The United States should recognize and support caregiving youth

In the United States, more than 5.4 million children and adolescents under age 18 provide care for family members who are aging or have chronic illness, disability, or other health conditions that require assistance. In this policy report, we describe youth’s care for the family, and highlight the increasing prevalence, global challenges, and uneven successes of measurement and categorization. We briefly summarize research on how caregiving affects youth’s academic, social, and emotional well-being. Next, we present novel, emerging evidence from the public school-based 2019 Youth Risk Behavior Survey for the State of Florida, which suggests that as many as 24% of middle school students and 16% of high school students provide at least some care to the family on a regular basis. Drawing on this evidence, we discuss targeted social programs which have been shown to promote the well-being of caregiving youth outside of the United States, as well as a 13-year-old school-based intervention in The School District of Palm Beach County, Florida. We conclude with specific recommendations for a path toward recognizing and supporting caregiving youth via policy and practice in the United States. Our aim is to increase the awareness and feasibility of identifying and supporting caregiving youth and their families via government-organized data collection and targeted social policies.     

Getting affairs in order: influences of social support and religious coping on end-of-life planning among open-heart surgery patients

Despite growing interest in end-of-life issues, little research has been done concerning end-of-life plans made by patients with cardiovascular disease (CVD), a disease that constitutes the highest mortality in the United States. Even less information is available on patients who undergo major cardiac surgery, a life-altering procedure with some risk of death, in terms of their engagement in end-of-life planning (EOLP). This prospective study enabled the contributors to explore EOLP among 309 middle-aged and older open-heart surgery patients, using survey data from three sequential interviews. A hierarchical logistic regression model shows that older age, higher education, greater social support, and negative religious coping were positively related to the likelihood of engaging in EOLP. Minority race was inversely related to EOLP. Findings suggest the potential role for social workers in helping cardiac patients to access social spiritual resources, and to consider engagement in EOLP.     

Social work and the shadow father: lessons for engaging fathers in Northern Ireland

The legislative framework of social work practice has consistently highlighted the need to work in partnership with parents, with far‐reaching implications for families. However, the importance of engaging fathers in social work practice is an issue that has received limited attention within academic debate and research. A research study undertaken across six family centres, investigated paternal involvement in family centre social work in Northern Ireland. The study involved 46 semi‐structured interviews with social workers, fathers and mothers. This paper presents the views of 22 social workers on the barriers to paternal involvement in family centre interventions. A range of factors were identified which served to inhibit or promote engagement of fathers. There were substantially more deterrents than promoters, a clear indicator of the problematic nature of paternal involvement. The findings highlight that both attitudes and practices of social workers influence the engagement of fathers. Recommendations drawn from the findings are presented for the development of father – inclusive social work practices and research.     

Examining individual‐level academic risk and protective factors for foster youth: School engagement,behaviors, self‐esteem,and social skills

Students' school engagement is widely regarded as critical for positive school adjustment and overall academic success. Foster youth persistently face poorer educational outcomes than peers and demonstrate lower levels of school engagement and higher levels of academically threatening behaviors. The goals of the present study were (a) to explore relationships amongst various child‐level correlates of school engagement and problem behaviors—namely, self‐esteem and social skills—and (b) to respectively investigate the protective potential of self‐esteem and social skills in the association between school engagement and behavior problems that threaten educational trajectories. Results indicate significant associations between school engagement and problem behaviors, as well as between self‐esteem, social skills, and school engagement. Further, self‐esteem mediated the association between school engagement and both youth‐ and foster parent‐reported externalizing behavior, and social skills mediated the association between school engagement and both youth‐ and foster parent‐reported externalizing behavior. Implications for future practice, research, and policy are discussed.     

“If they misbehaved,we took a stick to discipline them”: Refugee mothers' struggles raising children in the United States

Although there are compelling examples of stress put upon refugee families, there is little systematic attention placed upon how the refugee women themselves view child‐rearing. In this exploratory research, refugee women's narratives concerning their understanding and perceptions of child‐rearing in the United States are studied. Seventeen refugee women raising children living in the Greater Portland region in Maine were interviewed. While resettling in the United States, the participants shared being overburdened by the loss of social structures that supported their parenting beliefs and strategies back home. They perpetually encounter cultural conflicts in the United States that result in a continuous process of contradictory interpretations and negotiations while rearing and disciplining children. Recommendations are provided for service providers working with this population. Professionals have to be cognizant of the hierarchical decision‐making and retributive strategies used by refugee families when disciplining children. Tools, that is, explaining, teaching, and rewarding children for coping with parenting challenges without resorting to punitive discipline methods can be introduced to refugee families. Professionals need to focus on providing refugee families with basic needs and addressing social and emotional challenges so that they can better integrate with the new communities as they rebuild their lives.     

新冠肺炎疫情下美国生物安全战略的失灵与修复

生物安全越来越成为国家安全的重要组成部分,国际社会也意识到突发性的、新生的传染病治理是生物安全的重要内容。因此,对于生物安全问题,我们亟需提高警惕,高度重视。虽然美国在构建生物安全体系上取得重大成就,建立了四大支柱,但随着新冠疫情袭来,美国生物安全战略存在的问题逐渐凸显。本文重点研究在疫情防治过程中,美国生物安全战略的四大支柱在特朗普执政时期是如何失灵的,以及拜登政府的防疫措施在四大支柱方面将如何体现。同时,从美国国内、国际形势出发评估了拜登政府采取的生物安全措施的影响及面临的挑战。在梳理、探讨美国生物安全体系建设的得失之后,本文从国内和国际视角讨论了中国生物安全战略建设所应汲取的经验与教训。     

From communication to co‐operation: Reconceptualizing social workers' engagement with children

Communicating and engaging with children is a foundational component of child care social work practice, but all too frequently, in the wake of serious incidents, it is the focus of criticism. Drawing on findings from a large‐scale ESRC‐funded research project conducted in the four U.K. nations, this paper explores, through a psychosocial analytic lens, how social workers anticipate, enact and reflect on their encounters with both children and their families. Close analysis of what social workers said about their practice alongside what they were observed to do in practice revealed perceptions, patterns and processes of communication that, first, minimize emotions and the complexity of the professional task and second, overly privilege verbal interaction. Drawing on Sennett's (2012) ideas this paper offers a reconceptualisation of this professional task, from a communicative to a co‐operative one. It affords and creates a space in which social workers can develop more attuned communicative practices that include rituals, gestures and the minimal use of force. The theoretical insights and evidence‐informed practice recommendations arising from this research have conceptual significance for the social work discipline and practical significance for the child care social work profession, across national and international contexts.     

Consolidated Measures of Activity among Older Adults: Results of a Three Data Set Comparison

This study explores the potential to consolidate a broad range of activity items to create more manageable measures that could be used in statistical modeling of multi-activity engagement. We utilized three datasets in the United States: Panel Study of Income Dynamics, Health and Retirement Study, and Midlife in the United States. After identifying activity items, exploratory and confirmatory factor analysis were used to empirically explore composite activity measures. Findings suggest that discrete activity items can be consolidated into activity domains; however, activity domains differ across datasets depending on availability of activity items. Implications for research and practice are further discussed.     

Understanding Multiple Group Identities: Inserting Women into Cultural Transformations

The study of cultural transformations in the United States has been studied predominantly from an assimilation/acculturation framework. There are several drawbacks to this theoretical perspective, chief among them being the exclusion of gender in examining what happens to different ethnic/racial groups when they come into contact. Feminist writings in the last twenty years provide a rich discussion of how inserting women into this social process would enrich our knowledge about human behavior in general and cultural change specifically. This paper reviews the literature on the assimilation/acculturation framework and integrates the most recent developments in feminist theory to provide a new alternative to studying cultural transformations. The social engagement model takes into account gender as well as other significant social identities like ethnicity/race, class, and sexuality to study how groups change as they come into contact with each other.     

Differences by Race in Social Work Students’ Social Distancing,Treatment Options,and Perceptions of Causes of Mental Illness

ABSTRACT

Research has shown that racial and cultural differences are related to the degree of social distancing associated with mental illness, beliefs about what causes mental illness, and what treatment options are best; however, there is little information on how this may manifest in social workers’ perceptions of these issues. This cross-sectional survey analyzed the differences in perceptions by race of 835 students enrolled in social work classes in the United States. Results indicated that individuals who self-identify as African American/Black expressed the greatest social distance concerning mental illness. Whites were most likely to endorse the use of medication and were least likely to normalize mental illness. The most frequently endorsed mental health provider varied according to racial/ethnic groups. Our findings show that future research may be needed to further investigate the conceptualization of the role of social work among different groups. The need for self-reflection and keeping biases in check are discussed as implications for social work practice and education. Suggestions for working with diverse clients, including religious diversity, are offered as well.     

The service system challenges of work with juvenile justice involved young people in the Hunter Region,Australia

Current policies suggest that collaborative approaches are core to working effectively with juvenile justice involved young people. However, there is little research examining the workings of multi‐agency and collaborative endeavours in this field, or the experiences of the human service workers facilitating these connections. This paper reports on qualitative research that resulted from the Juvenile Justice and Education Equity in the Hunter Region project. Thirty‐eight human service workers were interviewed about their perceptions of the workings, strengths and challenges of the service system that supports young people who come into contact with the Children's Court in the Lower and Upper Hunter regions of New South Wales. Data analysis revealed three key themes related to (1) service gaps, cycles and maelstrom; (2) pursuing authentic service engagement; and (3) insider–outsider dynamics in service provision. Findings are discussed in relation to emerging practice and research agendas.     

社会工作实习联合督导浅析

社会工作实习联合督导是由社工院系与与专业机构或社区共同为学生提供集中实习训练和实习的督导制度,在美国已经相当成熟。在不同实习阶段的专业督导过程中,院系和机构的督导有不同的角色定位与工作内容,笔者对此进行了总结。     

A qualitative exploration of reentry service needs: The case of fathers returning from prison

The challenge of community and family reentry after a parent's release from prison remains an under‐addressed area of collateral damage stemming from high rates of U.S. incarceration. Many fathers released from prison return to living with family, and later attribute family connections and parent–child contact as key factors in their postrelease success. However, reentry planning is hampered by a dearth of research on family‐focused reentry services, and consequently, often omits attention to resuming family and parenting roles. To address this gap, we conducted 38 semi‐structured interviews with 19 previously incarcerated fathers, 9 co‐parenting mothers, and 10 relatives to explore service needs of fathers during reentry. Findings suggest programs not only should be multimodal, emphasizing family connections complemented by socioeconomic, self‐care, and social support services, but also should be accessible and relatable, offered within the community, and engaging for fathers and family members. Findings reinforce the importance of self‐determination and human agency while underscoring the multiple challenges fathers face upon reentry. By including the voices of those most affected by incarceration, this study advances knowledge to shape reentry programs and policies, contributes to efforts addressing criminal justice inequities, and promotes well‐being among formerly incarcerated parents and their families.     

社会工作实习联合督导浅析

社会工作实习联合督导是由社工院系与与专业机构或社区共同为学生提供集中实习训练和实习的督导制度,在美国已经相当成熟。在不同实习阶段的专业督导过程中,院系和机构的督导有不同的角色定位与工作内容,笔者对此进行了总结。     

Working and caring for a disabled adopted child during a pandemic

Integrating work and family demands can be challenging for families caring for a child with one or more disabilities. The pandemic and its changes to work, schooling and service delivery potentially added to these challenges. This exploratory mixed methods study sought to understand how the pandemic affected adoptive parents' work–life fit and service use. A total of 200 participants responded to survey questions about parenting an adopted child with a disability prior to, and after, the onset of Covid-19. More than half of the parents (59.2%) reported that it was somewhat to very difficult to integrate both work and family demands. Parents with greater access to workplace flexibility and supportive supervisors had significantly less difficulties combining work and family. Families who reported more problems with accessing mental health services, special education and respite care reported significantly more challenges with work–family fit. Parents reported increased stress due to the pandemic changes, but many also shared positive changes such as more time for family. Online services were experienced as effective for some children and reduced time spent driving to appointments. Recommendations for workplace and social service practice and policy supporting adoptive parents of children with disabilities are discussed.     

Realizing the potential of a strengths-based approach in family support with young people and their parents

This paper on a strengths-based approach (SBA) to practice is based on empirical research with stakeholders involved in an intensive support programme for young people at risk and their parents in Ireland. The Youth Advocate Programme (YAP) model provides wraparound support to respond to their needs by focusing on their competencies and their coping skills and building networks of community-based supports. The model includes parents or carers in the suite of support offered by advocates. An SBA to practice has been discussed for some time in academic literature and practice guidance. However, it tends to be considered primarily in relation to social work practice, and there is ongoing ambiguity as to what it actually involves in day-to-day engagement with individual family members. Insightful, rich accounts of SBAs as part of routine practice provided by young people, parents and practitioners form the basis to this paper and detail how these approaches support the development of hope-inspiring relationships and promote positive change. Relevant literature and research situates the debate on the experience of using SBA, the wider challenges faced by families, the impact of SBA in practice on those receiving the support service and its potential for use in the wider continuum of children and family services.     

Leveraging Research on Informal Learning to Inform Policy on Promoting Early STEM

In recent decades, educators and policymakers in the United States have increased their focus on Science, Technology, Engineering, and Mathematics (STEM) learning opportunities both in school and in informal learning environments outside of school. Informal STEM learning can take place in varied settings and involves a variety of STEM domains (e.g., engaging in engineering practices in a construction exhibit at a museum; talking about math during book reading at home). Here we provide a selective review of the literature on informal STEM learning to illustrate how these educational experiences are crucial for efforts to increase early STEM learning even before children reach school age. Leveraging cognitive and learning science research to inform policy, we make three recommendations to advance the impact of informal STEM learning: 1) integrate cognitive and learning science–based learning practices into informal learning contexts, 2) increase accessibility and diversity of informal STEM experiences, and 3) create explicit connections and coherence between formal and informal STEM learning opportunities in early childhood education.     

Patterns of practice: An exploratory factor analysis of child and family social worker skills

There is relatively little research on the communication skills that social workers use in direct practice with families. This study explores patterns of practice skill found in child and family social work home visits. The study analysed 127 practice interactions in family homes, coding for seven dimensions of worker skill using a coding framework drawn from motivational interviewing. Exploratory factor analysis was employed to establish patterns of skill within the data and to group key dimensions of skill. The findings make two contributions. First, three fundamental dimensions of good practice emerged, which we characterize as care and engagement, good authority, and support for behaviour change. Second, in exploring the relationship between “care” and “control” elements of social work, skilled social workers were able to combine good authority and empathic engagement, whereas those who were less skilled in use of authority were also less good at engagement. This contributes to debates about care and control in social work. The usefulness of these dimensions for conceptualizing practice in child and family social work is discussed and directions for further research are suggested.     

Troubled families: vulnerable families' experiences of multiple service use

This paper draws on a small‐scale study examining the experiences of highly vulnerable families with complex and enduring needs. The previous UK government and the current government have sought to develop policy and service initiatives that target families who present high levels of need and require high cost services. However, to date remarkably little is known about family perspectives and experiences. In this paper, family accounts of their experiences are presented and it is suggested that from these come some difficult practice questions. The family data reveal evident gaps in existing practice and challenges social work to ‘think family’ in new ways. The paper explores how families understand they are understood at the point of engagement, the assumptions that are made about family knowledge, and how families share and withhold information about their needs and experiences. In the discussion, the argument is made for the development of nuanced practice capable of recognizing and working with the ways highly vulnerable families ‘do family’, and the processes that support and inhibit professional interventions.     

Racial and ethnic diversity in senior centers: comparing participant characteristics in more and less multicultural settings

The 2008 Health Indicators Project surveyed a probability sample (N = 1,870) of New York City senior center participants. Attendees of racially and ethnically diverse and nondiverse senior centers were compared across 5 domains: demographics; health and quality of life; social support networks; neighborhood perceptions and engagement; health service access/utilization. Although homogeneous and diverse center participants demonstrate similar health and quality-of-life outcomes, those from diverse centers demonstrate greater risk of social isolation, receive less family support, and more likely seek medical care from hospitals or community clinics. Implications and future directions for research, practice and policy are discussed.