Temporary Foster Care

Summary In order to improve outcomes in temporary foster care the authorbelieves there is a need to develop alternative models for practicethat would (a) define the social work task (b) specify in operational terms how that task would be accomplishedand thus would be amenable to empirical testing. (Temporaryfoster care is defined as the provision of substitute familylife for a child received into care, where there is a clearintention to re-unite the natural family at a future date). This article deals with the essential preliminaries to the developmentof a practice model. The first part surveys the relevant literature;part two develops a theoretical framework for practice aroundthree themes which are considered central to a considerationof foster care. These are the separation experience, the placeof the natural family, and role clarification. Other crucialvariables such as the age of the child, the nature of the problem,or the parents' potentiality for change are not dealt with withinthese papers, but are nevertheless seen as important issuesto be considered at the stage of designing a model for practice.     

Foster Family Care for Frail Elderly

For the last 10 years, the development of cost-effective, community alternatives for chronically ill has been a serious concern of many service providers and policy-makers. The expanding of the elderly population has been well documented. In this state, projections show a need for an additional 1602 long-term care beds by the year 2000, almost double the current capacity. The state Medicaid Program is searching for ways to reduce the 50 million spent in 1982 for institutional long-term care. Already experiencing the shortage of long-term beds, hospitals have a chronic loss of revenue potential through the holding of non-acute patients in the hospital while waiting for a nursing home bed vacancy. At the 500 bed acute care hospital, 25-30 beds daily are occupied by nursing home wait-listed clients. The average wait-listed days per patient is 20.4. In September 1979, the hospital's department of social work began foster family care for elderly persons eligible for nursing home care. Foster families are extensively screened and trained for the severely dependent clients. The social worker and registered nurse team are closely involved in placements, developing and implementing an individualized written treatment plan to assure the clients quality of care. Data collected over the past three years clearly indicates that this setting provides cost-effective, quality care. Overall scoring on bathing, dressing, toileting, transfer, and continence, utilizing the KATZ Activity of Daily Living, shows that 71% of the clients improve after 3 months on placement. Although 45% of the clients are incontinent of bowel or urine at the time of placement, 33% make significant improvement to only occasional accidents. With 41% of the clients at placement requiring adaptive device and assistance for walking, 48% of the clients show functional improvements in walking. Most significant for continued survival of this type of care, the total program cost is half the cost of institutional care for these elderly clients. The paper will examine the multiple needs served through the program: the ill elderly person's need of a therapistic, caring environment; the hospital's need to curb loss of potential revenue; and the need of the Medicaid Program to contain costs. The paper also reviews client characteristics, foster family characteristics, quality assurance, and overall cost-effectiveness of the foster family model.     

Indicators for Placement in Foster Care

Summary In order to develop a typology of indicators for long-term treatmentin foster care, a cluster analysis has been carried out on theitems of a standardized questionnaire which is used by fostercare centres in the province of Zuid-Holland. Two types of indicationfor placement have emerged from the present study. In combinationwith the foster child's age, these two types discriminate effectivelybetween unsuccessful, prematurely terminated placements aftereighteen months and continued placements. It is claimed thatthe employment of this procedure can effect a reduction in thenumber of unsuccessful, prematurely terminated placements.     

Foster and Residential Care Practices Compared

Correspondence to Dr Matthew Colton, Department of Social and Administrative Studies, Barnett House, Wellington Square, Oxford OX1 2ER Summary This paper reports what is, remarkably, the first systematic,in-depth, comparative study of foster and residential care practices.The overall research objectives were: (1) to delineate and comparecare practice in special foster homes (i.e., homes accommodatingchildren traditionally considered too old or disturbed for fosterplacement) and Children's Homes for older children in localauthority care; and (2) if possible, ascertain whether the responsesmanifested by children in such settings can be related to thecare practices they experience. The approach adopted was essentially sociological. A lengthyperiod of field-work in two local authorities featured the useof a range of research instruments and included the collectionof data on the following: the management of recurrent–mainlydaily–social events; children's community contacts; theprovision of physical amenities; the controls and sanctionsused by caretakers vis-à-vis children; the roles of caretakersand their behaviour and attitudes towards children; and thecharacteristics of children, their behaviour towards caretakers,perceptions of their social environments and progress duringplacement. Quantitative methods were used in data analysis becausethey provide a useful guide to the import of observed differencesbetween foster homes and Children's Homes. Care practice in the foster homes was, overall, significantlymore child-oriented than in the Children's Homes. Moreover,the responses of residential children appeared to fall shortof offering justification for the ways that the lives of suchchildren seemed to differ from those of foster children.     

Kin Visiting and the Biological Attachment of Long-Term Foster Children

This study examines the relationship between visiting by extended family members and biological family attachment for 92 long-term foster children. Correlation and regression analyses revealed that kin visiting has a significant association with family attachment. The effect kin visiting has on the foster children's family attachment is independent of the influences foster family attachment, parental visiting and age at placement have on the relationship. The findings highlight the importance of biological family involvement for children in placement.     

Child Care Caregiver Sensitivity and Attachment

Changes in child care caregivers' sensitivity and in children's attachment security were examined in three studies. Study one involved 55 children enrolled in community based child care. There was no intervention in these sites. Caregiver responsive involvement and children's attachment security did not change over time or when children changed caregivers. Study two involved 71 toddler age children enrolled in family child care homes. The caregivers of these children were enrolled in a family child care training project. Six months after the training security scores increased and caregivers of children who became secure or remained secure were more sensitive following training. Study three involved 36 children enrolled in center-based child care. Children were observed before and after selective staff replacement and in-service training to increase caregiver sensitivity. Six months following intervention security scores increased and caregivers of children who became secure or remained secure were more sensitive following training.     

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.     

Solving Problems in Foster Care: Key Issues for Young People, Foster Carers and Social Services

Philippa Padbury with Nick Frost The Children's Society, London, 2002, 116 pp. £12.95. ISBN 1 899783 44 X     

Foster Care and Permanency an Analysis of the Context for Practice

This paper is an historical analysis of foster care, exploring its linkage with the concept of permanency in the United States (a major force in defining the direction of foster care policy) and in Australia. Use of the political economy and feminist approaches highlights the extent to which the child welfare system is based on policies which enhance social inequality, while promoting a particular ideal of the nuclear family which dichotomises mothers as good or bad.     

The Limits of Support in Foster Care

Correspondence to Stephen Nixon, School of Continuing Studies, The University of Birmingham, Edgbaston, Birmingham B15 2TT; E-mail: Continuing-Studies{at}bham.ac.uk Summary This study was designed to explore the support provided forfoster carers during crises. A sample of sixty-seven fostercarers who had experienced an allegation of abuse against amember of their immediate family were questioned, with a specificfocus on their support needs and experiences during the periodof investigation and its aftermath. Data were also gatheredfrom a smaller sample of twenty family placement social workerswho worked with a sub-sample of these foster carers in orderto establish their perceptions of the issues. Shock, anger,bitterness and a sense of isolation were the prevailing emotionsexperienced by foster carers. It was found that the formal supportoffered by the child-care agencies was not used by 76 per centof foster carers. For most carers there was a lack of congruencebetween the type of support they needed and the support providedby the child-care agency. A number of other useful findingsemerged which are discussed in relation to crises in fostercare. The implications for foster care practice are substantial andrelate to the optimum provision of support for foster carersin such crises. It is suggested that the key role of socialworkers is to encourage and enable foster carers to establishtheir own close network of personal support in anticipationof such events.     

浅析小组家庭寄养模式

随着我国儿童福利事业不断深化改革,儿童福利院逐渐突破传统的养育模式。向社会化、人性化、个性化的方向发展。为使孤残儿童能有一个良好的成长环境,武汉市儿童福利院在现有的福利院集中供养、家庭分散寄养的基础上。于2007年8月开展了“小组家庭寄养模式”。     

Kinship Foster Care and Its Impact on Grandmother Caregivers

Summary

Kinship foster care programs are designed to address the needs of relatives, usually grandparents, who have taken in children who have been removed from their homes voluntarily, or following a substantiated report of neglect and/or abuse. The author reviews the history of kinship foster care nationally and examines related research. Reported are findings on a survey of kinship foster care programs nationwide and from qualitative interviews with nine grandmothers from New York City who were kinship foster care providers. Particular attention was paid in these surveys to the impact of kinship foster care on families caring for children with disabilities.     

Identity Development in Emancipated Young Adults Following Foster Care

This qualitative study explored the experiences of 12 youth who were emancipated from state‐sponsored foster care at age 18 and attempted to establish themselves independently. The findings were analyzed through the lens of two developmental theories: separation/individuation and relational/cultural. Interview data revealed that the often‐difficult experiences of emancipating from foster care influenced an evolving sense of self. Participants identified strongly with self‐sufficiency and help‐avoidance and reported an inaccessibility of peer support. Although much of the current literature focuses on critiques of public foster care programs, this study provides insights into how youth have been personally affected by emancipation. It also contains implications for social work practice with emancipated and soon to be emancipating youth.