Companion animals in families of children with autism spectrum disorder: Lessons learned from caregivers.

Companion animals (i.e., pets) have been increasingly recognized for the roles they play in families, including those with children with Autism Spectrum Disorder (ASD). This cross-sectional study explored the unique functions of companion animals within families with a child with ASD. Phenomenology was used to analyze the responses of participants (N = 338) who responded to a survey offered through the Interactive Autism Network. The study initially focused on dogs; however, the analysis was forced to expand to other species due to the data provided by participants. Seven major themes emerged: bonding and benefits, learning opportunities, barriers, grief, fit (match of family characteristics with those of the companion animal), safety, and alternative animals. Successful fit between companion animals and families was often described as necessary for beneficial functions. Barriers included necessary cost and time, as well as required supervision of interactions to enhance safety of the children and animals.     

Communicating with children with autism spectrum disorder and their families: a practical introduction

Impaired communication and social interaction are symptoms central to autism spectrum disorder (ASD). Children or young people with ASD have varied intellectual ability, learning difficulty, and needs. For caregivers and health care professionals providing care to children with ASD, many challenges are encountered in everyday conversations. Enhanced knowledge of the spectrum and understanding the child or young person with ASD may improve conversation and social experiences. This article provides a practical introduction for health professionals seeking to improve their interaction with young people with ASD. Fictional vignettes, in which children with ASD are seeking care and support are presented, followed by discussion on communicating with children with ASD.     

Spirituality and the Gay Latino Client

An essential element in providing social services to clients form diverse communities is an understanding of cultural norms and values. The importance of acknowledging the understanding the role of spiritual beliefs and practices in working with gay Latinos is paramount when one considers the strong influence that organized religion and alternate belief systems have had on the societal, cultural and familial lives of these clients. This article looks at the role of spirituality in working with gay Latino clients, and offers suggestions for enhanced service delivery.     

The experiences of African immigrant mothers living in the United Kingdom with a child diagnosed with an autism spectrum disorder: an interpretive phenomenological analysis

Interpretive phenomenological analysis was used to investigate the experiences of six African immigrant mothers living in the United Kingdom with a child diagnosed with an Autism Spectrum Disorder (ASD). The mothers took part in one-off, semi-structured interviews. Four themes were identified: caring for a child we did not expect, the pain of stigma and rejection, frameworks of meaning, and negotiating conflicting cultural beliefs. Many aspects of the mothers’ experiences appear related to their position as immigrants from cultures with contrasting belief systems regarding child development and disability. Conflicts between African cultural beliefs and a western, medical understanding of ASD appeared to create a feeling of cognitive dissonance for the mothers. The strategies used to negotiate this appear to map onto Berry’s acculturation strategies, suggesting that the experience of having a child with ASD impacts upon the acculturation process. Implications for clinical practice and policy are discussed.     

PTSD Symptoms in Abused Latino Children

This exploratory study looks at a sample of abused Latino children and evaluates the relationship of PTSD symptoms to other symptoms, characteristics of the abuse, and demographics. The results indicate that Latino children have a wide range of distress, with some children being highly symptomatic and others with few symptoms. The scores on the PTSD Inventory were related to scores on measures of anxiety, behavior problems, dissociation, and verbal IQ. They were not related to the scores on depression, performance or full scale IQ, gender, or age. The relationship of PTSD symptoms to language of the child and abuse type are equivocal. A discussion of the practice implications is included.     

Effects of autism spectrum disorder on parental employment in the United States: evidence from the National Health Interview Survey

Using results of the US National Health Interview Survey (US-NHIS) for the years 1998–2013 we investigated the impact of having a child with autism spectrum disorder (ASD) on parents’ work behavior. After controlling for numerous background characteristics, we found that having a child with ASD lowered the number of hours of market work per week and the number of months of market work in the previous year for mothers. For fathers, having a child with ASD also reduced the number of hours of market work per week and the number of months of market work in the previous year. However, the magnitude of the effects were smaller for fathers than for mothers, and more sensitive depending on whether the estimates were derived from a linear regression model or propensity score models. Some evidence was also found that the impact of having a child with ASD on parents’ market work depended on whether or not the child with ASD also had an intellectual disability, the parent’s education level, immigration status, and parent race/ethnicity.     

Serving the needs of immigrant families of children with autism

The growing influx of immigrant families into the USA necessitates an understanding of how these families manage mental health disorders. Few studies have documented the ways in which autism spectrum disorders (ASD) are understood across different immigrant groups. This lack of knowledge creates barriers for practitioners who are encountering immigrant families in their practice. The present paper provides a conceptual framework of how cultural values and beliefs shape the way diagnosis, etiology and treatment of ASD is perceived by both immigrant families and western practitioners and how differences in perspectives may create obstacles in treatment planning. A review of the literature describing practical and cultural barriers to mental health access and research among immigrant populations is also presented. Finally, recommendations are offered to practitioners, families and individuals with ASD to aid in increasing understanding and collaboration among these populations when designing and implementing treatment interventions.     

Latino families and the public child welfare system: Examining the role of social support networks

The number of Latino families involved with the public child welfare system has increased exponentially in the last decade. This qualitative study examined one of this population's inherent resources – their social network – and the role it plays when involved with the public child welfare system. Findings reveal that Latino families rely heavily on their network for emotional support, advice/information, and advocacy. Often parents received incorrect or conflicting information or advice grounded on experiences that were very different from the participant's case. In addition, their networks are homophilous; that is, limited to people who are in their same circumstances which limits their ability to access formal sources of advocacy and support. Many parents were also genuinely interested in helping other parents with open cases. Practice recommendations are made as it relates to actively engaging Latino families in their case process and supporting Latino families by incorporating their networks and genuine interest in helping others into child welfare service delivery.     

Investments in young children among low-income families

This article examines low-income parents’ monetary investments in their young children, asking how low-income families are able to afford spending on children. We investigate parental spending on child care and on goods in the home that may provide enrichment for young children. We find little evidence that households make spending trade-offs for either type of good. Instead, our results suggest that low-income households that can afford child care may be poor only temporarily and that they spend primarily when they are unable to avoid doing so because of family work patterns. For enrichment goods, parental education is a stronger predictor of spending.     

The psychosocial well-being of children from Australian military and fly-in/fly-out (FIFO) mining families

This study investigates the effects of employment-related father absence on children's psychological well-being and home based mothers’ perceptions of family functioning. Ninety primary school aged children and their mothers residing in Perth in Western Australia participated in this study. The sample consisted of three groups: children whose fathers were employed in fly-in/fly-out (FIFO) mining (n =30), children whose fathers were in the military (n =30) and a community sample (n =30) of children, whose fathers’ employment was not military or mining based and who did not have extended periods of absence from home. Children's psychosocial well-being was measured by the Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS). Children's and mothers’ perceptions of family function were assessed with the Family Assessment Device (FAD). Results indicated that there were no significant differences between the groups on all measures of child well-being, and all groups were functioning at healthy levels. However, mothers from the FIFO families reported significantly more stress than the military and community groups with respect to communication, support and behaviour control within the family. It was concluded that despite mothers’ perceptions of disruption to family routine, the well-being of children in this small sample was not affected.     

Cohabitation and Children's Externalizing Behavior in Low-Income Latino Families

We consider the association of cohabitation experience with externalizing behavior among children of Latina mothers whose ethnic origin is in Mexico, Puerto Rico, or the Dominican Republic. Data were drawn from three waves of the Three-City Study (N=656 mother-child pairs). Children of Mexican-origin mothers had higher externalizing problems in childhood and adolescence when their mothers were born in the United States or immigrated as minors. For children of Caribbean-origin mothers, being born to a cohabiting or married mother had a statistically equivalent association with externalizing behavior when mothers were born outside the mainland United States (Dominican and island-born Puerto Rican mothers). Children of mainland-born Puerto Rican mothers had more behavior problems when their mothers cohabited at birth.     

Spirituality and Ethics in Long-Term Care

Abstract

The issues of spirituality and ethics are evoked in a case of an 89-year-old woman resident in a nursing home who refused nutrition and hydration. Clergy representing Catholicism, Protestantism, Judaism, Hinduism and Islam were asked to respond to questions regarding the choice to end life and spiritual resources to help the patient. The clergy agreed that the patient is in a spiritual crisis but her autonomy should be respected, and spiritual resources should be expended to enhance meaning. The ethical dilemma for the social worker, as for the clergy, is whether to support the patient's freedom to end her life or persuade her to continue to live. The dilemma is based on conflicting social work values of self-determination and the preservation of life. Three ethical principles are in conflict: respect for autonomy, the duty to prevent harm, and beneficence. At the end of the process of ethical deliberation, the social worker must be prepared to accept the patient's decision.     

The State of Research in Latino Academic Attainment

In this essay, I present an interdisciplinary examination of the state of research in Latino education, addressing not only the cultural forces influencing Latinos’ educational attainment, but also the structural conditions faced by them—as a racialized minority group—throughout their schooling and that have a cumulative effect on their academic attainment. Overall, I suggest that by engaging in a critical review of the literature on Latinos’ educational attainment, the reader will acknowledge that the racially driven hierarchical structural arrangements are highly responsible for the patterns observed.     

From symptom recognition to services: how South Asian Muslim immigrant families navigate autism

This study examined the experiences of three South Asian Muslim immigrant families who have a young child with autism. It describes the early period of their child’s disability as the families encountered four critical issues in their lives: a complex disability, the culturally diverse conceptualizations of the disability, family‐professional dynamics in cross‐cultural encounters and the search for appropriate services. Analyses were based on interviews with parents, supplemented by 17 months of participant‐observation in homes and community. Parents narrated their experiences beginning with symptom recognition through help seeking, diagnosis and subsequent service provision. Results suggest that for these families the challenging process of diagnosing and ameliorating autism is complicated by their unique positioning within and between diverse meaning systems. Challenges include American health and education professionals’ misunderstandings of their family organization and linguistic practices, and difficulties in cross‐cultural communication with professionals. Implications for professionals are discussed.     

Service Delivery Issues in Early Termination of Latino Clients

Abstract

This paper explores the nature and meaning of the early termination experience from outpatient counseling among Latinos. A theoretically grounded perspective is forwarded to explain the nuances of minority group interface with human services (Green, 1995), and the early termination phenomenon among this population. The authors offer an explanatory model, referred to as the repelled client, which undergirds their central argument concerning the need to reexamine important aspects of cross-cultural counseling practice.     

Predictors of Academic Achievement for Latino Middle Schoolers

The aim of this study was to examine specific child, home, and school factors that predict academic achievement for Latino middle school students. The sample for this study (N = 173) was drawn from seven public schools located in three school districts in the northeastern United States. Hierarchical multiple regression analyses were used to predict academic achievement from a combination of predictor variables: gender, parent educational attainment, parent employment status, acculturation, parent involvement in school, and school identification. Findings indicate that school identification and parent involvement in school are protective factors that promote Latino middle grade students' academic achievement. These findings suggest that collaborative partnerships between school social workers, teachers, and Latino students and their parents are an important strategy that can optimize connections to school that result in academic achievement.     

The Role of Religion and Spirituality in Clinical Social Work

Abstract

Social work has a history of treating the whole person in his/her environment, however, the effort to be scientific in our approach to clinical practice often has obscured our examination of the religious and spiritual beliefs and practices of our clients and in our own lives. Consequently, there has been very little guidance to date on how curriculum can help integrate the professional identities of MSW/MDiv students. An elective practice course, “The Role of Religion and Spirituality in Clinical Social Work” in our accredited graduate social work program provides a transitional space for this integration to occur through a guiding framework of psychodynamic, systems, and postmodern theories.     

Does public housing reduce housing cost burden among low-income families with children?

ABSTRACT

About half of all renter households and over three-quarters of very low-income households in the United States experience a housing cost burden, with higher rates among families with children. Public housing may be an important tool for reducing families’ housing cost burdens. The current study uses nearly four decades of data from the Panel Study of Income Dynamics and its Assisted Housing Database to explore the relationship between public housing and housing cost burden among children in low-income families. Results from fixed effects models suggest that public housing is associated with a greatly reduced risk of experiencing housing cost burden when housing assistance receipt is measured a year before housing cost burden. These findings highlight the importance of public housing for reducing low-income families’ housing cost burdens.