“I did not know there was another life”: Meanings of life in the out‐of‐home Mothers Unit reunification programme

The Mothers Unit is a reunification and treatment programme in a welfare emergency centre in Israel. The unit is the only one in Israel offering joint residence for mothers at risk of abusing or neglecting their children. The unit provides an alternative to out‐of‐home care for young children suffering from maltreatment in order to enable them and their mothers to return to the community together at the end of the treatment. The current qualitative study examines the lived experiences of the women and their children from the subjective perspective of the women currently or previously involved in the programme and of the professionals working with them. Thematic analysis of 36 in‐person semi‐structured interviews reveals the multiple meanings they attribute to life in the Mothers Unit and its perceived effects on their children and themselves.     

Working with children in women's refuges

At a time when there is increasing interest amongst child care professionals in how to respond to children living with domestic violence, this paper derives from a study of a specialist context for such work: child work in women's refuges. The qualitative aspect of the research, which is reported on here, consisted of in-depth visits to eight refuges. Group and individual interviews with children, women and workers covered the needs (and also the strengths) presented by a wide range of children, and the scope of work undertaken with them and their mothers.A child-centred and non-violent ethos was found to be offering high levels of support to children and young people, despite low levels of resourcing. Certain groups were identified as still requiring developments in particular responses to their needs. Greater recognition of refuge child work is called for from statutory agencies, including those with access to funding.     

Mothering and everyday life during and in the aftermath of domestic violence among women with immigrant backgrounds in Norway

This paper focuses on how immigrant women experience and negotiate their everyday life with children prior to and after leaving a violent partner. Twenty‐three women staying at domestic violence and abuse shelters with their children were interviewed about their experiences with assistance services and their everyday life with their children. At the time of the interviews, most of the women were legally separated or divorced and were either living in or in touch daily with shelters. In this paper, we look at some of the challenges that women face when exposed to violence in a relationship that involves children. Being exposed to violence from a partner raises a number of economic, practical, and emotional concerns, both prior to and after leaving. For the mothers in our study, maintaining a regular routine is key to making the children feel safe in an unpredictable setting. For many, economic dependence on the partner is replaced with economic dependence on assistance services after leaving the partner. Services must recognize that providing help to mothers who have left a violent partner constitutes more than just practical support but is crucial for mothers' ability to re‐establish a predictable everyday life with their children.     

Attachment and Coping Strategies in Middle Childhood Children whose Mothers Have a Mental Health Problem: Implications for Social Work Practice

Mental health has implications for the quality of relationshipswithin a family, particularly between parents and children,but also between other family and non-family members. Previousresearch has investigated parental reports of attachment infamilies with mental health problems, but relationship representationsas experienced by these children, especially in middle childhood,have not been so frequently investigated. An understanding ofchildren’s representations of attachment relationshipsand the different coping strategies that may result is importantfor social work practice when offering support, not only tothe children, but also other family members. Methods of investigatingattachment, such as the Separation Anxiety Test, have been usedto understand the relationship issues, fears and coping strategiesof other vulnerable children, and this study was designed specificallyto investigate relationship issues in middle childhood childrenwhose mothers had previously been hospitalized with mental healthproblems. We found that these children tended to be less emotionallyopen and secure, and generated fewer adaptive coping strategiesthan children whose mothers had never had mental health problems.Other themes also emerged from the interviews, such as a senseof trust in the parent–child relationship and the ‘containment’of fears. Implications for social work practice are discussed.     

A Qualitative Evaluation of a Conditional Cash Transfer Program in Turkey: The Beneficiaries’ and Key Informants’ Perspectives

ABSTRACT

Since the 2001 economic crisis, conditional cash transfers (CCTs) have been provided to poor families in Turkey to improve education and health outcomes of children. Under the framework of CCT programs, grants provide an incentive for poor households to use available basic social services. The aim of this study is to explore beneficiaries’ perspectives in relation to a CCT program in Turkey. The in-depth study design entailed semistructured qualitative interviews with beneficiary households and key informants. A total of 397 in-depth interviews were conducted. Analysis results suggest that the CCT program not only positively affected health and educational outcomes, but also contributed to the empowerment of women and improved the self-esteem and self-confidence of beneficiary children. Recommendations for future research are made including the need for an impact evaluation analysis that employs quantitative research methods designed to improve the provision and quality of the basic social services.     

Critical Consciousness Raising as an Element of Empowering Practice with Survivors of Domestic Violence

Many practitioners who work with survivors of domestic violence (DV) attempt to raise survivors' consciousness about DV dynamics as well as about oppression they may encounter from the systems with which they interact. Such critical consciousness raising is one component of the “empowering practices” that many DV advocates aim to implement. Despite the significance of empowering practices for those working with DV survivors, the literature is not clear about the frequency with which practitioners engage in consciousness raising or how critical consciousness is related to psychological outcomes such as self-efficacy among survivors. To explore these effects, 98 women from two DV shelter programs in two midsized Midwest cities were interviewed shortly after they left the shelters about their experiences while accessing services. Women who reported that their advocates engaged in DV consciousness-raising practice also reported developing greater DV critical consciousness and self-efficacy while in shelter. These findings suggest that gaining greater understanding of the effects of society-wide oppression on their experiences can lead survivors to a greater belief in their general ability to meet their goals. Future research should explore the effects of such changes on survivors' lives over time, as well as the most effective practices to raise critical consciousness.     

Does differential response make a difference: examining domestic violence cases in child protection services

Large numbers of domestic violence (DV) cases on child protection caseloads have necessitated the development of practices that address both DV and child safety. The first step in this process is to gain an understanding of the differences between DV‐involved cases and other forms of maltreatment. The implementation of a differential response service model in Ontario offered an opportunity to compare risk assessment ratings, service outcomes and recurrence and to identify pathways of DV cases through child protection services (CPS). A sample (n = 785) of child protection investigations over a 4‐month period was examined. Of these investigations, 26% cases were DV referred; 87% of the DV victims were mothers; perpetrating partners were mostly absent from investigations; non‐white families were more often investigated for DV than white families; and DV cases were more likely to remain open for ongoing CPS. Only one‐third of DV‐exposed children were assessed as having been harmed and most community referrals were made for the victim parent. Mothers were the primary target of investigation, remaining in CPS for extended service provision although recurrence rates were lower than found in other investigations. Results are discussed to inform investigative procedures, assessment and service response to more adequately respond to children and families when DV is present.     

“We are not weak,we just experience domestic violence”—Immigrant women's experiences of encounters with service providers as a result of domestic violence

Domestic violence continues to be a serious social problem and represents a challenge for those who are exposed to it and those in public services. In Norway, a variety of services are provided to help victims of domestic violence and improve knowledge among professionals who meet with adults and children exposed to domestic violence. Studies in Norway show that families with immigrant backgrounds are overrepresented among social service users as a result of domestic violence. However, contextualized knowledge to provide background information about this overrepresentation is limited. This paper explores women's need for support and their experience with service providers when faced with difficult and unpredictable situations, namely, escaping from violence and leaving home with no financial resources or limited supportive network and turning to service providers for support. Qualitative interviews were conducted with 18 women who were staying in or were in touch with shelters with their children or alone. Five central themes emerged in the analysis of these interviews: (a) help becoming a burden; (b) timely economic measures; (c) economic support and domestic violence; (d) displaced focus; and (e) flexibility and the victim's background.     

The Experiences of Frontline Staff Working with Children Seeking Asylum

The focus of this paper is welfare professionals’ accounts of their work with children who are seeking asylum. The empirical basis is a commissioned study of children seeking asylum in Wales. As well as qualitative research with children (which is not discussed in this paper), 62 professionals took part in interviews and focus groups. This sample included staff from social services, health, housing, education, police and the voluntary sector. Research findings are presented in relation to the experience of these frontline staff. We attempt to identify some of the sites of tension and the nature of the professional dilemmas, as well as discussing the potential for the exercise of discretion to be exercised. We conclude that there is very little room for manoeuvre within the asylum system for welfare professionals, but that there is evidence of questioning and even minor challenge of current policy from frontline staff. We discuss the extent to which the professional dilemmas raised by the asylum system are of a different order from those experienced throughout social welfare work.     

Helping families when child sexual abuse is suspected but not proven

This paper reports from a project investigating reactions within families when intra‐familial child sexual abuse was suspected, and family members’ responses to a therapeutic approach. Data were obtained from therapeutic sessions and follow‐up interviews with mothers, children and alleged perpetrators. Before treatment the mothers felt uncertain as to how to interpret the children’s unclear signs. The children had severe symptoms, but had seldom disclosed abuse. The alleged perpetrators were often not informed about the suspicions. The families were in a state of crisis and shock, and communication within the family was characterized by uncertainty about what to talk about and whether the suspicions should be shared. In most cases after treatment the conflicts had been reduced, the children had few symptoms, supervised contact had been established, and the clients were satisfied with the treatment. One conclusion is that therapeutic sessions, where family members share information about concerns and take part in the decisions of how to protect children, seem relevant and helpful to the clients in unclear abuse cases.     

Mothers’ Experience of Post-Traumatic Growth in Pediatric Kidney Transplantation

ABSTRACT

Parenting a child with chronic kidney disease has a profound impact on the parental caregivers across social, emotional, and physical functioning. As the survival rates for children with chronic kidney disease increase, the demands on parents caring for these children intensify. The aim of this study was to understand the lived experience of being a mother of a child who has undergone kidney transplantation. Seven mothers caring for children with chronic kidney disease in Ontario, Canada participated in in-depth interviews that were analyzed according to the principles of hermeneutic phenomenology. The present study presents the findings concerning post-traumatic growth: personal strength, new possibilities, enhanced relationships, appreciation of life and spiritual change. Recognizing positive aspects of stressful situations and the potential for growth can impact the practice of social workers and other health-care professionals. Ultimately the assistance that is provided to parent caregivers can be improved with a better understanding of the whole experience.     

Thrown back: Reintegration experiences of National Guard/Reserve mothers of young children

Few studies have examined the experiences and perceptions of servicewoman mothers and their children, even as an increasing number of them have experienced deployment and combat exposure. The present paper describes a qualitative study that explored National Guard/Reserve (NG/R) mothers' experiences with mothering and co‐parenting during reintegration and their perceived priorities, supports, challenges and needs. Interpretive phenomenological analysis of seven in‐depth qualitative interviews produced themes including reunion and loneliness, the importance of time, help seeking and gendered experiences. Notably, all participants transitioned immediately back into primary caregiver roles upon homecoming, and several described how difficult it was to readjust while privately dealing with unmet mental health needs. Findings underscore the importance of a flexible suite of service options that meet key needs, most importantly, child care, social–emotional support for children and peer‐based parenting support specific to servicewoman mothers. For NG/R mothers, who may live far from base, community‐based services are essential, but as participants described, civilian social workers and other professionals must develop specialized knowledge, skills and experience to provide appropriate support.     

Needs of homeless children in the Czech Republic

The needs of homeless children living in shelters and hostels in the Czech Republic have been not sufficiently explored yet. The paper therefore aims to analyse and describe the needs of homeless children living in shelters and hostels in the Czech Republic, thus creating a basis for social work with homeless children and their families. As part of a qualitative research strategy carried out through interviews with parents, children and their social workers, five categories of homeless children's needs (based on Matěj?ek's theory) were identified and described in detail based on a data analysis using Charmaz's Grounded Theory; these categories were the need for stimulation, the need for a meaningful world, the need for love and emotional safety, the need for identity and finding one's own place in society and the need for a life perspective and open future. Based on the identified needs, implications for social work with families were identified, strengthening a sensitive approach of helping professions to the needs of homeless children.     

Evidence-Based Work in the Dutch Welfare Sector

The article addresses the topic of evidence–based workin the welfare sector in the Netherlands. It is argued thatthere is insufficient evidence–based practice in socialwork and the reasons for this are discussed. Ways to developevidence-based practice are discussed and it is recommendedthat welfare professionals and researchers work more closelytogether.     

Restructuring Long-Term Care in Spain: The Impact of The Economic Crisis on Social Policies and Social Work Practice

ABSTRACT

Care needs of the aging population are increasing in Southern European countries. The purpose of this article is to explore the implications of meeting these needs while taking into account the recent economic crisis, which has deeply affected countries such as Spain. This study is part of a European project (ISCH COST Action IS1102) and is based mainly on qualitative information that focuses on in-depth interviews with social service workers (n = 19) who provide the service and program recipients or their caregivers (n = 14). In addition, two discussion groups were conducted with professionals (n = 9) and program volunteers (n = 5), as well as a workshop/discussion group (n = 28) with politicians, service providers, and participants. Six thematic premises were identified with differing views being highlighted relevant to the participants' roles in the program. Future research should explore social service strategies to deal with the increase in care needs as well as community-based responses.     

Ontario child protection workers' views on assessing risk and planning for safety in exposure to domestic violence cases

The use of standardized tools to assess risk for children is mandatory in the child protection sector in Ontario. Factors that can be used specifically to assess the risk of lethality in exposure to domestic violence (DV) cases, however, are largely missing from these tools. Using data from an online survey of 138 child protection workers in Ontario, the current study examines practitioners' risk assessment and safety planning practices with DV cases. Findings provide an overview of the frequency of risk assessment and management strategies within various environmental contexts (e.g., urban and rural) and populations (e.g., indigenous and immigrants/refugees). According to the practitioners sampled, assessing and managing risk are frequently and consistently completed across the province, although specific strategies and challenges vary. Although mandatory provincial child protection tools are commonly used, some workers report using other specific DV risk assessment tools to complement their own measurement of risk and planning for safety. Respondents emphasized the importance of working collaboratively with families and professionals in other sectors to address risk. Implications for future research include exploring the barriers and challenges of using DV‐specific risk assessments in child protection and factors contributing to these challenges as identified by practising child protection workers.     

Partnerships with children in child welfare: The importance of trust and pedagogical support

Within the context of Norwegian Child Welfare Services, children's best interests are often promoted through inter‐professional collaboration. Although children have the right and desire to participate, research reveals that professionals do not listen to them. On the basis of qualitative interviews with 10 children about their experiences collaborating with professionals, we have identified ways in which professionals can facilitate children's participation. The findings show that trusting relationships, emotional support, and pedagogical approaches increase children's participation in their interactions with professionals. The results show the importance of including a relational understanding of participation as a theoretical concept in child welfare and an awareness that power and dominance are in play.     

Direct practice with substance abusing mothers in the child welfare system: A system perspective

This paper explores the needs and related issues of substance abusing mothers in the child welfare system. Using a framework and through literature review, issues at the micro, mezzo, and macro levels are pinpointed. Six guidelines, incorporating these identified issues, are developed to help practitioners better engage and more effectively work with their clients: (1) treating mothers and children as one unit, (2) providing gender, mother role, and cultural sensitive practice, (3) offering life‐skills training, (4) mobilizing old and facilitating new, nonusing support systems, (5) devising safety plans for children, and (6) organizing an interdisciplinary team and assuming the leadership.     

Monitoring Income Maintenance Policies for Single Mothers

The Supporting Parent's Benefit was introduced in 1973 in an atmosphere of controversy. It provided Australian government support for certain low income groups of mothers with dependent children, for the first time. An attempt has been made in this study to assess the impact of long term income maintenance on these hitherto unsupported mothers. Changes in the population of beneficiaries have been monitored by analysing annual aggregate figures taken at 30 June for the years 1974 to 1979 which were provided by the Department of Social Security. The non-married subgroup which is the largest group of mothers and children is of particular interest. Claims that adolescents have been encouraged to take on the care of their ex-nuptial children simply because financial support is available are not substantiated. However, it is evident that, for more than half the total number of ex-nuptial mothers, Supporting Parent's Benefit must be relied on for a period of many years. This study indicates that this subgroup generally have fewer material resources than the married supporting mothers so that the long term effects of long term low income existence on mothers and children needs to be known in order to gauge the overall results of the introduction of the benefit. The question why some ex-nuptial mothers become independent of support quickly and others do not merits further investigation as it may provide important clues to ways of improving the benefit program.     

What do social workers and children do when they are together? A typology of direct work

There is renewed interest in the place of direct work and relationship‐based practice in social work. This paper explores the day‐to‐day direct work that happens where children and young people are ‘looked after’ at home, from the perspectives of children, social workers and those supervising practice. It is based on interviews with eight children and 25 professionals about their experiences. In this paper, I highlight that despite barriers, direct work, which is characterized as meaningful by children and professionals, happens and that the relationships formed between children and social workers are an important precursor to and an outcome of direct work. The research was undertaken in Scotland, and although the legislation, policy and guidance differ from other jurisdictions, the messages about direct work are relevant for practice in other countries.