Migration,technology and care: what happens to the body?

Migration is a social phenomenon impacting upon family life and conceptualisations of care. Simultaneously, technological advances allow families to stay connected. Care issues in the context of disability and aging may affect family relationships and how families develop. What is little understood is how these issues in migrant families affect a ‘family life course’. We use the case of a South African family with a daughter who is deaf and has other impairments. We argue that when communication is foregrounded and other, embodied, aspects of family care are relegated to the background, we lose the opportunity to understand family care patterns. We relate our discussion to broader theoretical questions regarding the body and care in disability studies.     

Families, work, and an aging population: developing a formula that works for the workers

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.     

Family Support for the Elderly in China

ABSTRACT

With the introduction of economic reforms, families in China are challenged by a variety of family-related problems. Demographic and social changes are affecting both the capacity and willingness of the family to provide care for the elderly. The Chinese Government is aware of the importance of the family in the welfare of its citizens, and has promulgated a series of laws and regulations prescribing family obligations. Yet formal services supporting families are extremely underdeveloped, and it is urgent that the government formulate an effective policy to facilitate, support, and maximize family care.     

Post-adoption service need and access: Differences between international,kinship and non-kinship foster care

Post-adoption services are important to bolster a family's commitment to their adopted children, thus avoiding potential problems following adoption finalization. It is vitally important to assess post-adoption services in an effort to ensure families are provided with effective supports for successful family functioning. Few investigators have assessed service needs and access according to adoptive family type. This study focuses on international, foster care kin and foster care non-kin adoption types. Utilizing the National Survey of Adoptive Parents, this research investigated twelve post-adoption services. Two comparisons were made with respect to whether, according to the adoptive parents, post-adoption services were received or not received: 1) international and foster care non-kin adoptive families; and 2) foster care kin and foster non-kin adoptive families. International non-kin families were more likely to indicate they discussed post-adoption services than foster care non-kin families, particularly among those who were white, had adopted boys, had no other children in the home, and whose socio-economic background was lower. When comparing foster care non-kin families with kinship families, non-kin families tended to receive more desired services than kinship families, with kinship families indicating less need for services. Policy efforts and program design need to focus on reaching out to families and developing effective post-adoption services based on the expressed needs of families.     

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.     

Intact or in tatters? Family care of older women and men in urban Mexico

This article asks how family relationships affect the living conditions of low-income elderly people in urban Mexico. The existence of so many elderly women living alone in the country is at odds with cultural beliefs portraying mothers as the archetypal recipients of family charity. It is evident that there is little state provision of accommodation for the elderly, forcing older people to rely on their families for care. Living with family is usually thought to be a better option for older people. Yet many poorer families cannot afford to provide care, and some are not willing to do so. In addition, families treat elderly men and women differently, with significant consequences for housing conditions and well-being of men and women in later life.     

Long-term care policy and the American family

This article examines current and proposed long-term care policies and the social values of American families by looking at the influence of policy on family behavior. The analysis asks two questions. First, have our policies in recent years supported or undermined family values regarding the care of older members? Second, are our existing family values compatible with home and community-based long-term care reform proposals? Aaron, Mann, and Taylor's (1994) model for policy and changing values provides direction throughout. Findings based on behavior as a proxy for values suggest that current policies influence family values, and in turn, family values influence policies. Future policy is discussed in light of changed values, American family structure, dysfunctional families, individualism and collectivism, and gender neutrality and justice.     

Patterning in Citations: An Analysis of References to George Herbert Mead

Abstract

Family work in dual-earner families has been studied extensively, but the focus has been primarily on household tasks and child care, neglecting the component of health care behavior. In this paper, I introduce scales to study the performance of family health care behaviors in dual-earner families. The items assess topics such as who arranged and accompanied family members to health care appointments, who left work early or took time off from work for health care, and who handled the paperwork of medical expenses. The sample consisted of 174 married women employed in health care and education. The study results indicate that the health care scales are reliable. They are also not highly correlated with demographic variables that might affect the utility of the scales to examine how health care behaviors are linked to other family work.     

A preventive services program model for preserving and supporting families over time

Selected findings from a three-year study are reported regarding a prospective sample of 189 families served by the Center for Family Life's preventive services program and the nature and results of the services the families received. The program combines elements of both family preservation and family support services to provide a comprehensive, individualized response to families in need and prevent the unnecessary placement of children in care. Four program elements correspond with those typically identified as characterizing family preservation programs, and three key program elements differentiate the Center's approach from other family preservation programs. These latter characteristics are more typically found in family support programs and address limitations of current family preservation programs as identified in the literature.     

Early childhood education and care use: Differences by race/ethnicity and age

This article describes factors that predict the use of early childhood education and care among Latino families, as compared to non-Latino black and non-Latino white families in the United States in two age groups (0–2 and 3–5 years old). Using National Household Education Survey data, this study presents a framework and examines the association of numerous child and family characteristics with the number of hours children spend in care, the number of care arrangements, and the type of care used. Multinomial logit results show that once preexisting differences between Latino and black families and between Latino and white families are equalized, differences in the type of care are often eliminated. Findings suggest that the observed enrollment patterns of Latino children are due in part to their over-representation in families that are poorer, have lower levels of maternal education, and have lower levels of maternal employment.     

Innovations in care for children separated from parents: Transitioning from residential to family models of service

Research suggests that children develop best in families, but millions currently reside in residential care centers. Many residential care centers have transitioned their programmes from a to a family care model. Using a mixed methods design, the current study examined (1) antecedents to transition, (2) key elements in the process and (3) outcomes of transitioning models of care. Participants included 39 non-government organizations that had fully or partially transitioned to family care. Programmes collectively served 12 325 children and 29 499 families in 22 countries annually. Data revealed programmes perceived the change in the model was better for the families and children served.     

Medical care, living conditions, and children's well-being

We examine the effect of medical care and living conditions on children's physical and psychological well-being. We develop a causal model in which living conditions (including the socioeconomic status of the family and the social-psychological aspects of family functioning) may affect well-being both directly, and indirectly through medical care. We find that families in the higher social classes and families that function well tend to go to large prepaid groups where they receive good medical care. High quality technical care of illness, in turn, improves physical health. The quality of psychotherapeutic care, on the other hand, has no effect on psychological well-being. For this aspect of health, the effect of living conditions is largely direct, rather than indirect by way of medical care. Families characterized by high levels of functioning have children who are psychologically healthy. In addition, physical health affects psychological well-being, but not vice versa.     

A RATIONALE FOR FAMILY THERAPY SPECIALIZATION IN EARLY INTERVENTION

Over the past two decades, professionals providing intervention to families with children with disabilities have witnessed a philosophical shift from individually oriented care to family-centered care. Although the relevance of family therapy to these families has been formally acknowledged through the Individuals with Disabilities Education Act (IDEA), the integration of the fields of family therapy and developmental disabilities has not yet occurred to any signigicant degree. Awareness of critical issues associated with developmental disabilities and the potential impact on the family system is vital to the process of family-centered intervention. In this paper we address the need for family specialists to become knowledgeable about early intervention considerations relevant to young children with disabilities and their families.     

Developing and Maintaining Foster Family Identity Through Foster Parents’ Identity Work

There are hundreds of thousands of children in foster care in the United States, nearly a majority of whom are placed with nonrelative foster parents (U.S. Department of Health and Human Services, 2015). Few scholars (e.g., Nelson, 2014) have explored the communicative process through which a sense of family is created and maintained in foster families, despite the potential positive impact that developing a foster family identity may have on foster family functioning. The purpose of the present study was to understand the communicative strategies that foster parents use to create family identity. Data from interviews with 18 current and former foster parents revealed that through their talk inside and outside of the family, foster parents engaged in integrating biological and foster families, ritualizing, explaining, labeling family roles, and reframing. I discuss the importance of these findings for foster families.     

Evidence-based practice in family group decision-making for Anglo, African American and Hispanic families

This study addresses the need and gap in the literature on evidence-based practice in family group decision-making services by reporting on the Texas Department of Family and Protective Services' Family Group Decision-Making study, conducted between December 2003 and July 2005 with Anglo, African American and Hispanic families throughout Texas. These services are compared to standard practice by assessing satisfaction, child well-being and exits from care. Findings indicate that both parents and relatives are more satisfied with family group decision-making conferences than standard practice on a number of dimensions, with relatives reporting feeling more empowered than parents. Children are reported to be less anxious if their families participate in a conference, and they may be more adjusted when they are placed with relatives following a conference. Finally, exits from care are faster if families participate in family group decision-making conferences, and exits to reunification are increased; this may be especially true of African American and Hispanic children.     

The Perspectives of Older Greek-Australians Toward Changes in the Nature of Family Support: Implications for Family Care Policies

Internationally, public policies encourage “aging in place,” and the majority of older Australians requiring care in the community receive informal care, supplemented by publicly subsidized formal services. The effect of contemporary social changes on informal care in aging migrant communities is poorly understood. This articles explores the perceptions of older Greek-Australians toward changes in the nature of family support. Bicultural and bilingual researchers carried out in-depth interviews (n?=?27) and five focus groups (n?=?63 total participants) with older Greek-Australians in modern Greek. While “cultures of care” remain among Greek-Australian families, the means for a family to assist have shifted, and these compromises are met with considerable powerlessness among older Greek-Australians. Implications for policy include the need to better involve older migrants and their families in decisions about their care needs, potentially involving consumer-directed care models. Service providers may also need to adopt the use of new technologies to communicate with increasingly time-pressured family members.     

Keeping in touch: Ecological factors related to foster care visitation

Visitation, assumed to be important for children in foster care, has not been studied in sufficent detail. In the present study, patterns and characteristics of home and foster family visitation and telephone contact are described in a national sample of children in foster care in Israel (n=590). Relations between child, biological and foster family characteristics are explored by type of contact and foster placement. Parent-child contact is most strongly related to foster family characteristics and relations with the biological family. Patterns differ for relative and nonrelative foster families.Dr. Oyserman is on sabbatical leave     

ATTENDING TO THE CONTEXT OF FAMILY TREATMENT: PITFALLS AND PROSPECTS

This paper argues that family therapy is failing to attend to the contexts in which family mental health services are provided and, therefore, is losing touch with the realities of family services in communities. We present a model for describing the institutional contexts of family mental health treatment in North America, and explore how these contexts influence family treatment. The model proposes that family mental health care can be categorized into three levels, analogous to the levels of the health care delivery system: (a) primary, (b) secondary, and (c) tertiary care. These levels represent systematically different contexts for family treatment; each has unique advantages and limitations. Translating treatment methods across levels can be hazardous because of differences in contexts. We argue that delineating the contextual levels of family mental health care can encourage more fruitful and respectful collaboration among the diverse professional groups working with families.     

Understanding reentry to out-of-home care for reunified infants

Although many children placed in out-of-home care are reunified with their families of origin, a significant portion reenter care, reflecting continued family problems and weaknesses within the child welfare system. For infants, the stability of reunification is particularly crucial, given their developmental stage. This study reviewed the case records of 88 randomly selected infants who had been reunified with their families. Thirty-two percent of those infants reentered care within four to six years of their reunification. The identification of factors predictive of reentry into care has both policy and practice implications.     

Cultures of intergenerational transmission in four-generation families

Intergenerational transfers in families are increasingly a topic of interest in the context of reductions in the welfare state and increased longevity. This paper draws upon data from a study of four‐generation families which afforded an opportunity to examine the transfer of material and care resources across family generations. It explores ways in which family members from different generations talked about family obligations and the relevance of the concept ‘cultures of transmission’ in classifying these discourses. It addresses the questions: How far are cultures of transmission familial in the sense of typifying particular families? And how far are they shaped by life course phase and by historical context?