Steps in the Right Direction,Against the Odds,An Evaluation of a Community‐Based Programme Aiming to Reduce Inactivity and Improve Health and Morale in Overweight and Obese School‐Age Children

The study describes an evaluation of a 48‐week physical activity and nutritional education programme for overweight/obese school‐age children using quantitative and qualitative methods. The majority of participants were obese or severely obese when enrolled, and while some improvements in body mass index, self‐esteem and engagement in a range of physical activities were noted, difficulties in evaluating a complex community‐based intervention were highlighted. Children, parents and health professionals described a range of benefits from attending the programme but more intensive services are likely to be needed for the most seriously obese children and for those families resisting intervention.     

Working in partnership: user perceptions of intensive home visiting

The aim of this study was to explore the perceptions of vulnerable women about the value of intensive home visiting in pregnancy and the first year of life delivered by health visitors trained to work in partnership with families. Twenty in‐depth interviews were conducted with women who had completed the home visiting programme and agreed to be interviewed. The data were fully transcribed and analysed thematically. Despite initial concerns and negative preconceptions about health and social service professionals, participating women greatly valued the relationships that were established with their home visitors and identified a number of ways in which they had benefited. These included increased confidence, improved mental health, better parenting, improved relationships and changes in their attitudes toward professionals. These findings demonstrate the potential of intensive home visiting delivered in partnership with mothers in reaching and helping vulnerable and ‘hard‐to‐reach’ families. They highlight the importance of establishing a trusting relationship between helper and provider, and the need for home visitors to have the necessary skills and qualities to establish such relationships. Copyright © 2007 John Wiley & Sons, Ltd.     

Identifying the needs of parents with learning disabilities: A review

Despite the success of some programmes in raising the parental competency of parents who have learning disabilities, many services are still providing only minimal support to such families, often following crisis intervention. Recent legislative changes within the UK have meant that statutory services are now required to adopt a preventative approach to children and families in need. A review of the literature reveals that children of learning-disabled parents are particularly vulnerable to abuse/neglect and removal from their natural family. This article addresses the difficulties that many clinicians currently experience in the early identification of parents who have learning disabilities. It also emphasizes the need for a systematic approach in the assessment of these parents prior to the implementation of parental teaching programmes.     

A Canadian experience with an intervention programme for vulnerable families: lessons for German social work and policy

Schools are an important community resource that can foster social connections and enhance the health and wellbeing of children and families in Germany through information, health promotion and interventions. While developing social connections between the school and vulnerable families—those who are most limited in their access to other sources of information, education and intervention—is complex and challenging, it is nonetheless critical. This paper reports on the role of Families and Schools Together (F&ST), a school-based intervention aimed at vulnerable families, in building and promoting the social connections, or social capital, that strengthen families and communities. Thematic analysis of semi-structured interviews revealed that programme participants perceived an increase in their social capital in all three of its dimensions (bonding, bridging and linking). The paper highlights the importance of social capital in building stronger, more resilient families and of strengthening relations between parents and schools, and contributes to the sharing of experience and views on matters concerning families in Germany.     

Context,Diversity and Engagement: Early Intervention with Australian Aboriginal Families in Urban and Remote Contexts

This article describes challenges met implementing an early intervention programme for Aboriginal parents and their children in the NT (Northern Territory) of Australia in the context of efforts to remediate Aboriginal disadvantage. The intervention is an adaptation of an 8‐ to 10‐week, manualised parenting programme designed for four‐ to six‐year‐old children with behavioural difficulties. It was implemented for both Aboriginal and non‐Aboriginal children in urban Darwin and for Aboriginal children in three communities of the Tiwi Islands, near Darwin. Measured outcomes of the programme were positive overall with different outcomes by gender and Indigenous status. There were marked differences in retention of families from different socio‐cultural backgrounds in the programme, with a significant loss of participants from referral through commencement to six‐month follow‐up. This drop‐out was most marked for urban Aboriginal participants, despite highly flexible strategies of engagement and cultural adaptation of the approach pursued in each setting. The research provides lessons for the contextualisation of preventive interventions in diverse community settings and shows that systematic attention to cultural ‘fit’ of the intervention logic and cultural competence in engagement of disadvantaged families with multiple problems are fundamental to sustainability.     

Development of the Stay Safe programme

The development and implementation of the Stay Safe programme is described in this paper. The programme, which was developed in the Republic of Ireland, is a culturally sensitive developmentally staged child abuse prevention. It is a multisystemic programme insofar as it includes modules for teachers, parents and children. It also involves liaison with local child protection and child health professionals as an integral part of implementation. Multimedia‐based instruction is employed to facilitate multimodal leaning. The broad curriculum covers bullying and child abuse as two related forms of victimization. Disclosure training, assertiveness training and coercion management training are included in the curriculum, which also focuses on enhancing self‐esteem and the promotion of peer support. Copyright © 2000 John Wiley & Sons, Ltd.     

Single Parent Widows:

This paper examines the stressors, appraisal of be- reavement, coping, resources, grieving responses and health of four types of single widow parents: widows raising dependent children; widows raising a handicapped child; independent older widows with children; and dependent, ill, older widows with a child. A review of literature on single parent widow families and data from the authors research on single parent widows served as a basis for this paper. Major gaps in knowledge include: limited research on single parent widow families including longitudinal and theory-based research; findings which are based on small samples of single parent widows who are often mixed with other single parent types; little research on single parent widows from Black, Hispanic and other ethnic groups; and few studies on resources used by widows. A secondary analysis of data from the authors research indicated characteristics of high- risk, vulnerable, and healthy single parent widow families. High-risk single parent widow families are characterized by: presence of mul- tiple stressors; intense grieving; appraisal of bereavement as a threat or harmful loss; use of less adaptive coping; limited use of resources;and poor health. Characteristics of vulnerable single parent widow families include: presence of stressors including an unresolved grieving process; negative appraisals of bereavement with hope for a more positive appraisal in the future; limited coping abilities; use of some resources such as helpful social supports; and less than op- timum health which can improve with intervention. Positive mean- ings of bereavement, use of adaptive ways of coping, a normal grieving process, use of many resources, and good health are charac- teristics which are prevalent in healthy single parent widow families. Themes in common to all four family types were: the grieving pro- cess; changes in roles and responsibilities; employment; loneliness; dating and remarriage; and caregiver stress. Directions for future research and implications for family professionals are discussed.     

Supporting families: Outcomes of placement in voluntary out-of-home care for children and young people with disabilities and their families

Parents caring for children and young people with disabilities typically have extensive additional demands on their time and resources. This added pressure can significantly impact well-being and mental health. In extreme circumstances, parents may seek an out-of-home placement for their child. Previous research has looked into factors that influence decisions for families to place their child into out-of-home care but little is known about outcomes for these young people and their families. The Supporting Families study aimed to explore the impact of a voluntary out-of-home placement on young people with disabilities, and consequences for their families. Fourteen parents/carers, twenty six case managers, six accommodation services' managers, and four young people with disabilities participated in face-to-face and telephone interviews and focus groups. Participants reported a range of outcomes for young people in care. Positive outcomes included increased levels of respect for themselves and others, an improvement in independent living skills, and reductions in challenging behaviours. Negative outcomes centred on their experiences of grief, loss and rejection, as well as behavioural problems. Positive and negative outcomes were also found for families. For many parents/carers there was a reduction in perceived stress and caring load, as well as improved mental health and wellbeing for them and the child's siblings. However, parents/carers often experienced ongoing feelings of guilt, grief and loss. The study adds to knowledge about outcomes of being in voluntary out-of-home care for this small but vulnerable group of young people in care and their families.     

Family Mediation: A Guide for Family Therapists

Family therapists often see separating parents who need to agree on co‐parenting arrangements. This article provides a guide to current research and practice in family mediation. The limited available research suggests mediation is a useful approach for some separated parents and their children, but often is not successful with highly conflicted parents, parents with mental health problems, parents struggling to accept the separation from their partner, or parents with unrealistic co‐parenting expectations. We analyse ways in which mediation might be enhanced, and discuss the potential roles of family therapists to support separating families to negotiate positive co‐parenting.     

Continuity,Engagement and Integration: Early Intervention in Remote Australian Aboriginal Communities

Over the last decade there has been at best limited implementation of preventive interventions for vulnerable Aboriginal and Torres Strait Islander children and their families in remote communities of northern Australia despite growing involvement in the child protection system. This paper describes challenges for services seeking to engage parents who are subject to child protection measures. Brief case studies from an early intervention program in a remote community illustrate that responsiveness and continuity of engagement of parents over time is a necessary basis for an integrated approach to meeting the needs of vulnerable children and families in very remote settings.     

From Strength to Strength: A Manual for Professionals Who Facilitate Diverse Parent Groups

Abstract

This paper describes and analyses the program of Child Welfare Services (CWS) in Norway, using primary sources, aggregated data from Statistics Norway (SSB) and data from a recent study of 715 parents in contact with CWS. These data show that Norway's program orientation is on support, prevention, and early intervention, policies relevant to the emerging Australian policy context. Many of these services were beneficial for the general welfare of the children's family with over three- quarters of the children registered as clients in the Norwegian CWS receiving only supportive services during 2008. On the contrary, Australian systems primarily aim to identify and protect children under (possible) risk of abuse or neglect. Also, the survey data shows that families in contact with CWS are different to the general population in important ways, including family structure/demographics, socioeconomic characteristics, and physical and mental health. The results demonstrated that most of the parents agreed to contact CWS, and many were satisfied with the help they received. The data demonstrate that the Norwegian CWS respond to the welfare needs of vulnerable and marginalised families. Possible implications the Norwegian system might have for the children and parents who are accessing services are discussed.     

Children Living With Uninsured Family Members: Differences by Family Structure

Despite increased access to insurance through the Patient Protection and Affordable Care Act of 2010, uninsurance rates are expected to remain relatively high. Having uninsured family members may expose children to financial hardships. Eligibility rules governing both private and public health insurance are based on outdated expectations about family structure. Using 2009–2011 data from the National Health Interview Survey (N = 65,038), the authors investigated family structure differences in family‐level insurance coverage of households with children. Children living with married biological parents were the least likely to have uninsured family members and most likely to have all family members covered by private insurance. Controlling for demographic characteristics and income, children in single‐mother families had the same risk of having an uninsured family member as children in married‐parent families. Children with cohabiting biological parents had higher rates of family uninsurance than children with married biological parents, even accounting for other characteristics.     

The PALS parenting support programme: lessons learned from the evaluation of processes and outcomes

Although there has recently been a rise in parenting support programmes within the UK, only a minority of these programmes have benefited from evaluation of either outcomes or processes. This paper describes the development of the PALS programme (Parents Altogether Lending Support), reporting both on its effectiveness in improving parents' interactions with their children and on the lessons that were learned about embedding such a programme within the local community. Over the 18‐month period of the programme, a total of 17 courses were run, with 75 parents and carers (primarily mothers) participating in the programme overall. Evaluation results indicated that participants enjoyed the course and found it beneficial, particularly in terms of altering their own actions in specific ways that were able to promote better behaviour on the part of their children. Participants also valued the opportunity to share their experiences with other parents. The key lesson identified in regard to the development of parenting programmes concerned the need for the community to feel a sense of ownership for the initiative. Copyright © 2002 John Wiley & Sons, Ltd.     

Parental Divorce and First-Year Students' Transition to University: The Need to Include Baseline Data and Gender

This research examines parental divorce and first-year students' transition to university. Incoming students (N = 2,724) to six diverse universities completed questionnaires in August, before university, and again in November and March. Initial baseline measures indicated that females of divorced parents reported more depressive symptoms than females of intact families, whereas males of divorced parents reported lower levels of perceived stress than those of intact families. These findings remained over the first year. Regarding adjustment to university, males with divorced parents reported the best academic adjustment, and females with divorced parents were most vulnerable regarding personal-emotional adjustment.     

Sexual Minority Adults: A National Survey on Depression,Religious Fundamentalism,Parent Relationship Quality & Acceptance

Sexual minority persons from religious families may experience low acceptance by parents, however, little is known about the relationship of religiosity and parent relationships on mental health into adulthood. This study sought to test a moderated mediation model predicting depression based on religious fundamentalism, parent acceptance, and parent‐child relationship quality. Sexual minority adult participants (n = 384) from across the U.S. completed a web‐based, anonymous survey. Results found a conditional indirect effect of religious fundamentalism on depression through parent acceptance with the parent‐child relationship quality moderating the relationship between parent acceptance and depression. This was significant up to age 52. Clinical implications and future research with sexual minority adults and their families are explored.     

Editorial: Speaking in Tongues—Diversity in Mixed Methods Research

Pre‐testing is a standard tool to increase appropriateness and to capture the audience, yet rarely is this technique employed for population surveys. This study aimed to examine parental views on the content and methodology of a population child health survey. Forty‐eight Australian families of children aged 0–12 years were interviewed about the content and proposed data collection methods of the draft Victorian Population Survey of Child Health and Wellbeing. Concerns with instructions and items of several commonly used child health measures were identified. Parents preferred face‐to‐face methods rather than telephone interviews due to survey legitimacy; however, 72% of parents indicated that they would participate in a telephone survey. This study provided new findings about respondent views on child health measures and the conditions under which CATI versus face‐to‐face methods for child health data collection methods would be acceptable.     

Prevention of child sexual abuse: implications of programme evaluation research

Thirty child abuse prevention programme evaluation studies were selected according to a set of methodological criteria following an extensive manual and computer literature search. Targets for intervention in 17 studies were children; in three parents; in four teachers; and in six studies multisystemic programmes were evaluated where some combination of children, parents and teachers was targeted for intervention. From a review of the 30 studies, it was concluded that child abuse prevention programmes can lead to significant gains in children's, parents' and teachers' safety knowledge and skills. Best practice guidelines arising from the review include the use of multisystemic programmes; child‐focused curricula which cover a wide range of safety skills and concepts; and the use of didactic instruction and discussion, video modelling and active behavioural skills training techniques in programme delivery. The curricula for parents' and teachers' programmes should cover child protection issues and local child protection procedures along with an overview of the children's programme lesson plans. Longer programmes conducted by trained staff are preferable and such staff may include teachers, parents, mental health professionals and law enforcement officers. Copyright © 2000 John Wiley & Sons, Ltd.     

Parenting groups for parents whose children are in care

Excluding very severe child abuse cases, biological parents are usually encouraged to maintain contact with their children in care. Parent‐child contact is often considered important because it can maintain the child's psychological identity and well‐being. It can also maintain parent‐child attachment and in some cases facilitate reunification. Improving parenting skills is viewed as an important method by which contact between children and their biological parents can be enhanced. However, mainstream parenting groups are often unsuitable for parents whose children are in care for a number of reasons. There is stigma involved with having children in care, such parents have very complex lives and there are reduced opportunities to practise skills learnt with their children. Groups designed specifically for parents whose children are in care appear to be a promising approach to improving the quality of contact between these parents and their children. This paper will review group‐based approaches to working with biological parents whose pre‐school‐aged children have been placed in care. The paper will also report the findings of a research project designed to identify key facilitators and barriers to parental involvement in a group‐based programme which includes contact between parents and their children who have been placed in care. Copyright © 2009 John Wiley & Sons, Ltd.     

Health Insurance,from a Child Language Broker's Perspective

In the midst of dramatic changes to American health care law there is need to understand the challenges that vulnerable populations encounter in obtaining and managing health insurance. Research has found that child language brokers, children who mediate language and culture for their immigrant families, assist with health‐related matters. We report on focus groups with 17 language brokers living in Central Los Angeles. In this article we detail their experiences language brokering for health insurance and their knowledge of health insurance and policies that apply to their immigrant families. We illuminate some barriers immigrant families face as well as how they navigate them. We conclude with policy implications, particularly in relation to making health insurance more accessible to non‐English speaking and immigrant populations.     

How Does the Gender of Parents Matter?

Claims that children need both a mother and father presume that women and men parent differently in ways crucial to development but generally rely on studies that conflate gender with other family structure variables. We analyze findings from studies with designs that mitigate these problems by comparing 2‐parent families with same or different sex coparents and single‐mother with single‐father families. Strengths typically associated with married mother‐father families appear to the same extent in families with 2 mothers and potentially in those with 2 fathers. Average differences favor women over men, but parenting skills are not dichotomous or exclusive. The gender of parents correlates in novel ways with parent‐child relationships but has minor significance for children's psychological adjustment and social success.