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Harmful care. To what extent is terminology from medicine and clinical psychology applicable to out‐of‐home care?
Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan.ORCID iD: 0000-0003-2967-2866
Department of Women's and Children's Health, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, Karolinska Institutet Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Stockholm, Sweden.ORCID iD: 0000-0002-5761-2943
Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan.ORCID iD: 0000-0002-4695-0314
Centre for Psychiatry Research, Departmentof Clinical Neuroscience, Karolinska Institutet,Stockholm, Sweden;Institute of Child Health,UCL, London, UK.ORCID iD: 0000-0002-1019-0245
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
John Wiley & Sons, 2019.
Keywords [en]
adverse events, looked‐after children, malpractice, negative effects, out‐of‐home care
National Category
Social Work Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-396758DOI: 10.1111/cfs.12661OAI: oai:DiVA.org:uu-396758DiVA, id: diva2:1368861
Funder
Swedish National Board of Health and WelfareAvailable from: 2019-06-24 Created: 2019-11-08Bibliographically approved

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Jonsson, Ulf

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Shanks, EmelieJonsson, UlfWiklund, StefanRozental, Alexander
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