Examining the Causes of Stress in Families with Severely Mentally Handicapped Children

Summary Though it is recognized that the presence of a mentally handicappedchild may be a source of stress for a family, less is knownabout precisely which impairments are particularly stressful.This question was investigated in a study of 200 families withseverely mentally handicapped children living in two healthdistricts in South East England. Interviews were carried outwith the people responsible for the day-to-day care of the childrenand stress was measured by means of the Malaise Inventory. Theresults suggested that the highest levels of stress were associatedwith the presence of a child with behaviour disorders or withmultiple impairments; the stressfulness of these conditionswas exacerbated by adversity. A regression analysis showed thatthe factors causing most stress in carers were, in order ofimportance: behaviour problems in the child, night-time disturbance,social isolation, adversity in the family, multiplicity of impairments,difficulty in settling the child at night, problems with thechild's health, problems with the child's appearance, and moneyworries. The article ends with recommendations for the developmentof services aimed at reducing stress in families with mentallyhandicapped children.     

Life Skills Training with Mothers of Handicapped Children

This paper describes a life skills training intervention with 230 mothers of children with a variety of developmental disabilities. The study's design evaluated the effects of a skills-building method developed to improve coping and social support networks of mothers of handicapped children. In groups of 10-12, mothers of handicapped children participated in one of two intervention groups: a skills-building intervention or a comparison treatment intervention using traditional counseling methods. At posttest assessment participants in the skills-building sessions demonstrated improved coping and communication skills, greater satisfaction with social support networks, and a reduction in depression and stress levels.     

Children in Female-Headed Families

Census data on black and white children in female-headed and two-parent families in California are examined. Contextual analysis, extended through a recently developed application of regression analysis, is used to separate the group, or ecological, from the individual level effects of race. It is concluded that, for the most part, individual level effects account for female-headed families among whites but that the interaction between child's race and the racial composition of the county is responsible for the increasing difference between blacks and whites in the proportion of children in female-headed families as the proportion of black children increases.     

Conflict Styles and Outcomes in Families with Adolescent Children

The role of conflict in parent–adolescent relationships is a topic of considerable theoretical debate and empirical investigation; however, limited attention has been devoted to the strategies used by family members to deal with disagreements and their outcomes and how they differ from early to late adolescence. This study explored conflict styles and outcomes in a sample of 302 families with adolescent children (total N = 906), of two age groups (13‐year‐olds and 15‐year‐olds). One hundred sixty‐four adolescents (45.7%) are female. Participants completed the ‘when we disagree’ scales. Results from both adolescents and parents confirmed the intensification of conflict from early to middle adolescence, in terms of conflict style (higher aggression, lower compromise) and outcome (lower intimacy). Age trends differ according to gender; in particular, there is evidence of a more difficult position of older girls, and of the worsening of mother–adolescent relationship from early to middle adolescence.     

The Supply of Foster Families for Children in Care

Correspondence to John Miles, Institute of Social and Applied Psychology, The University, Canterbury, Kent CT2 7LZ. Summary The family circumstances of 2694 foster homes in England arecompared with representative families from the 1985 GeneralHousehold Survey. Foster families typically include a womanin the 31–55 age group, live in homes with three or morebedrooms, are two parent families with one parent working full-timeand the other not, and they have older children only. The incidenceof families with these characteristics is used to develop anestimator of the relative supply position of local authorityareas for foster care, from which a number of conclusions aredrawn. Over the last thirty years some social changes have improvedthe supply, others decreased it, and on balance the nationalsupply position is little changed. Ironically, supply is bestin those areas which have the lowest need for fostering services.Ways in which local authorities can improve their supply positionare considered. The supply estimator reveals that the averageboarding out payments made by authorities show clear signs ofresponsiveness to the local supply position for foster families.     

The Use of Single Session Collectivities with Families of Spina Bifida Children

Social workers who work with families of spina bifi- da children may find the single session collectivity a useful alterna- tive to conventional treatment when the provision of traditional social work groups is impractical. This article describes the charac- teristics of single session collectivities with this population, their uses, and the role and focus of the worker in such entities. The coop- eration of an interdisciplinary team is an in~portant component in the development of successful collectivities.     

A Group Intervention for Young Children in Addictive Families

It is estimated that six and a half million children under the age of eighteen live with an alcoholic parent. These children are at risk for emotional, behavioral and cognitive disorders. Despite the general acceptance that addiction is a family problem, the limited number of interventions from a children's perspective remains noteworthy. This article explores the value of a psychoeducation group for latency-age children from addictive families. It gives particular attention to the concepts that have proved valuable in working with these children in an outpatient setting and how these may counteract the risk factors of growing up in an alcoholic family.     

城市低保家庭儿童社会保护制度分析

社会保护是缓解儿童贫困最有效的政策工具。本文通过对我国城市低保家庭儿童的社会保护制度进行分析,发现有一些基本要素缺失,贫困儿童的社会保护有很多需要改善的地方。     

Reuniting Children with their Families: Reconsidering the Evidence on Timing, Contact and Outcomes

This paper discusses key issues emerging from a review of theliterature on reuniting children in public care with their families,examining the basis for common assumptions about reunification.It focuses on three important issues: the evidence on the timingof discharge, the evidence on parental contact and the viewthat reunion is necessarily a positive outcome for children.Reviewing the research on the links between time in care andthe probability of reunification, it argues that this researchevidence has sometimes been misinterpreted. This has also beenthe case in relation to studies of the links between contactand reunification. The paper then presents the limited evidenceon the outcomes of reunification, including evidence on re-entry,re-abuse and psychosocial outcomes, arguing that such evidenceas exists clearly indicates a need for caution when returningabused or neglected children to their families. It is arguedthat greater attention to assessment, planning and follow-upsupport is needed if children are to be successfully reunitedwith their families and that more research is needed into theoutcomes of reunification.     

Multiple Family Group Therapy for Families with Children Placed in Out-Of-Home Care in a Chinese Context

Since the 1980s, the family-centered approach has been widely adopted in the west (e.g., the United States) as an approach to serving children living in an out-of-home care context. In comparison, in Hong Kong, out-of-home care services tend to be child-centered and child-protection oriented. This article (1) examines the child welfare service, specifically out-of-home care services, in Hong Kong and (2) makes the case for integrating family-centered out-of-home care services for children. Three vignettes are presented that demonstrate the use of Multiple Family Group Therapy (MFGT) to promote family-centered practice. The article concludes with a discussion of challenges and recommendations related to a shift to family-centered practice.     

Everything for the Children: Orphans Growing Up in Informal Adoptive Families in China

Most orphaned children in China are cared for by their extended families or become state wards under the guardianship of child welfare institutions. Some exceptions are children who are found and cared for by families in the community, without a formalized adoption or foster relationship. In some locations, institutions now accept guardianship for these children and support the informal adoptive family to continue to care for them. This article examines the outcomes for these children as they became young adults by comparing these 12 children raised within the system as they approach or have approached young adulthood (now aged 16–40 years-old). Some of the participants were either informally adopted or lived in institutional care. The results of this study found that the family environment was more conducive to the young people’s wellbeing as they approached or entered adulthood. The participants raised in informal care appeared to be treated similar to the biological children in these families. When the institution formalized the state guardianship responsibility, it also meant the families had state resources for support to protect the children’s rights to economic security, education, health care, and social participation. This practice by the institution supported the addition of informal adoption, as one step closer to permanency than foster care. Future implications include considering this option to help promote the family system assisting these children, families, and the state.     

Social Work with Failure-to-Thrive Children and their Families: Part I: Psychosocial Factors

Summary The problem failure-to-thrive is described and a brief reviewof the main causal theories is provided. Part I of this studydetails an investigation of psychosocial factors associatedwith non-organic failure-to-thrive in 17 children (comparingthem with two contrast groups). There were significant differences between the groups (interalia) in the adverse temperamental attributes of the index children,problems in the mother's feeding of their children and otheraspects of their interactions and relationships. The mothersshowed no specific psychopathology but were socially disadvantagedin various ways. The implications of these findings—preventiveand therapeutic—are discussed.     

Children in Need and their Families: Outcomes of Referral to Social Services

Jane Gibbons. Social Work Development Unit. University of East Anglia. Norwich NR4 7TJ. Summary The Children Act provides a clear remit to local authoritiesfor the provision of services to children in need and theirfamilies. Increased service provision needs to be supportedby evaluation of effectiveness. The paper describes an attemptto develop instruments for this purpose. In a sample of 122families containing children under 14 who were referred to socialservices departments, indicators of family needs, services receivedand their outcomes were used to examine whether services werematched to needs; and whether they had any effect on familyproblems in the short term.