http://dx.doi.org/10.35489/bsg-rise-ri_2021/027.

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In this Insight Note, we report results of a phone survey that the RISE Tanzania Research team conducted with 2,240 parents (or alternate primary care-givers) of primary school children following the school closures in Tanzania. After the first case of COVID-19 was confirmed in Tanzania on 16 March 2020, the government ordered all primary schools closed the following day. Schools remained closed until 29 June 2020. Policymakers and other education stakeholders were concerned that the closures would lead to significant learning loss if children did not receive educational support or engagement at home. To help stem learning loss, the government promoted radio, TV, and internet-based learning content to parents of school-age children. The primary aims of the survey were to understand how children and families responded to the school closures, the education related activities they engaged in, and their strategies to send children back to school. The survey also measures households’ engagement with remote learning content over the period of school closures. We supplement the findings of the parent survey with insights from interviews with Ward Education Officers about their activities during the school closures. The survey sample is comprised of primary care-givers (in most cases, parents) of students enrolled in Grades 3 and 4 during the 2020 school year. The survey builds on an existing panel of students assessed in 2019 and 2020 in a nationally representative sample of schools.4 The parent surveys were conducted using Computer Assisted Telephonic Interviewing (CATI) over a two-week period in early September 2020, roughly two months after the re-opening of primary schools. We report the following key findings from this survey: *Almost all (more than 99 percent) of children in our sample were back in school two months after schools re-opened. The vast majority of parents believed it was either safe or extremely safe for their children to return to school. *Only 6 percent of households reported that their children listened to radio lessons during the school closures; and a similar fraction (5.5 percent) tuned into TV lessons over the same period. Less than 1 percent of those surveyed accessed educational programmes on the internet. Households with access to radio or TV reported higher usage. *Approximately 1 in 3 (36 percent) children worked on the family farm during the closures, with most children working either 2 or 3 days a week. Male children were 6.2 percentage points likelier to work on the family farm than female children. *Households have limited access to education materials for their child. While more than 9 out of 10 households have an exercise book, far fewer had access to textbooks (35 percent) or own reading books (31 percent). *One in four parents (24 percent) read a book to their child in the last week.
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Aromi, J. Daniel, María Paula Bonel, Julián Cristia, Martín Llada, and Luis Palomino. Socioeconomic Status and Mobility during the COVID-19 Pandemic: An Analysis of Eight Large Latin American Cities. Inter-American Development Bank, June 2021. http://dx.doi.org/10.18235/0003315.

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This study analyzes mobility patterns during the COVID-19 pandemic for eight large Latin American cities. Indicators of mobility by socioeconomic status (SES) are generated by combining georeferenced mobile phone information with granular census data. Before the pandemic, a strong positive association between SES and mobility is documented. With the arrival of the pandemic, in most cases, a negative association between mobility and SES emerges. This new pattern is explained by a notably stronger reduction in mobility by high-SES individuals. A comparison of mobility for SES decile 1 vs decile 10 shows that, on average, the reduction is 75% larger in the case of decile 10. According to estimated lasso models, an indicator of government restrictions provides a parsimonious description of these heterogeneous responses. These estimations point to noticeable similarities in the patterns observed across cities. We also explore how the median distance traveled changed for individuals that travel at least 1 km (the intensive margin). We find that the reduction in mobility in this indicator was larger for high-SES individuals compared to low-SES individuals in six out of eight cities analyzed. The evidence is consistent with asymmetries in the feasibility of working from home and in the ability to smooth consumption under temporary income shocks.
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Kelly, Luke. Direct and Indirect Impacts of the COVID-19 Pandemic on Women and Girls. Institute of Development Studies (IDS), August 2021. http://dx.doi.org/10.19088/k4d.2021.141.

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This rapid literature review finds that women have been disproportionately affected by Covid-19 in several ways. As the Covid-19 pandemic began, it was widely predicted that women would face worse outcomes than men in many spheres. This was based on evidence of pre-existing inequalities (e.g. the high share of women in informal work) and evidence from earlier disease outbreaks such as Ebola. Evidence from the past year and a half supports the idea that women have been disproportionately affected by Covid-19 in many of the issues investigated for this report. A wide-ranging World Bank review of evidence from April 2020 to April 2021 states that “women often appear to have lost out more than men economically and socially” (Nieves et al., 2021, p. 4). It was not possible to find evidence on the effect of Covid-19 on women’s role in the green economy and the effects of climate change (beyond calls for inclusive green growth), or on gender stereotyping in the media (although there is a small amount of literature on perceptions of women leaders during the pandemic). In all cases, the effect of Covid-19 and measures to suppress it have directly or indirectly continued or worsened pre-existing inequalities. In some instances, Covid-19 has created distinct difficulties for women (e.g. lockdowns and increased domestic violence). This report has found no evidence of Covid-19 improving the position of women in the areas of interest surveyed, beyond possible benefits from working from home for some women in high-income countries; and some suggestions that female leadership during the pandemic may lead to better perceptions of women (Piazza & Diaz, 2020). Studies also point to the intersection of gender with other factors, such as caste and ethnicity, leading to worse outcomes (Chen et al., 2021; Kabeer et al., 2021). In many cases, migrant women and women with disabilities are at an increased disadvantage. The report focuses on evidence from low- and middle-income countries (LMICs) and G7 members. It is not comprehensive but surveys the available evidence focusing on global, regional or synthesis evidence to provide a more representative coverage. It, therefore, does not cover every context or provide any country case studies and overlooks variations in some countries in favour of broader trends.
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A longitudinal study of cognitive predictors of (complex) post‐traumatic stress in young people in out‐of‐home care. ACAMH, June 2020. http://dx.doi.org/10.13056/acamh.12390.

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Predicting Complex PTSD in Foster Care – CAMHS around the Campfire. ACAMH, March 2021. http://dx.doi.org/10.13056/acamh.15376.

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This session we are discussing complex PTSD, with the focus on Dr. Rachel Hiller's JCPP open access paper ‘A longitudinal study of cognitive predictors of (complex) post‐traumatic stress in young people in out‐of‐home care’
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