Protecting the Right to Life of Children with Disabilities in China

ABSTRACT

Chinese social policy to support parents in caring for their children is vital to address the urgent social problem of abandoning the life of children with disabilities by not seeking medical treatment. The child rights approach was used to analyze the effectiveness of Chinese social policy to protect the right to life of these children. Primary and secondary empirical data from 3 case studies where parents decided whether to abandon their child were analyzed. Did the child protection mechanisms protect the right to life of these children, and when did parents decide to abandon their children? The findings were: a) When the children were born, their right to life was not unconditional; b) the decision was made privately by parents—no formal decision procedure was available, the role of professionals was minimal, and the state did not intervene; and c) parents considered the disadvantages to their children if they lived. The implication is that China has not yet established a system to support parents and protect the lives of young children with disabilities. Future research to inform child protection reform and disability support to children and families to prevent children becoming abandoned is urgently needed.     

Empathic Action and Family Resilience: A Narrative Examination of the Benefits of Helping Others

ABSTRACT

Empathy is identified as a protective factor that has been helpful for children considered at high risk for poor mental health and social functioning due to experiencing stressful circumstances such as family violence, substance abuse of a parent, or poverty. Yet, little is known about its relevance to a family's ability to overcome adversity. This study examined the narratives of 20 resilient families who maintained family functioning despite experiencing a multitude of risk factors including poverty, death of a child, significant health problems, or substance abuse problems. Narrative analysis was used to identify the ways families situated empathic actions within their stories of resilience. Findings suggest families developed increased compassion for others as a result of their own experiences with loss, trauma, or stress and discussed how helping others increased their ability to cope with the challenges they faced. Future research and practice implications are outlined and support the usefulness of strengths-based concepts and interventions.     

Aboriginal Children Belong in the Aboriginal Community: Changing Practices in Adoption

The placement of aboriginal children has been the responsibility of white social workers attached to state welfare agencies. Many of these children have been fostered or adopted by white families and have had little or no contact with the aboriginal community. Aboriginal people are now voicing opposition to such practices and are calling for an end to inter-racial adoption. They want the placement of all aboriginal children to be in the hands of the aboriginal community and are seeking to establish aboriginal placement agencies. These, and other demands, were voiced by an aboriginal task group at the recent First Australian Conference on Adoption.     

Pediatric Palliative and End-of-Life Care

Abstract

Pediatric oncology social workers are often engaged in the psychosocial care of dying children and their families. Despite their participation on the interdisciplinary team, the role for social work in pe-diatric palliative and end-of-life care has not been clearly defined. This survey of 131 pediatric oncology social workers identified current and best social work practices for care of children and their families at the end of life. Implications for practice, education, and research are discussed.     

Building a Tailored,Multilevel Prevention Strategy to Support Children and Families Affected by Parental Incarceration

ABSTRACT

During the past several decades, a wave of incarceration engulfed the United States. In the wake of this “mass incarceration” are children and families who continue to struggle from its impact. Although findings are now emerging on the impacts of incarceration, there are few studies that have examined how to best intervene to promote positive development for those children who have had a parent incarcerated. While there are common risks and challenges faced by children and their families, the significant variation between and among these individuals and their relationships highlights the challenges in finding solutions. Given the number of issues at play, it is clear that a “one-size-fits-all” approach to addressing child needs is not sufficient. This article examines some of the common challenges faced by families impacted by parental incarceration as well as existing interventions designed to help support children and families overcome these challenges. It then offers some potential directions for the field to move, to develop a prevention strategy that meets the needs within the population and leads to better outcomes for the children of incarcerated parents, their families, and their communities.     

The Impact of Welfare Reform Policies on Child Protective Services: A National Study

The 1996 welfare reform bill set forth major changes in social welfare policies. In addition to federal work requirements and time limits, new state policies impose behavioral mandates that may be accompanied by financial sanctions for noncompliance. Analysis of a survey of state Child Protection Services (CPS) directors focuses on four major areas: effect of Temporary Assistance to Needy Families (TANF) on CPS; interaction between the two agencies; role of TANF sanctions in referrals to CPS; and select special areas of concern. This research provides empirical insight into the interaction between these two agencies, specific TANF sanctions, and the potential conflicts between TANF policies and CPS concerns for the welfare of children and families under its charge.     

Maternal and paternal reactions to child sadness predict children's psychosocial outcomes: A family‐centered approach

Parents' reactions to children's emotions shape their psychosocial outcomes. Extant research on emotion socialization primarily uses variable‐centered approaches. This study explores family patterns of maternal and paternal responses to children's sadness in relation to psychosocial outcomes in middle childhood. Fifty‐one families with 8‐ to 12‐year‐old children participated. Mothers and fathers reported their reactions to children's sadness and children's social competence and psychological adjustment. Cluster analyses revealed three family patterns: Supportive (high supportive and low non‐supportive reactions from both parents), Not Supportive (low supportive reactions from both parents), and Father Dominant (high paternal supportive and non‐supportive reactions, low maternal supportive and non‐supportive reactions). Supportive families had children with higher social competence and more internalizing symptoms whereas Father Dominant families had children with lower social competence and fewer internalizing symptoms. Not Supportive families had children with average social competence and fewer internalizing symptoms. Findings are discussed in relation to the “divergence model” which proposes that a diverse range of parental responses to children's sadness, rather than a uniformly supportive approach, may facilitate children's psychosocial adjustment.     

Gender Identity and Social Services: Barriers to Care

ABSTRACT

Transgender people seek social services for a variety of reasons. This literature review highlights needs assessments and social science research articles (N = 30) from the last 16 years that demonstrate the many ways in which social services are further revictimizing transgender people. Studies indicate that transgender people often encounter ignorance, hostility, and transphobic environments while attempting to access social services, and these environments can dissuade transgender people from gaining needed care. Suggestions are made to address these inequalities and include simple measures that social service agencies can begin with to make their services more transinclusive. Future research should address the bias in social services more directly and also develop a clear plan of action and best practices to help agencies remove discrimination from social service settings.     

Motivations and Family Functioning of Foster Families in Italy

ABSTRACT

The aim of this paper was to investigate foster family care to better understand this unique care-giving context. The research objective was to understand motivation, family functioning, and individual attachment styles in foster families. Participants were 33 foster parents who completed a questionnaire that included the motivations for choosing foster care, the relationship with the birth family and with social service workers, a measure of family functioning and adult attachment. The motivations for becoming a foster family were very different between families with a birth child and families without a birth child. The results showed that for the foster mother, the relationship with the birth family constituted a very critical element of the fostering experience. The same trend emerged in the relationship with the minor. The results showed that foster families were cohesive and expressive. With respect to attachment style, foster parents had lower scores than a normative sample on the discomfort with closeness, the tendency to consider relationships as secondary and the need for approval subscales. These results have implications for the practices of social work for foster family support and developing a shared commitment to the needs of the foster family in terms of both resources and weaknesses.     

The school‐community partnership: Helping at‐risk youth

Abstract

Innovative service delivery models are needed in our schools to help at‐risk youth and to ameliorate family dysfunction so that children have an increased potential to learn. In the model described herein, a consortium of three Long Island school districts contracts with community‐based social service agencies to provide prevention and intervention services which the schools cannot provide. The mechanisms developed to form and implement these partnerships as well as the specific services offered are described. The role ofthe social worker as a program advocate within the school's administrative structures is discussed and techniques that help bridge the gap between client‐focused concerns and administrative and school board imperatives are presented.     

Stillbirth: The Mother's Experience and Implications for Improving Care

ABSTRACT

More children die as a result of stillbirth than all other causes of infant deaths combined (Ananth, Shiliang, Kinzler, and Kramer, 2005; Goldenberg, Kirby, and Culhane, 2004; Froen, 2005; National Institute of Health, 2004); yet, mothers experiencing stillbirth are often left without support afterwards (Kubler-Ross, 2004; Fahey-McCarthy, 2003; Fletcher 2002; Saddler, 1987; DeFrain, 1986; Kirkley-Best & Kellner, 1982). Despite social work's growing involvement in care at the end of life, parents of stillborn children have not experienced consistent, relevant, and competent professional care in coping with the tragedy of death. Forty-seven women between the ages of 19 and 51 were recruited through nonprofit agencies that provide bereavement care to grieving families. Results of this qualitative study suggest that stillbirth is emotionally complex with long-lasting symptoms of grief and significant struggles to find meaning. The findings also support the need for perceived psychosocial and spiritual support from professional caregivers, family, and friends. The women's own experiences argue for comprehensive approaches to support the grief and loss of stillbirth, and for the importance of social work involvement in both immediate and longer term interventions.     

Professionals’ Perceptions of Food Insecurity Among Their Low-Income Clients

Abstract

This research examines the awareness of social service professionals of the food security of low-income families in a community-based savings program. Based on survey data of 65 community agencies in seven states that offer the Individual Development Account (IDA) program, the study investigates program providers’ awareness of the food security of IDA program participants. Second, this study presents IDA program provider activities to alleviate food insecurity and summarizes their opinions about how food insecurity could be prevented among their program families. Results show that providers were aware that families did not have enough of the kinds of food they want to eat. This perception was most strongly related to IDA programs with longer durations. Program families’ reports of their children’s food insecurity aligned well with the extent of food hardship reported by the program providers. Access to food and nutritional wellness services was considered most relevant for alleviating food insecurity. Financial security, access to community resources, and direct access to food and family support networks were considered important factors for protecting families from the threat of hunger. Research is needed to identify the role of community organizations that do not provide nutrition assistance for helping low-income families overcome food hardship.     

Service Process and Quality in Therapeutic Foster Care: An Exploratory Study of One County System

ABSTRACT

This study assesses the quality of services in the therapeutic foster care programs used by one county in the Midwest. Using a consultative quality assurance review methodology, evaluators examined 67 randomly sampled cases across seven agencies to assess the service quality issues experienced by children. Following interviews with staff, foster parents, and children, and a review of case records, reviewers observed failures in service and in adherence to national program model standards and state regulations. The research indicates the need for consistent monitoring of child-placing agencies and the need for additional research linking service quality with foster care outcomes.     

Pavlova and pineapple pie: Selected identity influences on Samoan‐Pakeha people in Aotearoa/New Zealand

Abstract

This paper examines influences on the increasing numbers of those with one Pakeha parent and one Samoan parent in Aotearoa/New Zealand. It is based on a small, qualitative study and utilises a narrative approach. It describes selected influences at macro, meso, and micro levels of social structure as a framework for examining how this population view themselves and construct their identities. At the macro level, post‐colonial dynamics of requiring “authenticity” from minority groups is explored, as it demands high standards of legitimacy from those of both Samoan and Pakeha ancestry. Essentialist and one drop rule theories of ethnic identity tend to classify this population as belonging solely to the Samoan category. At the meso level, these people as children are uncritically treated as if they are only Samoan. At the micro level, the influences of their nuclear and extended families tended to encourage a Samoan identity in most participants. There was a marked variation in the ways the participants interpreted their lives, despite some similarities of experience.     

The impact of welfare reform for families with children: Evidence from New York: A report of the New York city social indicators center,Columbia university school of social work

Abstract

This paper uses data from the Current Population Survey and administrative data from New York to simulate the poverty impact of the recent federal and state welfare reforms. We find that the federal welfare reforms would in the absence of additional state or local aid raise the poverty rate of families with children and the poverty gap (the amount needed to raise poor families’ incomes up to the poverty line). Although New York state and local welfare programs will offset much of this impact, we find that even with state and local aid, 16,000 families with children will move into poverty and 63,000 families with children, most of them already poor, will move into severe poverty, while the aggregate poverty gap will increase by nearly 25%.     

Lessons Learned From the Supporting Father Involvement Study: A Cross-Cultural Preventive Intervention for Low-Income Families With Young Children

ABSTRACT

Despite the proliferation of fatherhood programs designed to promote paternal involvement and positive family outcomes, evaluations of these programs are scarce. The Supporting Father Involvement (SFI) study is a randomized clinical trial comprised of 289 low-income Spanish- and English-speaking families living in California. The evaluation design reflects a partnership stance that promotes empowerment of staff and social service agencies. This article examines lessons learned from the program's first 3 years (2002–2004) from the perspectives of both evaluators and program staff. The lessons cover a broad range of areas, including communication procedures, training, staffing, recruitment/retention, clinical needs, intervention content and process, and maintaining cultural sensitivity.     

Everything for the Children: Orphans Growing Up in Informal Adoptive Families in China

Most orphaned children in China are cared for by their extended families or become state wards under the guardianship of child welfare institutions. Some exceptions are children who are found and cared for by families in the community, without a formalized adoption or foster relationship. In some locations, institutions now accept guardianship for these children and support the informal adoptive family to continue to care for them. This article examines the outcomes for these children as they became young adults by comparing these 12 children raised within the system as they approach or have approached young adulthood (now aged 16–40 years-old). Some of the participants were either informally adopted or lived in institutional care. The results of this study found that the family environment was more conducive to the young people’s wellbeing as they approached or entered adulthood. The participants raised in informal care appeared to be treated similar to the biological children in these families. When the institution formalized the state guardianship responsibility, it also meant the families had state resources for support to protect the children’s rights to economic security, education, health care, and social participation. This practice by the institution supported the addition of informal adoption, as one step closer to permanency than foster care. Future implications include considering this option to help promote the family system assisting these children, families, and the state.     

Families on the brink: the effectiveness of family support services

This paper presents findings from a study of the costs and effectiveness of family support services offered to 40 families with a high level of need, in two neighbouring local authorities in North Wales. It describes the level and type of services offered by different agencies in each of the authorities, estimates the costs of these services, and assesses outcomes for the families receiving them after three months. Information is also provided about families’ experience of the support they received, and the kind of help they would have liked. Parents’ well‐being and family functioning were found to improve over the intervention period in both authorities, although only to a limited extent. Improvements were greater among those who were living with partners, and less among families identified by social workers as having financial difficulties or problems with drug or alcohol abuse. Respondents who rated their problems as very severe showed less improvement. The pattern of service provision and the costs involved turned out to be similar in both authorities, so it was not possible to reach conclusions about the relationship between services and outcomes. However, a number of themes emerging from the data are discussed, including the role of day care services in supporting families with young children, the impact of poverty and deprivation on parents’ ability to provide good care for their children, and the importance of an interagency response to children's and parents’ needs. The article also includes a discussion of problems encountered in undertaking comparative outcomes‐based research and cost‐effectiveness analyses in the social welfare field.     

Associations between family structure and social-emotional development among school-aged children in mainland China

ABSTRACT

This study examines the associations between family structure and social-emotional development among school-aged children in mainland China. Data were drawn from a survey administered in Tianjin, China, which included 431 single-parent and 544 two-parent samples. Overall, children from two-parent families scored significantly higher on measures of social-emotional development. However, these associated were attenuated when controlling for protective factors. The protective factors buffered the majority of effects in a mediation analysis. These findings provide direction for developing targeted social work policies and interventions.     

Parenting and child experiences in shelter: A qualitative study exploring the effect of homelessness on the parent–child relationship

Depending on the data source, between half a million and 2.48 million children in families experience homelessness each year in the United States. Recent data suggest that approximately half of all homeless children are under the age of 6. A considerable body of quantitative research has documented the occurrence of poor outcomes associated with childhood homelessness in the domains of social–emotional development, physical and behavioral health, academic achievement, and family stability. This qualitative study presents results from 19 interviewers with formerly homeless parents reflecting upon how the experience of being homeless affected their young children and their ability to parent. Findings are contextualized within an attachment perspective. Parental reported effects included confusion, sadness, anxiety or depression, withdrawal, lack of appetite, aggression, and disregard for authority. Parents also talked about the disempowering experience of parenting while in shelter. Unexpectedly, parents of infants said their children were not affected by homelessness, and few parents identified the need for mental health services for their children. The experiences of parents with whom we spoke provide invaluable insight into what shelter staff, social service agencies, philanthropy, policymakers, and researchers can do to support and respect the parent–child relationship in families who are experiencing homelessness.