Eight years after – a follow‐up study of mothers and children at psychosocial risk who received early treatment: does early intervention leave its mark?

One‐hundred forty‐five mothers at psychosocial risk who, with their babies, had been given treatment at a parent–baby clinic during a 2‐year period starting in 1999, treatment designed to strengthen the mother–child relationship, were followed up 8 years later. Both the mothers who had agreed to take part in the treatment programme (n= 73) and those who had declined (n= 72) were searched for in the records of the Social Welfare office to determine if the treated mothers had been focused on to a lesser degree in the following 8 years than those who had declined treatment, a hypothesis that was initially put forward. The behaviour of the children whose mothers had undergone treatment (n= 46) was studied. The initial hypothesis had to be rejected; support and intervention from the social authorities had been equally common in both groups. However, the children of treated mothers had fewer externalizing behaviour than children of untreated mothers at psychosocial risk.     

Risk factors for the prevalence of domestic violence against women in Cyprus

This paper, which is based on the first national survey on domestic violence against women in Cyprus, presents the risk factors associated with the prevalence of domestic violence. The sample size of the survey is 1107 Greek-speaking women living in the area controlled by the Republic of Cyprus. Overall, 28% of the women that took part in the survey report to have suffered domestic violence from their partner or husband at least once in their lives. Multiple logistic regression shows that age, marital status, place of living and family budget are significant risk factors for the prevalence of domestic violence against women in Cyprus.     

Factors influencing the acceptance of volunteer home-visiting support offered to families with new babies

This study investigated the characteristics of families with a new baby, screened to identify families with vulnerability, who did not take up the offer of home‐visiting support from a community volunteer. Using logistic regression, background factors were compared with those families receiving support. Those not receiving support, 59.1% of those referred, were more socially, educationally and economically disadvantaged, living in more disadvantaged neighbourhoods. Those who received support were more likely to have larger families, no local support network, or had family members with health or mental health problems. One in nine families referred had not been reached by the support service. In brief qualitative telephone interviews, mothers who did not take up the offer of support reported changing their mind, wanting to cope without help and in some cases feeling that the support offered did not meet their specific needs. Policy implications are suggested, in particular offering support to new parents thought to be vulnerable within a statutory framework, with sufficient infrastructure and resources to conduct outreach work. Research implications include making a concerted effort to find out about families who decide not to take part in service evaluation studies, or who drop out after initial agreement.     

Parenting and Children's Distress Reactivity during Toddlerhood: An Examination of Direction of Effects

During early childhood, harsh and emotionally negative parent–child exchanges are expected to increase children's risk for developing later conduct problems. The present study examined longitudinal associations between the quality of parenting responses and children's distress reactivity during children's second year of life. Forty-seven mother–child dyads completed observational assessments of children's distress reactivity and mothers' harsh and supportive parenting when children were 12 and 24 months of age. Results indicated that mothers' contingent harsh parenting responses to children's non-compliance when children were 12 months of age predicted increases in children's observed distress from 12 to 24 months, but children's level of distress at 12 months did not predict change in harsh parenting responses over the same time period. In contrast, supportive parenting contingent responses did not predict declines in children's distress reactivity, although children's distress reactivity predicted declines in mothers' supportive parenting responses from 12 to 24 months. Results are discussed in terms of the implications of the quality of parent–child interactions as a point of entry onto developmental pathways of risk.     

Family–Peer Linkages: The Mediational Role of Attentional Processes

The goal of this study was to examine the role of attention regulation as a mediator between parent–child relationships and peer social skills. Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development data set, mother–child and father–child relationships measured at 54 months and grade 1 predicted peer social skills at first and third grades. Attentional control processes, especially ability to sustain attention and ratings of attention problems, served as mediators between parent–child relationships and peer outcomes. The implications of these processes for theories of family-peer relationships are noted.     

Exceptions to High School Dropout Predictions in a Low-Income Sample: Do Adults Make a Difference?

Adult–child relationship factors were examined to determine whether they differentiated between individuals who follow expected versus unexpected educational pathways. Low-income participants (96 men, 83 women) in the United States were followed from birth through age 23. Individuals were identified who followed expected versus unexpected pathways to high school graduation or dropping out based on academic achievement and behavioral problems. Patterns of parental involvement in school were significantly different between expected dropouts and unexpected graduates in middle childhood. In contrast, expected graduates had higher levels of parent involvement in middle childhood, more supportive parent–child relationships in early adolescence, and higher levels of social competence with adults than unexpected dropouts .     

GENDER ISSUES IN PSYCHOSOCIAL MORBIDITY IN GENERAL PRACTICE

The objective of this study was to compare differences in reasons for encounters, diagnosis and treatment between men and women patients presenting with psychosocial problems as recognised by their general practitioners. The research design was a survey based on structured questionnaires completed by the general practitioners on patients consulting with mental health problems in Bunbury in the rural South West region of Western Australia. The data collection took place for a period of 5 weeks. Twenty two general practitioners, from 5 surgeries, collected information on 428 patients, pertaining to socio-demographic characteristics, reasons for encounter, diagnoses, social problems, chronicity, counselling, medication and use of referral services. The gender differences in the illness profile was quite pronounced. Men patients were older, were more likely to be diagnosed with psychosis or character disorders, to have employment or unknown problems. On the other hand, female patients were younger and more likely not to be given a definite diagnosis, to report more social isolation, dependent/difficult relatives and problems resulting from assault. Men were more likely to be on medication and to be referred to psychiatrists, while women received more counselling from their GPs or were referred to counselling services. On the basis of the findings, it is pointed out that men and women differ in terms of the recognition that they are suffering from a problem, that outside help is needed and making the decision to consult. They also differ in terms of the social factors influencing gender differences in recognition of the illness by the GP and the decision to treat and/or refer.     

Social support available for substance‐dependent mothers from families with parental substance abuse

Substance‐dependent mothers, who have grown up with parental substance abuse, struggle during and after treatment to abstain from substances while trying to process traumatic experiences and integrate their family into society. The aim of this study was to explore the social support available for these mothers to help them stay abstinent and create safe family environments for themselves and their children. Using purposeful sampling, we approached nine mothers admitted for 1 year to a family ward at a substance abuse clinic and their significant others. Through in‐depth, qualitative interviews, first with the mothers, later with their significant others, we investigated characteristics of the available social support. The findings indicated that the significant others had limited resources and were themselves exposed to adverse and cumulative psychosocial and socioeconomic risk factors. Their relationships with the mothers were, nevertheless, close, consistent and reliable. Supporting the existing social network should be an integrated part of the work of family welfare services aiming to help substance‐dependent mothers from families with parental substance abuse to rehabilitate and to integrate successfully into local communities.     

The Structure of Parent–Child Dyadic Synchrony in Toddlerhood and Children's Communication Competence and Self-control

The aim of the present investigation was to examine parent–child synchrony and its link to children's communicative competence and self-control. Data were collected from 80 families with toddler age children (41 girls, 39 boys) during a laboratory assessment. Five components of parent–child dyadic synchrony were assessed during a semi-structured parent–child play activity at 18 months. Assessments of children's communicative competence and self-control were obtained at 36 months. Results indicated that parent–child synchrony, shared positive affect, and mutual compliance were highly intercorrelated components of dyadic synchrony. Moreover, children from highly synchronous parent–child dyads displayed more communicative competence and more self-controlled behavior. Mother–child mutual compliance and father–child shared positive affect were particularly significant contributors to children's self control. The associations between synchrony and child developmental adjustment remained significant after controlling for individual child and parent behavior. Developmental implications and suggestions for future research are discussed.     

Adolescent Filial Piety as a Moderator between Perceived Maternal Control and Mother–Adolescent Relationship Quality in Hong Kong

This study examined the perceived parental styles of maternal warmth and control, as well as adolescent filial piety, in relation to parent–child relationship quality, in 308 Hong Kong Chinese adolescents. The three mother–child relationship qualities measured were perceived maternal support, conflicts, and relationship depth. Adolescents' attitudes toward filial piety explained unique variance in all three of these parent–child relational qualities, over the constructs of maternal warmth and control. In addition, the interaction of filial piety with maternal control explained unique variance in perceived maternal support and mother–child conflicts, but not relationship depth. Results established the potential unique importance of adolescent filial piety and confirmed our hypothesis that the more adolescents emphasize filial piety, the more parental control exerts a positive effect on mother–child relationship quality in Hong Kong families.     

The Role of Heritage Language Development in the Ethnic Identity and Family Relationships of Adolescents from Immigrant Backgrounds

The influence of immigrant-background adolescents' heritage language (HL) proficiency and use of the language on parent–adolescent relationships and ethnic identity was investigated in a sample of 414 adolescents from Latin American and Asian backgrounds. HL proficiency, but not language use, was positively associated with the quality of parent–adolescent relationships. Although HL proficiency and language use were both associated with ethnic identity, when taken together, only HL proficiency was a reliable predictor. These findings indicate that it is the development of proficiency in the HL that influences adolescents' successful adjustment, rather than their choice of languages. It is therefore important to support HL development in order to help immigrant-background students to better cope with the stresses of adolescence.     

The social support in kinship foster care: a way to enhance resilience

This paper analyses how social support enhances family resilience in kinship foster families by involving the families in an educational group programme. Sixty‐two kinship foster families from Spain participated in the research. The data were collected before the programme (interviews) and after the programme (interviews and focus groups), and these were analysed by content analysis with the programme Atlas.ti. The results show that the factors that contribute most to the development of family resilience are as follows: (i) feeling able to look for solutions when facing problems; (ii) an increase of their network of formal support; (iii) being able to offer support to other foster families; and (iv) feeling that the support they give to parents' foster children is socially recognized.     

Postpartum depression and its correlates in middle‐class women in Hunan,China

Postpartum depression (PPD) has a negative impact on both infants and women. The middle‐class group is rapidly expanding with increased but unmet psychological needs. To determine the risk and its correlates of PPD in middle‐class women in Hunan, China. A sample of 306 middle‐class puerperae from obstetric wards of a large general hospital was enrolled in the study. Our results showed 55.6% middle‐class women were suspected PPD. Related risk factors included a history of complications, pregnancy stress, subjective support, and interaction effect between objective support and negative coping. The protective factors included objective support and an interaction effect between subjective support and negative coping. Early assessment and individualized guidance in terms of social support and coping to identify and prevent PPD in this population are required.     

Why It Is Bad to Be Kind. Educating Refugees to Life in the Welfare State: A Case Study from Norway

In Norway, as elsewhere in Europe, the aim of policy‐making is to ensure the integration of immigrants into mainstream society. This paper focuses on one of the most concrete and practical measures Norwegian authorities have ever taken in this field, namely the recent establishment of a compulsory two‐year introduction programme for newly arrived refugees. This is an activation‐style programme involving both a financial and an educational component, where out‐payments depend on participation in a full‐time training programme aimed at enabling participants to become self‐sufficient members of Norwegian society. In the first part of the paper the establishment of this policy is located within a broader context of integration crisis, before it moves on to look more specifically at the background for the programme and the problems it is set up to address. The latter part of the paper addresses the implementation of the introduction programmes in one medium‐sized Norwegian city. The local discourse here is one of before and after, where the failings of previous policies have been overcome and new and productive practices have been established. Connections can be made between public and political discourses on integration crisis and the local discourses of implementation through the notion of kindness and the idea that kindness has hampered the integration efforts of the state. Herein lies a story not only about views on immigrants and diversity, but also about how immigration has challenged the Norwegian welfare state model.     

Psychosocial work conditions, unemployment, and generalized trust in other people: A population-based study of psychosocial health determinants

The association between psychosocial work conditions, unemployment, and generalized trust was investigated. The health survey in Skåne is a cross-sectional postal questionnaire study with a 59% participation rate. A total of 5,180 persons that belonged to the work force and the unemployed were included. Logistic regression models were used to investigate the associations between psychosocial factors at work and unemployment, and trust. Psychosocial work conditions were defined by the Karasek–Theorell demand–control/decision latitudes into relaxed, active, passive, and jobstrain. Effects of length of unemployment on trust were analysed. A 38.4% of all men and 42.1% of all women in the workforce have low trust. Men and women in the passive, jobstrain and unemployed categories had significantly higher odds ratios of low trust compared to the relaxed reference group. After multivariate adjustments these patterns remained, except among “passive” men. Psychosocial work conditions and unemployment are associated with trust.     

Psychosocial Well-Being of Young People Who Participated in a Support Group Following the Loss of a Parent to Cancer

Despite the evidence of unmet support needs among young people who have lost a parent to cancer, only a few support group initiatives have been reported. This observational prospective study explored the psychosocial well-being of young people who participated in support groups at a Swedish specialist palliative care setting. On three occasions, 29 participants, aged 16–28 years, answered questionnaires covering characteristics of the participants, circumstances of the losses, psychosocial well-being of the young people, and their own assessment of the support groups. The support groups attracted mostly young women who were often unprepared for the loss. The living arrangements differed between younger and older participants; however, the loss-related variables did not differ. Significant positive changes were found regarding a sense of meaning in their future life and life satisfaction. The helpfulness of the group was assessed as high/very high and the group brought a valuable fellowship with others in a similar situation. Universality and beneficial interactions were reported and strengthened psychosocial well-being developed over time. This change, according to the young people themselves, may be attributed to the group support. The findings are useful for planning interventions to support young people in bereavement in order to enhance their psychosocial well-being.     

Relations of Parent–Youth Interactive Exchanges to Adolescent Socioemotional Development

This study examined the relations of parent–youth agreement and disagreement during a joint problem-solving task and multi-methodological indices of socioemotional outcomes in adolescents (mean age  =  13). One hundred and sixty-seven parents and their adolescent children participated. Each parent–youth pair played the interactive game 'Jenga', and their interactions were analyzed for frequency of elaborations (agreement during three or more conversational turns) and negotiations (disagreement during three or more conversational turns). Elaborations during parent–youth interactions were related to less negative classroom behavior, better self-regulation, and more task persistence in youth. Findings are discussed in light of the importance of parent–youth interaction and youth autonomy in adolescent socioemotional development.     

Once a NEET always a NEET? Experiences of employment and unemployment among youth in a job training programme in Taiwan

Chen Y‐W. Once a NEET always a NEET? Experiences of employment and unemployment among youth in a job training programme in Taiwan Int J Soc Welfare 2011: 20: 33–42 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. Ten previous participants in a job training programme, ages between 15 and 20, were interviewed face‐to‐face to determine why they were not employed, in education or in vocational training (represented by the acronym NEET) at the time, as well as their related experiences. They were also asked about their experiences and opinions regarding the training programme and their ideas about work in general. Results of the study indicate that most of the respondents did not become NEETs by choice; they did so for economic reasons. Most thought the programme was of little practical help to them and did not increase their chances of employment, but that it did give them social and emotional support and helped them feel better about themselves. Many agreed that the monetary allowance offered by the programme was a good incentive for participation. Implications of the findings for social policy and programme development, especially to the socio‐cultural context of Taiwan, are discussed.     

Working with the whole family: What case files tell us about social work practices

Practice theories to support child protection social work in the United Kingdom, as in the United States and Australia, are being squeezed out by a focus on performance targets and procedural timescales. This study examines an innovative programme designed to reverse this trend initiated by an English local government authority. The programme aimed to embed systemic family practice in situations where children are deemed to be at risk of harm. The findings, derived from an analysis of a case file sample, indicate that the social worker interaction with family members is predicated on who is living with the child in conjunction with the risk status of the case file. Conversely, practitioner interactions with family members are divorced from family structure and the lived experiences of kin relationships. This study concludes by examining why, despite training in systemic family practice, it was problematic for social workers to integrate it into their encounters with families.     

Comparing the effectiveness of I-BMS-informed self-help interventions in alleviating psychosocial distress for women awaiting the outcome of IVF treatment

Women undergoing in vitro fertilisation experience enormous emotional distress while waiting to find out if they are pregnant; yet their intention to seek help remains low. Interventions that can be easily self-administered may provide a promising alternative. This randomised trial compares psychosocial outcomes of 207 women who received a self-help education booklet containing either spiritually reflective exercise and relaxation techniques, spiritually reflective exercises only, or information about body-mind wellness. Results suggest that knowledge on body-mind wellness protected the women from deteriorating in a range of psychosocial well-being domains that would otherwise have occurred during the waiting period prior to the pregnancy test.