Integrating the little talks intervention into Early Head Start: An experimental examination of implementation supports involving fidelity monitoring and performance feedback

Enriching home visiting services by incorporating scientifically-supported interventions is a means for improving their effectiveness in promoting child development. However, deliberate efforts to ensure that home visitors are fully knowledgeable and supported to implement interventions with parents of young children are necessary. In this experimental study, a randomly-assigned group of Early Head Start home visitors monitored the fidelity of their provision of a scientifically-based intervention, Little Talks, and the program's general child development services. On a bi-weekly basis, home visitors received performance feedback specific to their implementation of Little Talks and based upon the fidelity data. Findings demonstrated that home visitors showed immediate and consistent mastery of the Little Talks content, while the quality of their implementation, including their clinical decision-making and collaborative processes, improved to adequate levels over time. The Little Talks home visitors showed generalized improvements in their ability to obtain Parent Input while providing the program's typical child development services were detected. In fact, Little Talks home visitors' were superior in obtaining Parent Input relative to comparison home visitors. Further, parents for whom low-quality intervention implementation was observed discontinued their enrollment in home visiting prematurely, while high-quality implementation was associated with sustained enrollment. Limitations for this study are identified, leading to future directions for advancing home visitors' incorporation of evidence-based practices.     

Promoting birth parents' relationships with their toddlers upon reunification: Results from Promoting First Relationships® home visiting program

Birth parents, once reunified with their child after a foster care placement, are in need of in-home support services to prevent reoccurrence of maltreatment and reentry into foster care, establish a strong relationship with their child, and enhance child well-being. Few studies have addressed the efficacy of home visiting services for reunified birth parents of toddlers. This study reports on the findings from a randomized control trial of a 10-week home visiting program, Promoting First Relationships® (Kelly, Sandoval, Zuckerman, & Buehlman, 2008), for a subsample of 43 reunified birth parents that were part of the larger trial. We describe how the elements of the intervention align with the needs of parents and children in child welfare. Although the sample size was small and most of the estimates of intervention effects were not statistically significant, the effect sizes and the pattern of results suggest that the intervention may have improved both observed parenting sensitivity and observed child behaviors as well as decreased parent report of child behavior problems. Implications are that providing in-home services soon after a reunification may be efficacious in strengthening birth parents' capacity to respond sensitively to their children as well as improving child social and emotional outcomes and well-being.     

Urbanism and Social Psychological Well-Being: A Cross-Cultural Test of Three Theories*

Three competing theories of how urbanism affects social-psychological well-being are tested using data from London, England; Los Angeles, California; and Sydney, Australia. Path analyses are conducted using visiting friends, visiting kin, and marriage companionship in the different paths. It is found that determinist theory can be rejected because most-urban people do not have fewer social relations than less-urban people; in fact, they may have more. Subcultural theory received some weak but mixed support, and compositionalist theory generally is not supported. The three metropolitan areas do not differ markedly from each other in the paths they show. The best predictor of well-being is the quality of people's social relationships.     

The contribution of the intervention in social networks and community social work at the local level to social and human development

ABSTRACT

The primary task of community social work is building social networks by reinforcing people's resources and those of the different environmental and social contexts from three dimensions: personal development, social development and organisational development. The new information technologies today establish a relationship of communication with local communities and citizens that promotes proximity to social networks. Social intervention is supported by a set of methods from human geography that can be used as tools to create maps of the territory and the networks for planning, diagnosing and classifying the management of community network intervention. In this discussion we set out to analyse the contribution of the intervention in social networks as a means of achieving a new configuration of social networks at the local level. This information is obtained from semi-structured interviews with social workers and other professionals in the social sphere in municipalities with over 100,000 inhabitants in the Madrid region (Spain). The research results show that intervention in social networks locally multiplies the opportunities to enhance the quality of people's social relationships, thus expanding their social support by strengthening their bonds, their personal network and support systems; secondly, it increases empowerment to facilitate a type of intervention to strengthen human potential and to gain autonomy and full citizenship.     

Home Visitor Relationship Security: Association With Perceptions of Work,Satisfaction, and Turnover

Home visiting is widely used to improve outcomes in families at risk for poor parenting. Impact is modest and variable, owing in part to poor fidelity. Attachment theory suggests that home visitors' relationship security influences fidelity because establishing a trusting relationship with parents is central to service delivery. This study describes paraprofessional home visitors' relationship security and relates it to demographics, psychological attributes, and work perceptions and intentions. Home visitors (n = 62) varied widely on the two major domains of relationship security: anxiety and avoidance. Relationship security was stable over time. Relationship anxiety and avoidance were associated with psychological and work constructs in theoretically predicted ways. Relationship anxiety was negatively associated with self-efficacy and positively associated with negative affect and indicators of burnout. Relationship avoidance was negatively associated with self-efficacy, job satisfaction, and tenure as a home visitor. Implications for research and practice are discussed.     

The social construction of a cultural disaster: New Labour’s millennium experience

This article presents the findings of an Arts and Humanities Research Board project on London’s Millennium Dome exposition in the year 2000. The Dome was generally considered to be a cultural disaster in the news media and public conversation. It became a political embarrassment for Britain’s New Labour government but did not prove damaging in the 2001 general election. The article does not dispute the media’s damnation of the Dome but questions its acuity. It also questions the managerialist perspective on the Dome’s ‘failure’ whilst taking into account claims regarding a managerial ‘turnaround’ and an ‘under-reported success’. Empirical evidence and theoretical analysis concerning the political economy of the Dome’s production, its representational meanings and visitor reception provide a more complex and multidimensional explanation. Corporate sponsorship played a key role in the cultural disaster and, in this particular case study, it exemplifies social democracy’s symbolic as well as material coalescence with neo-liberalism. A distinction is made between associative and deep sponsorship that is illustrated with examples from the Dome. A typology of generous and reflexive visiting is also formulated in order to analyse the visitor data.     

The contribution of social support to children and adolescents' self-perception: The mediating role of bullying victimization

The purpose of this article is to report on a study that explores the linkages among self-perception, perceptions of social support, and bullying involvement among children and youth, with a focus on how bullying victimization mediates the association of social support and self-perception. We employ Harter's multidimensional model of self-esteem (1999; 2012), which highlights the inextricable link of social support to global self-esteem but does not explore the contribution of bullying involvement to this association. Our findings indicate that social support is associated with self-perception, and that traditional victimization mediates the association between social support and self-perception for three self-perception measures: social acceptance, physical appearance, and global self-worth. Contrary to our expectations, cyberbullying victimization was not found to mediate the relationship between social support and self-perception. These findings underscore the importance of exploring both traditional bullying victimization and cyberbullying victimization in relation to social support in order to understand their effect on development and wellbeing. More broadly, this study's finding that social support was a significant buffer to bullying victimization emphasizes the necessity of developing prevention and intervention strategies which are relationship-based and implemented early in young people's lives.     

Marriage following the birth of a child among cohabiting and visiting parents

Approximately half of nonmarital births are to mothers in cohabiting relationships, and an additional 30% are to mothers in visiting relationships. I use data (N= 1,945) from the Fragile Families Study to investigate whether the determinants of marriage in the year following a child's birth are similar for cohabiting and visiting parents. The results show that mothers’ education is predictive of marriage for cohabiting parents, whereas mothers’ earnings are predictive of marriage for visiting parents. The findings imply that visiting mothers place a greater emphasis on economic independence and sufficient resources to establish an independent household before transitioning to marriage. No differences in the association of relationship quality or attitudes and marriage are found.     

Parental substance misuse and statutory child protection in England: Risk factors and outcomes

Parental substance misuse is a significant child welfare issue and associated with increased risk of child maltreatment. The aim of the present study was to understand what social care outcomes children who live with parental substance misuse have, and to assess factors associated with those social care outcomes over a two-year period. The paper reports on a retrospective longitudinal study of 299 children all living with parental substance misuse and referred to one local authority in England. Data were collected from children's social work case files about procedural social care outcomes and factors which may be associated with those outcomes. Using cluster analysis, a new typology of children's longitudinal trajectories through the children's social care system was developed, consisting of five distinct types. Analysis indicated that some children received too little intervention from children's social care despite ongoing concerns, while other children were potentially unnecessarily caught up in the social care system. Factors associated with children having the poorest outcomes were: caregiver instability resulting from substance misuse, parenting capacity and household instability. The study's findings indicate that some children who live with parental substance misuse are at significant risk of harm, but others are not and may be better supported through non-statutory services such as early help.     

The social worker-client relationship -- a Sartrean approach

Several theorists argue that a close and mutual relationship between social worker and client is the 'core' of social work practice. However, this relationship is not examined in a profound way. In the article, the assumption of the essential relationship between social worker and client is scrutinized, using Jean-Paul Sartre's phenomenological, existential philosophy. The aim is to see what Sartre's theory can bring to the discourse about this relationship as a central aspect of social work as a field of knowledge. Ultimately this is of importance for intervention as well as evaluation.     

SOCIAL NETWORK AND THE MATERNAL ROLE SATISFACTION OF FORMERLY-MARRIED MOTHERS

An association between strength of social network and maternal role satisfaction was demonstrated by Elizabeth Bott (1957). Whereas Bott's sample was composed of mothers in intact marriages, the present study extends Bott's investigation by examining this relationship utilizing a sample of formerly-married mothers (FMM). Secondary analysis of interviews conducted with a non-probability sample of 119 FMM was used to test the hypothesis that the milieu provided by a woman's social network predicts her satisfaction with the demands of the maternal role. Strength of social network was not found to be significantly associated with maternal role satisfaction, failing to support the hypothesis. Several components of the social network variable-satisfaction of relationship with parents and overall satisfaction with friendships-did prove, however, to be significantly related to the dependent variable. Alternate interpretations of the latter findings are discussed. Comparison of the present findings with those of Bott's (1957) are not directly interpretable. Further research comparing mothers in intact marriages with FMM should be meaningful and is suggested.     

The prevalence and nature of abuse and neglect in children under four: a national survey

This paper reports the results from a Danish national survey of child abuse and neglect. Data were obtained by a written questionnaire sent to all home health visitors. All newborn Danish children receive visits by a home health visitor several times during their first year of life. For children in need of special care for social reasons the visits may continue until school age (at 6 or 7 years). The questionnaire included four checklists of signs of abuse and neglect. The home health visitors were asked to record what they had actually observed visiting the children in their homes. Eighty‐three per cent (covering about 80% of all newborns) answered the questionnaire. The objective was to establish a scientific based framework that could be used to guide preventive efforts. Ten per cent of all children under 1 year of age may be characterized as children in need of special care for social reasons, the most frequent single reason being reliance on social assistance, alcohol abuse or violence against the mother. A minimum of 4% of infants are subjected to broadly defined abuse or neglect from one or more of the four categories: physical abuse, physical neglect, emotional abuse and emotional neglect, physical and emotional neglect being the most frequent and physical maltreatment the most rare. Copyright © 1999 John Wiley & Sons, Ltd.     

DEPRESSION AND THE SOCIAL DIMENSIONS OF THE FULL-TIME HOUSEWIFE ROLE*

This article examines the determinants of depression among a sample of 528 married, white housewives residing in the southeastern U.S. The multiple regression analysis reveals that low total family income, dissatisfaction with family life and the housewife role, and few extra-familial social contacts are significantly associated with depression. A major finding is that the impact of social contacts in reducing depression is conditioned by the housewife's age and by children's residence in the home. Younger women and those with no children living at home benefit more from extra-familial social contacts than do older women and those who have children at home. The article concludes with a discussion of the impact of the social changes of the 1970s and early 1980s on the determinants of housewives' psychological well-being.     

Home Visiting Family Therapy for Children at Risk

Home visiting has a long history in the areas of health and welfare (Baldock, 1990: 121). Early intervention through home visiting programs has been found effective in preventing abuse and neglect in many countries including the USA (Olds, 1992), Ireland (Johnson, 1993) and Europe (Cox, 1993). The success of these programs lay in their effectiveness in reducing social isolation, improving parenting skills and enhancing self esteem. This paper reports on the role of family therapy in home-based early intervention for families with newborn infants.     

Exploring the Link between Mindfulness and Relationship Quality: Direct and Indirect Pathways

This study serves to advance the empirical research on predictors of relationship quality by considering the role of trait mindfulness in combination with measures of stress and positive relationship behaviors among a diverse sample of men and women in couple relationships. Multi-group structural equation models tested both direct links and indirect pathways and found stronger evidence for an additive model of trait mindfulness, perceived stress, and positive couple behaviors uniquely associated with men's and women's reports of relationship quality. Furthermore, positive relationship behaviors are comparatively the most closely linked with relationship quality for both men and women in our sample. As more clinicians are incorporating mindfulness training with clients, these types of explorations can serve to inform practices on relative value of intervention strategies and possible pathways for enhancing couple relationship quality.     

Interrogating 'Home Alone': The critical deconstruction of media representations in social work education

Children left unattended at home often results in the intervention of child welfare services in the UK and elsewhere. The media's discursive construction of 'Home Alone' provides a vehicle to enable social work students to address a range of issues which are central to practitioners' theoretical concerns and their day-to-day engagement with children and families. Furthermore, a detailed deconstruction of 'Home Alone' provides a springboard for social work educators to prompt debate and discussion on a range of themes that are central in the professional formation of social workers. The interrogation of 'Home Alone', it is suggested, is merely one example of how media accounts can be used creatively on social work programmes.     

Attachment Style Differences in the Parental Interactions and Adaptation Patterns of Divorcing Parents

The purpose of this study was to determine if the quality of children's relationships with their primary residential par- ents interacts with interparental conflict to predict children's postdi- vorce psychological adjustment problems. It was predicted that a high quality relationship would moderate the relation between inter- parental conflict and children's psychological adjustment problems such that this relation would be significantly attenuated for children with high quality relationships, defined in terms of high levels of acceptance and high quality communication. No support was found for this hypothesis. Implications of these findings for the development of preventive intervention programs and directions for future research are discussed.     

Does poor weight gain identify children in need?

To determine the socioeconomic variables in children with slow growth (failure to thrive), a case–control study was carried out in two economically deprived areas of Newcastle upon Tyne. Three hundred and six children, aged 12–24 months, registered at two health authority clinics, were studied by reviewing their growth charts. Sixty-three had poor growth (weight deviating downwards across two major centiles from the maximum centile attained at 4–8 weeks of age). Five children were excluded because of known organic disease. A matched control group of normally growing children was selected from the same clinics. Study children and controls were examined and their parents interviewed on a range of socioeconomic, health and interactional factors. A health visitor assessment and a record of social work contact was obtained. The slowly growing children differed significantly from controls in being lighter and shorter, while their mothers spent less on food, needed more help with the child, had a poorer home environment and expressed greater concern over their child's health. Four different patterns of poor growth were identified by inspection of the charts: early onset (before 6 months but sustained), late onset (after 6 months), temporary and recurrent. The ‘recurrent’ group was associated with parenting difficulties and the ‘late onset’ group with adverse socioeconomic factors. Slow growth patterns in children under 2 years may be used as a screening tool to identify ‘children in need’ and should be sought on a population basis. Those identified can then be assessed further to ascertain the area where underlying difficulties lie, for intervention to follow as appropriate.     

Equity and Social Exchange in Dating Couples: Associations With Satisfaction,Commitment, and Stability

A longitudinal study with romantic couples was conducted to examine the importance of equity relative to other social exchange variables (i.e., rewards, investments, and alternatives) in predicting relationship satisfaction, commitment, and stability. Underbenefiting inequity (but not overbenefiting inequity) was associated with a lower level of satisfaction and commitment and a greater likelihood of breakup. However, little evidence was found that equity at one time predicted change in satisfaction and commitment. Slightly more evidence was found for a reverse causal direction: Satisfaction and commitment contributed to a decrease in underbenefiting inequity, although these results were not consistent across time. Women's commitment was the strongest predictor of relationship stability. In addition, women's underbenefiting inequity and alternatives and men's alternatives were associated with breakups in some of the analyses, and women's rewards and satisfaction and men's satisfaction were associated with relationship stability in some of the analyses. Because of the multiple waves and the extended length of the longitudinal study, the findings make a unique contribution to the literature on equity and exchange.