Groupwork in a Hospice Setting

Hospice has developed rapidly to become a major health care orovider for those with a life threatening illness and their families. As part of their services, hospices offer several types of groups for their clients, volunteers and staff as well as social support groups for their own team members. This paper examines the functions of groupwork in hospice, focusing particularly on the use of hospice staff support groups. Research on the use of a group perspective and group methods in a hospice setting is presented.     

What do we know about the social networks of single parents who do not use supportive services?

The role that social support and social networks play in mediating isolation and stress experienced by vulnerable families is well established. However, a major issue facing supportive human services is to find and engage families with limited social networks and link them to supports that could improve outcomes for their families. This paper reports on the results of in‐depth interviews with 20 sole parents with children aged under 5 who were not well connected to services. It documents their social networks with the use of a social network map. Using a social capital lens, the analysis attempts to differentiate the different relationships in the participants' lives. Most participants were not satisfied with their informal networks, with conflicted or ambivalent reliance on family, absence of support and community engagement and fragility of informal networks. Although this group of isolated mothers does encounter the formal service system, the opportunities to increase and strengthen their networks do not eventuate. Better understanding of the nature and extent of social networks can inform practitioners and policy‐makers of the critical factors needed to increase service use for parents with limited resources.     

Double jeopardy: the link between child abuse and maternal depression in child and family social work

The link between child care and mental health problems in social work clients has begun to attract some attention. Despite some review articles, research is, as yet, at a very early stage of development. Maternal depression and child care problems in particular appear likely to be closely associated. This paper focuses on the link between maternal depression and the most severe of child care problems: child abuse. The paper shows a significant relationship between maternal depression and child abuse. It explores this relationship by distinguishing three groups: families where no abuse had occurred (non abuse families), families where abuse had occurred but where the mother was not depressed (non depressed-abuse group) and families where both child abuse and maternal depression were present (depressed-abuse group). The depressed-abuse group are shown to be considerably worse off than both the other groups for a range of measures, including indices of deprivation and range and severity of social problems. The depressed-abuse group were also more chronic users of services and consumed far more resources than the other two groups. Remarkably, there were few differences between the non abuse group and the non depressed abuse group in nature and severity of problems and intervention. Depression in mothers, then, provides the major distinction between families where abuse was an issue compared with families where abuse was not present. Such families are characterized not simply by maternal depression and child abuse, but frequently by abuse of the mother herself, who is often socially isolated. These findings are of major importance for child care practice, indicating that working with the mother's depression and the social conditions that provide its backdrop, are a major aspect of social work practice.     

Volunteers, families and children in need: an evaluation of Family Friends

This paper explores the findings from a small‐scale research project that analysed the impact of Family Friends – a voluntary agency that provides support to families under stress who have children aged between 5 and 11 years. The study, funded by Family Friends, evaluated service users’ perceptions of the support they received, specifically in relation to the significance and impact of the volunteer befrienders. The research identified that there are a proportion of families in need who fail to attract services from mainstream statutory agencies. It also identified that the Family Friends voluntary agency makes a particular contribution to service provision by offering a friendly, non‐stigmatizing, caring and responsive service.     

The Family Group Within the Nursing Home:

An ongoing monthly family group was implemented in an intermediate care facility in hopes of improving communication between staff and families of long term care residents. Other objectives of the group were to provide families with information about policies and procedures, education about the aging process, and to facilitate an informal support group network where families could share problems and concerns. The feedback and evaluation process indicated that sharing feelings of anger, quiet, frustration and other emotions helped the families deal with the responsibilities of institutionalizing a relative and helped to facilitate better communication between staff and family members.     

Single Parent Families and Social Policies in Australia 1974–1982

Of the two major sources of income support for single parent families, social security transfers and earned income, there has been an increase in the proportion of families dependent on social security in the period 1974–1982, a period of recession and high unemployment. Over this period the value of income support for supporting parents has declined because of the non-indexation of the child components of pensions and benefits. This article identifies disincentives to the parents' labour force participation: lack of post-school qualifications, shortage of jobs, scarcity of affordable child care and the low income retention rates imposed upon the extra earnings of pensioners and beneficiaries.     

The impact of kin support on urban American Indian families

Scholars believe that family ties extending out to previous generations, called kin support, may have allowed American Indians to withstand traumatic events. Although a series of traumatic and historical events disrupted the social structures of family life, kin support was found to be a major factor in the survival of American Indians. This study utilized the Fragile Families and Child Wellbeing Study to compare American Indians and whites (n = 1227) in factors that impact kin support. While urban American Indian mothers were similar to whites in a number of elements, American Indian mothers that were not married, fell below the poverty threshold, were younger in age and co‐resided with kin were more likely than their white counterparts to receive kin support. Implications for urban American Indian mothers suggest that maintaining their role as kin keeper may serve as an intrinsic reward and motivation for caring for kin. The role of a kin keeper may also promote the unique contribution in their families and the preservation of their culture. Given the minimal research in this area, results of this study can be used to guide future research and the development of intervention strategies for practitioners working with American Indian families.     

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.     

Trained volunteers for families coping with a child with a life-limiting condition

One hundred and seven families with a child diagnosed with a life-limiting condition, from all over Queensland (Australia), were surveyed on their need for a trained volunteer. Their comments provide important insights into an area which has not previously been researched or documented. In summary, their responses indicate that many families have only minimal or no support, and are coping with extraordinary physical, emotional and social demands from the child's condition and treatment. The majority of the participants are very positive about the need for a trained volunteer and are clear about the activities that trained volunteers could provide assistance with. These activities range from practical assistance such as baby-sitting and help with household chores and errands to emotional support. Not all families would be comfortable using a volunteer, and some respondents did outline perceived obstacles to including a volunteer in family activities. For others there were comments about why volunteers would be perceived as unproblematic. Respondents specified important criteria that would need to be addressed in volunteer training. The largest number of respondents were coping with cystic fibrosis and muscular dystrophy. It is the hope and expectation that, with the communication of the insights gathered from this geographically diverse group of families, encouragement will be given to others working in this area to explore the possibility of establishing outreach volunteer programmes for such families.     

Research Review: Child and family support services with minority ethnic families: what can we learn from research?

This paper considers some of the available published research on family support services for minority ethnic families. In addressing this aspect of social work with minority ethnic families, we seek to make a contribution to the knowledge base of practitioners. The paper begins with an overview of what is known about family support services for particular minority ethnic groups, before exploring three specific areas: family centres, a home visiting service, and family group conferences. The paper finally examines what research says about the qualities sought in social workers by minority ethnic parents.     

Social Welfare Reform Since the 1997 Economic Crisis in Korea: Achievement, Limits, and Future Prospects

Social welfare reform has been implemented in Korea since the 1997 financial crisis. A dominant concern of the reform was on equality and social solidarity. A major means to this end was establishing universalistic social insurance programs like those in developed welfare states. The reform efforts produced some positive results but were not greatly successful. Income polarization and the deteriorating economic status of low-income families have become big social issues. Many low-income families have not gained many benefits from the reformed social security system. The rapid aging of the population is creating an exploding demand for social spending, risking the fiscal sustainability of major social insurance programs. The reform experience suggests that a social welfare system based on western-style universal social insurance may be too expensive to sustain and not very effective in protecting disadvantaged families in Korea. More attention is being paid to expenditure control and efficiency. Social insurance programs may need to be leaner than those in traditional welfare states. Targeted programs, such as the "making work pay" policy, are likely to be expanded more broadly to low-income families. The future of the Korean welfare state may hinge on successful employment support for working families and extensive investment in their human capital.     

社会工作与自闭症儿童家长消极心态干预研究

自闭症儿童的康复是一个世界性难题。从社会工作视角来看则更加注重自闭症儿童与家庭环境和社会环境的互动。自闭症儿童的家庭照顾者是自闭症儿童社会支持系统的“桥梁”,本文正是从自闭症儿童的家庭照顾者入手来研究其对自闭症儿童康复和积极融入社会的重要意义、面临的困境和相应对策。研究发现,自闭症儿童的家庭照顾者不仅存在经济压力和专业护理知识匮乏,更重要的是其内在巨大的心理压力和社会支持系统不足。本文从社会工作实践的优势视角出发,提出了构建家庭照顾者的互助系统以克服无助悲观的心态,加快恢复家庭的社会功能,促进自闭症儿童和家庭融人日常社会。     

As Parents Grow Older:

For those older persons with families, the family is the vital, natural support system while also being the link between the older person and formal community supports. No matter how many community services and supports are provided for older persons, these services only supplement the emotional ties and support from the families. Enhancing the family's supportive role is crucial. This paper describes a community based support group model called "As Parents Grow 0lder" as an example of a systematic, effective effort to provide services to this natural system. This model has evolved and been used with 10 different groups totalling l25 participants over the past four years.     

An ecological systems approach to understanding social support in foster family resilience

Families who care for children in the foster care system often experience challenges related to the system, accessing services and supports, and managing relationships. Despite these challenges, many families thrive because of unique attributes and strengths that contribute to experiences of resilience. Using an ecological framework, this study examined social support among resilient foster families to better understand how foster caregivers experienced positive reciprocal transactions across systems. As part of a larger study, in‐depth narrative interviews were conducted to examine the process of resilience for families who foster. Findings revealed that families accessed and benefited from social support on micro‐level, meso‐level and macro‐level. Understanding how families cultivated social support across multiple levels offers implications for practice and policy when considering how best to retain and support families who care for vulnerable children.     

Grannies,Elders, and Friends: Aging Aboriginal Women in Toronto

Based on a research project in Toronto, Canada, this article highlights the strengths and resiliency of 12 female Aboriginal Elders and seniors as they age together. For these women, being actively involved in their families and the Aboriginal community gives them a solid grounding in who they are, what their roles are and how they contribute to the whole. Of particular significance is the support and friendship the women offer each other through their commonalities, activities, and sense of humor.     

Managing the flow of private information on children and parents in poverty situations: Creating a panoptic eye in interorganizational networks?

In this article, we discuss how the flow of private information about children and families in poverty situations is managed in interorganizational networks that aim to combat child poverty. Although practices for sharing information and documentation between child and family social work services are highly encouraged and recommended to create supportive features for parents and children, this development often results in undesirable forms of governmentality. Interorganizational networking also creates controlling side effects because the exchange of information in networks of child and family services may wield a holistic power over families. We theorize this issue by using the Foucauldian concepts of the panopticon and pastoral power, which allows us to grapple with the major tension between support and control in the information‐ and documentation‐sharing practices of social workers. A critical analysis of our empirical data reveals four central fields of tension in which social workers and their organizations must position themselves: (a) craving control and handling uncertainty, (b) using and misusing private information and trust, (c) constructing families as subjects and objects of intervention, and (d) including and excluding families.     

Exploring approaches to child welfare in contexts of domestic violence and abuse: Family group conferences

This article sets out to explore service provision for families affected by domestic violence and abuse. For most families where there are child protection concerns, there are possibilities for intervention from child welfare agencies and domestic abuse services, but these have been criticised as having distinct and disconnected practice cultures and orientation. Recognising this divergence, in this paper, we advocate for safeguarding children affected by domestic violence and abuse using the family group conference (FGC) model. This offers possibilities for a coherent response that integrates both child‐ and women‐centred concerns in a holistic approach to family safety and well‐being. Furthermore, it is well documented that safeguarding work involves professionally‐led decision‐making that is pre‐occupied with the management of risk. FGCs, however, promote a partnership approach that engages families in a more democratic decision‐making process. As such, FGCs offer families the opportunity to develop their own safety and support plans for the protection and care of children recognising the family's inherent strengths.     

Resisting your good intentions: substance‐misusing parents and early intervention to support and monitor children in need

Children from substance‐misusing families face elevated risks in growing up well and safe. Early intervention is an opportunity for local authorities to offer support and keep a watching brief on children's welfare. However, the basis upon which agencies voluntarily engage with families in advance of major problems becoming evident is far from straightforward. This qualitative pilot study in Scotland followed professional decision‐making over 6 months (n = 20 professionals) with a small number of families (n = 6) defined as in need of supportive intervention. This support was allied with an intention to monitor the family situation, which, in these data, appeared to affect the willingness of families to engage with services. As services sought to increase their voluntary oversight, sometimes by threatening escalating involvement, so families by various means appeared to resist it. Successful early intervention is reliant on voluntary family participation and thus requires close attention to means of positive and motivated parental engagement to disarm resistance.     

Living on an island: consequences of childhood abuse, attachment disruption and adversity in later life

This paper reports on a study which sought to obtain greater knowledge and understanding of the life circumstances of a group of people who had experienced adversity and abuse in childhood. A qualitative research strategy involving in-depth interviews with individuals was used to help achieve the study's aim. The study found that interviewees detailed multiple risks to their development during childhood and adolescence, including experiences of child abuse, being placed in care and major grief and loss experiences. Most had left home in their mid-teenage years and had little or no contact with their families of origin. Interviewees had very limited social networks and described difficulties in making and keeping friends. Many reported unstable and often violent personal relationships. As suggested by attachment theory, this study supports the notion of developmental continuities from adverse childhood experiences into later life, particularly in relation to personal and social relationships. Recommendations for a number of suitable methods of intervention and support are outlined.