Enhancing the capacity of kin caregivers and their families to meet the needs of children left behind

Based on qualitative research of the experiences of 23 kin caregivers and five school personnel, this article explores the role of informal kinship care in addressing the needs of school-age children left behind in rural China. The findings of this study suggest that kin caregivers' child-rearing capacity is limited in the rural context, and they are often overwhelmed by children's diverse and complex needs, particularly their emotional ones. In view of the huge population and their vulnerability, it is imperative for the state to take up its responsibilities and develop specific social work services and other support for children left behind and their families.     

Attachment‐facilitating interactions in non‐kin foster families

This study aims to analyse the interaction between children in foster care and their main caregivers during a microcoded co‐construction task, focusing on the verbal and non‐verbal behaviours that the adults use to promote a secure attachment in the child. It also examines how children and caregivers' socio‐demographic variables relate to the interaction. The sample is made up of 28 Spanish children between 4 and 9 years old in long‐term non‐kin foster care and their foster families. The building task was administered to 28 dyads, composed of the child and the main caregiver in each family. Our results showed that the caregivers' use of attachment‐facilitating behaviours was frequent during the interaction. Moreover, children tended to display a positive attitude when adults used these attachment‐facilitating behaviours. We also found some differences in the interaction according to the caregivers and children's age, the child's gender and the caregivers' satisfaction with the child's development. These results offer us a better understanding of the functioning of the adult–child relationships in foster families, which helps us make more efficient interventions to improve the caregivers' sensitivity towards the children's needs and difficulties.     

The impact of inheritance experiences in orphans and vulnerable children support in Zimbabwe: A caregivers' perspective

Despite the predominant contemporary and traditional coping strategies adopted in Zimbabwe in the past three decades and beyond, challenges and issues related to inheritance continued to affect the livelihood of both orphans and vulnerable children (OVC) and their caregivers. This article is a qualitative phenomenological study seeking to examine the perceptions, views, and feelings of the OVC and their caregivers on their lived experiences in OVC care and support in Zimbabwe. The study focusses on the caregivers' perspectives of the impact of the inheritance experiences in OVC care and support within their tribal local rural communities. In‐depth narrative interviews were conducted with 30 caregivers, corroborated with 10 OVC purposively sampled in the Gutu District of Zimbabwe. The results showed that although the caregivers are doing their best in executing their strategies for OVC care and support, the manipulation and misappropriation of the inheritances from deceased parents or grandparents that were meant to benefit the OVCs are still widespread in the rural communities of Zimbabwe. In conclusion, the study recommends the need for an integrated stakeholders' approach in educating the local rural communities about their inheritance rights.     

Social Support,Caregiver Burden,and Life Satisfaction in a Sample of Rural African American and White Caregivers of Older Persons With Dementia

This article reports the findings of a study of African American and White dementia caregivers (n = 141) living in rural areas of Alabama that examined the relations between the participants' receipt of informal social support, and their levels of caregiver burden and life satisfaction. The sample, as a whole, reported high levels of social support with no reported differences in social support by race. Female caregivers reported higher mean scores on 3 of the 4 dimensions of social support than their male counterparts. Two of the 4 dimensions of social support accounted for 32% of the variance of the caregivers' reported level of life satisfaction.     

The Associations Between Socioeconomic Status,Caregivers' Depressive Symptoms,Children's Health‐Promoting Behavior,and Children's Physical Health: A Mediation Model

The aim of this study was to examine the mediating effects of children's health‐promoting behaviors on the association between socioeconomic status, caregivers' depressive symptoms, and children's physical health outcomes. We used the first wave of “Seoul Education and Health Welfare Panel.” Data were collected from 820 fourth‐grade elementary and first‐year middle school students and their caregivers using self‐administered surveys. Structural equation modeling was employed to analyze the mediating effects of health‐promoting behaviors. Bias‐corrected bootstrap confidence intervals were used to test the mediating effect. The results showed that both low socioeconomic status and caregivers' depressive symptoms were negatively associated with a child's health‐promoting behaviors. Children's health‐promoting behaviors were positively associated with physical health. However, children's physical health was not significantly associated with socioeconomic status but was marginally associated with caregivers' depressive symptoms. We found that children's health‐promoting behaviors significantly mediated associations between both socioeconomic status and children's physical health and between caregivers' depressive symptoms and children's physical health. Based on the findings, we suggest the development and implementation of school‐based, health‐enhancement programs as a means to improve the general health of all children and to reduce health inequalities.     

Empowering Children Left Behind in China

In the last two decades in rural China, increasing numbers of children of economic migrants have been left behind with kin, which is of growing concern for social work and welfare policy. The genesis of this rural to urban migration has been China's rapid economic development and greater opportunities for work in better paying jobs in cities. However, there is growing evidence of the negative impact upon these children. This paper reports the views of caregivers (n = 23) and school personnel (n = 5) from a small town in Northeast China. Interviews sought adults opinions on these children's needs, with the major outcome being children's need to be empowered – to be respected, to express themselves, to have influence, and to be supported to be able to more fully participate in education and their communities. We argue that caregiver strategies to empower children left behind provide insight into culturally appropriate processes and practices that underpin social inclusion. However, some discrepancies between the views of caregivers and school personnel alert us to the potential for tension between family and broader community and institutional views. Implications for social work practice include responding to the cultural values embedded in child rearing practices and local ideas about children's entitlements.     

Fostering confidence: Foster caregivers' relationship efficacy and associations with marital and co‐parenting relationship quality

Although healthy marital and co‐parenting relationships are important characteristics of a high‐quality, two‐parent foster home, little attention has been given to foster caregiver couples' perceptions of their marital and co‐parenting relationships and the contextual factors that influence these perceptions. Guided by the contextual model of family stress and social cognitive theory, the current study explores patterns of foster caregivers' relationship efficacy, covariates associated with efficacy, and how efficacy is associated with marital and co‐parenting relationship quality. On the basis of data collected from a random sample of 93 foster caregivers, latent profile analysis identified 49.5% as reporting moderate levels of relationship efficacy and 50.5% as reporting high relationship efficacy. Additionally, findings suggested that those who had been married previously, did not have a current placement, had been married longer, had fewer children, and received support from family reported higher levels of relationship efficacy, which was positively associated with positive marital and co‐parenting relationship quality. Implications for how the child welfare system can support foster caregiver marital and co‐parenting relationships are shared.     

The Influence of Service Factors on Spousal Caregivers' Perceptions of Community Services

The literature clearly denotes that spouses differ from other family members in their reactions to caregiving, their patterns of service use and their assessment of specific services. Yet, despite their prevalence as caregivers, little is known about their unique perceptions of community services and the factors that impact their experiences with the service system. The purpose of this study was to explore the relative influence of (a) spouses' personal factors (e.g., gender, family support) and (b) service factors (e.g., one-on-one professional support), on spousal caregivers' perceptions of community services. The study employed a survey design with a sample of 73 spousal caregivers caring for their partners with dementia at home.

This study found that spousal caregivers have more negative perceptions of the service system when their in-home workers are not informed about their spouses' likes, dislikes and routines. This service factor was the most significant predictor of caregivers' service perceptions. The study further found that most spousal caregivers receive fewer than five consultations from a non-medical professional over a one year period. While spouses longed for more professional support, this service factor was not uniquely associated with service related stress. The policy and practice implications of these findings are discussed.     

Leisure Education

This article presents the concept of using leisure time as a potential coping resource for family caregivers of impaired older persons, that could be facilitated through a leisure education program within a caregiver support group. Included is a review of literature relevant to stresses of caregivlng, barriers to caregivers' leisure involvement, and rationale for a leisure education program within a family caregiver support group. It is suggested that leisure education programs be based on the Peterson and Gunn leisure education model which consist of four components: leisure awareness, leisure activity skills, leisure resources, and social skills. Each component is considered in relation to caregivers' situations. Reasons for caregivers' resistance to intervention and outreach techniques are also discussed.     

Caregivers' perspectives on the SafeCare® programme: Implementing an evidence‐based intervention for child neglect

This qualitative study examined caregivers' experiences with SafeCare®, an evidence‐based programme that focuses on child neglect through modules on health, safety, and parenting. Shortly after completing SafeCare, 30 caregivers participated in a semi‐structured interview about their experiences with the programme. Overall, caregivers indicated that the programme helped with improvements in their parenting skills. Among the factors that contributed to a positive experience were the simplicity of language, the skills‐based approach, and the quality of the relationship with the SafeCare provider. Caregivers also noted several factors that made it difficult to fully benefit from the programme, including financial constraints, removal of their child from the home, and general distrust towards the child welfare system. Findings provide relevant information for SafeCare providers in terms of identifying areas that work well for caregivers completing the programme, as well as areas that might serve as impediments. Implications for contemporary child welfare practice are also considered.     

The association of caregivers’ and children’s characteristics with children’s social preference and being a class leader in China

Children’s social status in China includes both informal (e.g., social preference) and formal (e.g., class leader) statuses. This study examines the associations among caregivers’ characteristics, children’s characteristics, children’s social preference, and being a class leader by using multiple sources of information (caregiver reports, self‐ratings, sociometric methods, and achievement data). The participants were 1,926 fourth‐ to ninth‐ graders (M_age = 12.7; 49.7% males) and their primary caregivers. The caregivers’ characteristics were found to be related more closely to class leader than to social preference. Both higher children’s interpersonal character and academic achievement were associated with higher social preference and class leader; however, academic achievement showed stronger relationships with both types of status than interpersonal character. The children’s characteristics mediated the associations between caregivers’ characteristics and children’s social statuses. The grade difference test showed that interpersonal character had a stronger association with social preference, and academic achievement had a stronger association with class leader in secondary school than in primary school. The results suggest that children’s characteristics (especially academic achievement) are strongly related to Chinese children’s social preference and being a class leader. In addition, the potential role of caregivers’ characteristics and the influence of child age are noteworthy.     

Korean American Dementia Family Caregivers’ Experience of a Psychoeducational Support Group: Investigation of Role of Culture

Seven Korean American dementia family caregivers participated in a psychoeducational group. A focus group was conducted to explore the effectiveness of the group work model. Analysis of the focus group presented four themes: (1) importance of education about dementia, (2) social support from other Korean caregivers, (3) role of language and Korean culture, and (4) heterogeneity of caregivers' needs. Implications for social work practice, policy, and research are provided.     

Family relations, adjustment and well-being in a longitudinal study of children in care

The article reports on a longitudinal study of children placed in a children's home during the first two years of the 1980s. The 26 children placed when younger than 4 years of age and staying more than 4 weeks were followed up 3 and 9 months after leaving the children's home and 5, 10, 15 and 20 years later. The children's family relations, including early attachments and later parental relationships and the perception of who is their family, have been one of the predominant themes in the recurrent studies. None of them had lived with both parents after leaving the children's home and 20 of them had been in foster care for periods or permanently. At the time of the last study the children were young adults, aged 20–25. They are categorized in three rather distinct categories, one for those with a ‘good’ and one for those with a ‘moderate’ social adjustment and well‐being and one for those with a ‘bad’ social adjustment and well‐being insofar as involvement with drugs, criminal behaviour and legal sanctions are concerned. Their contacts and relationships with birth parents and foster parents and the perception of who is their family are analysed by use of attachment theory and developmental psychopathology.     

Caregiver Emotional Expressiveness,Child Emotion Regulation,and Child Behavior Problems among Head Start Families

The present study examined the relationships between caregivers' self‐reported positive and negative emotional expressiveness, observer assessments of children's emotion regulation, and teachers' reports of children's internalizing and externalizing behaviors in a sample of 97 primarily African American and Hispanic Head Start families. Results indicated that higher caregiver negativity and lower child emotion regulation independently predicted more internalizing behavior problems in children. Additionally, children's externalizing behavior problems were negatively predicted by caregivers' self‐reports of positive emotional expressiveness. Importantly, results also suggested that caregivers' emotional expressiveness and children's behavioral problems may be non‐linearly related, and that child gender may play an important moderating role. These results emphasize the importance of family emotional climate and child emotion regulation in the behavioral development of preschool‐age children, and highlight the need for improved theoretical and practical understanding of socioemotional development in diverse populations.     

Mosaic of Difference

Summary

The professional literature has not adequately addressed the behavioral and social factors that contribute to different coping outcomes for African American elder caregivers as compared to non African Americans. Awareness and understanding of these unique experiences would better prepare professionals to work with such clients. This study examines the predictors of emotional distress among 46 African American women who provide care to dependent elderly parents. Multivariate statistical analyses show that elder caregivers' rating of quality of life, their years of caregiving, as well are their poor heath constitute significant predictors of risk for depression. The results of the study provide support for the inclusion of more culturally appropriate measures of caregiver distress, and provide insights to inform social work practice, policy and research concerning African American female elder caregivers in the 21st century.     

Stability and change – a 7‐ to 8‐year follow‐up study of mental health problems in Norwegian children in long‐term out‐of‐home care

The aim of the study was to explore stability and change in mental health problems in Norwegian children aged 6–12 years old (n = 70) in long‐term out‐of‐home care. The children's mental health problems were assessed shortly after the placement and 7–8 years later by the caregivers and the teachers on the Revised Rutter Scales. Information on pre‐placement and placement factors were collected from the child welfare workers. At a group level the children's mental health problems had improved significantly over time according to the teachers' reports. According to the caregivers' reports, however, the children's problems were high and stable across time. Analyses aimed at detecting individual changes revealed a great variability in development according to both informants, indicating that treating the placed children as a homogenous group could be misleading. Several pre‐placement and placement variables were associated with the change in the children's mental health problems from the time of placement to the follow‐up time according to both informants' reports. However, all the predictors were accounted for by the strong effect of the children's problem scores when entering care.     

Children's Perceptions of Family Relationships as Assessed in a Doll Story Completion Task: Links to Parenting, Social Competence, and Externalizing Behavior

This study was designed to examine the links between parenting, children's perceptions of family relationships, and children's social behavior. Seventy‐four children (M age=6.01 years; 39 boys; 35 girls) and their parents took part in the study. Children completed relationship‐oriented doll stories that were coded for coherence, prosocial themes, and aggressive themes. Parents completed a report of their child's social behavior, a parenting scale, and a number of demographic items. Teachers also completed measures of children's social competence and externalizing behavior. Warm parenting predicted both a child's representation of prosocial themes in the doll stories and social competence, whereas harsh parenting predicted both a child's use of aggressive themes in the doll stories and a child's externalizing behavior. These findings support the idea that children are constructing models of relationships out of the early interactions with caregivers, and that they use these representations to guide their social behavior.     

Substance‐dependent women becoming mothers: breaking the cycle of adverse childhood experiences

Parenting may be particularly challenging for substance‐dependent mothers who have grown up with parents who themselves had substance use disorders (SUDs). The aim of this study was to explore how substance‐dependent mothers describe their childhood experiences with substance‐abusing parents and the association between these earlier experiences and their own role as caregivers. Using purposeful sampling, mothers admitted for 1 year to a family ward at a substance abuse clinic were approached. Through in‐depth, qualitative interviews, nine substance‐dependent mothers described their lives in the form of present, past and future tense. The findings indicate that substance‐dependent women, who have experienced SUDs in their families of origin, face several major challenges when they become mothers. Some describe having lived their whole lives ‘on the edge of society'. This makes their rehabilitation process more complex. All mothers work to abstain from substances, process traumatic experiences and integrate their family into society. They need help to build supportive social networks and to establish a safe and predictable family environment for themselves and their children. The therapeutic implications of these findings will be discussed.     

Giving voice to experiences: parental maltreatment of black children in the context of societal racism

ABSTRACT This paper seeks to explore the ways in which black children who have been maltreated within their families come to voice to tell their stories. A discussion of black children's recovery from maltreatment necessitates understanding how they interpret and name their experiences as abusive. Research indicates that while many factors mediate the effects of abuse on children's development, telling your story about childhood trauma is critical in the healing process for promoting psychological well‐being. However, what does the naming and speaking of trauma entail for black children when the broader context of their lived realities is embedded in racism that confers on them a stigmatized status? Where black children's lived experiences encompass the complexity of societal racism as a mutually reinforcing and contradictory reality in their lives, their capacity to name the maltreatment they experience will be particularly problematic. Essentially, parents’ issues silence children and can encourage them to block out painful emotions, ultimately putting their emotional and psychological well‐being at risk. Taking race and gender as benchmarks for analysis, the complexities involved in giving voice to childhood maltreatment are discussed to consider how these dynamics contribute to black children's resilience and adaptive behaviours in the aftermath of abuse.