The shaping of electronic service delivery

This paper considers the current literature on electronic service delivery in the light of the findings of a qualitative research project examining the implementation of online services in British social housing. The paper adds to existing evidence that the nature of electronic service delivery is heavily influenced by the agencies that introduce it and by the context in which it occurs. The shape of electronic service delivery in social housing was found to be heavily influenced by the high complexity of transactions between social landlords and tenants, and by the ethos of some social landlords. The research also suggested there was a broad consensus between social landlords and tenants with regard to the practical limits of online services. However, the development of this form of electronic service delivery was occurring in a situation in which influence was unevenly divided between the various parties involved.     

Center-based childcare use by Hispanic families: Reasons and predictors

This study explored the reasons and factors associated with childcare use for Hispanic children of preschool age with working and nonworking mothers. National Household Education Survey/Early Childhood Program Participation 2005 data were used. The data suggested that use of center-based childcare is more frequent than use of parental care, relative care, or nonrelative care. In general, family poverty status, mother's education, household composition, mother's work status, and acculturation are all significant predictors of center-based childcare use. The importance of the educational and pragmatic characteristics of childcare plays a significant role in childcare selection for parents of Hispanic preschool-age children. Mothers who put greater value on socialization are more likely and mothers who put greater value on location and reliability are less likely to use a center-based childcare. Nevertheless, the relationship between family characteristics and center-based childcare use, and the relationship between the importance of childcare characteristics and center-based childcare use, depends on the mother's working status.     

Childrearing,social stress,and child abuse: Clinical considerations with Hispanic families

Child abuse in our multicultural society is a national emergency. As a nation, our approach to managing this societal crisis has been one of indifference to cultural variations among families and children, under the prevailing belief that cultural diversity does not play a part when serving a single society. Experience, however, shows that consideration of ethnocultural factors is warranted if we are to effectively treat and prevent child maltreatment. In this paper, a sociocultural perspective on child maltreatment in the United States Hispanic population is presented. Social stresses experienced by Hispanics along a continuum from emigration and migration, to arrival and adjustment to a new culture, and to the sociocultural and economic conditions they face in the United States are linked to factors of individual psychology. Traditional childrearing values and practices and factors of assessment and intervention are discussed with an emphasis on the changing characteristics of Hispanics.     

Developing culturally competent marriage and family therapists: guidelines for working with Hispanic families

As the Hispanic population of the United States continues to grow, so will the need for therapists who have been trained to work with Hispanic families. This content analysis of the available treatment literature generated several specific guidelines that can be used in training and evaluating culturally competent therapists. Guidelines included: Use family therapy, act as advocate for the family, assess immigration experience, assess acculturation, respect father, interview family subsystems separately, do not force changes, provide concrete suggestions, and warmly engage the family. Empirical and conceptual support for each guideline is discussed and several conclusions are made regarding culturally competent therapy with Hispanic families.     

Ethical challenges in conducting research with hard to reach families

This paper reflects on some of the ethical challenges encountered by the authors whilst undertaking sensitive qualitative research with parents and children who are traditionally hard to reach. The research aimed to provide more holistic and in‐depth accounts of parenting on a low income in diverse social circumstances than already exist. The nature of the sample and the subject matter that was covered inevitably raised many familiar ethical dilemmas and some that are less often encountered in practice, particularly in relation to child protection. In this article we discuss our approach to ethics, some of the ethical challenges we encountered undertaking work with families and discuss the complexity of decision‐making around risk of harm to children. We conclude that a clear framework to avoid harm should be developed at the outset and a transparent approach to child protection issues should be used. Additional time and resources need to be incorporated at the planning stage of similar projects in order to develop appropriate methods, ensure effective decision‐making and support researchers. Copyright © 2008 John Wiley & Sons, Ltd.     

The limits to public service: rural communities,professional families and work mobility

Australia faces an ongoing challenge recruiting professionals to staff essential human services in rural and remote communities. This paper identifies the private limits to the implicit service contract between professions and such client populations. These become evident in how private solutions to competing priorities within professional families inform their selective mobility and thus create the public problem for such communities. The paper reports on a survey of doctors, nurses, teachers and police with responsibility for school-aged children in Queensland that plumbed the strength of neoliberal values in their educational strategy and their commitment to the public good in career decisions. The quantitative analysis suggested that neoliberal values are not necessarily opposed to a commitment to the public good. However, the qualitative analysis of responses to hypothetical career opportunities in rural and remote communities drew out the multiple intertwined spatial and temporal limits to such public service, highlighting the priority given to educational strategy in these families’ deliberations. This private/public nexus poses a policy problem on multiple institutional fronts.     

Institutional obstacles to service delivery in South Africa

This paper argues that the service‐delivery crisis facing two‐thirds of the municipalities across South Africa is caused by a series of institutional shortcomings ranging from incoherence in national policy towards rural and urban development, a lack of enforcement when it comes to financial controls and competencies, and a lack of skills affecting local officials ranging from customer service and relations, to financial controls, to technical competencies in the core areas of electrification, basic water and sanitation, and refuse collection. Government needs to address the skills shortage at the local level and enforce the rules and regulations concerning the role of public and elected officials to ensure not only service delivery but accountability and transparent decision‐making. Attending to the skills shortage and enforcing relevant rules would ensure better service delivery and, in turn, encourage bringing ‘democracy to the people’, which is at the heart of the post apartheid government’s decentralisation project.     

A program of research with Hispanic and African American families: three decades of intervention development and testing influenced by the changing cultural context of Miami

In this article we summarize work with poor, inner-city Hispanic and African American families conducted at the University of Miami Center for Family Studies. We elucidate ways in which this research program has paralleled the treatment development paradigm and has been responsive to changes in local demographics. Specific cultural issues pertaining to Hispanics and African Americans are discussed in light of treatment development and implementation. Future directions and challenges for working with poor, inner-city minority families are addressed.     

A case study: service delivery and parents with disabilities

A Specialized Family Program, through a supervised paraprofessional, provided time-intensive, home-based service to a family in which both parents were deinstitutionalized disabled individuals. Interventive procedures consisted of systematic educational procedures in basic child care and home management and the case management of many active but uncoordinated agencies. Through this case history, the programmatic needs of disabled parents and their families are discussed, with emphasis on (1) an orientation of family support and advocacy; (2) active, home-based intervention; (3) educational methods based on systematic, behaviorally based instruction; (4) coordination of all workers involved; and (5) client control of decisions related to intervention.     

Unmet service needs of families of young children with chronic illnesses and disabilities

Data about health and educational services were collected from 187 families with young children (under two years) who have chronic illnesses and disabilities. The purpose was to assess parents' satisfaction with services their families received and to identify families' unmet service needs as well as the reasons for these unmet needs. Although families' ratings of the adequacy of services are relatively high, 28% of the families report unmet service needs. The unmet needs most often reported are occupational, physical, or speech therapy; respite care/child care; and special education. Lack of funding is the most commonly given reason for unmet needs. Children with multiple impairments are at highest risk for unmet needs. Only 22% of unmet needs reported at the initial interview have been met by the time of the six-month follow-up. Increased coordination and monitoring of services across service sectors are indicated. Her research interests include the effects of disability on family identity and families' responses to minority stress. She received her Ph.D. from the University of Minnesota. She gratefully acknowledges Shelley Blazis and Nadav Casuto for statistical consulting. Her research interests focus on the impact of chronic illness and disability on families. She received her Ph.D. from the University of Minnesota. Her research interests include families and health and chronic illness and disability in children. She received her Ph.D. in Family Social Science at the University of Minnesota. His areas of interest include neurodevelopmental outcomes of low birth weight infants and training in developmental pediatrics. He was graduated from the University of Minnesota Medical School. His areas of interest include adolescents with chronic illness and disabilities, adolescent sexual decision making, and international adolescent health care issues. He was graduated from Howard University College of Medicine was awarded his earned doctorate in Health Policy from the University of Minnesota. Preparation of this article was supported by the National Institute on Disability and Rehabilitation Research Grant #H133890012.     

Definitions and methods for prevention research with youth and families

This paper proposes a new definitional model and improved methods for human services prevention research with youth and families. The proposed model defines prevention as knowledge-based, group intervention aimed at helping at-risk youth and families build skills and social supports to enhance interpersonal and environmental competence and to manage stress. Based on this definition, the authors suggest methods for improving prevention research. Those methods begin with risk assessment. Risk assessment, in turn, provides a basis for three levels of preventive intervention: universal, selective, and indicated. Each intervention level is discussed, with particular attention given to selective and indicated interventions because of their relevance for human services with youth and families. Finally, the paper notes the implications and future research directions for new models and levels of human services prevention with youth and families.     

Improving work programs' delivery of information and service to workers' compensation carriers

This paper presents the results of a telephone survey of workers' compensation carriers, addressing how occupational therapy work programs can best meet these carriers' needs. Fifty percent of the market share of workers' compensation carriers in Michigan participated in the survey. Survey results indicated that workers' compensation carriers found Functional Capacity Evaluations, job analyses, and work hardening to be important work rehabilitation services. A significant portion of the respondents (88%) stated that they recognized the need for clinically successful work rehabilitation programs and indicated that if they had return to work rates for different providers, they would utilize providers that had the most successful outcome data in a specific geographical area. Occupational therapists can use these survey results to improve their services and communication with insurance to ensure that injured workers will continue to have access to the efficacious interventions occupational therapists provide in work rehabilitation.     

Evidence-based practice in family group decision-making for Anglo, African American and Hispanic families

This study addresses the need and gap in the literature on evidence-based practice in family group decision-making services by reporting on the Texas Department of Family and Protective Services' Family Group Decision-Making study, conducted between December 2003 and July 2005 with Anglo, African American and Hispanic families throughout Texas. These services are compared to standard practice by assessing satisfaction, child well-being and exits from care. Findings indicate that both parents and relatives are more satisfied with family group decision-making conferences than standard practice on a number of dimensions, with relatives reporting feeling more empowered than parents. Children are reported to be less anxious if their families participate in a conference, and they may be more adjusted when they are placed with relatives following a conference. Finally, exits from care are faster if families participate in family group decision-making conferences, and exits to reunification are increased; this may be especially true of African American and Hispanic children.     

Fathers' alcohol use and spousal abuse and mothers' child abuse in multicultural families in South Korea: The mediating role of acculturation and parenting stress

There is a potential high risk for child abuse by foreign-born mothers in multicultural families in Korea, particularly given that they experience acculturation and parenting stress at the same time. Further, the risk for child abuse by foreign-born mothers may be aggravated through the high rate of alcohol abuse among Korean husbands that may increase their spousal abuse and in turn the mothers' acculturation and parenting stress. Therefore, this study examined the associations between Korean fathers' alcohol use and spousal abuse and foreign-born mothers' child abuse in multicultural families, with particular attention to investigating whether foreign-born mothers' acculturation and parenting stress mediated the associations. This study overall found that fathers' alcohol use was directly associated with their spousal abuse, and that fathers' spousal abuse was directly associated with mothers' acculturation stress and child abuse. Further, this study found a full mediation path in which fathers' alcohol use was associated with mothers' child abuse through fathers' spousal abuse. Fathers' spousal abuse was also associated with mothers' parenting stress through mothers' acculturation stress, and mothers' acculturation stress was associated with their child abuse through their parenting stress. The findings of this study provide social work implications for child abuse in multicultural families in Korea.     

Post-investigation service need and utilization among families at risk of maltreatment

This study examined the relationship between different areas of family need and the utilization of home-based, post-investigation services (HBPS) following a child protective services (CPS) investigation. The sample consisted of 2598 families with children who remained at home after an initial CPS investigation between July 2006 and April 2011. Family need was measured in three areas (concrete, clinical, and educational) using the Family Assessment Form (FAF), and families received one or more of the following HBPS: case management, concrete, educational, and clinical services. Pearson chi-square analyses were utilized to identify significant areas of needs to be included in a final multivariate logistic regression for each HBPS while controlling for demographic characteristics.Numerous areas of family need were associated with receipt of services intended to address those needs. Specifically, concrete need related to financial conditions was met with concrete services, educational need related to child development (an indicator of parenting need) was met with educational services, and clinical need related to interactions between caregivers (a potential indicator of domestic violence) was met with clinical services. In contrast, caregivers with concrete need related to living conditions were less likely to receive both educational and clinical services. Findings from the study highlight that matching concrete needs to related services is relatively straightforward but that the match between educational and clinical needs to respective services is more complex. We discuss the complexities of matching different areas of need and HBPS following a CPS investigation and the importance of "bridging services" to engage families at risk of maltreatment in additional prevention services.