Family‐centered kindergarten social work services in Hong Kong: A pilot project

Social work services at schools in Hong Kong will begin a new chapter in kindergartens in 2018–2019 school year. Early childhood professionals have long considered family‐centered service delivery best practice. This paper reports a pioneer project on a family‐centered approach in kindergarten social work services in Hong Kong. The project was illustrated according to the following family‐centered principles: (a) The family as the unit of attention, (b) Linking families with community resources, (c) Flexible and individualized service provision, and (d) Creating partnerships and supportive relationships. The value and contributions of family‐centered social work services in kindergartens and implications for social work training in Hong Kong are discussed.     

Behavioural and emotional problems of children by type of out-of-home care in Croatia

The aim of this article is to compare the kinds of behavioural and emotional problems of youth in relation to type of out-of-home placement in Croatia. Children living in children's homes manifest significantly more behavioural and emotional problems than other groups of children in out-of-home care or children living in their primary families. Children living in foster families or in family-type homes integrated in the community do not differ from a comparative group of children living in primary families. Regardless of differences among sub-samples regarding behavioural and emotional problems, the current problems of individual children in all groups of children in out-of-home placement were connected more to currently experienced stressors than to unfavourable circumstances before their removal. This indicates that there are benefits to be gained by improving services in the children's present care environment.     

Fostering educational prosperity: A randomized controlled trial of home tutoring in foster care

The educational gap between children in out-of-home care and their non-placed peers is well-documented. However, tutoring stands out as a promising intervention to raise children's educational attainment in out-of-home care. This study randomized 105 children in foster care (62% girls, aged 7–15 years [M = 10.3, SD = 2.0]) to the home tutoring program Foster Caregivers as Tutors (FCT) or regular public school services (treatment as usual [TAU]). In the FCT group, the foster caregivers tutored the children for 2.5 h/week for 40 weeks. The program effect is measured in learning and developmental outcomes, including reading and math ability, learning skills, IQ, executive function, and psychosocial function. Follow-up was 17.5 months after baseline. The results show a significant effect over time in both groups on IQ (effect size [ES] = 0.40, P < 0.001), verbal comprehension (ES = 0.29 P = 0.02) and perceptual reasoning (ES = 0.60, P < 0.001) measured by WISC IV. Neither the FCT nor TAU provided any significant academic recovery in reading and math nor progression in executive function, learning skills or psychosocial function. These findings, implications for practice and future efforts to support the schooling of children in out-of-home care are discussed.     

Assisting ex-offenders in employment: the experience of Hong Kong

Research indicates that employment is effective in reducing recidivism amongst ex-offenders. However, ex-offenders are also discouraged from obtaining employment as a result of their poor education level, deficits in vocational skills and employer bias and discrimination. In Hong Kong, the Society of Rehabilitation and Crime Prevention offers a wide range of services to assist ex-offenders in employment. While a number of ex-offenders have benefited from these services, continuing difficulties are hard to overcome without government support. This paper recommends a multi-disciplinary approach to improve the employment situation of ex-offenders in Hong Kong and advocates for greater government involvement to help facilitate the reintegration of ex-offenders into the community in Hong Kong.     

Multicultural social work practice and South Asian migrants in Hong Kong

This paper explores how multicultural social work responds to the needs and structural issues faced by South Asian migrants in Hong Kong. Three working approaches, namely, the problem-solving approach, the strengths-based approach, and the rights-based approach are identified from our empirical data. The analyses demonstrate the generally insufficient awareness of the practice in critically addressing existing policies and power relations based on race. Moreover, there is a lack of critical reflection on the notion of culture and social workers’ ethnocentric biases. This paper argues that this insufficient awareness could lead to reinforcement of the existing social exclusion of ethnic minorities in Hong Kong. Using Hong Kong as an example, this paper reflects on the implications of applying Western-based literature and practice model in a non-Western society.     

信息沟通技术与母职 一项关于香港菲佣的实证研究(英文)

随着全球化的发展和跨国移民的增多，跨国母亲已经成为家庭研究和性别研究的重要课题之一。香港的菲律宾家庭佣工，作为香港一个庞大的跨国母亲群体，近年来也引起了学术界广泛的关注。本文探讨香港的菲佣，作为跨国母亲，如何利用现代化的信息沟通技术（手机和因特网）重新建构她们的母职。本文基于笔者于2010年在香港进行的定性研究获得的资料，从两个层面探讨现代化信息沟通技术与母职建构之间的关系：（1）香港的菲佣如何利用手机和因特网所带来的便利沟通为他们远在菲律宾的孩子提供情感支持和帮助；（2）香港的菲佣如何利用现代化信息沟通技术教育并指导孩子的成长与发展。通过比较信息沟通技术在香港普及前后菲佣的母职建构方式，我们发现，频繁且便利的远程通讯使得跨国母亲们能够克服地理隔绝带来的不便，为她们的孩子建构一种母亲的‘虚拟在场’。通过这种‘虚拟在场’，跨国母亲们从情感和道德两个层面履行其母亲职责。在情感层面，菲佣们利用手机和因特网传达她们对孩子的关心和问候、为生病的孩子提供情感支持、并且为孩子们解决实际的问题；在道德和教育层面，菲佣们利用现代沟通技术指导孩子的功课、帮助他们养成良好的生活习惯，并对孩子们的一些不良行为进行教导和规训，不仅重新建构了她们的母职，而且为“母职”一词提供了新的诠释。     

Broken circles to a different identity: an exploration of identity for children in out–of-home care in Queensland, Australia

Child protection manuals and literature emphasize that developing a sense of identity is one of the most important elements in achieving good outcomes for children in out-of-home care. Yet, the very issue of identity raises questions that many child protection workers are ill-equipped to answer. In practice, life story book work based on developmental theories has been utilized by child protection workers and foster carers as a response to a sense of 'lost identity' for children in out-of-home care. However, Indigenous and psychological concepts of identity may have little in common.
Current theories of identity development in children lack evidence from the children and young people themselves in informing these notions, which have been criticized as adult-centric. Developmental theories may also be problematic for children from non-Western cultural groups. This research was undertaken in a regional area of Queensland, Australia where the majority of children in the child protection system who are identified as Indigenous, come from two or more cultural backgrounds. The research presented in this paper firstly explores identity issues for children and young people in foster care from their own perspective using narrative art therapy. Secondly, the research views identity from the perspective of professionals working in child protection and out-of-home care.     

Childcare policies and services in Hong Kong after the handover: Beyond a feminist critique

This article reviews the development of childcare policies and services in Hong Kong after the handover, gauging it with two standards: promoting the equal development of children and gender equality in our society. Statistics derived from data taken from multiple sources show that the government has been sticking to a “positive non‐intervention approach” to welfare development and that the male breadwinner/female carer model prevalent in this region was shaped and strengthened by current childcare policies and services. The current provision of childcare services is insufficient to guarantee the equal use of childcare among children of different socioeconomic backgrounds, or to ease the tension between the needs of childcare and job requirements in a family, or to emancipate married women from the domestic sphere. A “generative welfare approach” that collects fiscal resources and redistributes them strategically with a systemic mind‐set has been suggested for social policy and service planning, including spending the money in the right place, launching smart and practical policies that can achieve both pragmatic effects and ideological improvement in the area of gender equality, providing financial support or subsidies to a company for the provision of parental leave, and increasing the provision of quality childcare services.     

Children's and adults' perceptions of child necessities in Hong Kong

There is growing interest in child poverty and well‐being in East Asia. However, empirical studies predominantly adopt “expert‐led” measures (such as adult‐derived child deprivation measures), which usually assume that parents or guardians provide reliable reports about all their children's needs and that the allocation of household resources is effectively equal across all members. Studies of child poverty from a child‐rights or child‐agency perspective are rare in East Asia. Using a consensual deprivation approach, this article examines the extent of agreement between children and adults about which child possessions and activities constitute necessities of life in Hong Kong. The data are drawn from the second wave of the Strategic Public Policy Research project—Trends and Implications of Poverty and Social Disadvantages in Hong Kong: A Multi‐disciplinary and Longitudinal Study. A total of 595 adults and 636 school‐aged children from the first wave of the study were reinterviewed and asked if they considered 16 possessions and activities as essential for children in contemporary Hong Kong. The results showed that adults were significantly more likely to believe that almost all material and social deprivation items were necessities compared with their children, even after controlling for individual‐level factors (i.e., gender and birthplace) and household‐level factors (i.e., number of children in the household, number of working adults, and household income). The findings highlight the importance of incorporating children's views into our understanding of child poverty.     

Exporting managed care: Asian experiments

Abstract   Following managed care saturation in the US market, and because of limited prospects in Europe, managed care made some headway in Latin America and Southeast Asia. The following paper compares a general concept, "managed care", across countries, and shows that it has gained acceptance in certain territories (e.g. Hong Kong, the Philippines), but not in others. Managed care is defined as processes or techniques used by any entity that delivers, administers and/or assumes risk for health services in order to control or influence the quality, accessibility, utilization, costs and prices, or outcomes of such services provided to a defined population ( American Medical Association, 1999 ). The first part of the paper reviews specific experiences (Indonesia, the Philippines, Malaysia, Hong Kong, Singapore), and is followed by a summary of difficulties that Managed Care encountered in Asia. Among these are rising public defiance and physician opposition.     

Adult and child deprivation in Hong Kong

There is growing interest in the application of Townsend's deprivation approach to provide estimates of poverty that more directly reflect the living standards of those on low income. The consensual approach is applied here using data from the second wave (conducted in 2015–2016) of the Trends and Implications of Social Disadvantages in Hong Kong survey. The article draws on a related study that identifies separate lists of items deemed “necessary for all” by a majority of adults (aged 18 years or older) and children (aged 10–17 years). Those unable to obtain at least three of these items are identified as deprived, and the profile of household deprivation is examined in terms of the family types most affected, age groups, and numbers of children. Further analysis focuses on the disparity between children identified as living in households identified as deprived according to information provided by adults and children whose deprivation status reflects their own views. Finally, the overlaps between deprivation and four measures of poverty—two objective and income based and two subjective and perception based—are examined and discussed. The results indicate that deprivation and poverty are different but that, however it is measured, more needs to be done to address poverty in Hong Kong, including further improvements in the coverage and adequacy of health service provision and social security benefits.     

Prevalence of mental health problems among children placed in out-of-home care in Denmark

This paper concerns the prevalence of mental health problems among children in family foster and residential care within a Danish context. All children, born in Denmark in 1995, who are or formerly have been placed in out-of-home care ( n = 1072), are compared with a group of vulnerable children of the same age, subjected to child protection interventions but living at home ( n = 1457, referred to as the 'in home care children'), and to all contemporaries who are not child protection clients ( n = 71 321, referred to as the 'non-welfare children'). Prevalence data are established on the basis of national administrative register data, including data on psychiatric diagnoses of the children, and on survey data scoring children in out-of-home care, in home care children, and non-welfare children by means of the Strengths and Difficulties Questionnaire (SDQ). Results show that 20% of children in out-of-home care have at least one psychiatric diagnosis compared to 3% of the non-welfare children. Almost half of the children in care (48%) are, furthermore, scored within the abnormal range of SDQ, compared to 5% of the non-welfare children.     

Implementing the Power to Kids programme in home-based (foster) care: Identifying the SAFETY approach

Sexual abuse and dating violence are chronic problems for children and young people in out-of-home care. This study explored the impact of a prevention and response programme Power to Kids, which targets harmful sexual behaviour (HSB), child sexual exploitation (CSE) and dating violence (DV) for children and young people in home-based (foster) care. Twenty-eight case managers, 25 foster carers and 13 children and young people participated in a mixed methods study in Victoria, Australia informed by the research question: How does the Power to Kids programme impact the sexual health and safety of children and young people in home-based (foster) care? The data analysis revealed a SAFETY approach whereby the sexual health and safety knowledge of carers and case managers was enhanced, and carers were given permission to have Brave Conversations with children and young people, who could then apply the new knowledge to their lives. Case managers were upskilled in identifying indicators of sexual abuse and empowered to escalate stalled therapeutic and disruption practice when children and young people were identified as experiencing HSB, CSE or DV.     

Multifamily Group Intervention for Chinese Parents and Their Children with Attention Deficit Hyperactivity Disorder in a Chinese Context

Despite the empirical evidence of multifamily group (MFG) in helping children with mental health needs in Western contexts, there is a dearth of clinical studies in Chinese societies such as Hong Kong to explore such adaption to help Chinese families of children diagnosed with attention deficit hyperactivity disorder. In this article, the authors describe the MFG model adapted to the Chinese context and assess the perceived helpfulness of the intervention, using a client-driven approach in evaluation. The parents’ evaluation toward the MFG program is positive whereas the children’s feedback is less favorable. Modifications have been made including a 30-minute pregroup meeting for the parents and more challenging games and outdoor activities for the children.     

Informing UK Policy Development on the Regulation of CAM Practitioners: Lessons from Hong Kong?

Public policy discussions on how to regulate acupuncture and herbal medical practitioners have reached a stalemate in the United Kingdom. After considerable activity in the first half of the current decade a wider review of professional regulation has re-opened the discussion as to the most appropriate way to regulate the practice of all health-care practitioners. In the meantime, the public continues to consult complementary and alternative medicine (CAM) practitioners in large numbers and self-medicate with herbal products and other natural remedies, posing challenges for policy-makers as to how to ensure public safety. In the NHS, providers and purchasers struggle to reconcile demands for access to CAM services with their clinical governance requirements. Hong Kong implemented new arrangements for the statutory regulation of traditional Chinese medical practitioners in the 1990s and has experienced the challenges of regulating a large established private market as well as integrating Chinese medicine further into the public health system. This experience is analysed in order to see whether the approach adopted there could address the public policy challenges faced in the UK. The article finds that, despite key cultural and historical differences related to the provision and use of CAM services, the similarities between the health-care systems and the reasons for moves to professional regulation in Hong Kong and the UK provide useful insights into what is happening in the UK in relation to service provision and the relationship with the NHS and the medical profession. These are discussed in the light of current health policy developments in the UK.     

In search of perfect motherhood for imperfect childhood – experiences of 22 Chinese mothers

Motherhood is subjectively defined and contextually based. This article describes and unfolds the experience of 22 Chinese mothers in Hong Kong in cultivating a sense of perfect motherhood for their children who have mental or behavioural problems that require psychiatric consultation. The mother, the significant others and the general public perceive the latter as a form of imperfection. The mothering experiences were full of frustrations, ambivalence, stresses and tensions, and were crystallized by the repeated theme of mother‐blaming and self‐blame by the mother. Despite the hardships, these Chinese mothers have gradually developed self‐confidence and pride, and have found ways to cope with the burden of care. Implications for practice are highlighted at the end of the paper.     

Leading Article: Welfare Development in the Midst of Political Uncertainty

On 1st July 1997 Hong Kong will be transformed from a British colony into a Special Administration Region (SAR) of the People's Republic of China. Although the Basic Law, a mini-constitution for the future SAR government, states that “Hong Kong's capitalist system and lifestyle will remain unchanged for 50 years after the establishment of the SAR”, changes are perceived to be inevitable, not least in respect of the welfare policies to be implemented by the future SAR government. Indeed, since the signing of the Joint Declaration in 1984 between the British and Chinese Governments on the future of Hong Kong, the existing Colonial Government has been enlarging its role in the social services and making relevant policies more responsive to the needs of the people. These reforms have largely been carried out in line with the democratization process which Hong Kong has been undergoing in recent years. To what extent will these changes in welfare policies continue after 1997? It is argued here that with the enlargement of democracy, and especially the establishment of political parties claiming to represent the interests of the people, it would no longer be possible for Hong Kong to return to residual-type welfare programmes. While it would be unlikely for Hong Kong to develop into a “welfare state”, the future development of social services in Hong Kong would probably command widest acceptance if policies keep in line with the prevalent welfare ideology which stresses, on the one hand, the self-reliance of the people and, on the other, the responsibility of government to look after weaker members.     

The political activities of social workers in the context of changing roles and political transition in Hong Kong

The article reports on a fourth study on the political participation of social workers based on a methodology developed by Gray and Collett van Rooyen (2000). Thus far studies have been conducted in South Africa, Australia and New Zealand. The present study examined the political activities of social workers in Hong Kong. It begins with a review of the politicisation of Hong Kong's social workers, tracing developments from the 1960s onwards. It then examines the literature on political participation in social work, particularly various typologies of political activity, in order to add to theory relating to this important aspect of social-work practice. Thereafter, it outlines the conceptual framework and methodology used in the study, the results of which provide the basis for the discussion of the political activities of social workers in Hong Kong. It ends with an in-depth discussion of the implications of the findings for the political role of social workers in Hong Kong's changing political context.     

COVID-19: Impact on children living in out-of-home care and their carers

Children enter out-of-home care (OOHC) having experienced significant childhood adversities and trauma. Little is known about the short-term impacts of the COVID-19 pandemic on this vulnerable group. To gain some insights, we analysed the early impacts on the well-being and experiences of children in OOHC and their carers using the Pathways of Care Longitudinal Study data prior to and post the first lockdown restrictions. A total of 862 children, young people and their carers were interviewed either pre-COVID-19 restrictions (n = 567) (April 2019–March 2020) or post-COVID-19 restrictions (n = 295) (June–December 2020). While the two groups showed no significant differences in socio-emotional well-being, both the pre- and the post-COVID-19 restriction groups of children in OOHC had slight reductions in socio-emotional well-being. The interviews with the post-COVID-19 group showed that the pandemic restrictions affected children's well-being and behaviour, education, social and physical activities, as well as time spent with their birth family. Likewise, interviews with carers post-COVID-19 found a negative effect on carers' well-being, their ability to manage financially and their capacity to care and access services and support. The article contributes new evidence to inform OOHC policy and practice to support service systems facing unique challenges arising from a pandemic.     

The over-representation of indigenous children in the Australian child welfare system

Similar to other wealthy countries with colonised indigenous populations, Australia's indigenous children, those of Aboriginal and Torres Strait Islander descent, are seriously over-represented in the child welfare system. The specific dimensions of this problem warrant detailed examination. It is useful to consider factors such as rates of entry to care, length of stay and the nature of services provided in order to understand the problem more fully. This article uses child protection, out-of-home care and juvenile justice administrative data to examine the levels of disproportionality at key decision points in the child welfare system. The data show that child welfare interventions are persistently more intrusive for indigenous children, and that levels of disproportionality have not improved over time. More comprehensive child and family welfare policies are needed to address indigenous disadvantage. Despite calls by indigenous community agencies for more input to decision-making, their participation in the Australian child welfare system remains marginal.