Mental health service utilization in children adopted from US foster care,US private agencies and foreign countries: Data from the 2007 National Survey of Adoption Parents (NSAP)

Aims

In this analysis, we (1) described the rate of mental health service utilization for children from domestic foster care adoption, domestic private adoption, and international adoption and (2) analyzed the effect of common risk factors on mental health service utilization.

Data

As part of the 2007 National Survey on Adoptive Parents (NSAP), parents with children 5–17 years old (N = 1722) were asked if their children had received mental health services and how helpful these services were. Parents also provided data on the children's demographics and likelihood of pre-adoption adversity (e.g., abuse).

Results

For boys, mental health services were utilized by 52.4% of domestic foster care adoptees, 41.0% domestic private adoptees, and 40.0% of international adoptees. For girls, the corresponding rates were 36.3%, 24.8%, and 30.9% respectively. Parents reported that the services were very helpful for about half of the children. Logistic regression analyses showed that adoptees from domestic foster care were more likely than international adoptees to have received mental health services, but there was no difference between domestic private adoptees and international adoptees. Older age at placement, older age at assessment, having special health care needs, and being male all increased the odds for having received mental health services.     

Assessment of older adults’ satisfaction with adult protective services investigation and assistance

This study examined elder self-neglect client satisfaction with services provided by an Adult Protective Services (APS) program. A total of 77 community-dwelling older adults with APS-substantiated self-neglect responded to the standardized and widely used 8-item Client Satisfaction Questionnaire. Approximately 75% of the participants reported being satisfied with the overall services. They felt that the services provided were responsive to their need(s) and helped them deal with their problem(s). Greater than 80% responded that they would refer a friend, would utilize APS in the future if necessary, and were at least satisfied with the amount of help received. The extent to which their needs were met received the lowest satisfaction scores. Future studies are needed to examine elder self-neglect client satisfaction in relation to specific services.     

O'odua People's Congress and the Changes in Nigeria's Political and Security Structures

This article gives an overview of the origin, founders, memberships and geographical coverage of the O'odua People's Congress (OPC). Also addressed are the impact of the OPC on the political and security structures and why the OPC continues to wield power as an ethnic movement in southwest Nigeria. Even following the collapse of the Babangida and Abacha military regimes—due to protests, international pressure and the latter's death—the OPC retains a significant amount of social power in Yorubaland. Its support is maintained through the provision of informal ‘security services’ to individuals, groups and communities, who consider the Nigeria Police to be an ineffective body in the protection of lives and property of people. While the OPC influences the re-establishment of democratic governance, shifts in regional power and the security set-up in Nigeria, it also creates social disorder and abuses human rights.     

Environmental changes to increase physical activity: perceptions of older urban ethnic-minority women

Despite the numerous benefits of physical activity, older adults continue to be more sedentary than their younger counterparts, and sedentary behavior is more prevalent among older racial and ethnic minorities than among Whites. This study used the nominal group technique (NGT) to examine participants' perceptions of what neighborhood environmental changes would encourage greater physical activity for older African American and Hispanic women. Participants age 50-75 years were recruited from 2 urban community health clinics. Nine NGT sessions (45 participants) were conducted. The women were asked what changes in their neighborhood environment would encourage them to become more physically active. Responses to the research question were tabulated, and qualitative analysis was used to identify themes and categories. Major categories were physical environment changes, safety, and activities/social support. Although the physical environment received the greatest number of points, concerns for personal safety cut across categories. Participants indicated the need for more facilities in which to be active.     

Family carers' views of services for people with learning disabilities from Black and minority ethnic groups: a qualitative study of 30 families in a south London borough

In 2001, the UK Government identified the widespread neglect of the needs of people with learning disabilities from Black and minority ethnic communities. In this qualitative study informal interviews were held with 30 family carers of adults with learning disabilities from Black and minority ethnic communities. Their views were sought regarding services received and services needed, and cultural or communication barriers faced in accessing appropriate services. The study showed that although carers were largely satisfied with services actually received, service provision was highly inadequate and ineffective. Even very elderly and ill carers and those caring for people with severe disabilities received little support. Social worker support was negligible, and future planning rare. It is clear that the needs of carers from Black and minority ethnic communities are not being met. The situation would be considerably eased by adequate social worker support. Stereotypes of supportive family networks, (especially regarding south Asian families) proved to be unfounded.     

Informal care and support for carers in Sweden: patterns of service receipt among informal caregivers and care recipients

This study describes and analyses the kinds of support received by different categories of informal carers, and the kinds of help that care recipients receive in addition to that provided by various categories of carers. Data were collected in a Swedish county in 2000, by means of telephone interviews. The net sample consisted of 2,697 individuals 18–84 years old, and the response rate was 61%. The results showed that relatively few carers in any care category received any kind of support aimed directly at them as carers. The most widespread form of support received by providers of personal care was relief services. Those most likely to be receiving care from the public care system were people also receiving personal care from an informal caregiver. Nevertheless, the majority of those receiving personal care from an informal carer did not receive any help from the public care system or from voluntary organizations or for-profit agencies. These results indicate that social policy and social work need to clarify the aims of the services they provide. They also need to take the needs of both caregivers and recipients into account when discussing support systems.     

Perceptions of Adult Protective Services Workers of the Support Provided by Criminal Justice Professionals in a Case of Elder Abuse

ABSTRACT

This paper summarizes results of a 1997 survey of adult protective services workers in 43 states. The survey yielded ratings of police and victim assistants in detecting and treating elder abuse and estimates of the likelihood that criminal justice professionals would provide ten forms of assistance in a case of elder abuse. Respondents also reported the most helpful services supplied by criminal justice professionals, the services that were most difficult to obtain, and overall ratings of criminal justice professionals in cases of elder abuse. Findings provide insights about relationships between adult protective services workers and criminal justice professionals.     

The Impact of Formal and Informal Respite Care on Foster,Adoptive, and Kinship Parents Caring for Children Involved in the Child Welfare System

This paper reports the results of a quantitative 42-item survey that explored foster, adoptive, and kinship parents’ (N = 160) utilization of different types of respite services (formal, informal, and a mixture of formal and informal), as well as their impressions of the impact of respite care on aspects of their lives related to family cohesion and stability, caring for their children, and their personal wellbeing. An exploratory cross-sectional, survey design was used to assess both the formal and informal respite care experiences of the foster, adoptive, and kinship caregivers. Two-tailed Fisher’s exact tests were used to examine the relationship between the type of respite received and caregivers’ respite experiences. Findings indicated that parent experiences differed depending on the type of respite services they received. Specifically, parents who used a mixture of formal and informal respite reported positive experiences related to respite more frequently than the other two types of respite groups, while those who received only informal respite reported less benefit than others. Parents who used formal respite (either alone or mixed with informal respite) reported greater stress reduction. The greatest increase in family stability was reported by parents who received a mix of informal and formal respite. While this study revealed clear benefits for families to using both informal and formal respite services, the findings suggest that formal respite care was helpful to parents regardless of whether used alone or in combination with informal care.     

A qualitative investigation into military veterans’ experiences in a problem-solving court: Factors that impact graduation rates

Veterans treatment courts (VTCs) are designed to offer a rehabilitative approach to criminal justice, focusing on treatment for mental health and substance use disorders. This qualitative study develops an in-depth understanding of a Midwestern VTC by asking participants (n = 15) their views on the most helpful aspects of the program and how the program could be more helpful. Three themes emerged from the data. 1) Military veterans felt that they were treated in a compassionate and caring manner, while also being held accountable for their behaviors. 2) Military veterans felt that they were not labeled by their mental health diagnoses, but that their identities as people and military veterans were more fully recognized. 3) Military veterans were dissatisfied with some of the services they received from the local VA. These findings are discussed in the context of problem-solving courts and military veterans’ experiences of services.     

It Kind of Made Me Feel Important

Abstract

The enactment of the Personal Responsibility Work Opportunity and Reconciliation Act (PRWORA) in 1996 led to sweeping changes in U.S. welfare policy and practice. Given the time limits placed on adult recipients of cash assistance, and the multiple barriers to employment that many of these recipients face, alternative intervention strategies need to be developed. Welfare-to-work interventions provided by faith-based groups are one such intervention strategy. This paper discusses the rationale for faith-based services and introduces research conducted on one particular faith-based model of intervention for the target population. Findings presented center on participants' perceptions of the faith-based services they received, particularly on aspects of the program that were helpful and meaningful to them.     

Age and gambling behavior: A declining and shifting pattern of participation

The relationship between age and gambling has received relatively little attention in the social sciences. An aging American population might have a fundamental effect on gambling behavior suggesting that such research is needed. A random telephone survey of 1,011 Iowa residents was conducted. Chronological age was found to be negatively related to gambling behavior in this study. Within this trend, however, people of different ages were also found to be participating in different types of gambling. The general decline in gambling across age categories can be conceptualized as a result of an age decline in experimentation with gambling for self-identity, self-presentation, as well as an historical increase in the social acceptance of gambling. The differential rates of participation in different types of gambling could result from differential needs and resources related to different stages of development and thus age categories.Earlier versions of this paper were presented at the Eighth International Conference on Risk and Gambling in London, England on August 17, 1990 and the 43rd Annual Scientific Meeting of the Gerontological Society of America in Boston on November 19, 1990. This research was partially funded by the Iowa Department of Human Services. The authors would like to thank Dan Hoyt, David Huff, Motoko Lee, Henry Lesieur, Mack Shelley, and the anonymous reviewers for helpful comments on earlier drafts.     

Kinship liaisons: A peer-to-peer approach to supporting kinship caregivers

Relative caregivers are invaluable to the child welfare system. Although most states have a preference for relative placement, the support and assistance provided to relatives during and beyond the initial child placement period are inadequate. Through a U.S. Children's Bureau System of Care Demonstration project, a peer-to-peer approach (based in social cognitive theory) which paired a new relative caregiver (n = 74) with a full-time, paid kinship liaison (a current or former relative caregiver) was studied. Findings show that kinship liaisons are extremely helpful to caregivers and reveal 27 support categories that caregivers find most useful. One of the most significant services (i.e., information and referral) provided by the liaisons increased caregivers' knowledge of accessing available services and the permanency process. Data results show significant increases in caregivers' coping abilities and willingness to become a permanent resource for the children in their care. Policy and practice insights are provided.     

Voices of 65 Young People Leaving Care in Sweden: “There Is So Much I Need to Know!”

Abstract

The purpose of this study is to examine young care leavers’ experiences of supportive and nonsupportive factors after leaving care. Telephone interviews were conducted with 65 young people, between 18 and 26 years old, who had left care in Sweden within the previous 3 months to 3 years. The care-leaving process was in many cases described by the young people as badly planned and compressed. Some interviewees received support from the formal network (social services, foster carers, residential homes, contact persons) for housing (37) and financial matters (36), but few received support from the formal network concerning employment (14) and education (11). Emotional support was mainly provided by partners and friends. Altogether, the results suggest that access to support is a helpful factor for young people leaving care, but also that many of our interviewees had no such access, from neither formal nor informal networks.     

Helpful actions seen through the eyes of parents of children with disabilities

Parents of children with disabilities interact with a wide range of service providers in order to assure appropriate services for their children. While some actions performed by professionals are viewed as helpful, many are viewed as obstructive. Surveys completed by over 120 parents identified past actions perceived to be helpful and those thought to be unhelpful as well as identification of professionals associated with those actions. Using the critical incident technique, narrative responses were based on actual experiences that parents described. Parents were also asked to articulate specific actions they would like professionals to take in the future. Over half of the responses request desired relationships with professionals that focus on respect, collaboration, communication and information sharing. Implications for pre-professional training are discussed.     

Public service budget constraints: the perspective of rural officials in the U.S.A.

Eight counties in the State of Washington served as the focus for a study of issues associated with budget cutbacks. Secondary data were collected from published sources. A mail survey in 1984 of elected and appointed officials provided primary data. The secondary data enabled us to trace changes in expenditure patterns for specific services from 1979 to 1983.Judicial, law enforcement, correctional units and general government received consistent increases, in part because of state mandates. Environmental protection, planning, community development, parks and recreation tended to be cut rather consistently. Social and health services, physical services (roads, bridges, etc.), and education remained relatively stable in most counties.Public officials consider state requirements for improvement in correctional and law enforcement services as the major factor in setting budget priorities. Cutbacks in federal and state funds for environmental protection are part of the basis for county cutbacks, but local priorities appear to support such actions. Despite budget decreases in some service categories, public officials felt that little had been lost in service quality or quantity, although maintenance of plant, equipment, and capital outlays were thought to have suffered rather seriously.     

Social Support During Adjustment to Later-Life Divorce

This study investigated the adult child's role as a provider of social support to divorced parents. Each of the 230 randomly-selected individuals participating in the survey had been divorced after 19 or more years of marriage and had at least one child over age 18. Participants ranged in age from 36 to 72 and had been married an average of 28 years prior to divorce. Respondents were asked to indicate types and amounts of support provided by children in two major areas: instrumental aid (e.g., advice, services, financial assistance) and socioemotional aid. The pattern of support varied according to the sex of the parent and the sex of the child. Mothers received significantly more support than fathers in all four categories: advice, services, financial assistance and socioemotional aid. Sons and daughters did not differ significantly with regard to frequency of providing advice or financial aid. However, sons provided significantly more services, and daughters provided significantly more socioemotional aid. Circumstances connected with filial provision of support-opportunity, parental expectation of aid, parental financial need, parental health and morale, competing role responsibilities of the child, and quality of parent-child relationship-were analyzed. Multiple regression was used to specify the relationship between total support received and seven independent variables: frequency of contact, sex of respondent, emotional closeness, filial expectation, frequency of telephoning, sidetaking behavior, and financial strain. These variables explained 52% of the variance in total support.     

Work,Refuge, Transit: An Emerging Pattern of Irregular Immigration South and East of the Mediterranean

Southern and Eastern Mediterranean (SEM) countries have recently turned into receivers of migrants, but they have neither the institutions nor the policies that would allow them to integrate migrants. Therefore, most migrants in SEM countries found themselves in irregular situation. Using a variety of statistical sources, official and non‐official, the article establishes that out of 5.6 million immigrants living in SEM countries in the mid‐2000s, a minimum of 3.6 would be in irregular situation. They belong to three categories: approximately 2 million migrant workers attracted by SEM labour markets where they are employed in the informal sector with no work permit, 1.5 million de facto refugees who cannot obtain the status of refugee and are waiting for resettlement in a third country or return to their homes, and less than 200,000 transit migrants initially bound for Europe, which they are unable to reach for lack of visa. While their reasons to be stranded in the SEM differ, these three categories share the same vulnerable conditions, with no legal access to work, services, or protection.     

Seeking Help for Same-Sex Relationship Abuses

Abstract

Four hundred ninety-nine ethnically diverse gay men, lesbian, bisexual, and transgendered people were surveyed regarding use of resources to stop same-sex relationship abuses. Just over half (54%) reported seeking help, and most resources, with the exception of police, shelter and crisis hotlines, were considered helpful. When asked about perceived services needed, most participants focused on intra-psychic solutions rather than use of community or macrosystem institutions. Perceived or actual homophobia is the biggest barrier to seeking help. Women and people of color expressed a statistically significant preference for caregivers of the same gender and ethnicity, respectively, but indicated that this would not stop them from seeking assistance.