Engaging substance-affected families in child welfare: parent perspectives of a parenting intervention at program initiation and completion

Families affected by substance abuse are at an increased risk of child welfare involvement and poor child welfare outcomes. One strategy to improve outcomes among these families is evidence-based parenting interventions. While these interventions show the potential for advancing the child welfare field, they have not been widely and rigorously evaluated with birth parents, especially those affected by substance abuse, who face marked vulnerability and marginalization. We sought to draw on parents’ expertise and to understand their first and changing impressions throughout involvement in a parenting intervention, as well as overall impressions at program completion. Semi-structured interviews were conducted with a purposive sample of 10 parents who were involved in child welfare and a family drug treatment court. All parents were affected by parental substance use and had recently completed the Strengthening Families Program. Interviews were transcribed verbatim and analyzed for prominent themes. The study’s findings showed that parents described four key themes that influenced their perspectives of the parenting intervention: program reputation as communicated by peers, relevance and applicability of the program, children’s involvement and enjoyment of the program, and program structure issues that pointed to the need for high-quality group facilitation. Implications for practice and research are discussed.     

Parental Involvement Promotes Rural African American Youths’ Self‐Pride and Sexual Self‐Concepts

This study, an evaluation of the Strong African American Families Program, was designed to determine whether intervention‐induced changes in targeted parenting behaviors were associated with young adolescents’ development of racial pride, self‐esteem, and sexual identity. Participants were 332 African American mothers and their 11‐year‐old children in 9 rural Georgia counties. Families were randomly assigned to a control group or an intervention group. Unlike those in the control families, mothers in the intervention group reported increases in targeted parenting behaviors, which promoted self‐esteem, positive racial identity, and positive sexual self‐concepts among their children. These findings expand the study of African American youths’ identity development by including broader domains of identity and parenting processes other than racial socialization.     

A Vocabulary of Motives: Understanding How Parents Define Quality Time

Although discussions of parenting refer to quality time, parents’ views of quality time have not been explored. Using the Sloan 500 Family Study, this article examines how 220 parents from 110 dual‐parent families define the spending quality time with their families and finds 3 distinct views: Structured‐planning parents saw it as planned family activities, child‐centered parents emphasized heart‐to‐heart talks with their children, and time‐intensive parents believed that all the time they spent with their families was quality time. Mothers and fathers both valued quality time, but, particularly when parents within a household disagreed, mothers more often described having a more active parenting role and assumed greater responsibility for quality time, reflecting a gendered division of parenting within the home.     

Computer-based Information Systems and Human Service Organisations: Emerging Problems and Future Possibilities

Abstract

Standardised case management systems were designed to address poor outcomes for abused or neglected children. Their introduction has been controversial, with some social workers identifying them as undermining the social worker–service user relationship, and professionalism. This paper reports on a qualitative study of service users of two widely used systems in Australia: “Looking After Children” (LAC) and “Supporting Children and Responding to Families” (SCARF) (both based on adaptations of United Kingdom systems). There has been relatively little evaluation of the long-term use of these systems relevant to Australian social work. The experiences of service users can contribute to debate because they provided lived experiences of these systems and family members' inclusion is a central goal. Children, young people, and parents reported positive experiences of case-managed interventions: the goals of the intervention were usually clear, processes productive, and relationships with social workers possible. However, service users did identify barriers to participation, limitations in assessment, and described diverse experiences of interventions. While these findings challenge critics, they also suggest that LAC and SCARF could be further developed to better meet expectations of families.     

‘Someone Needs to Carry on the Legacy of My Family’: Childbearing Perceptions Among Adolescents and Young Adults with Perinatally Acquired Hiv

Objectives: This qualitative project explored perceptions of adolescents and young adults (AYA) with perinatally acquired HIV (PHIV) regarding childbearing motivations and parenting. Methods: In-depth interviews were conducted with 35 AYA with PHIV (M_age = 20.5 years). Results: Primary childbearing motivations included the desire to experience parenthood, a wish to leave a legacy, and the chance to offer/receive unconditional love. Anticipated challenges included normative concerns (e.g., cost of parenting) and such HIV-specific concerns as parental disclosure/risk for transmission. Conclusions: Information is needed to tailor developmentally and culturally sensitive interventions to promote healthy development across the life span among the 3rd generation of HIV-affected families.     

Bidirectional Relations Between Authoritative Parenting and Adolescents’ Prosocial Behaviors

This study examined the bidirectional relations between authoritative parenting and adolescents’ prosocial behavior over a 1‐year time period. Data were taken from Time 2 and 3 of the Flourishing Families Project, and included reports from 319 two‐parent families with an adolescent child (M age of child at Time 2 = 12.34, SD = 1.06, 52% girls). Cross‐lag analyses supported bidirectional relations between parenting and prosocial behavior with particular emphasis on the role of the adolescents’ prosocial behavior on subsequent parenting. Results also varied as a function of the reporter. Discussion focuses on the implications for understanding the multifaceted nature of prosocial development in adolescence.     

Groupwork for Parents whose Children are in Care: Challenges and Opportunities

Until recently, the focus for child protection in NSW has been on risk assessment, supportive measures for parents, and ‘the best interests of the child’. The needs of the birth families, once their children have been removed have not received the same attention. An emerging body of research indicates a growing awareness of the importance of the link between good outcomes for children in care and positive ongoing links with their birth parents. Biological parents of children who have been removed invariably continue to have parenting relationships, if not with the removed child, then with subsequent birth children, step children and children in their extended family. Service provision for this group of parents is critical given the complexity and scale of their emotional needs, and the implications for the children they will care for. In this paper, we describe one such intervention: Kids in Care, a group program offered at Relationships Australia NSW, and consider the arising issues and dilemmas for both parents and group workers. Developed to address the particular needs of parents whose children have been taken into care, the group creates an environment of acceptance and support. This opens up possibilities for parents to consider issues of grief, stigma and trauma, as well as to develop skills in communication, assertiveness and emotional regulation.     

Relations Among Intimate Partner Violence,Maternal Depressive Symptoms,and Maternal Parenting Behaviors

The authors examined the relations among intimate partner violence (IPV), maternal depressive symptoms, and maternal harsh intrusive parenting. Using a cross‐lagged, autoregressive path model, they sought to clarify the directionality of the relations among these 3 variables over the first 2 years of the child's life. The results indicated that, in this diverse sample of families living in predominantly low‐income rural communities (N = 705), higher levels of early IPV were associated with increases in maternal depressive symptoms, which in turn were associated with increases in maternal harsh intrusive parenting behaviors. These findings suggest that interventions aimed at improving the parenting of women exposed to domestic violence may want to simultaneously target IPV and depressive symptomatology.     

Benefits of mother goose: influence of a community-based program on parent-child attachment relationships in typical families

An estimated 50 to 60% of children from typical families develop secure attachment relationships with their parents (Ainsworth, Blehar, Waters, & Wall, 1978; Van IJzendoorn & Kroonenberg, 1988); however, intervention research has focused primarily on interventions for high-risk clinical samples (Berlin, Zeanah, & Lieberman, 2008). In this project, the influence of a popular community-based parent-child program was assessed in a non-clinical sample of families. Families participating in a 10-week Parent-Child Mother Goose Program (n.d.) and families on the waitlist for the program were asked to complete questionnaires to assess parenting efficacy and satisfaction as well as parents' perception of their own and their child's attachment styles at the beginning of the program, the end of the program, and six months later. Mothers in the program group reported significantly more positive change in their reports of parenting efficacy over time and also reported significantly more change in their children's attachment category. Specifically, children in the program group were significantly more likely to be classified as secure over time (55% at T1 to 81% at T3) as compared to the waitlist participants (45% at T1 to 62% at T2). In this popular 10-week, community-based program, parents learned skills that continued to influence their relationship with their children six months after the conclusion of the program.     

Developmentalism and the Rhetoric of Best Interests of the Child

Abstract

The foster care system in Australia has recently recognised the importance of encouraging lesbians and gay men to become foster carers. Whilst this may be seen as an important step towards overcoming social stereotypes that position lesbians and gay men as unfit parents, I propose that foster care public policy in Australia is shaped by a number of key assumptions that effectively exclude lesbian and gay foster parents. In particular, I focus on how the logic of developmentalism [where children are assumed to follow a (hetero)normative developmental pathway] and the rhetoric of best interests of the child (within which a particular moral framework is employed to judge who can and who cannot protect children) work to recenter a normative understanding of families and parenting that encourages lesbians and gay parents to adopt a heterosexual model of parenting.     

Empathy — Still at the Heart of Therapy; The Interplay of Context and Empathy

Developing skilled and delicate approaches and interventions aimed at assisting families (or systems) to solve entrenched problems has been an exciting and stimulating aspect of family therapy over its relatively short existence. Recently, more and more authors have re-emphasised the need for respect and mutuality in dealing with clients, the need for the therapist to be aware of the clients' frames of reference and idiosyncratic solutions, some arguing that it is preferable to take less of the expert, interventionist stance. The necessity for empathy underlined in many earlier approaches to therapy is mentioned, though generally ‘in the small print’, in the reports of the processes being investigated and developed. This article re-considers empathy, always known to be at the heart of the counselling/therapy¹ process, but perhaps too easily assumed at present. It contends that empathy remains essential, that it can be understood more fully, and thereby used more effectively. Some of the traditional understandings of empathy, mostly from writings on individual therapy, are considered. Working with families and systems demands a broader understanding and different applications. The therapist must be capable of empathy with the context and the relationships as well as with individuals. While asserting that human beings are generally capable of empathy, the article examines some particular aspects of its use in therapy, particularly with families; it contends further that a fuller understanding of empathy can enrich the whole process of therapy. The article argues that empathy remains an indispensable guide to intervention with the family, the system or the person, whatever form the intervention (or non-intervention) may take.     

The effectiveness of a parenting education program based on respected parents & respected children for mothers of preschool-aged children

The purpose of this study was to evaluate the effectiveness of the Respected Parents & Respected Children (RPRC) parenting education program for mothers of preschool-aged children in South Korea. A total of 99 mothers were assigned to an intervention group (n = 54) or a control group (n = 45). Mothers in the intervention group received 16 weekly sessions of the parenting education program and then were compared with mothers who did not take part in the program. Questionnaires were used to assess parenting characteristics (i.e., maternal depression and anger, parenting behavior, co-parenting, parenting efficacy, and parenting stress) at baseline (pre-test), immediately after the termination of the program (post-test), and 8 months after the end of the program (follow-up test). Maternal rejection/restrictions, dissatisfaction, and parental distress of the intervention group decreased and efficacy as parents improved after taking part in the program, and these effects were sustained at follow-up. Our findings support the effectiveness of the RPRC parenting education program in changing parenting strategies and satisfaction and emphasize the need for preventive interventions for parents with young children.     

Building good knowledge or blaming bad parents? Examining the construction of parents and parenting in a corpus of parent focussed cochlear implant research articles

Parents of deaf children with a cochlear implant (CI) report feeling pressure to adhere to a very prescribed conceptualisation of ‘good parenting’, and in some cases report feeling judged or blamed, for example, if the child's progress post-CI is slower than expected. Previous investigations of the discourses of parenting science suggest that, while parent blame is rarely expressed explicitly, that normative, moral assumptions about how ‘good parents of a disabled child’ should feel, think and act are embedded within prevalent concepts and terminology. A disproportionate focus on evaluating individual parents' personal characteristics at the expense of more external, socially located issues has also been noted. Existing critiques, together with the author's lived experience provide the impetus for this study; in which corpus linguistics methods have been used to document the types of parents and parenting attributes constructed in a 420,982 corpus of research articles. The results indicate the prevalence of many highly evaluative parenting noun-collocates within the field; successful adaptation, a positive appraisal of the situation, realistic expectations, rational decisions, high involvement and full-time use of the CI are conflated with good parenting, whilst parents who present in alternate ways are construed as problematic. Implications for future research are discussed.     

Children and Parents Deserve Better Parental Discipline Research: Critiquing the Evidence for Exclusively “Positive” Parenting

This article critiques the scientific evidence for the emerging view in nonclinical parenting research and in popular books that parents should use only positive methods of parenting and rarely resort to any disciplinary consequences. Four methodological fallacies pervade research used to support this viewpoint: the correlational fallacy (inferring causation from correlations), the trumping fallacy (permitting correlational conclusions to trump stronger causal evidence), the extrapolation fallacy (extrapolating favorable comparisons of under-usage versus over-usage to zero usage), and the lumping fallacy (lumping inappropriate and appropriate usages together). Conclusions based on any of these methodological fallacies are premature at best and counterproductive at worst. These fallacies would incorrectly make many medical procedures appear to be harmful, such as radiation treatment. Premature conclusions supporting exclusively positive parenting may partially explain the immigrant paradox in the United States and escalating criminal assaults against minors according to Swedish criminal records (where positive parenting is most prominently advocated). Exclusively positive parenting needs to be supported by stronger research, including randomized trials with oppositional defiant children, before being accepted as definitive. We also need research to understand how the parental management skills featured in effective clinical treatments for young oppositional defiant children generalize to parenting in nonclinical families.     

Does Family Intervention for Adolescent Substance Use Impact Parental Wellbeing? A Longitudinal Evaluation

Adolescent substance abuse is a common problem and family interventions are emerging as a strategy to prevent it and assist family coping. The effectiveness of a prevention‐focussed family intervention was evaluated for its secondary impacts on improving parental mental health and family functioning. Twenty‐four secondary schools in Melbourne Victoria were randomly assigned to either a control condition or an intervention titled Resilient Families. The two intervention levels analysed were: (1) a parenting booklet only and; (2) combining the booklet with face‐to‐face parent education sessions. Parent surveys at baseline were followed up one year and four years later. Repeated‐measures analysis (n = 560) found parents attending parent education demonstrated reductions in mental health symptoms, however this had negative effects on family cohesion and no impact on family conflict. These findings were interpreted in terms of parent education assisting parent mental health by promoting assertive parenting styles that may increase adolescent‐parent tension by encouraging firmer parental boundaries and strategies to reduce adolescent substance use.     

Social gradients and participant characteristics in child behavior problem interventions

A social gradient has been found in both children's behavior problems and among the users of services that treat such problems. If low-resource families are simultaneously at higher risk of having a child with behavior problems and less inclined to use services to address such problems, healthcare inequality and social inequity could be exacerbated. I focus on social gradients in participant characteristics in two evidence-based parent training interventions that target children who display behavior problems: Parent Management Training—Oregon Model (PMTO) and Brief Parent Training. This study extends the literature on social gradients in participant characteristics by focusing on family social and economic resources independently and in an additive cumulative risk index. I investigated potential social gradients overall in a pooled sample and in separate analyses relating social gradients to more intensive treatment. The results revealed inverse social gradients among the intervention participants compared with the Norwegian general population of families with children; intervention participants had fewer social and economic resources. The inverse social gradient was partially replicated through analyses that focused on treatment intensity. Families with fewer resources were more likely to receive high-intensity treatment; however, these associations disappeared for families with > 3 cumulative risks. These results indicate that these PMTO interventions do not exacerbate social inequality by serving a high-resource population.     

An analysis of the relationship between parenting self-efficacy,the quality of parenting,and parental and child emotional health

ABSTRACT

The relationship between parenting self-efficacy, the quality of parenting, and parental and child emotional health has been conducted with Caucasian families and young children. The purpose of this study was to examine these relationships in ethnically diverse and impoverished families with children who have behavior problems. We examined the relationships between parenting self-efficacy, parenting practices, child externalizing problems, and caregiver depression. Participants included 213 caregivers of children with Oppositional Defiant Disorder (ODD), who rated their parenting self-efficacy and completed questionnaires on parenting practices (APQ and FAD); child externalizing behaviors (Iowa Connors Inattention and ODD subscales); and caregiver depression (CESD). Data were examined using Chi-Square tests, a Linear Regression, and a One-Way ANOVA. Results demonstrate parenting self-efficacy was positively associated with positive parenting and inversely associated with inconsistent discipline. Among parents who perceived themselves as being a “better than average parent,” there was a greater percentage of youth who met cutoff for inattention problems as compared to youth who did not meet this cutoff. Lastly, depression scores were lowest for caregivers identifying as below average parents. This study underscores the need for involving parents and enhancing parenting self-efficacy in interventions targeting Disruptive Behavior Disorders.     

Comparison of Role Demands,Relationships, and Child Functioning in Single-Mother,Single-Father,and Intact Families

Abstract

Numerous studies have examined the impact of divorce on parents and children, but most of these studies have been restricted to single-mother families. This study compared differences in role demands, relationships, and child functioning using the responses of parents and children in 30 single-mother, 30 single-father, and 30 intact families. Single fathers had better resources than single mothers, more positive parenting than married fathers, and relied more on friends than the married parents. Single mothers had less education, less prestigious jobs, lower incomes, and more economic strain than the other parents. They also had fewer social resources and more difficulty than married parents with the parenting role. Despite these disadvantages of single mother families, children in these families were no different than children in other families on most measures of well-being. The only problem that was identified in the functioning of children from single-parent families was with their behavior. These findings can be used to develop strategies to reduce risks and enhance the existing resources and strengths of single-parent families.     

Parenting Education and Incarcerated Fathers

ABSTRACT

Incarcerated fathers or men in the role of father or surrogate father in the US are approaching rates that could be considered epidemic in proportion. Children are adversely affected by the absense of fathers. Some authors, researchers, and government view fatherhood as an incarcerated fathers have not been considered a viable intervention. This study explores the efficacy of programmed parenting interventions for incarcerated men.     

Cultural and Contextual Influences on Parenting in Mexican American Families

Family stress theory can explain associations between contextual stressors and parenting. The theory, however, has not been tested among Mexican Americans or expanded to include cultural‐contextual risks. This study examined associations between neighborhood, economic, and acculturative stressors and parenting behaviors in a sample of 570 two‐parent Mexican American families. Results support the negative impact of economic stress on parenting through parental depressive symptoms. Neighborhood stress influenced fathers’ depressive symptoms and parenting, but not mothers’. The effects of acculturative stress were inconsistent. Results suggest that contextual stressors common to Mexican American families impact parenting behaviors through parental depression.