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Known in the nursing home

Abstract Background: To address the lack of social interaction and meaningful activities for persons with dementia (PWD) in nursing homes an artistic Photo-Activity was designed. The present study aims to develop a digital version of the Photo-Activity and to investigate its implementation and impact on nursing home residents with advanced dementia, and their (in)formal carers. Methods: First, within a user-participatory design, a digital-app version of the Photo-Activity will be developed and pilot-tested, in co-creation with (in)formal carers and PWD. Next, the feasibility and effectiveness of the Photo-Activity versus a control activity will be explored in a randomized controlled trial with nursing home residents (N=90), and their (in)formal carers. Residents will be offered the Photo- Activity or the control activity by (in)formal carers during one month. Measurements will be conducted by independent assessors at baseline (T0), after one month (T1) and at follow up, two weeks after T1 (T2). Qualitative and quantitative methods will be used to investigate the effects of the intervention on mood, social interaction and quality of life of the PWD, sense of competence of informal carers, empathy and personal attitude of the formal carers, and quality of the relationship between the PWD, and their (in)formal carers. In addition, a process evaluation will be carried out by means of semi-structured interviews with the participating residents and (in)formal carers. Finally, an implementation package based on the process evaluation will be developed, allowing the scaling up of the intervention to other care institutions. Discussion: Results of the trial will be available for dissemination by Spring 2023. The digital Photo-Activity is expected to promote meaningful connections between the resident with dementia, and their (in)formal carers through the facilitation of person-centered conversations. Trial registration: Netherlands Trial Register: NL9219; registered (21 January 2021); NTR (trialregister.nl)

Safeguarding Young People in Care

Over the last two decades, there has been increasing political attention on sexual abuse in care. Research has not only shown that sexual abuse in care occurs but also that abuse can be perpetrated by other children and young people in care, children of foster carers, as well as by foster carers and residential staff members. One of the main risk factors turns out to be the absence of relationship and sexuality education in care. This chapter describes the work in a three-year project where partners in four European countries developed products to educate (future) professionals to address sex and sexuality with young people in care, assist young people’s healthy sexual development, and safeguard children and young people from abuse. Grounded in the holistic approach of the WHO’s Standards for Sexuality in Europe, and based on literature review and interviews, five core competencies were developed and operationalized in a reflection instrument. Based on this, an open access (online) course for teams in care and open access materials for social work education were developed and can be found at https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429342912/ac296fd5-0ba8-4c3d-97c0-792bf07178b6/content/www.amsterdamuas.com/safe">www.amsterdamuas.com/safe.

Safeguarding young people in care

Over the last decade, many (European) countries have created special committees or conducted special investigations into the occurrence of sexual abuse in residential and/or foster care. Many of these studies concluded that children and young people in care are at a greater risk of being sexually abused, compared to youth growing up at home. However, the extent and scope of sexual abuse which has historically occurred in residential and/or foster care remains contested and is highly controversial. Although a broad range of factors are involved, one issue that is of crucial importance in the prevention of sexual abuse is paying attention to the healthy sexual development of children and young people in care. This sounds easy, but it isn’t easy at all. Ideas about relationships, intimacy and healthy sexual development differ between people and countries. It’s a sensitive subject that many professionals working in care find difficult to talk about. As most professionals working in care in Europe graduate from schools of Social Work, social work education should prepare (future) professionals to address this issue. Although some authors have addressed this issue, in general, social work education does not pay sufficient attention to the subject. This project aims to help (future) professionals build competencies on this specific subject by providing the following products:1. An international summer school on the subject of sex and sexuality, for social work students.2. An online course on the subject of sex and sexuality for professionals working in residential care or working with foster parents.3. A website with materials for European lecturers who teach future social workers on the subject of sex and sexuality.4. A reflection instrument as a tool for on-the-job training on the subject.These products are based on a set of practice based core competencies that professionals should develop in order to be able to provide care and upbringing on the theme of sex and sexuality. Next to that five central themes were used to order the development of modules.

Challenges of combining work and unpaid care, and solutions

The number of people who combine work and unpaid care is increasing rapidly as more people need care, public and private care systems are progressively under pressure and more people are required to work for longer. Without adequate support, these working carers may experience detrimental effects on their well-being. To adequately support working carers, it is important to first understand the challenges they face. A scoping review was carried out, using Arksey and O’Malley's framework, to map the challenges of combining work and care and solutions described in the literature to address these challenges. The search included academic and grey literature between 2008 and 2018 and was conducted in April 2018, using electronic academic databases and reference list checks. Ninety-two publications were mapped, and the content analysed thematically. A conceptual framework was derived from the analysis which identified primary challenges (C1), directly resulting from combining work and care, primary solutions (S1) aiming to address these, secondary challenges (C2) resulting from solutions and secondary solutions (S2) aiming to address secondary challenges. Primary challenges were: (a) high and/or competing demands; (b) psychosocial/-emotional stressors; (c) distance; (d) carer's health; (e) returning to work; and (f) financial pressure. This framework serves to help those aiming to support working carers to better understand the challenges they face and those developing solutions for the challenges of combining work and care to consider potential consequences or barriers. Gaps in the literature have been identified and discussed.

Safeguarding young people in care - summerschool

Social exclusion of young homeless people:. The State of Affairs in the Netherlands. A preliminary study for the European research

This is the report on the situation in the Netherlands in the field of youth, young homeless people and unaccompanied minor aliens. The report describes risk factors for children and young people in relation to social exclusion and homelessness. This report forms the first part of the international comparative study ‘CSEYHP’. MOVISIE carries out this three-year study by order of the European Union. The cooperative partners are three universities in: England, the Czech Republic and Portugal. The objectives of ‘Combating Youth Homelessness’ are as follows: 1. to understand the life trajectories of different homeless youth populations in different national contexts; 2. to develop the concepts of risk and social exclusion in relation to the experience of young homeless people and to the reinsertion process; 3. to test how different methods of working contribute to the reinsertion process for young people; 4. to investigate the roles of and relationships between the young person, trusted adults, lead professionals, peer mentors and family members in the delivery of these programmes across all four countries. When preparing the national reports, the three partner countries the Czech Republic, England and Portugal use the same format as used in the Dutch report. Based on the four national reports, England will prepare a comparative report, in which the four national situations will be compared.