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Background <p>A&#xa0;chronic illness in childhood and adolescence increases the risk of a&#xa0;child’s welfare being compromised, which increases the likelihood that child and youth welfare services will need to be involved in addition to medical care. This requires good cooperation between the two systems, as in some cases this is the only way to ensure that treatment can be maintained and serious damage to the child’s health can be avoided. Successful cooperation between the two systems can be a&#xa0;challenge for those involved.</p> Aim <p>This study was carried out to identify the challenges and the resources of interprofessional collaboration in order to develop solutions to simplify collaboration.</p> Methodology <p>The challenges and resources arising from collaboration were identified using a&#xa0;multiperspective expert survey of both youth welfare and medical experts. For this purpose 78&#xa0;youth welfare workers and 12&#xa0;medical experts were interviewed using semi-structured interviews and questionnaires.</p> Results <p>Both the medical experts and the youth welfare services cited excessive demands on the carers, maladherence and a&#xa0;lack of understanding of the illness as the main causes of child endangerment in chronically ill children. In addition to the medical parameters, a&#xa0;lack of knowledge and understanding of the illness on the part of the caregivers and inadequate implementation of the treatment in everyday life are indications of a&#xa0;risk to the child’s well-being. From the perspective of youth welfare services, the challenges in cooperation are due to a&#xa0;lack of communication and delayed cooperation in casework. From the point of view of the medical experts, the lack of fixed contact persons in youth welfare services is the main challenge mentioned.</p> Discussion <p>In order to be able to shed light on all sides of a&#xa0;chronically ill child if there are strong indications that the child’s welfare is at risk, a&#xa0;joint risk assessment by the medical and youth welfare services is necessary. For example, it should become standard practice for youth welfare services to consult with the treating doctors when a&#xa0;chronically ill child is admitted. Medical professionals should seek contact with youth welfare services at a&#xa0;low threshold and at an early stage, in compliance with the legal norms of Section&#xa0;4 of the Law on Cooperation and Information in Child Protection (KKG), if it becomes apparent that the demands on the family are threatening to exceed their resources or if they become aware of other potential risks.</p>

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Kinderschutz bei chronisch kranken Kindern

  • 期刊论文

  • 发表日期：

    2025年7月25日

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  • Tajo Sinnecker,
  • Jo Ewert,
  • Claudia Schmidt,
  • Anne Fleer,
  • Roland Schmitz,
  • Yvonne Schuhmacher,
  • Hanna Roese,
  • Stefanie Ziegenbein,
  • Silke Pawils

摘要

Background

A chronic illness in childhood and adolescence increases the risk of a child’s welfare being compromised, which increases the likelihood that child and youth welfare services will need to be involved in addition to medical care. This requires good cooperation between the two systems, as in some cases this is the only way to ensure that treatment can be maintained and serious damage to the child’s health can be avoided. Successful cooperation between the two systems can be a challenge for those involved.

Aim

This study was carried out to identify the challenges and the resources of interprofessional collaboration in order to develop solutions to simplify collaboration.

Methodology

The challenges and resources arising from collaboration were identified using a multiperspective expert survey of both youth welfare and medical experts. For this purpose 78 youth welfare workers and 12 medical experts were interviewed using semi-structured interviews and questionnaires.

Results

Both the medical experts and the youth welfare services cited excessive demands on the carers, maladherence and a lack of understanding of the illness as the main causes of child endangerment in chronically ill children. In addition to the medical parameters, a lack of knowledge and understanding of the illness on the part of the caregivers and inadequate implementation of the treatment in everyday life are indications of a risk to the child’s well-being. From the perspective of youth welfare services, the challenges in cooperation are due to a lack of communication and delayed cooperation in casework. From the point of view of the medical experts, the lack of fixed contact persons in youth welfare services is the main challenge mentioned.

Discussion

In order to be able to shed light on all sides of a chronically ill child if there are strong indications that the child’s welfare is at risk, a joint risk assessment by the medical and youth welfare services is necessary. For example, it should become standard practice for youth welfare services to consult with the treating doctors when a chronically ill child is admitted. Medical professionals should seek contact with youth welfare services at a low threshold and at an early stage, in compliance with the legal norms of Section 4 of the Law on Cooperation and Information in Child Protection (KKG), if it becomes apparent that the demands on the family are threatening to exceed their resources or if they become aware of other potential risks.