Family Therapy for Kids Without Families: Working Systemically With Children and Young People in Residential Care

A significant proportion (4%, Australian Institute of Health and Welfare, 2008) of children and young people in Australia live in some form of residential care, usually in small group‐homes staffed by residential care workers in shifts. However, as Hawkins‐Rodgers (2007) points out, these placements are often not resourced to heal the effects of trauma and multiple attachment disruptions in their residents. The lack of an archetypal ‘family’ has led in the past to family therapists considering that there is little work to be done with such clients. This leaves such placements to be supported most frequently by clinicians who specialise in behaviour management and other linearly founded models of practice. The Alternate Care Clinic (ACC) is the first mental health service in New South Wales dedicated entirely to children and young people in out of home care with a high level of complex needs. This article examines the systemic therapeutic model the clinic has developed in the last two years. In particular, the article seeks to explore the importance of ‘meaning making’ in a diffuse parental system, particularly with regards to the term ‘family’. The complexities of working in this area and possible ways forward are illustrated with a closely worked case study.     

On the margin? Residential child care in Scotland and Finland

Situated on the margins of Europe, Scotland and Finland are small countries which share similar demographic and economic profiles. In many European countries, residential child care can also be considered to be ‘on the margin’ of child care provision; there is ambivalence about residential care and a view that it should be used as a last resort. This paper examines systems and practices of residential care in Scotland and Finland, locating these in the context of wider child welfare policy in both countries. The underpinning principles of child welfare provision in both countries are similar—based on children's rights and primarily family-focused. In both countries there are also similar concerns about the fragmentation of child care provision and the cost of residential services. However, there are also important differences relating to child welfare provision and the use of residential care. In Finland, overall numbers of children in residential care are much greater than in Scotland; the age profile of these children and young people is very different; and the two countries vary markedly in the use of secure accommodation and custody. This comparative analysis suggests new ways of understanding the similarities and difference in the use of residential care in the two countries. It highlights the continuing challenge to develop residential care as a positive and integral part of a continuum of care services.     

Representations of the ‘Damaged’ Child: ‘Child Saving’ in a British Children's Charity ad Campaign

This article discusses the representation of abused children as ‘damaged’, drawing on a series of three advertising campaigns for a British children's charity. The pictures and text of the advertisements seek to elicit readers’ concern for abused children by portraying them (a) as passive agents in their development and (b) as signifiers of the dangers of the world and the safeness of the home. The portrayal of abused children in the advertisements serves to reinforce a perception of the vulnerability of all children and the need for adult supervision and ‘care’. Without seeking to dismiss the seriousness of abuse or of the work done by children's charities, the article questions the implications of these representations of childhood and ‘damage’, and argues that the dominant representation of abused children drawn on in such campaigns oversimplifies many complexities in the worlds and the lives of children who have been abused.     

‘Here and There’: Children and Youth’s Perspectives of Borders in Mexico–United States Migration

This article explores children’s perspectives regarding migration and family separation on both sides of the Mexico‐U.S. border. ‘Transnational care constellations’¹ that connect separated siblings allow children to imagine the other side of the border and to explore their thoughts and perspectives through the lenses of inequality, as well as through a sense of belonging and family. This article presents ethnographic data of families that capture the dynamism of families that are both ‘here and there’ as children assemble their ideas and narratives of how transnational lives exist.     

I Am All about the Future World: Cambodian Children’s Views on Their Status as Orphans

The dominant representation of children living in majority world orphanages highlights their vulnerability and fragility. However, little is known about their lived experiences of orphanage care and their perspectives on being regarded as ‘orphans’. This article draws on data from a pilot project undertaken in one orphanage in Cambodia to highlight such perspectives. It presents the three discourses the children themselves used to make sense of their status; the orphan as becoming, as powerless and finally as ‘lucky’. These findings draw attention to the complex nature of the orphan identity and the juxtaposed discourses of orphan care that the children employ.     

The education of children and adolescents in out-of-home care: a problem or an opportunity? Results of a longitudinal study

The education of children in care is an issue that often falls into a no man’s land in which responsibility always seems to be attributed to the other ‘department’. Furthermore, all too often, teachers, educators and foster parents find themselves working with these children with no support, as if they were isolated cases. The aim of this study is to get to know the school situation of children in different types of out-of-home care: residential, kinship and non-kinship care. Systematic data on the school situation of 11–16-year-olds (on class attendance, school behaviour, academic results and guidance towards post-compulsory education) were gathered over a period of 5 consecutive school years. A 3-year longitudinal study on the same items (N?=?391) was made and time-series data were gathered for 5 years (N?=?1841). Results show that the in-care population is at a clear disadvantage and inequality of opportunities compared to the general population in relation to their educational pathways and outcomes; the most disadvantaged being the population in residential care. Recommendations are included, posing the challenge that what has to date been considered a ‘problem’ should become an opportunity for these children.     

‘Off school sick’: mothers' accounts of school sickness absence

Interview material, collected as part of a wider ethnographic study of sickness absence in an English primary school, is used to examine how mothers accounted for their decisions to keep children ‘off school sick’. Mothers' accounts suggested a process by which they tested their children's claims on sickness against suspicions of feigning illness. The paper describes, from the mothers' point of view, the process of negotiating sickness with children and how children are categorised as ‘pretending’, ‘upset’ or ‘really ill’. These decisions are set within a wider context comprising: a normative discourse of maternal child health care; contradictory demands placed on mothers by the image of children as simultaneously robust and vulnerable; the surveillance and contradictory demands of schooling; and the use by children of sickness as a means of exercising influence on their social situation. It is suggested that locating child health care in relation to childrens' point in their childhood career (for these children the transition to secondary school) and acknowledging the active role that children play in the construction of illness will facilitate a fuller picture of mothers' unpaid health work within the family.     

Between love and behaviour management: the psychodynamic reflective milieu at the Mulberry Bush School

ABSTRACT

This article presents findings from a qualitative research study of the Mulberry Bush School (MBS), a therapeutic residential primary school caring for children with severe social, emotional and behavioural difficulties. The article notes the challenges of working with children who have experienced traumatic relationship breakdown, and reviews ideas and practices developed at MBS to support the children’s development. There is a discussion of the research study’s methodology and main findings. The researchers argue that the therapeutic milieu at MBS maintains a creative tension between a secure, playful context and one where emotional disorder and disturbance are not suppressed. The study describes how a particular psychodynamic model of reflective practice has been successfully instituted at MBS to create a ‘staff therapeutic milieu’ supporting the group living and group learning through which therapy principally occurs. The article closes with comments on the applicability of this model to residential child care practice generally.     

Young people's views of children's rights and advocacy services: a case for ‘caring’ advocacy?

This paper looks at some preliminary findings from research with young people in foster and residential care in the UK who have received advocacy services from a range of local authority and voluntary agencies. The study also includes the views of professionals, from both children's rights and social services. The initial findings highlight the importance to young people of their relationship with rights professionals. They speak about the value to them of care and respect, aspects not always seen as fundamental to rights work. Caring, in its various guises is seen by young people as a vital component of their relationship with children's rights workers. They also see this as important within advocacy work itself since caring about the outcome is often key. A pure individual rights focus with an emphasis on challenge and ‘being heard’ may not take account of the complexity of their situation and may pose difficult dilemmas for young people, especially in dealings with their carers. This ‘caring’ advocacy is not the paternalistic approach of a professional who ‘knows what's best for you’ but is a model based on a strong awareness of ways that young people are excluded and oppressed. It is also about placing a positive value on their contribution as citizens and links to a view of society that gives importance to an ethic of inter‐relationship and care as well as an ethic of individual rights. Copyright © 2007 John Wiley & Sons, Ltd.     

‘If I was a different ethnicity,would she treat me the same?’: Latino parents’ experiences obtaining autism services

This article reports on an ethnographic study with 12 Latino families of children on the autism spectrum related to obtaining autism services in Los Angeles County. Using critical discourse analysis of interviews, observations, and records, we consider the experiences of the Latino families in relation to: a discursively constructed ‘autism parent’ subject position that mandates ‘fighting’ service systems to ‘win’ autism services for children, originating from White middle-class parents’ socioeconomic resources and social capital; a neoliberal social services climate that assumes scarcity of available resources and prioritizes austerity in their authorization; and a media and institutional ‘cultural deficit’ discourse that attributes disparities in autism services for Latino children to their parents’ presumed culturally-based ‘passivity.’ We argue that parental discourse about fighting, or not fighting, for autism services is engendered by a tension between a parental logic of care, and the logic of competition of the economic market.     

‘Writing’ aesth‐ethics on the child's body: Developing maternal subjectivities through clothing our children

What could we learn from the ‘aesth‐ethic’ practices of clothing children? The dual focus of this article is to analyse the everyday clothing of children as well as the development of maternal subjectivities as relevant to discussions of aesthetic labour in the field of organization studies. Drawing upon the literatures on aesthetic labour and maternal subjectivities in the field of organization studies, we develop a fine‐grained understanding of the relatively intense and effortful maternal labours that clothing our children encapsulates. Methodologically, we use autoethnographic diary notes combined with feminist ‘memory work’ to analyse clothing as an affectual form of storytelling or ‘writing’ on the child's body that (re)produces certain sociocultural understandings about mothering, sustainability and childhood(s) in a Nordic context embraced by western consumerism. By considering the limitations of the approach taken to drawing wider conclusions about motherhoods, identity construction and clothing, this article advances our understanding of the development of particular middle‐class maternal subjectivities seeking to problematize mass consumerism through childrenswear, and how idea(l)s concerning gender and childhood(s) are being (re)produced in and through clothing.     

Violence Experiences in Care: Some Methodological Remarks based on the Finnish Child Victim Survey

The article examines violence experienced by children in substitute care and at home based on the survey results of the Finnish Child Victim Survey carried out in schools in 2008. The focus is on physical and psychological violence in conflict situations. Of the 13 459 respondents, pupils between 12 and 16 years of age, 233 children reported living in care or having lived in care. Children living in care were asked the same questions as children living at home about violence experienced by their care‐taking adults. The analysis compares the answers between those two groups and examines them in relation to information about children's psychosocial problems and measures of emotional wellbeing.

‘The focus is on physical and psychological violence in conflict situations’

According to the study, children report more physical and psychological violence by adults in their homes than children do in residential homes or foster homes. Substitute care is not, however, free of violence. Children with psychosocial problems experienced more violence at home than in substitute care. The article suggests a more thorough conceptual and methodological analysis of abuse in care. The conceptual and methodological tools employed should be sensitive to the particular nature of abuse in care and the studies should pay attention to a variety of forms and practices of violence. Copyright © 2011 John Wiley & Sons, Ltd.     

A Children's Standpoint: Needs in Out‐of‐Home Care

This article discusses research reported in ‘The Needs of Children in Care’ ( Mason and Gibson, 2004 ) in which children participated in defining their needs in out‐of‐home care. In this study a central research presumption was that children are knowledgeable about their own needs. The methods used to facilitate the involvement in the project of children and adult stakeholders in out‐of‐home care are described. Also described are findings from the research which identified that of prime importance to the children were their connections with others and their agency in their own lives. These findings are compared with findings from the narratives of the adult stakeholder groups. Finally, the implications of the findings, for improving children's participation in decision‐making around their needs in care are considered in the context of broad adult–child social relations in the care system.     

Caring children: exploring care in post-divorce families

This article draws on information from in‐depth interviews in addition to a survey from a Norwegian ‘Families after divorce’ study, in which the perspective of children and younger people are emphasized. We describe the complex relations between care‐giving and care‐receiving among children and adults in post‐divorce families and challenge and nuance the traditional western picture that emphasizes children as the receivers of care and adults as care‐givers. Inspired by the notion of ‘caringscapes’, the article seeks to incorporate the spatial and the temporal into the analysis of care and caring, and three ‘caring routes’ are identified: i) the ‘money squeeze route’, ii) the ‘emotional considerations route’ and iii) the ‘time squeeze’ route. The three routes are verified by the interview data as having both direct and indirect effects on the phenomenon of caring. We argue that children's care‐giving should be further investigated both empirically and theoretically and that a caringscapes approach might provide insight and departure for further research.     

All Work and no Play? Understanding the Needs of Children with Caring Responsibilities

This article draws on research with children who provide care for parents with serious mental health problems and signals ongoing research that uses photographic participation methods with these groups of vulnerable children. The intention of this article is to highlight the need to move away from popular and simplistic representations of children with caring responsibilities (young carers) as victims of their parents’ illnesses, as ‘little angels’ whose caring work is condoned through rewards or as (exploited) informal domestic workers whose childhoods are inevitably compromised by the caring activity they undertake. Recommendations are made for generating deeper understanding about the lives and needs of children who are affected by parental impairment that is congruent with the thrust of current UK policy, Every Child Matters and the 2004 Children Act.     

What's in a name? An exploration of the significance of personal naming of ‘mixed’ children for parents from different racial,ethnic and faith backgrounds

This article is concerned with how and why parent couples from different racial, ethnic and faith backgrounds choose their children's personal names? The limited literature on the topic of names often focuses on outcomes, using birth name registration data sets, rather than process. In particular, we consider the extent to which the personal names that ‘mixed’ couples give their children represent an individualised taste, or reflect a form of collective affiliation to family, race, ethnicity or faith. We place this discussion in the context of debates about the racial and faith affiliation of ‘mixed’ people, positing various forms of ‘pro’ or ‘post’ collective identity. We draw on in‐depth interview data to show that, in the case of ‘mixed’ couple parents, while most wanted names for their children that they liked, they also wanted names that symbolised their children's heritages. This could involve parents in complicated practices concerning who was involved in naming the children and what those names were. We conclude that, for a full understanding of naming practices and the extent to which these are individualised or affiliative it is important to address process, and that the processes we have identified for ‘mixed’ parents reveal the persistence of collective identity associated with race, ethnicity and faith alongside elements of individualised taste and transcendence, as well as some gendered features.     

Adult’s Involvement in Children’s Participation: Juggling Children’s Places and Spaces

While children and young people’s participation is a well‐established research field, much less has been written about the roles that adults play in supporting this participation. This article examines the involvement of adults within participatory forums in English schools and local authorities. Drawing on empirical data from research on children’s participation in pupil and civic councils, the article discusses the complex and sometimes contradictory pressures on adults in their advisory roles with young participants. The article goes on to explore these roles within a broader conceptual framework that counterposes children’s ‘places’ with children’s ‘spaces’.     

Caregiver perceptions of children in their care and motivations for the care work in children's homes in Ghana: Children of God or children of white men?

The perceptions and motivations that workers have in their work and work environment are important determinants of the quality of work they do. For people who work in residential institutions where children who have lost the care of their parents receive care, these perceptions and motivations become a crucial part in determining the quality of services or care the children are given. This study set out to explore the perceptions and motivations of caregivers in the institutional context in Ghana. Adopting a qualitative, phenomenological approach, data were collected from 35 caregivers in two children's homes in Ghana through participant observations, focus group discussions and in-depth interviews. It emerged that caregivers perceived the children in their care first as children of God and then as children of white men and were predominantly motivated by their religious convictions to keep doing ‘the work of God’. Other motivations included personal life situations and economic aspects of the job. Implications for the workers and children in this environment are discussed.     

Stratified structural and epistemic aspects of the care manager's discretion—a theoretical approach to social work related to older people's potential relocation to a residential home

By applying a theoretical point of departure, the overarching aim of this article is to describe, analyze, and try to understand why care managers in their everyday occupational practice normalize the restrictive approach when older people consider relocation to a residential home. While earlier research to a large extent has drawn attention to how the care managers carry out the restrictive approach, this article pays attention to the circumstances paving its way. The focus is on influences from different sociological levels, thereby ‘stratified’, and from two aspects of discretion, where ‘structural aspects’ refer to choices between permitted alternatives and ‘epistemic aspects’ to practical reasoning under conditions of indeterminacy. With this combination, a multitude of circumstances contributing to the restrictive approach is revealed. Thus, the theoretical model includes levels as well as discretionary powers where formulas constitute the foundation at each level, subsequently related to multidisciplinary references in order to get the practice into perspective. The findings show that the priority given to home-based care in contrast to residential care is repeated and confirmed at each level and besides in an interchange between structural and epistemic aspects.