The Safety First Assessment Intervention: A Whole Family Approach for Young People with High Risk Mental Health Presentations

The following article provides a comprehensive guide to the clinical implementation of the Safety First Assessment Intervention (SFAI). The SFAI is a systemised, whole family approach for young people with high‐risk issues presenting in a mental health crisis. It is underpinned by the Safety First Model (Bickerton et al., 2007 ) and promotes community‐based care. The SFAI operationalises the foundation levels of the Safety First Model (SFM) through a highly structured clinical process. It draws on family systems theory, predominantly the work of Bowen ( 1978 ), to conceptualise distress through a multi‐generational systems lens and to prioritise the young person's natural support system (their family, friends, school and community) as their key resource. The SFAI engages this natural support system and facilitates open communication about symptoms, distress, safety and risk. This promotes a shared understanding of the key issues in a relational context and forms the basis of collaborative risk management. Thus, a system of safety emerges prioritising the family's role in optimising the young person's community‐based recovery. The need for pharmacotherapy and hospitalisation is therefore minimised. The article includes background theory, an outline of the structured assessment intervention and clinical techniques, including strategies for complex family situations. Specific strategies are illustrated with fictional vignettes. The work is based on the authors' accumulated experiences of working with young people and their families and carers in an acute Child and Adolescent Mental Health Service (CAMHS) for over a decade.     

Social Work Student Learning Experiences of Family Therapy: Improving Competency in Pedagogy Through Qualitative Research

The purpose of this qualitative study is to evaluate graduate social work student experiences of pedagogy intended to improve competency in family therapy practice. Students from two classes (N = 37) completed open‐ended surveys assessing: perceptions of most helpful pedagogical practices; understanding of needed competencies; and perceived opportunities offered to them during their graduate training for learning about work with couples and families. Results, analysed using grounded theory methodology, revealed that students: (1) believed that experiential activities were especially critical for learning how to do clinical practice with couples and families; (2) understood important competencies related to professional development, therapeutic engagement with the family, and how to approach family practice; and (3) believed they were ‘somewhat prepared’ for practice. Implications include improving understanding of abstract skills in practice with couples and families, and emphasising relationship dynamics more in graduate social work education and training.     

The Work and Family Researchers Network: an organizational and intellectual agenda

This essay outlines the organizational form and programmatic goals of the Work and Family Researchers Network (WFRN). This international membership organization aspires to bring together researchers and scholars from a range of academic disciplines as well as policy makers and practitioners. A brief sketch of the structure of the WFRN emphasizes its marriage of virtual and face-to-face communities. A sketch of the intellectual domain of work and family research maps this field with respect to basic social science and applied concerns. I suggest that the preoccupations of this field of inquiry are not marginal but rather occupy intellectually central space in several disciplines. Moreover, the policy questions of interest to work and family researchers are numerous and noteworthy, as they pertain to different stages of the life course and individuals facing a wide array of work and family interactions. Work and family research is interdisciplinary, based on the extensive cross-disciplinary citation patterns that are already well established in this area. WFRN can nonetheless play a role in facilitating communication and fostering collaborations. The essay ends with a brief note about opportunities and challenges that lie ahead.     

The Shift towards Family Reunification in Romanian Child Welfare Policy: An Analysis of Changing Forms of Governmental Intervention in Romania

This article examines the transition in Romanian child welfare policy from a paternalistic attitude of taking responsibility for ‘abandoned’ children to a capitalist orientation of reinstating responsibility for ‘abandoned’ children to the private sphere. While this shift in child policy is often seen to reflect a withdrawal of the public sphere from the private world of childcare, this study argues, alternatively, that this shift demonstrates a change in the form of governmental intervention. This article is based on ethnographic research that examines the reflections of Romanian child welfare professionals upon their changing roles.     

Multidimensional Family Resilience Assessment: The Individual,Family, and Community Resilience (IFCR) Profile

The goal of this study was to develop a broad, multidimensional assessment of individual, family, and community resilience for use in evaluating socioeconomic mobility programs. The Individual, Family, and Community Resilience Profile (IFCR) is a broad, multidimensional measure that evaluates multiple ecological levels of resilience. Based on a sample of 650 low-income families, this study demonstrates the initial reliability of the 75-item IFCR. This evaluation tool assesses 20 separate dimensions of constructs often associated with resilience. The IFCR provided strong reliability with interitem reliability coefficients ranging from α = .71 to.93. The IFCR also showed strong predictive abilities for education levels, employment, and mental health. We also present benchmark scaling of the IFCR for use in practice and future research.     

Work and Family Research in the First Decade of the 21st Century

Scholarship on work and family topics expanded in scope and coverage during the 2000–2010 decade, spurred by an increased diversity of workplaces and of families, by methodological innovations, and by the growth of communities of scholars focused on the work‐family nexus. We discuss these developments as the backdrop for emergent work‐family research on six central topics: (a) gender, time, and the division of labor in the home; (b) paid work: too much or too little; (c) maternal employment and child outcomes; (d) work‐family conflict; (e) work, family, stress, and health; and (f) work‐family policy. We conclude with a discussion of trends important for research and suggestions about future directions in the work‐family arena.     

Toward a Conceptualization of Perceived Work‐Family Fit and Balance: A Demands and Resources Approach

Using person‐environment fit theory, this article formulates a conceptual model that links work, family, and boundary‐spanning demands and resources to work and family role performance and quality. Linking mechanisms include 2 dimensions of perceived work‐family fit (work demands–family resources fit and family demands–work resources fit) and a global assessment of perceived work‐family balance. Work, family, and boundary‐spanning demands and resources are associated with the 2 dimensions of fit, which combine with boundary‐spanning strategies to influence work‐family balance, which in turn affects role performance and quality. The model provides a framework for clarifying and integrating previous conceptualizations, measures, and empirical research regarding perceived work‐family fit and balance as linkages between the work‐family interface and outcomes. The article closes with suggestions for further work.     

Perceived Family Functioning and Family Resources of Hong Kong Families: Implications for Social Work Practice

This article reports the results of a telephone survey (n = 1,015 respondents) that aims to identify the perceived general family functioning and family resources of Hong Kong Chinese families and their linkage to each other in a rapidly transforming society. The perceived general family functioning of the respondents was average, and the five types of family resources—time, income, human capital, psychological capital, and social capital—of the respondents ranged from average to good. The following family resource domains, in descending order, have accounted for significant variance in perceived general family functioning: income, time spent with family, stress coping efficacy, religion, and satisfaction with the living environment. Our findings provide empirical support for policy formulation and social work practice.     

From Face-to-Face to Facebook: The Role of Technology and Social Media in Adoptive Family Relationships with Birth Family Members

ABSTRACT

This qualitative study of 77 individuals in 40 couples (same-sex and heterosexual), who had adopted publically, privately, or internationally, examined parents' engagement with their child's birth family via technology (e.g., texting, e-mail, social media) through the lens of the Couple and Family Technology frame-work (Hertlein & Blumer, 2014 Hertlein, K. M., & Blumer, M. L. C. (2014). The couple and family technology framework. New York, NY: Routledge. [Google Scholar]). Parents used three approaches to contact: active, passive, and no contact. Regardless of approach, some parents described concerns about boundaries. Couples were generally in agreement in their perspectives on engaging with birth family via technology. Practitioners must be know-ledgeable about management of relationships via technology and help adoptive families set healthy boundaries.     

The Experiential Community Assessment Project: Integrating Social Work Practice Skills

Although most social work students are primarily interested in micro practice, the Council on Social Work Education mandates teaching macro practice. The challenge of incorporating meaningful and relevant community assignments within practice courses is noted in the literature (Koerin, Reeves, & Rosenblum, 2000 Koerin, B. B., Reeves, J. and Rosenblum, A. 2000. Macro-learning opportunities: What is really happening out there in field?. Journal of Baccalaureate Social Work, 6(1): 109–121.  [Google Scholar]). This article discusses the Experiential Community Assessment Project (ECAP) that integrates social work practice skills through interviewing a community leader, attending a community meeting, and using publicly available data to assess at risk neighborhoods. Grounded in experiential learning theory, a series of reflection papers are used to help students process what they are learning. A capstone poster presentation is required at the end. Suggestions and recommendations are made for using or adapting this project within other social work curricula.     

Effects of Leader Support in the Work Unit on the Relationship Between Work Spillover and Family Adaptation

This study examines the direct versus the buffering effect of leader support in the work unit on the relationship between work spillover and family adaptation. The analyses use data from a probability sample of 3,190 married soldiers in the U.S. Army who participated in the 1989 Army and Family Survey, and the data are analyzed by the gender of the respondent. Two types of work spillover are examined in the analysis (energy and time interference), and both internal and external types of family adaptation are hypothesized and supported by the empirical analysis. Only modest support is found for the buffering effect hypothesis. In support of the direct effect hypothesis, the findings indicate that leader support in the work unit decreases perceptions of work spillover, which is a preventive effect, and enhances perceptions of external adaptation, which is a therapeutic effect.     

The Effects of Work Demands and Resources on Work‐to‐Family Conflict and Facilitation

This article uses a differential salience‐comparable salience approach to examine the effects of work demands and resources on work‐to‐family conflict and facilitation. The analysis is based on data from 1,938 employed adults living with a family member who were interviewed for the 1997 National Study of the Changing Workforce. The results support the differential salience approach by indicating that time‐ and strain‐based work demands show relatively strong positive relationships to work‐to‐family conflict, whereas enabling resources and psychological rewards show relatively strong positive relationships to work‐to‐family facilitation. The availability of time‐based family support policies and work‐family organizational support is negatively related to conflict and positively related to facilitation, thereby supporting the comparable salience approach.     

The Cost of Instability: The Effects of Family,Work, and Welfare Change on Low‐Income Women’s Health Insurance Status

The number of uninsured Americans has risen substantially over the last decade. Despite the availability of Medicaid, low‐income women are at particularly elevated risk of having no or inadequate health insurance. How does continuity of work, family, and welfare affect low‐income women’s health insurance status? A multinomial logistic regression analysis of 1,662 low‐income women from the Welfare, Children, and Families: A Three‐City Study provides evidence of the consequences of life changes on access to health insurance from 1999–2005. The results show that compared to those with stable welfare, work, and family attachments, new full‐time employment actually increases low‐income women’s risk of being uninsured as does being underemployed, on welfare, or single for extended periods of time. These findings illustrate how health‐care reform must adequately address the complexity of low‐income women’s lives—including the ways labor market, state, and family factors interact to create barriers to health insurance—in order to improve access to care under the current U.S. health insurance model.     

The effect of a family-based intervention with a cognitive-behavioral approach on elder abuse

ABSTRACT

Elder abuse may become a health issue in developing countries, including Iran. The purpose of this investigation was to study the effectiveness of Family-Based Cognitive-Behavioral Social Work (FBCBSW) in reducing elder abuse. In a randomized clinical trial in Iran, 27 elders participated in intervention and control groups. The intervention groups received a five-session FBCBSW intervention and completed the Domestic-Elder-Abuse-Questionnaire (DEAQ), which evaluates elder abuse at baseline and follow-ups. Repeated measures of analysis of variance (ANOVA) and the Wilcoxon test were used to analyze the data. The repeated measures ANOVA revealed that FBCBSW was successful in reducing elder abuse. The Wilcoxon test indicated that emotional neglect, care neglect, financial neglect, curtailment of personal autonomy, psychological abuse, and financial abuse significantly decreased over time, but there was no statistically significant difference in physical abuse before and after the intervention. The findings from this study suggest that FBCBSW is a promising approach to reducing elder abuse and warrants further study with larger samples.     

Family Intervention and Services for Persons with Mental Illness in the People's Republic of China

ABSTRACT

Family services and intervention for persons with mental illness is crucial in mental health services. In this paper, the writer attempts to describe family intervention and services for persons with mental illness in the People's Republic of China. Family intervention and services like home-based care, guardianship network, family counseling, and psychoeducational programs are only preliminarily developed. Their effectiveness and challenges in future development are discussed.     

Satisfaction With Work and Family Life: No Evidence of a Cultural Reversal

Hochschild (1997) argued that in recent decades the rewards of work have increased relative to those of family life and that this cultural reversal has aggravated the time bind that families face by increasing working hours. To the contrary, pooled data from the 1973–1994 General Social Surveys indicate that in working families, women have shifted away from finding work more satisfying than home toward finding home a haven. Moreover, were it not for women's growing labor force participation and the changing distribution of marital status, the shift would have been even larger. Men's relative work–home satisfaction has been stable. Finally, finding work a haven is unrelated to weekly working hours, and it has not contributed to any increases in working hours over time.     

Social Worker Shame in Child and Family Social Work: Inadequacy,Failure, and the Struggle to Practise Humanely

Social workers operate within a complex environment where the failure to live up to expectations can lead to negative self-judgements or negative judgements from others, a sense of inadequacy and not feeling ‘good enough’. This paper conceptualises such issues through the lens of ‘social worker shame’ defined through a psychosociocultural understanding of the emotion. The effect of social worker shame on social workers' well-being and practise is considered and begins to conceptualise how an organisation can become shame-sensitive and practitioners shame-resilient with the aim of reducing the potential impact of social worker shame on practise.     

Studying Postmodern Families: A Feminist Analysis of Ethical Tensions in Work and Family Research

Through dialogue and reflexivity, feminist researchers aim to create knowledge that is emergent from people in relationship with one another. Reflexivity is a process whereby researchers place themselves and their practices under scrutiny, acknowledging the ethical dilemmas that permeate the research process and impinge on the creation of knowledge. Guided by these tenets, we analyzed the relations among our research practices, our participants, and ourselves to understand and reduce the ethical tensions we encountered in a multimethod research project designed to investigate work and family processes. Our reflective efforts underscore both the active nature of research participants and the importance of the sociopolitical contexts within and around the research process. We make suggestions for more ethical research.     

Assessment in Marriage and Family Therapy: A Review of Clinical Updates for Family Therapists

This article presents information from an integrative literature review that examined assessment processes presented to marriage and family therapists in Clinical Updates for Family Therapists, Volumes 1 (2005), 2 (2006), and 3 (2007). The study was based on the concern that marriage and family therapy is losing its systemic relational focus as practitioners must comply with diagnosis models using the Diagnostic and Statistical Manual of Mental Disorders. Using integrative literature review methods, similar to qualitative research, 54 articles were deconstructed to identify assessment tools and diagnostic processes being presented as best practice. Of the 54 articles, 96% identified the importance of having a family or couple relational perspective for working with individuals with mental disorders; however, only 54% provided any explanation to how this could be accomplished. These findings suggest a need to increase the identification of unique, relational assessment practices in articles that offer best practice techniques in marriage and family therapy.