Creating ‘stability’ for children in step‐families: time and substance in parenting

Children are said to be in need of stability for a ‘successful’ upbringing. This article focuses on the implications of this for parenting and childrearing practices in step‐families. It addresses the ways that conceptions of stability for children in family policy are tied to a particular family form and to maintaining continuity in biological parenting obligations, while parenting research has largely been concerned with measuring the consequences of changing family forms for children. In contrast, parents and step‐parents in step‐families themselves have far more complex understandings about the creation of stability for children in their care, around issues of dis/continuity in linear time and the social and material substantive constitution of stability. Copyright © 2002 John Wiley & Sons, Ltd.     

The Parent Concerns Questionnaire: evaluation of a mothers' self report instrument for the identification of problems and needs in child and family social work

The measurement of problems and needs is a major issue for policy and practice in social work and social service provision. There has, furthermore, in recent years, been an increasing emphasis on gaining an understanding of users or clients' views of needs and service provision. However, there have been few attempts to develop practitioner and ‘client friendly’ ways of gaining information on problems and needs, either on an individual basis, or through the collection of aggregated data which can be used by local authorities as a whole. Where these have taken place there has been little attempt to assess their reliability or validity. This paper reports on the design and development of the Parent Concerns Questionnaire, an instrument designed to obtain the views of mothers in general, and depressed mothers in particular, in families subject to child and family care intervention. The paper reports on the reliability and validity of this instrument, which is presented as appropriate for use, both with families containing depressed mothers and other families subject to child and family care intervention. It may be used to examine problems and needs both on an individual family‐by‐family basis, and through the aggregation of data, on an authority‐wide basis. Copyright © 2000 John Wiley & Sons, Ltd.     

The electronic eye: emerging surveillant practices in social work with children and families

Given the rise of a ‘surveillance society’ or ‘surveillance state’, this article examines the evolution of new surveillant practices which are targeted at children in general, but also particular groups of children who are frequently seen as ‘troublesome’, even threats to the social order. In England for example, there has been an emerging preoccupation with ‘identifying’, ‘profiling’, and ‘tracking’ the potentially criminal young. Furthermore, other major changes are likely to be introduced in the area of child welfare and child protection. Important here is the New Labour administration’s plan to introduce ‘information hubs’ which will electronically log details on children and families. It is argued that social work and the social professions, throughout Europe, need to critically analyse developments such as this and have their responses informed by international discourses founded on civil and human rights.     

Work-based learning in social work education: the challenges and opportunities for the identities of work-based learners on university-based programs

This article explores the experiences of work-based learners undertaking social work degrees in the UK. The article is based on research of work-based learners on undergraduate social work degrees based in two universities, a local face-to-face university and a national distance learning university. Based on narrative inquiry methods for data collection, the article presents two case studies from the wider study which provide narratives of ‘becoming’ and ‘being’ a student. Drawing on identity theory, the article analyses how identity is an important concept in understanding the challenges and opportunities for this group of students on their journeys into and through higher education. The paper concludes by considering the implications for current provision of social work education.     

The knowledge,skills and qualities needed for social work in a major paediatric teaching hospital

Abstract

The place of aged care in social work has long been ambiguous, if not marginal. Social work (as do other comparable professions) often displays a reluctance to place practice in this field within the core of the profession that embodies aspects of ageism in contemporary society. Working with older people is frequently characterised as ‘mundane’, ‘routine’ and even ‘not “real” social work’. This paper examines the practice implications of the current policy context. Forms of ‘indirect’ practice are identified as central to social work in aged care, and the implications of this for the standing of aged care social work in the wider profession are discussed. It is argued that ‘indirect’ practices are core to the development of the profession and so should be seen as ‘real’ social work. In conclusion, it is suggested that unless social work affirms practice with older people and their families we will fail to be congruent with our own values.     

Translating case management in a service for older people in Berlin

Case management is a coordinating process designed to align service provision more closely to the identified needs of people requiring assistance in the context of complex care systems. It is an approach that has crossed the borders of different national welfare systems where it has been adopted to address ostensibly similar problems. This empirically based but primarily methodological article draws on the author's doctoral research during which he spent an extended period in Berlin investigating a citywide case management service for older people in the context of German long-term care policy and legislation. It explores the extent to which a specific case study can illuminate how case management adapts in differing national welfare systems and highlights the particular methodological challenges of ‘translation’ and ‘equivalence’ in cross-national research. The article outlines how institutional context both shaped and constrained the Berlin case management service and highlights the necessity in cross-country research for a critical contextual examination of apparently similar features. This is particularly relevant where English words and expressions are directly absorbed into the local language, an important yet rarely addressed complicating factor.     

For adults only?:Confronting the implications of AIDS for children and young people

SUMMARY. Over the past year, Acquired Immune Deficiency Syndrome (AIDS) has gripped the public imagination and challenged both individuals and the ‘caring’ professions in terms of prevention and treatment. This article addresses some specific issues relating to children and our need to perceive AIDS as a legitimate concern for child health, education and social services in partnership with the voluntary sector and individual families. The author looks at caring for children with AIDS, the implications for those agencies and families and the need for accurate and honest health education for children     

Policy recommendations for rare disease centres of expertise

AimRare diseases are a serious public health concern and are a priority in the EU. This study aims to develop policy recommendations for rare disease centres of expertise (CoEs) in order to improve standards and quality of care.Subject and methodsA modified 3-round Delphi technique was used. Participants included rare diseases patients, carers, patient representatives and healthcare professionals (HCPs) from CoEs in two countries—Denmark and the UK.ResultsThe results suggest the need to make improvements within current CoE environments, access to CoEs and the need for coordination and cooperation of services within and outside CoEs. It is recommended that CoEs are not overly ‘medicalised’, while at the same time they should be established as research facilities. The importance of including patient representatives in CoE performance management was also highlighted. Raising awareness and provision of appropriate training amongst non-specialist HCPs is seen as a priority for early and correct diagnosis and ensuring high quality care. Similarly, provision of targeted information about patients’ illness and care was considered essential along with access to social assistance within CoEs.ConclusionsPolicy recommendations were developed in areas previously recognised as having gaps. Their implementation is expected to strengthen and improve current care provision for rare disease patients. In member states where national plans and strategies are being developed, it is recommended to replicate the methodological approach used in this study as it has proven to be a helpful tool in rare disease centres of expertise policy development.     

The successes and challenges of implementing individualised funding and supports for disabled people: an Irish perspective

‘Individualised funding’, which is rooted in the Independent Living Movement, has formed part of a global paradigm shift in support services for disabled people. Against the backdrop of international experience, a political system aligned with the United Kingdom and emergent critics of individualised funding, this article presents findings from an evaluation of four pilot programmes in Ireland. Exemplified by independent-skills development and community integration, these initiatives have been welcomed as a progressive development beyond traditional service provision, with perceived improvements across a range of organisational, personal, health and social care domains. The article explores the importance of ‘natural supports’ and how overly protective behaviour may unintentionally act as a barrier to full implementation. The findings also indicate that unnecessarily complex systems can lead to individual burn-out. Furthermore, a national resource allocation system working in partnership with existing social care professionals and the wider community is recommended, as is learning from overly simplified, group-based ideologies.     

Why more ‘quality time’ is not on the top of children's lists: the ‘qualities of time’ for children1

For many years the everyday reality of working parents and their children has been captured in notions of ‘quality time’ versus ‘quantity time’. On the one hand it is suggested that what families need is ‘more time’ for parents to spend together with their children and less time working. On the other hand this has been countered with arguments saying that attention has to be paid to how parents spend their time together with their children. As a result quality time is often presented through idealised images of ‘happy families’. Quality time is seen as parents engaging with their children in particular activities or outdoor excursions that create and maintain family enjoyment, care and togetherness. However, such debates are based on assumptions of what would be ‘good’ for today's children and neglect the perspective of children themselves. This paper draws on field research carried out with 10–11‐year‐old children on their understandings and use of time in an urban and a rural setting in the north of England. The paper points to five ‘qualities of time’ identified by children. These qualities suggest that children's views of time spent with their families cannot be seen as separate from the time they spend with friends, at school and on their own. The paper argues that the quality/quantity time conundrum needs replacing by fuller and more representative accounts of the varied aspects of time that matter for children. These need to be situated in the processes through which family, school and work life take place on a daily basis and in relation to children's life course. Copyright © 2002 John Wiley & Sons, Ltd.     

A cross-national and comparative classification of in-country awareness and policy responses to ‘young carers’

The reality for many families where there is chronic illness, mental health problems, disability, alcohol or substance misuse is that children under the age of 18 are involved in caring. Many of these children – known as ‘young carers’ – will be providing regular and significant care, either episodically or over many years, often ‘hidden’ to health, social care and other welfare professionals and services. These children have most often been invisible in social policy and professional practice. What are the reasons why some countries recognize young carers as a priority for social policy while others (most) do not? What are the key factors that influence a country’s awareness and responses to these children? This article provides an original classification and analysis of country-level responses to young carers, drawing on published research, grey literature, policy documents and the authors’ extensive engagement in policy and practice networks for young carers and their families in a wide range of countries. The analysis identifies two of the key factors that influence the extent and nature of these policy responses, focusing on the importance of a reliable in-country research base and the contribution of influential national NGOs and their networks.     

‘More like a daughter than an employee’: the kinning process between migrant care workers,elderly care receivers and their extended families

ABSTRACT

This paper explores the intersections of formal and informal care in the relationships that develop between elderly care receivers and their families and migrant domestic care workers and their families. The domestic migrant care literature has tended to focus on two main ‘hidden costs’ of this ‘care-chain’: the ‘care exploitation’ of paid carers by their employers and the ‘care drain’ impact on the family members left behind by the migrant. In this paper, we employ a care circulation framework to examine the process of becoming kin-like – or ‘kinning’, which remains relatively under-explored and warrants further research. An analysis of this process of kinning helps to highlight how the domestic space of care receiver homes are transformed – through the negotiation of relationships with migrant care workers – into transnational social fields that bring the diaspora worlds of the migrants into the everyday worlds of the locals.     

From pathology to postmodernism: a debate on ‘race’ and mental health

This article suggests that ‘race’ and psychiatry are inextricably linked and as such ‘mental illness’ constitutes a precondition of black people's psyche. Postmodernist and poststructuralist analysis are used to question the way in which mental health problems have been socially constructed in western psychiatry. In order for health and social care workers to effectively respond to racism within psychiatry and community care provision it is necessary for them to understand the relationship that exists between and informs ‘race’ and psychiatry.     

HOW MULTIPROBLEM FAMILIES TRY TO FIND SUPPORT IN SOCIAL SERVICES

This article aims to contribute to a better understanding of the relationship between multiproblem families and social agencies, and in particular of how families try to find support in larger systems. Usually, multiproblem families are also multi‐assisted, since the several problems they live with attract intervention from a wide range of social protection services. This research used a qualitative approach; data were collected from 56 multiproblem households, using a semi‐structured interview. Findings suggest seven categories of families: ‘outsider’ families (who reject the existence of problems, so never try to find support); ‘resigned’ families (who give up looking for formal support after a first refusal, and continue coping on their own); ‘persistent’ families (who insist in getting support from several social agencies); ‘over‐needy’ families (any minimal difficulty justifies the search for formal support); ‘balanced’ families (who apply for formal support only when they experience difficulties in dealing with problems); ‘imprudent’ families (these ask social agencies for support only when problems reach an unsustainable level); and ‘ignored’ families (who do not try to get support, and no formal help reaches them).     

‘If I was a different ethnicity,would she treat me the same?’: Latino parents’ experiences obtaining autism services

This article reports on an ethnographic study with 12 Latino families of children on the autism spectrum related to obtaining autism services in Los Angeles County. Using critical discourse analysis of interviews, observations, and records, we consider the experiences of the Latino families in relation to: a discursively constructed ‘autism parent’ subject position that mandates ‘fighting’ service systems to ‘win’ autism services for children, originating from White middle-class parents’ socioeconomic resources and social capital; a neoliberal social services climate that assumes scarcity of available resources and prioritizes austerity in their authorization; and a media and institutional ‘cultural deficit’ discourse that attributes disparities in autism services for Latino children to their parents’ presumed culturally-based ‘passivity.’ We argue that parental discourse about fighting, or not fighting, for autism services is engendered by a tension between a parental logic of care, and the logic of competition of the economic market.     

Discursive Arenas: Deliberation and the Constitution of Identity in Public Participation at a Local Level

This article is based on empirical research into public participation in two English cities. It discusses issues related to motivations to take part in public participation initiatives and the way in which individual and collective identities may be constructed through participation. Drawing on social movement theory it emphasises the importance both of networks and values in prompting participation and it illustrates this with examples drawn from participation initiatives based around identities: age, gender, ethnicity, and issues/interests such as health inequalities, community regeneration and social care service provision. The analysis suggests it is important to understand the histories and motivations of officials as well as citizens who take part, and questions the priority given to ‘representation’ in constituting the membership of participation forums.     

Reformulating tradition and modernity: Moroccan migrant women and the transnational division of ritual space

In this article I analyse the rituals that transnational migrants who live and work in Europe (mainly Italy) perform in Morocco during their return there for summer holidays. The transnational dimension of rituals and ceremonies reveals the diverse ways in which Moroccan families gain social recognition across transnational space. I explore how migrants construct and display their identities contextually and in opposition to multiple Others. By performing the traditional rituals associated with important turning points in their lives in Morocco, migrants seek to reintegrate themselves and maintain their membership of their community of origin. At the same time, however, these performances bring to the surface a hidden agenda: the assertion and exhibition of migrants’ differences with respect to those who have stayed behind. These rituals, which provide a perspective through which to analyse the intersection of global and local interconnections, also reveal complex and shifting interpretations of ‘tradition’ and ‘modernity’, and the practices in which these are embedded. I conclude by suggesting that, in this process, migrants develop a creative interplay with ‘traditional practices’ by subverting, reformulating and giving new creative shape to their meaning and content.     

Care,empowerment and self-determination in the practice of peer support

The concept of ‘care’ has been fraught with negative connotations within the disability movement; the concepts of empowerment, choice and control have been developed as alternatives. The peer-support movement in the mental health sector draws from this tradition, and is uncomfortable with the provision of care. Drawing on the feminist ethic of care, we will argue in this paper that ‘care’ – in the sense of caring about, rather than caring for – should be seen as fundamental within peer support. The practice of peer support evidences a kind of ‘care’ that does involve some interdependence, and taking of ‘responsibility’. The challenge is to make this a ‘responsibility towards’, rather than a ‘responsibility for’. If this is successfully achieved, care can indeed become acknowledged as part of ‘standard peer support’, and the basis for the development of autonomy and self-determination.     

Health care,social care or both? A qualitative explorative study of different focuses in long-term care of older people in France,Portugal and Sweden

Challenges with an ageing population are increasingly becoming a reality in the Western world. Since cognitive impairment increases with age, we can expect an increasing number of older people in need of care. The aim of this article is to describe, analyse and compare different focuses on care of older people with dementia, using examples from France, Portugal and Sweden. The questions are principally focused on the participants’ view about their tasks, the organisation of work, the professional role and cooperation with other professions. Everyday care was studied through observations and participant observations and the staff's opinion was explored by means of interviews. Twenty-two care settings for older people were included. The findings showed that France provided mainly ‘health care’, Sweden ‘social care’ and Portugal an integrated ‘health care and social care’. In a comparative perspective the Portuguese general care of older people, which focuses on integration of health care, social care and social work, also seems to provide care for older people suffering from dementia which best corresponds to the previously developed group living model.