As Parents Grow Older:

For those older persons with families, the family is the vital, natural support system while also being the link between the older person and formal community supports. No matter how many community services and supports are provided for older persons, these services only supplement the emotional ties and support from the families. Enhancing the family's supportive role is crucial. This paper describes a community based support group model called "As Parents Grow 0lder" as an example of a systematic, effective effort to provide services to this natural system. This model has evolved and been used with 10 different groups totalling l25 participants over the past four years.     

Parents Beyond Borders: A Social Group Work Curriculum for Supporting Immigrant Parents and Building Solidarity

Parents Beyond Borders, a curriculum first implemented in 2008 as part of The Center for Family Life's ParentShip Program, encourages group members to create a shared narrative about their traumatic immigration experiences. The result is twofold. First, immigrant parents gain a more assertive and poignant voice to communicate with family and others in their lives when sharing their family's acculturation experience. Second, because social group work promotes recognition of collective trauma due to the community's experience of marginalization, it improves members' group self-concept and empowers them to take action and advocate for themselves.     

Parents Beyond Oceans: A Social Group Work Curriculum for Chinese Immigrant Parents

ABSTRACT

Parents Beyond Oceans is a unique curriculum that was first implemented in 2011 as part of The Center for Family Life’s efforts to work with Chinese immigrant parents in Brooklyn, New York. Drawing on best practices in social group work and culturally competent social work, the curriculum creates a space where parents can share and process their immigration stories and traumas. Pre- and posttesting show that after participating in the program, parents felt less isolated, more a part of community that treated them like equals, and more accepting of cultural differences in parenting practices.     

Caregiving for Parents and In-Laws: Commonalities and Differences

This study examined support, stress, and well-being between adults who provide care for an aging and disabled parent and those who care for an aging and disabled parent-in-law. The study utilized a sample of individuals caring for a parent (n?=?77), individuals caring for an in-law (n?=?26) and a comparison group of noncaregivers (n?=?1,939) from the Midlife Development in the United States study. In-law caregivers provided more financial assistance but adult child caregivers provided more emotional support and unpaid work. Adult child caregivers reported poorer mental health and family strain; in-law caregivers reported more spouse support and less family strain.     

Aging With a Severe Mental Illness: Challenges and Treatments

Severe mental illness (SMI) impacts many different facets of individuals' lives. As they age, those with SMI experience increased physical illnesses, functional impairment, cognitive deficits, and social disability. To promote more effective social work practice with this population, this article highlights the major biopsychosocial and family issues of aging with a psychiatric diagnosis. In addition, intervention approaches that have demonstrated efficacy are summarized along with ways to coordinate services across multiple service delivery sectors. Finally, future directions in practice and research are presented to develop additional methods of support for older adults with SMI and their families.     

Families and Serious Mental Illness: Working with Loss and Ambivalence

Correspondence to Dr David W. Jones, School of Social Science, University of East London, Barking Campus, Longbridge Road, Dagenham RM8 2AS, UK. E-mail: D.Jones{at}uel.ac.uk Summary This paper examines, in terms of a complex loss, the experiencesof people who have a family member who suffers from seriousmental illness. Whilst partnership between professionals andfamily carers is clearly being encouraged and is doubtless laudablein the whole area of health and social care, there seem to beserious obstacles to successful collaboration between familiesand professionals involved in serious mental illness. Part ofthe reason for this is that the emotional experiences of relativesare not well understood. This paper uses interview materialfrom a larger qualitative study of an ethnically diverse sampleto argue that the families of people with serious mental healthproblems need to be understood as having experienced a complexloss. The loss is complicated by (i) the continuing presenceof the person who is felt to have been lost; (ii) feelings ofanger (and subsequent guilt); and (iii) feelings of shame. Professionalswho work with families need to be aware of the uncomfortablefeelings that they are often struggling with. Professionalsare in a good position to provide support in allowing thosefeelings to be acknowledged and to take their place in the dialoguethat families need to have if they are to move on from the frustrationsof the chronic grief that others have observed (MacGregor, 1994;Wasow, 1995).     

Adult Children and Their Parents

Although the strong preference among older people is for independent living, a variety of problems can lead parents to move in with adult children. This living arrangement entails distinct social-psychological characteristics. By drawing on theoretical constructs from sociology and social psychology this paper explores these characteristics. By drawing on theoretical constructs from sociology and social psychology this paper explores these characteristics in terms of feelings related to the loss of freedome, the children's sense of irredeemable obligation and the parents' sense of irredeemable obligation and the parents' sense of irreplaceable loss. Based on this analysis, recommendations are made regarding attitudinal changes which can increase both parents' and children's degree of satisfaction with this living arrangement.     

Single Parents and Paid Work

Radical social changes in household formation over the past three decades have given rise to the single parent family. In spite of the level of public assistance, which is among the most generous in the OECD, research has shown that single parents (usually mothers) are among the most impoverished members of society. Recent legislation is moving toward mandating single parents off public assistance and into paid work in order for them to achieve more sustainable futures. In this paper we argue that this strategy is unlikely to succeed unless the particular needs of single parents are understood and addressed within a broader debate concerning women, care, and paid work. Family‐friendly workplace practices, more extensive publicly funded childcare, and better opportunities for lifelong learning are some of the changes that are urgently needed to assist not only single parents but all who try to combine the dual roles of working and caring.     

Schizophrenia: The Impact of Parental Illness on Children

This research sets out to discover what impact parental schizophreniamakes on a child’s life. It focuses on the daily lifeand experiences of children. Their health, education, familyand leisure activities are examined. Contact with helping agenciesand their unmet needs are investigated. The sample was drawnfrom the children of patients attending the mental health servicesin South West Dublin. They were matched with a control groupof children of well parents. The majority of children who haveone parent with schizophrenia had similar profiles to the childrenof well parents in the areas of physical health, positive familyfeelings, friendships, hobbies and household tasks. In a numberof other areas, however, differences were found. Sample childrenhad more psychiatric disturbance, more problems associated withschool, less contact with relatives and spent more time at home.The children had little access to services and were upset byhospital visiting. The need for an educational programme andsupport for these children was demonstrated. It is recommendedthat a more co-ordinated approach is required by both adultand child mental health services in order to meet their needs.     

The Narrative of Parents

A conception of parental experience is proposed to enhance the move of the study of parenting into the interpersonal realm by describing parental subjectivity from the parent's point of view. Explanations are based on that which the parent can be accountable for, on parental dialogues with observers/clinicians about their dialogues with their infants. This conception of parental subjectivity is compared with other conceptions which define parental subjectivity as the mental apparatus of the parent and not as representing the evolving relation of the parent with the infant, and with explanations which consider parental reports in terms of the parent's psychodynamics and cognitive abilities rather than in terms of the on-going dialogues between themselves and their infants. The paper introduces a typology of parental dialogues with observers/clinicians about their dialogues with their infants, within the context of the non-verbal nature of the infant's communication. The findings from empirical examinations of this typology are presented, and their implications for the proposal that the study of parental relations with their infants should consider the parent's accountability are discussed.     

Children's Illness Severity and Parent's Adaptation

This paper examines how parents cope with the stress of physical illnesses in their children. Three groups of parents, comprising 270 mothers and 106 fathers, whose children were either seriously ill, ill or from the control group, participated in this study. The variables examined included the parents' rating of the stress experienced, their satisfaction with coping, the family environment and the parents' adaptation. Implications of the findings for intervention are discussed.     

Homelessness, Mental Illness and Citizenship

Assertive mental health outreach to homeless persons, which operates under the premise that mental illness must be understood and treated within the individual's social and economic environment, points towards the goals of community membership and 'citizenship'—a connection to the rights, responsibilities, roles, and resources that society offers through public and social institutions and informal 'associational life'—for homeless persons. We argue that the concept of citizenship is a useful framework for approaching these goals. We review the principles of assertive mental health outreach and relevant aspects of contemporary citizenship theory; present a case example of outreach leading to a 'citizenship project'; and discuss the potential benefits and pitfalls of a citizenship framework, including strategies and recommendations for program administrators, researchers and policy makers.     

Surviving Critical Illness: New Insights From Mixed-Methods Research

Current advanced medical technology allows survival of critical illness. However, the patient's psychological response to survival is relatively unexplored. Interviews with 32 older adult survivors, using the Hospital Anxiety and Depression Scale (HADS) and the Experience after Treatment in Intensive Care (ETIC-7) scale, Miller's Q-sort, and social work clinical wisdom, yielded unique and unexpected research results. Four response types were identified: avoiding, depressed, denial, and coping. Psychological agency during illness was found to be important. Participants did not reveal posttraumatic stress disorder–related phenomena predicted in previous literature but instead experienced posttraumatic growth. Hallucinatory experiences during illness were not traumatic, whereas social support emerged as a complicated concept. Participants unexpectedly revealed that childhood trauma was an important factor. Implications for clinical social work practice and research are outlined following the discussion of findings.