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Neglected children with severe obesity have a right to health: Is foster home an alternative?—A qualitative study
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0002-2631-2825
Department of Pediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
2018 (English)In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, no 83, p. 106-119Article in journal (Refereed) Published
Abstract [en]

Objective: To explore key person’s perspectives of foster home placement or notification of risk of harm to Social Services of children with severe obesity.

Methods: This case study research was performed in the southwest of Sweden and based on interviews with nine informants: a foster home youth, two foster parents, a social worker, two hospital social workers, a pediatric physician, a pediatric nurse, and a psychologist. Content analysis was used for narrative evaluations, within- and cross case analyses and displays.

Results: Positive health outcomes of the foster home placement were described as a healthy and normalized weight status, a physically and socially active life, and an optimistic outlook on the future. The foster parents made no major changes in their family routines, but applied an authoritative parenting style regarding limit setting about sweets and food portions and supporting physical activity. The professionals described children with severe obesity as having suffered parental as well as societal neglect. Their biological parents lacked the ability to undertake necessary lifestyle changes. Neglected investigations into learning disabilities and neuropsychiatric disorders were seen in the school and healthcare sector, and better collaboration with the Social Services after a report of harm might be a potential for future improvements. Rival discourses were underlying the (in) decision regarding foster home placement.

Conclusion: A child’s right to health was a strong discourse for acting when a child was at risk for harm, but parental rights are strong when relocation to a foster home is judged to be necessary. © 2018 Elsevier Ltd

Place, publisher, year, edition, pages
Oxford: Elsevier, 2018. no 83, p. 106-119
Keywords [en]
Case study research, Foster home, Rights of the child, Severe childhood obesity, Welfare
National Category
Medical and Health Sciences Social Work
Identifiers
URN: urn:nbn:se:hh:diva-37749DOI: 10.1016/j.chiabu.2018.07.006PubMedID: 30025301Scopus ID: 2-s2.0-85049847320OAI: oai:DiVA.org:hh-37749DiVA, id: diva2:1240427
Available from: 2018-08-21 Created: 2018-08-21 Last updated: 2018-09-06Bibliographically approved

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Regber, Susann

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