Children in Residential and Foster Care – a Swedish Example

The article reports on a longitudinal study of children placed in a children's home in Malmö, Sweden, at the beginning of the 1980s. The 26 children, placed when younger than four years of age and staying more than four weeks in the children's home, were followed up three and nine months after leaving the children's home as well as five, ten and fifteen years later. Interviewing the parties concerned was the predominant research method. Twenty of the 26 children in the research group also had later experiences of out-of-home care, including foster care, in addition to the stay at the children's home. This article is about them, 15–20 years old when interviewed in the latest follow-up study. Three aspects of "outcome" are focused on: the degree of stability in the children's living conditions; relationships to parents and foster parents; well-being and emotional and behavior problems. Bearing in mind that the concept of well-being is relative, a cautious conclusion is that a third of the children in the study experienced well-being, a third felt "o.k.," and a third had serious problems, including criminal activities and drugs. The somewhat unclear connection between well-being, stability in living conditions, and sense of family belonging is discussed.     

Residential and Foster Care in the European Community: Current Trends in Policy and Practice

Correspondence to Dr Matthew Colton, Department of Social Policy and Applied Social Studies, University College, Swansea SA2 8PP. Summary This article compares residential care, foster care and theiralternatives in the countries of the European Community. Thefollowing common trends in policy and practice are examined:the decline of residential child care; changes in the populationof separated children; the trend towards small-scale provision;the development of an ecological perspective; increasing differentiationof care provision; professionalization; and alternatives toresidential and foster care. The pace of development is uneven across EC countries. Overall,the trends high-lighted are more apparent in the northern countriesthan in the southern states.     

Temporary Foster Care

Summary In order to improve outcomes in temporary foster care the authorbelieves there is a need to develop alternative models for practicethat would (a) define the social work task (b) specify in operational terms how that task would be accomplishedand thus would be amenable to empirical testing. (Temporaryfoster care is defined as the provision of substitute familylife for a child received into care, where there is a clearintention to re-unite the natural family at a future date). This article deals with the essential preliminaries to the developmentof a practice model. The first part surveys the relevant literature;part two develops a theoretical framework for practice aroundthree themes which are considered central to a considerationof foster care. These are the separation experience, the placeof the natural family, and role clarification. Other crucialvariables such as the age of the child, the nature of the problem,or the parents' potentiality for change are not dealt with withinthese papers, but are nevertheless seen as important issuesto be considered at the stage of designing a model for practice.     

Foster and Residential Children's Perceptions of Their Social Environments

University of Oxford, Department of Social and Administrative Studies, Barnett House, Wellington Square, Oxford OXI 2ER. Summary This paper compares foster and residential children's perceptionsof their social environments (placements). The exercise formedpart of a larger examination of care practice in special fosterhomes and Children's Homes. The application of a combinationof quantitative and qualitative techniques showed that the fosterchildren's perceptions of their placements generally comparedfavourably with those of the residential children.     

Foster Family Care for Frail Elderly

For the last 10 years, the development of cost-effective, community alternatives for chronically ill has been a serious concern of many service providers and policy-makers. The expanding of the elderly population has been well documented. In this state, projections show a need for an additional 1602 long-term care beds by the year 2000, almost double the current capacity. The state Medicaid Program is searching for ways to reduce the 50 million spent in 1982 for institutional long-term care. Already experiencing the shortage of long-term beds, hospitals have a chronic loss of revenue potential through the holding of non-acute patients in the hospital while waiting for a nursing home bed vacancy. At the 500 bed acute care hospital, 25-30 beds daily are occupied by nursing home wait-listed clients. The average wait-listed days per patient is 20.4. In September 1979, the hospital's department of social work began foster family care for elderly persons eligible for nursing home care. Foster families are extensively screened and trained for the severely dependent clients. The social worker and registered nurse team are closely involved in placements, developing and implementing an individualized written treatment plan to assure the clients quality of care. Data collected over the past three years clearly indicates that this setting provides cost-effective, quality care. Overall scoring on bathing, dressing, toileting, transfer, and continence, utilizing the KATZ Activity of Daily Living, shows that 71% of the clients improve after 3 months on placement. Although 45% of the clients are incontinent of bowel or urine at the time of placement, 33% make significant improvement to only occasional accidents. With 41% of the clients at placement requiring adaptive device and assistance for walking, 48% of the clients show functional improvements in walking. Most significant for continued survival of this type of care, the total program cost is half the cost of institutional care for these elderly clients. The paper will examine the multiple needs served through the program: the ill elderly person's need of a therapistic, caring environment; the hospital's need to curb loss of potential revenue; and the need of the Medicaid Program to contain costs. The paper also reviews client characteristics, foster family characteristics, quality assurance, and overall cost-effectiveness of the foster family model.     

Indicators for Placement in Foster Care

Summary In order to develop a typology of indicators for long-term treatmentin foster care, a cluster analysis has been carried out on theitems of a standardized questionnaire which is used by fostercare centres in the province of Zuid-Holland. Two types of indicationfor placement have emerged from the present study. In combinationwith the foster child's age, these two types discriminate effectivelybetween unsuccessful, prematurely terminated placements aftereighteen months and continued placements. It is claimed thatthe employment of this procedure can effect a reduction in thenumber of unsuccessful, prematurely terminated placements.     

Entry into Residential Care

Summary This paper examines the interaction between the organizationalstructure of social services departments and procedures foradmission into residential care. By drawing on research experiencea 'placements table' is proposed which contains the key operationaldecisionstaken by the department when the client becomes a resident.It is argued that, in accordance with the structure of the department,it is possible to suggest appropriate staff to make each keydecision in order that departmental criteria for admissionsmay be met.     

The Limits of Support in Foster Care

Correspondence to Stephen Nixon, School of Continuing Studies, The University of Birmingham, Edgbaston, Birmingham B15 2TT; E-mail: Continuing-Studies{at}bham.ac.uk Summary This study was designed to explore the support provided forfoster carers during crises. A sample of sixty-seven fostercarers who had experienced an allegation of abuse against amember of their immediate family were questioned, with a specificfocus on their support needs and experiences during the periodof investigation and its aftermath. Data were also gatheredfrom a smaller sample of twenty family placement social workerswho worked with a sub-sample of these foster carers in orderto establish their perceptions of the issues. Shock, anger,bitterness and a sense of isolation were the prevailing emotionsexperienced by foster carers. It was found that the formal supportoffered by the child-care agencies was not used by 76 per centof foster carers. For most carers there was a lack of congruencebetween the type of support they needed and the support providedby the child-care agency. A number of other useful findingsemerged which are discussed in relation to crises in fostercare. The implications for foster care practice are substantial andrelate to the optimum provision of support for foster carersin such crises. It is suggested that the key role of socialworkers is to encourage and enable foster carers to establishtheir own close network of personal support in anticipationof such events.     

浅析小组家庭寄养模式

随着我国儿童福利事业不断深化改革,儿童福利院逐渐突破传统的养育模式。向社会化、人性化、个性化的方向发展。为使孤残儿童能有一个良好的成长环境,武汉市儿童福利院在现有的福利院集中供养、家庭分散寄养的基础上。于2007年8月开展了“小组家庭寄养模式”。     

Kinship Foster Care and Its Impact on Grandmother Caregivers

Summary

Kinship foster care programs are designed to address the needs of relatives, usually grandparents, who have taken in children who have been removed from their homes voluntarily, or following a substantiated report of neglect and/or abuse. The author reviews the history of kinship foster care nationally and examines related research. Reported are findings on a survey of kinship foster care programs nationwide and from qualitative interviews with nine grandmothers from New York City who were kinship foster care providers. Particular attention was paid in these surveys to the impact of kinship foster care on families caring for children with disabilities.     

Residential Care for Elderly People: Characteristics of Patients Admitted To Residential and Nursing Home Care from Hospital

Correspondence to Mr W. Power, Department of Social Work, Kingston General Hospital, Hull HU3 IUR Summary Fifty consecutive admissions to residential and nursing homecare from hospital were examined and the results discussed.Patient profile fitted the general pattern expected of frailelderly people with high dependency needs. There was a noticeableshift towards placements in private establishments but onlyabout half the patients were likely to have satisfied criteriafor local authority placement or require nursing home care.Breakdown in care-giver arrangements was found to be a majorreason for entry to care. Apart from a significant number ofwheelchair users going into nursing homes, there were no sharpdivisions between the residential care and nursing homes groups.     

Solving Problems in Foster Care: Key Issues for Young People, Foster Carers and Social Services

Philippa Padbury with Nick Frost The Children's Society, London, 2002, 116 pp. £12.95. ISBN 1 899783 44 X     

Filipinas as Residential Long-Term Care Providers

Summary

This exploratory study investigated reasons why Filipinas in Hawai'i have become the primary caregivers of elders in residential care homes and if they thought their children would follow them in this profession. A random sample of 173 Filipina care home operators (CHO), of which 95% were first-generation immigrants, was interviewed using telephone survey methods. Data were collected: to profile caregivers; to identify motivations for becoming a care home operator; and to gauge if they or their children would continue in this line of work. The sample was composed of middle-aged Filipina CHO with training and experience in elder care who concurred that the job fit their cultural values. About a third also felt that this job was open to immigrants and helped them buy a house. Twenty percent or less felt discriminated against because of this work. Although half the sample felt that women were better caregivers than men, only 38% felt that caregiving was primarily the responsibility of women. Almost 90% planned to continue with this work, but only 12% said it was likely that their children or grandchildren would become CHO, supporting the notion that choosing this profession had less to do with cultural values and gender expectations than with economic opportunities available to the current cohort of CHO. Given these findings, Hawai'i's capacity to meet future residential long- term care needs is discussed.