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Harmful care. To what extent is terminology from medicine and clinical psychology applicable to out‐of‐home care?
Stockholm University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0003-2967-2866
Stockholm University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0002-4695-0314
2019 (English)In: Child & Family Social Work, ISSN 1356-7500, E-ISSN 1365-2206Article in journal (Refereed) Epub ahead of print
Abstract [en]

Research concerning outcomes for children who have been placed in out‐of‐home care has indicated that the care may have unwanted consequences. However, there has been no coherent terminology for differentiating between different types of such unwanted consequences. In this article therefore, we attempt to disentangle different aspects of potentially harmful care for looked after children, as well as to discuss potential pathways to more systematically approach and report adverse events for this group. In this endeavour, we turn to two adjacent disciplines, medicine and psychology, where these issues have received more interest. The applicability of the concepts used in these fields is discussed, and it is concluded that although they provide some help in categorizing different aspects of harmful care, the complexity of out‐of‐home care makes existing models difficult to adopt without adjustments. This has consequences for the possibility of evaluating care in research, as well as for monitoring adverse events in practice. Importantly, the causality will often be unknown. We therefore suggest that it is essential to shed more light on how decisions should be made about when to intervene or not in out‐of‐home care, despite limited information.

Place, publisher, year, edition, pages
2019.
Keywords [en]
adverse events, looked‐after children, malpractice, negative effects, out‐of‐home care
National Category
Social Work
Identifiers
URN: urn:nbn:se:su:diva-170047DOI: 10.1111/cfs.12661OAI: oai:DiVA.org:su-170047DiVA, id: diva2:1329055
Available from: 2019-06-24 Created: 2019-06-24 Last updated: 2019-10-18

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Shanks, EmelieWiklund, Stefan
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