Families,Work, and an Aging Population

Abstract

This article examines the intersection of family caregiving, work, and long-term care. Supporting families who provide care in order to minimize negative work effects while enhancing the acceptability of care options is of common concern to employers, state and federal policymakers, and the homecare professionals in the community-based care system. The contribution of families to the long-term care system, how employer policies have developed, how the public policy agenda has addressed family caregiving, and the importance of a more effective partnership on the state level are discussed.     

Hours of Paid Work in Dual-Earner Couples: The United States in Cross-National Perspective

Abstract

In this paper we examine the hours of paid work of husbands and wives in 10 industrialized countries, using data from the Luxembourg Income Study. We present results on the average hours of paid work put in jointly by couples, on the proportion working very long weekly hours, and on gender equality in working time within families. The United States ranks at or near the top on most indicators of working time for couples, because of (1) a high proportion of dual-earner couples; (2) long average work weeks, especially among women; and (3) a high proportion of individuals who work very long hours. In terms of gender equality, the United States ranks above average in paid working time among dual-earner couples with no children but fares less well among working parents. Finally, we discuss policies and institutions that may help explain the distinctive United States results, namely the long hours and moderate levels of gender equality, including the regulation of maximum hours, the demand for part-time work, and the public provision of child care.     

Practices of Dual Earner Couples Successfully Balancing Work and Family

Researchers have long explored conflict and strain in dual-career couples. Recently, the focus has begun to shift toward documenting the adaptive strategies of dual-earner couples in balancing family and work. The current study investigates workplace practices perceived as supportive in balancing work and family. Respondents were middle-class, dual-earner couples (N=47) who described themselves as successful in balancing family and work. These supportive practices include: flexible work scheduling, non-traditional work hours, professional/job autonomy, working from home, supportive supervisors, supportive colleagues and supervisees, and the ability to set firm boundaries around work. Additionally, many participants describe their efforts to actively secure employment at workplaces that offered family–friendly alternatives, and describe the tradeoffs they are willing to make.     

Men's Self-Perceived Adequacy as the Family Breadwinner: Implications for Their Psychological, Marital, and Work-Family Weil-Being

Researchers note a link between men's changing role as the family breadwinner and declines in their personal and marital well-being. To explore this link more fully, two aspects of the breadwinner role, earner status (single- [n = 50], main-[n = 46], dual-earner [n = 43]) and self-perceived adequacy as the family breadwinner, were examined. Using analysis of variance, 139 family men are compared in terms of measures of psychological, marital, and work-family well-being. Self-perceived inadequate breadwinners (n = 51) report more depression and marital conflict than adequate breadwinners (n = 88). Men in single-earner families report less work-family stress than either main- or dual-earner men. If they perceive themselves as inadequate breadwinners, time conflicts between work and family responsibilities are a concern for men in main-earner families. If they view themselves as adequate breadwinners, dual-earner men report a greater sense of work-family role overload than if they view themselves as inadequate breadwinners.     

Work–Family Conflict and Couple Relationship Quality: A Meta-analytic Study

This study examined the association between work–family conflict and couple relationship quality. We conducted a meta-analytic review of 49 samples from 33 papers published between 1986 and 2014. The results indicated that there was a significant negative relationship between work–family conflict and couple relationship quality (r = ?.19, k = 49). Several moderators were included in this analysis: gender, region, parental status, dual-earner status, and the measures used for work–family conflict and marital quality variables. The strength of the relationship varied based on the region of the sample—samples from Europe and Asia had a significantly weaker relationship between work–family conflict and relationship quality than those from North America. In addition, the relationship was significantly weaker in samples of dual-earner couples and when non-standardized scales were used. Implications of the results and directions for future research are suggested.     

Family problem solving: A case study

Abstract

Working with the families of young offenders may often be the best method of helping those young offenders to change. Sometimes, however, social workers and others who work with young offenders are reluctant to work with family groups because they may feel that they lack skills in family counselling. This article presents a case study which illustrates a family counselling intervention. The case study uses Family Problem Solving, a method which involves the adaptation of mainstream social work skills to work with families. It is anticipated that the article might be of interest to social workers who work with families but who feel apprehensive about counselling family groups.     

Gender,work-family conflicts,and perceived parental success: The moderating role of gender ideology

ABSTRACT

We know little about how perceptions of conflict between work and family shape the subjective views of dual-earner parents. Given time constraints and the prevalence of gendered parenting norms, gender ideologies and work-family conflicts may help explain perceived parental success. Using data from the 2002 National Study of the Changing Workforce, I explore whether gender ideology moderates how conflicts between work and family relate to perceived parental success. Among dual-earner mothers, work-to-family conflict was negatively related to perceived parental success. For dual-earner fathers, work-to-family conflict was positively associated with perceived parental success among more traditional fathers, while the opposite was the case for more egalitarian fathers. Family-to-work conflict was only negatively related to the perceived parental success of more traditional fathers. These findings suggest that gender ideologies are more central in explaining how work-family conflicts relate to fathers’ perceived parental success compared to that of mothers.     

Wraparound Services: An Effective Intervention for Families Impacted by Severe Mental Illness

ABSTRACT

Children and families impacted by severe mental illness (SMI) have multiple strains that effect family functioning, child safety, and parental rights. Traditional services for children and families struggling with severe mental illness have not achieved success in improving family functioning and keeping families intact. Wraparound is a philosophy and a system of care with a promising evidence base that could enhance collaboration of child welfare, mental health, and community services to work more effectively with families impacted by SMI.     

Collaborative Family Work in Youth Justice

ABSTRACT

A number of studies have found that working with family groups can be successful in improving outcomes for young people and their families. This article reports on a study in New South Wales in which juvenile justice staff offered collaborative family work interventions to young people as part of the routine offerings of a juvenile justice service. The primary objective of this study was to examine the extent to which young people who completed the family work had lower recidivism rates compared to three control groups. The methods included a comparison of recidivism rates between young people who completed the intervention, those who failed to complete, those who declined, and a matched sample of young people who were not offered the intervention. The results of the study indicated that many young people and their families were agreeable to be involved in the intervention and the completion rates were high, particularly if the work was undertaken in the family home. The young people who completed the intervention also had lower recidivism rates than young people in each of the control groups.

IMPLICATIONS

• Collaborative family work can be offered successfully by juvenile justice services to young offenders and their families.

• Collaborative family work can reduce recidivism rates for those who complete the intervention.

• It is preferable to conduct the work in the family home where completion rates are likely to be higher.

     

The Family Experience of the Crisis of Involuntary Treatment in Mental Health

While policy and practice standards emphasise the importance of engaging and supporting families of people with mental health problems, many families have reported feeling unsupported and distanced from treatment and care planning in acute inpatient units. There has been little systematic interest in the changing role and experiences of families throughout the emergence of illness, crisis, seeking of treatment, and subsequent recovery. Nineteen in-depth interviews were conducted with the next of kin of 17 people who had been admitted under an Involuntary Treatment Order in a large metropolitan hospital in the Brisbane region. A general inductive approach was used to analyse the data. While hospital admission was described as a time where, ideally, families were able to let go of being responsible for their relative's behaviour and let the health care professionals take over, for many this did not occur. We suggest four critical elements for providing recovery-oriented support to families. These include: (a) ensuring that families feel that their relative is safe and receiving the care needed; (b) keeping the family informed about their relative's progress; (c) ensuring families have access to information about the mental health system, and (d) working in partnership with the families.

IMPLICATIONS

• Family wellbeing is improved when they feel part of a supportive team.

• Instituting an open policy where families can contact ward staff easily and access information about the person they care for may alleviate families’ anxieties and minimise stress.

• Family work is enhanced when health professionals acknowledge families’ relationships, expertise, and understanding of their family member.

     

Predictors of Family Support and Well-Being Among Black and Latina/o Sexual Minorities

ABSTRACT

Sexual minorities are receiving an increasing amount of attention within sociological research on families. However, much of the existing work on these families has been limited to largely White, middle-class, and highly educated individuals. Using national data from the Social Justice Sexuality Project, this study fills a much-needed gap by exploring predictors of family support and the relationship between family support and well-being among Black and Latina/o sexual minorities. We find that sexual identity, how out one is to one's family, and relationship status predict levels of family support. In addition, we find that among Black and Latina/o individuals, family support is an important factor influencing health and well-being. Other social statuses such as gender identity, sexual identity, and relationship status are associated with happiness and self-rated health as well. Our work suggests that sexual minorities of color have unique family dynamics that should be studied from an intersectional perspective. Further investigation into the family dynamics of sexual minorities of color should pay particular attention to individuals' positionality within systems of gender, racial, and sexual identity disadvantage to help understand their health and well-being.     

Kin Keeper

Abstract

Cancer mortality issues for African-American women are undeniably real. It is also apparent that to address the issue of this unequal burden, different intervention approaches are necessary. Employing a family systems approach for African-American women and their families holds benefits for both cancer prevention and cancer treatment. The Kin Keeper Modelis based on the premise that the natural ways African-American women communicate various health messages to females in their family can be used to influence their cancer prevention and screening behaviors. This paper reports empirical research that demonstrates significant familial influence on African-American women's cancer prevention screening behaviors. Findings indicated that family influence provides insight into the intersection of family altruism with cultural familial decision-making. In addition, the findings underscore the strong influence family has on African-American women's propensity to     

Examining Outpatient Health Care Utilization Among Adults with Severe or Profound Intellectual Disabilities Living in an Urban Setting

Abstract

The present study examined the health status and outpatient health care utilization among 52 adults with severe or profound intellectual disabilities (IDs) living with their families or in group homes in New York City. Bivariate and regression analyses among demographic variables, medical conditions, health care utilization, and type of living situation were conducted. Findings indicate that demographic factors andhealth statuses were similar regardless of living situation, except for ageand the presence of Down Syndrome, that is, younger people and people with Down Syndrome were more likely to live with family than in group homes. The results indicated that regardless of where they lived, individuals had high rates (70%) of overweight/obesity. The mean number of internal medicine, specialty medicine, nursing, and total clinic visits were significantly higher for those living in group homes compared to those living with their families. The findings and their implications are discussed with respect to social work policy and practice.     

Spillover and Crossover of Work-to-Family Conflict and the Health Behaviors of Dual-Earner Parents with Young Children

Scholars have identified an association between one's own work-family conflict and health. Yet the study of work-family intersections implicitly calls into question the roles played by multiple members in the family system. A contagion model is used to examine health behaviors and work-to-family conflict among dual-earner parents of young children—for whom role obligations are high and competing. Controlling for workplace characteristics, perceptions of both spouses' work-to-family conflict are considered. For mothers, their own work-to-family conflict was significantly and negatively associated with health behaviors until the perception of their spouse's work-to-family conflict was considered. For fathers, their own job pressure was negatively associated with health behaviors. Thus, it appears wives may be responding to what they perceive as the interference of husbands' work lives by reducing their own personal health behaviors, such as sleeping and taking time to relax, but fathers are not responding in kind.     

Interference Between Work and Family:

This study examined differences by gender and job type in levels of role overload, interference from work to family, interference from family to work, and perceived stress for parents with pre-school children. The results indicate that mothers of pre-schoolers experience more problems balancing work and famiiy demands than fathers, regardless of whether they are in career or earner positions. The dual-career situation is less problematic than the dual-earner situation. Career parents appear to have more control over both work and family domains. Such an increase in control facilitates the ability to balance work and family. The results of this study suggest that employers who are interested in helping their employees balance work and family demands should investigate different mechanisms by which they can increase employees' control over the work and family interface. Interventions such as on-site day care, time management courses, flexible work arrangements, sick-child care, and parenting courses all offer promise in this regard.     

Hardiness of Foster Families and the Intent to Continue to Foster

ABSTRACT

Recent research in the area of foster care has examined a number of external factors that may influence foster family retention. However, insufficient research has been devoted to the question of foster family hardiness, or internal strengths of foster families, and how it may affect retention. Hardiness in families means that families possess a belief that they can control or influence events of their experience, feel deep commitment, and anticipate change as a positive challenge. Additionally, hardy families exhibit a confidence in their abilities. Utilizing the Family Hardiness Index, this research reports findings from a study of 82 foster families from one southeastern United States metropolitan area. Foster families who reported an intent to continue to foster scored higher on the Family Hardiness Index than families from a non-clinical sample. Foster families who reported an intent to continue also scored higher than those foster families who reported they did not intend to continue. Logistic regression indicated that higher levels of hardiness and fewer years of licensure as foster parents were significantly associated with intent to continue to foster. The study also discusses implications of hardiness screening of prospective foster families and its potential value for improving support to and retention of foster parents, thus increasing stability and service efficacy for the children they serve.     

Correlated factors with filial piety expectations of older Koreans and Korean-Americans

ABSTRACT

Changing filial piety expectations have been examined from the viewpoint of younger generations. However, research on older adults’ perspective of this cultural phenomenon is virtually absent from the empirical literature. In an effort to address the changing family life circumstances of Korean and Korean-American families, this study explores older adults’ filial expectations from their own children and correlated factors associated with the expectation. The cross-sectional survey study with 449 older adults found that the majority of respondents still believe that adult children should assume responsibility for the care of their parents. Several factors such as age, education, income, living arrangements, self-rated health, year of immigration, and social support were significantly correlated with filial expectations among older Korean-Americans. Only satisfaction with social support received from family and friends was significantly related to older Koreans’ expectations. Implications for social work practice are discussed and further research directions are suggested.     

Families and Mental Illness: Contested Perspectives and Implications for Practice and Policy

Abstract

Mental health research, policy, and service provision over the last 50 years have constructed families and their connections with mental illness in various and contradictory ways. Three distinct but intersecting perspectives derive from the clinical mental illness literature, the family advocacy movement, and mental health policy. Within the clinical literature, the perspective of families is largely one of blame and pathology. By contrast, the family advocacy movement has generated the perspective of the burdened family, whereas mental health policy has created the perspective of the obligated caregiver. The result is an ambiguous understanding of the role of the family in both contributing and responding to mental illness. Implications for policy and practice include the need for a commitment to the principles of partnership with families, a recognition of diversity within families, recognising the difference between carer and family positions, and a need for policy to reflect the position of family as both intimately concerned, but not necessarily responsible, for patient care.     

Foster fathers performing gender: the negotiation and reproduction of parenting roles in families who foster

ABSTRACT

Foster care research and social work practice tend to focus on how women look after children living in foster care. This focus has limited our understanding of what it is that men do within foster caring families and they are automatically assigned secondary or breadwinning roles. Families who foster involve some form of renegotiation of roles to care for children they foster. While foster caring arrangements are internationally diverse, foster carers often work with social workers. It would therefore seem important for social workers to understand how foster carers negotiate their parenting roles. This paper reports findings from seven main caring foster-fathers who took part in a wider study involving twentythree foster-fathers. The evidence provided by these foster-fathers demonstrate they are highly motivated to care for children and, alongside delivering traditional parenting roles, they negotiate new, non-traditional parenting roles as foster-fathers. These new roles, taken on by foster-fathers, often challenge stereotyped masculinity while they also concurrently enact parenting norms. This study applied Judith Butler’s work on performing gender to foster caring families to theorise on the process whereby foster-fathers negotiate diverse masculinities and continue to reproduce gendered relations in foster caring families.     

‘A great job and a family’: work narratives and the work and family interaction

This article investigated how work narratives of dual-earner families are materially and symbolically configured in discourses of reconciliation of work and home life. Following critical studies of the work–family interaction, this research takes into consideration symbolic and social structures and tries to look into the interrelation of factors such as job resources, job satisfaction, levels of autonomy with the self-esteem and sense of ‘self’ which parents derive from their paid work. Hochschild's concept of ‘emotional culture’ is used to explore how parents' experience of work is intertwined to their occupational groups and how it is associated with different narratives of work–family interaction. This study is conducted through qualitative methods, using in-depth semi-structured interviews on a sample of 27 dual-earner families. The data collected are composed of in-depth accounts that are then examined through the method of narrative analysis. The data indicate that, for divergent occupational levels, work generates different material and symbolic resources, which account for divergent narratives of work and home. The sociological analysis of occupational levels with the associated emotional culture of work and family then provides an exploratory model for understanding the links between social class and work–family interaction.