Continued social changes and contextual diversity are giving rise to new health needs. Key social components are becoming increasingly significant, adding to the psychosocial complexity that goes hand in hand with medical complexity. Paediatric palliative care is not immune to modern-day realities and it is influenced by social and political factors. Accordingly, it has become important to highlight the existence of social complexity factors when it comes to the assessment, social intervention and support of patients and families.
The Family Group Conference (FGC) is a model of family intervention originating from the Maori of New Zealand. During the 1980s it expanded to encompass other countries. The goal is to lend prominence to families so that they themselves and their network can make decisions to address their concerns.
Since 2017, Osona Acció Social has been promoting a pioneering experience in Catalonia with the FGC, training 50 professionals. This has given rise to a steering group that engaged in 14 attempts to implement the FGC between 2017 and 2021.
Within child protection work involving families with children at risk, the safety of said children has been traditionally prioritised over the stability of family ties, often leading to coercive and adversarial situations involving families which frequently lead to the child being taken away. The unsuccessful outcomes of these typical practices have given rise to a call for cooperation between professionals and families which must unfold in the form of specific interventions in order to go beyond simple rhetoric.
Although pondering on death among children and young people is a disagreeable responsibility, the goal of paediatric palliative care is to strive to provide end-of-life support for children. Paediatric palliative care is established as the specialist field that deals with illnesses for which no cure is available. From a multidisciplinary position, the comprehensive paediatric palliative care network of Catalonia (XAPPI) is being implemented to provide a biopsychosocial and spiritual response for patients and families facing illnesses for which no possible treatment is available.
As a child protection measure, family fostering takes precedence over residential fostering because it allows the child to develop within a family. However, despite continued efforts in this area this priority has not yet been delivered.
Indeed, Spain has not engaged in developing a model for professionalised family fostering, although the scope for it has been mentioned since 1996 in our Civil Code (Royal Decree, 24 July 1889).
The death of a relative is a major stressor that affects the family balance and its structure in terms of its functional dynamics and, indeed, it may trigger very different consequences on each of the members of the extended family, as well as impacting their normal development.
Children with a parent in prison are at significantly greater risk of suffering numerous adverse effects if support is lacking. The Secretariat for Criminal Measures, Rehabilitation and Victim Support (SMPRAV) seeks to minimise relapse and protect victims. The risk management model focuses on identifying, assessing and minimising the criminal risk factors that have led an individual to commit a crime.
There is a widespread consensus in early care about the importance of the family and the environment in childhood development and regarding the fact that promoting optimal environmental or contextual conditions improves the quality of life, and indeed the overall development of children.
At present, the most hegemonic notion of innovation is characterised by technological change, coupled with the emergence of new products. This reductionist view was already by refuted by Schumpeter’s theory of economic development from 1912 in which his idea of creative destruction gives rise to an innovation of processes and organisations.
Act 14/2010, on rights and opportunities during childhood and adolescence (LDOIA), is reaching the tenth anniversary without regulations being implemented or budgetary allocations being assigned in order to lend viability to the measures, especially for children at risk. Only four decrees have been approved that partially implement certain services, but not the regulation that would have allowed these measures to be defined and executed.
