Resolution of Delusional Parasitosis within Complicated Grief Group Therapy: A Case Analysis

In this article, the authors present the case of a 71-year-old female suicide survivor in our Complicated Grief Group Therapy research study who presented with delusional parasitosis (DP) that resolved over the course of treatment. The authors describe Complicated Grief Group Therapy for survivors of suicide and the effect of therapy on her DP symptoms. The unique treatment elements of Complicated Grief Group Therapy addressed the trauma features of her grief, her relationship with her deceased son, her social isolation, health care adherence, and progression to a healthy grief process.     

The Identification of Priority Sites for Parent-Child Services

The methodology developed in this study provides an empirical procedure for identifying those geographic locations that have the largest concentration of Hawaiian families with young children with the most intensive education-related needs. Weighted standardized combinations of SES, test scores, and child-population variables are used to define need indexes for 164 elementary school attendance areas in the State of Hawaii.     

Native Hawaiian Families Systemic Disparities in Hawaii's Child Welfare System

This study examined systemic and individual factors that contribute to the disproportionality of Native Hawaiian families in the child welfare system using data from the 2004–2005 Hawaii State Child Welfare Services (N = 1267). Native Hawaiians were found to be more likely to reenter the system and less likely to be re-united with their families even when the type of abuse was less serious. This distinction was identifiable in interaction terms in multivariate analysis. The paper concludes that the child welfare system in Hawaii needs to continue to explore methods to reduce these disparities.     

Turnover in the Child Welfare Workforce: A Different Perspective

ABSTRACT

Child welfare agencies across the country are experiencing a workforce crisis involving high staff turnover rates. The purpose of this study was to determine which of the organizational, personal, and supervisory variables identified in prior research on this topic are most associated with intent to leave among employees in urban and rural child welfare settings. Four-hundred-and-forty-seven employees in 13 child welfare agencies participated in a survey addressing organizational, personal, and supervisory factors related to turnover. ANOVA, logistical regression, and structural equation modeling were used in the data analysis. The organizational and supervisory variables identified as significant in the logistic regression, as in earlier research, were not significant when the data were subjected to structural equation modeling. Instead, findings suggest that career satisfaction and satisfaction with paperwork are the key determinants of workers' intention to stay.     

Dimensions of Structural Disadvantage: A Latent Class Analysis of a Neighborhood Measure in Child Welfare Data

ABSTRACT

Contextual constructs, such as neighborhood structure, may contribute to child welfare involvement. Secondary data analysis is used with the nationally representative, longitudinal National Survey of Child and Adolescent Well-Being-II (N = 5,872). This study employs latent class analysis (LCA) to identify the number of classes needed to explain the distribution of caregiver responses on the Community Environment Scale. LCA is ideal for this study to identify meaningful groups of caregivers involved with child welfare using neighborhood risk factors. Three latent classes are identified: high social order/medium social capital; high social order/low social capital; low social order/low social capital. Multinomial logistic regression tests whether there are significant differences across the classes, partially validating the LCA that poor, minority caregivers live in neighborhoods with lower social order and capital. Understanding neighborhoods as “high” versus “low” risk may not fully illuminate contextual risk factors in order to develop neighborhood-based interventions. This study reveals that there is a third group of caregivers who reside in places with higher social order but lower social capital. Social capital might be an important factor in preventing child maltreatment. Future work is needed to understand additional individual and neighborhood characteristics that predict membership in each class.     

透过"橱窗"看到的福利国家--一个基于瑞典的案例分析

瑞典福利国家制度的显著特征是覆盖面广、设计项目多、保障水平高,注重"公平"胜于注重"效率"。20世纪70年代后,这一制度的实施出现了财政危机,然而更深层次的危机,则是高福利所要求的高税率对人们工作积极性和国际竞争力的打击。因此使之成为改革的重点。瑞典改革案例给予中国重要启示:建设完善的社会保障制度,是实现经济发展与社会进步的必然选择,这既是政府的责任,也是人民的企盼;但制度设计要避免重蹈瑞典福利国家制度"过度"福利供给的覆辙。     

Commitment of Private and Public Agency Workers to Child Welfare: How Long Do They Plan to Stay?

ABSTRACT

Method: Child welfare professionals completing training to work in foster care were asked about reasons for taking their child welfare position, commitment to their agencies, and commitment to child welfare. Analyses compared responses from new public agency foster care workers (N = 100), public agency workers making lateral transfers to foster care (N = 64), and new private foster care workers (N = 105).

Results: Private agency foster care workers were less committed to their agencies and to child welfare and more likely to have taken the position because it was the only one available.

Conclusions: The practice by public child welfare of outsourcing foster care services to private agencies needs to be evaluated. This practice may not benefit children in care and may create organizational problems for agencies.     

Social Work, Asset-based Welfare and the Child Trust Fund

Asset-based welfare represents a new departure in British incomemaintenance policy and the Child Trust Fund is its most importantcontemporary example. This Research Note explores the claimsmade for asset-based welfare in general and for the Child TrustFund in particular. It sets out the results of an investigationinto the views of young people into potential uses which individualsmight make of the Fund. It then suggests a series of reasonswhy social workers ought to take a particular interest in thedevelopment of asset-based welfare policies and the benefitswhich might flow from them.     

Effects of Placement Changes on Health Insurance Stability Among a National Sample of Children in the Child Welfare System

ABSTRACT

Children in the child welfare system have entitlements to health insurance coverage—critical because of their considerable physical and mental health needs—based largely on their placement status. This study conducted path and transitions analyses on data from the National Survey of Child and Adolescent Well-Being (3,801 children followed-up for 3 years) to examine the interplay between placement changes and insurance stability. Children maintained in-home at Wave 1 had significantly lower odds of being insured (OR = 0.7); children transitioning from out-of-home placement to in-home care had significantly lower odds of maintaining insurance coverage (OR = 0.6). Child welfare workers working with children maintained in-home and those being reunified should safeguard the children's insurance status. Policy makers should consider extension of categorical eligibility to all children presenting to child welfare agencies in order to assure access to needed services for these vulnerable children.     

Father's involvement in the lives of children in foster care

Limited understandings exist about non‐resident fathers' views of their involvement with their children in foster care placements. Guided by the ecological systems framework, the purpose of this exploratory study was to gain insights into fathers' perceptions of their involvement with a child in foster care. Data were collected from demographic questionnaires and two focus groups with 17 men. Fathers expressed how kinship compared with non‐kinship placements affected their involvement. Fathers were also in agreement that their financial hardships were a significant factor affecting their involvement. Several fathers also reported how they experienced discrimination in the child welfare system as men. Surprisingly, uncommon to findings from other studies, few men viewed the child's mother as being a barrier to their involvement. The findings provide insights into factors requiring attention to help non‐residential fathers become involved with their children.     

Essential Partnership: Child Welfare Officers’ Perceptions of Cooperation With Rabbis in the Ultra-Orthodox Jewish Community in Israel

ABSTRACT

This article describes collaborations between child welfare officers and rabbis in an ultra-Orthodox Jewish community in Israel. The study is based on interviews with 10 child welfare officers who intervene in ultra-Orthodox communities. The analysis of the interviews showed that cooperation with the rabbis was essential for reducing the community's hostile resistance to interventions by the child welfare officers, who were perceived as threatening to community values. On the other hand, the child welfare officers had to cope with conflicts between religious values, the law, and professional perceptions. The discussion of the findings highlights the need for understanding the cooperation in terms of boundaries and power. Future research is needed to explore further the issues raised from the perspectives of the rabbis and the families involved.     

Parents' perceptions of contact with the Norwegian Child Welfare Services

Listening to the opinions of service users is important in research. This study explored how parents cognitively and emotionally perceive contact with the Norwegian Child Welfare Services (CWS). It also compared the reports of parents recently referred to the CWS with reports of more experienced users. A content analysis was conducted on open‐ended survey responses from parents (n = 697). This study fills a gap in the literature on how parents perceive contact with the CWS and what they see as important factors when judging this contact. The findings showed that 40.6% of the parents reported exclusively positive experiences, 30.7% of the parents reported solely negative experiences, while 24% of the parents described both positive and negative experiences. The content of the positive and negative experiences were related to characteristics of the child welfare workers, the quality of the relationship, the help offered and the parent's feelings of insecurity and fear. New CWS users tended to view the contact as more positive than the more experienced ones. Practical implications are presented.     

Perspectives of South African caregivers in receipt of Child Support Grants: Implications for family strengthening interventions

Cash transfers have delivered measurable benefits for poor and vulnerable children in low‐ and middle‐income countries. However, on its own, a cash transfer is insufficient to promote holistic child well‐being. In the quest for appropriate complementary family support services, known as ‘cash plus’ programing, this qualitative study sought to explore the perspectives of a group of South African caregivers, all of whom were in receipt of a Child Support Grant (CSG), in relation to their own caregiving and family functioning. Critical areas of support to families were identified to further scale up the already positive impacts of the CSG, such as mental health services, social supports for caregivers, decreasing levels of poverty and growing caregiving knowledge and skills. Key conclusions are that improving the quality and integration of public services and developing culturally appropriate and evidence‐based family strengthening programmes are critical to complement and boost the positive impacts of the CSG.     

Policy innovation and policy realisation: the example of children future education and development accounts in Taiwan

ABSTRACT

The Children Future Education and the Development Accounts (CFEDAs) are the first anti-poverty policy in Taiwan developed to provide incentives for the poor to accumulate assets for their future. Using CFEDAs as an example, this article analyses the process of developing and implementing an asset-based policy. It begins with an introduction to the policy structure. It then reviews the history of how the innovative idea of building assets for the poor became a policy proposal before presenting the convergence of three policy streams driving the prioritisation of CFEDAs in Taiwan’s policy agenda. It concludes with challenges facing the policy implementation.     

An Exploratory Analysis of Seven Child Welfare Workers who Confused SIDS with Child Maltreatment Fatalities: A Brief Research Report

Abstract

Previous research shows that child welfare workers (CWWs) have low levels of knowledge of risk factors for child maltreatment fatalities. Further, these gaps in knowledge leave CWWs with misconceptions about causes of deaths and the characteristics of the perpetrators. This brief research report focuses on CWWs’ gaps in knowledge with regard to CMFs and sudden infant death syndrome (SIDS) and explores the socio-demographic characteristics of seven workers who confused fatal child maltreatment and SIDS. These workers were experienced professionals—who were in their middle-age, mid-career, and well-educated—and had been trained in how to recognize risk factors for CMFs. Implications for training and collaboration with other professionals are discussed, as well as the need for research to evaluate training efficacy.     

Predictors of Child Welfare Worker Retention and Performance

Abstract

Using administrative records, this paper tracks for up to four years using Cox survival methods the retention of 839 public child welfare workers who began child welfare work in 1999. It also examines, using ordinal logistic regression, supervisory performance evaluations of 382 of these workers. Participation in a IV-E-funded social work educational program predicted better retention. In particular, risk of termination decreased by 52% during the mandated contractual employment period in which the educational stipend was “worked off”. Other predictors of longer retention included prior non-child welfare employment at the public agency and working in the state office setting. Temporary job classification predicted higher risk of termination. With temporary classifications excluded, female gender predicted better retention. In exploratory Cox frailty regressions, neither county of employment nor supervisor explained significant variance in retention. Involvement with the IV-E funded social work program was not associated significantly with supervisory ratings. Regression analyses revealed an association between an ethnic group's representation in the population of child welfare workers and supervisory evaluation; the greater that representation, the higher the overall evaluation for the group.     

Networking Enforced – Comparing Social Services' Collaborative Rationales across Different Welfare Regimes

Collaboration and networking are ubiquitous, versatile features of social service provision in most Western countries. However, it is an open question whether networking means and entails the same across countries. Comparing regulatory frameworks in three jurisdictions representing distinctive ‘worlds of welfare services’ – Germany, Norway and Quebec – this article aims at eliciting the normative rationales that underpin and inform local service networks in child welfare and protection (CWP) systems. In Norway, where services are little diversified and largely insular, networking appears as a way of opening up for greater organizational plurality, within and beyond the public sector realm. In Germany in contrast, where services are highly pluralized and fragmented, networks are seen as an instrument for streamlining complexity. As for Quebec – an intermediate case in some respects – networking is envisioned as a catalyst for aligning two co‐existing service streams and mitigating the child protection–family support divide. Interestingly, in all three places, networking is now being enforced through similar highly formalized, top‐down regulatory provisions, even though the intended directions of change differ markedly. This has implications for CWP policy as well as research on networks at large.     

A Framework for Cultivating and Increasing Child Welfare Workers’ Empathy Toward Parents

ABSTRACT

Much emphasis has been placed on child welfare workers’ skills and attributes when working with parents involved in the child welfare system; however, few studies have examined the potential benefits of using an empathic approach to interacting with parents. Child welfare workers may have negative perceptions of parents involved in the child welfare system and might have a tendency to reflect these attitudes and value judgments in their practice. The lack of empathic understanding and communication between workers and parents impacts service implementation and the success of family interventions. Increasing the workers’ ability to empathize with parents can enhance their relationship while increasing parent participation in services and ultimately family reunification. This article will discuss specific ways to cultivate and increase child welfare workers’ empathy for parents by enhancing workers’ emotional response and self/other-awareness, ability to perspective take, emotion regulation, and their ability to make appropriate decisions. Implications for application to practice and training are discussed as is the need for future research to validate the proposed framework for increasing child welfare workers’ empathy toward parents.     

Cognitive-Behavioral Therapy for Bipolar Disorder: Implications for Clinical Social Workers

ABSTRACT

The purposes of this review article are to orient clinical social workers to cognitive-behavioral theory, intervention, and research on bipolar disorder (BD); identify pros and cons of applying cognitive-behavioral therapy (CBT) to social work clients with BD; and identify specific implications for clinical social work practice. Of the 545 articles that were obtained via the systematic review, 18 studies were identified as being potentially eligible for inclusion, and 9 of those studies ultimately satisfied the inclusion criteria. The results of each study were summarized via identifying statistically significant (p< .05) differences that existed between experimental cohorts who received CBT (plus pharmacotherapy) and control cohorts who received treatment as usual. Outcomes showed CBT cohorts as having significant improvement over their respective control groups. The review's implications for clinical social workers and the need for future research are discussed.