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A Qualitative Study Identifying a Rural Community's Barriers and Facilitators to Addressing Adverse Childhood Experiences in Families with Young Children.
- Source :
- Health & Social Care in the Community; 10/31/2023, p1-9, 9p, 1 Diagram
- Publication Year :
- 2023
-
Abstract
- Adverse childhood experiences (ACEs) are traumatic events experienced before the age of 18 and include experiences of abuse, neglect, and household dysfunction. Exposure to ACEs early in life is a risk factor for adverse physical and mental health outcomes in adulthood, which may lead to subsequent child abuse, neglect, and household dysfunction. This study examined a rural community's barriers and facilitators to addressing ACEs in families with young children from the perspective of organizations serving children and families. The Innovation Corps (I-Corps) methodology was used to develop an ecosystem map of 64 community stakeholders, including 12 government, 13 healthcare, 27 early childhood education (ECE), and 12 community-based organizations, involved in the community's system of care for families with young children. Representatives from the stakeholder organizations identified in the ecosystem map were then recruited via purposeful and snowball sampling, and semistructured interviews were conducted with 37 participants. Transcribed notes and direct quotes were analyzed using a constant comparison analysis approach, and five themes emerged from the analysis. Barriers to addressing ACEs included limited mental health resources in ECE settings for both children and teachers, stigma, and limited access to local healthcare, while facilitators included establishing trusted relationships between organizations and families and using strengths-based approaches with families. This study characterized facilitators and barriers to addressing ACEs in families with young children residing in a rural community and provides guidance to inform future community-level ACEs interventions and policies. [ABSTRACT FROM AUTHOR]
- Subjects :
- ADVERSE childhood experiences
RURAL health services
FAMILY assessment
RESEARCH methodology
STAKEHOLDER analysis
FAMILY support
COMMUNITY health services
INTERVIEWING
SOCIAL stigma
QUALITATIVE research
COMPARATIVE studies
ECOSYSTEMS
CONCEPTUAL structures
CASE studies
DESCRIPTIVE statistics
TEACHERS
THEMATIC analysis
FAMILY relations
JUDGMENT sampling
STATISTICAL sampling
RESOURCE-limited settings
MENTAL health services
TRUST
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 173486244
- Full Text :
- https://doi.org/10.1155/2023/3865025