Families who adopt children with special needs

This study explores the type of family who adopts children with special needs. Fifty-six families who adopted special needs children were interviewed. Many of the interview questions were based upon a cognitive social learning framework. These questions assessed such areas as parent expectations, competencies, and sense of responsibility and attachment. This framework, along with demographic characteristics and an assessment of parents' discretionary and support resources, resulted in a profile of adoptive parents. Implications are discussed for recruitment of adoptive parents for children with special needs and suggestions are given for future research.     

The role of birth/previously adopted children in families choosing to adopt children with special needs.

Engaging birth/previously adopted children during the adoption process is crucial to laying the ground-work for successful placements. When families choose to adopt children with special needs, however, the role their other children will play in the adoption's success is often overlooked. This article presents a practical model that recognizes the dynamics of strength and vulnerability in adoptive families, then applies this model in preparing and supporting the family through the changes that are inevitable in special needs adoption. The model can also be used to assist adoptive parents in identifying and developing the skills they need to manage these shifts within the family.     

The journey to adopt a child who has special needs: Parents' perspectives

Many of the children eligible for adoption from the public child welfare system are considered to have special needs. Given the importance of securing adoptive families for these children, knowing more about the adoption process as it is experienced by prospective parents who complete (or are in the process of completing) their adoption pursuit and those who discontinue it are critical. Using qualitative inquiry, prospective adoptive parents in nine families were studied in an effort to learn more about their motivations, expectations, preparation, and experiences. Although the adoption outcome (continued versus discontinued) was different, the process, including negative experiences, was quite similar. Programming implications and suggestions for future research are offered.     

Preparing parents for children with special needs: A three-part approach

This paper describes a community-based educative-small group method for working with prospective foster and adoptive parents. As an educational approach, the program prepares applicants to be substitute parents. The small group process method provides the applicants with an atmosphere conducive to discussing fears and frustrations while gaining peer and professional support. Community-centeredness not only allows the agency to recruit much-needed minority parents, but to make a contribution to the community in the form of prevention of problems through availability and education. Evaluation of the program demonstrates that the combined communitybased, small group approach is an effective and efficient method for “screening-in” foster and adoptive parents for children with special needs.     

Education of social workers for intervention with families of children with special needs

With the passage of Public Law 99-457, social workers may be expected to have increased involvement with the special needs of families who have children with handicaps. Specific knowledge, skills, and competency are needed to work with these special needs children and their families. Social work education must be responsive to these needs. The authors suggest competency-based educational responses.     

Children who refuse to speak: Ethnic background of children with special educational needs described as elective mute

SUMMARY. Headteachers reported on the characteristics of 8,067 children in a large sample of urban special schools and units. Twenty-three children were identified as elective mute. The age, sex, ethnic background, and other behaviour difficulties described in this sample are outlined. It is argued that previous explanations for the ethnic composition of samples of elective mute children need to be reconsidered in the light of this data.     

Agency change: a response to the needs of black families and children

Many established voluntary child welfare agencies are now finding that the majority of their clients are black. Meeting their needs and those of the black community calls for deep-going changes in agency structure, orientation, and practice.     

Resilience in maltreated children: implications for special needs adoption.

Children in the child welfare system face renewed issues of loss as they enter adoptive placements. Every move is a loss and an exercise for the child in establishing the perception of a "safe" environment. Resilient children who have been abused develop coping skills to adapt to their abusing "unsafe" environments. When these children become part of an adoptive family, these coping skills need to be recognized as providing important cues to the child's world, rather than as challenging behaviors. The author deconstructs the words of resilient children into five themes that can help provide access into the children's world, a fresh viewpoint from which to assess the adopted children's reactive behaviors, and a foundation on which an adoptive relationship can be built.     

Mobile crisis services for children and families: Advancing a community-based model in Connecticut

The purpose of this paper is to describe a best practice model of care for children's mobile crisis services in Connecticut: Emergency Mobile Psychiatric Services (EMPS). EMPS responds to homes, schools, emergency departments and other community locations to provide children and their families with mobile crisis stabilization, assessment and brief intervention, and referral and linkage to ongoing care. The system is comprised of a statewide network of contracted providers, a statewide Call Center to manage and triage incoming referrals, and a Performance Improvement Center to provide data analysis, reporting, quality improvement, and standardized training. Data collected since 2009 demonstrate high service utilization, consistently high mobility rates, and rapid response times as well as statistically significant improvements in child outcomes. The paper discusses the role of mobile crisis services within a comprehensive continuum of behavioral health care for children and families.     

Serving the needs of immigrant families of children with autism

The growing influx of immigrant families into the USA necessitates an understanding of how these families manage mental health disorders. Few studies have documented the ways in which autism spectrum disorders (ASD) are understood across different immigrant groups. This lack of knowledge creates barriers for practitioners who are encountering immigrant families in their practice. The present paper provides a conceptual framework of how cultural values and beliefs shape the way diagnosis, etiology and treatment of ASD is perceived by both immigrant families and western practitioners and how differences in perspectives may create obstacles in treatment planning. A review of the literature describing practical and cultural barriers to mental health access and research among immigrant populations is also presented. Finally, recommendations are offered to practitioners, families and individuals with ASD to aid in increasing understanding and collaboration among these populations when designing and implementing treatment interventions.     

Educating children with special needs: An interorganizational perspective on policy implementation

Educating handicapped children is dependent upon the relations among organizational and agency implementors. In this paper, factors influencing successful policy implementation are examined relative to the implementation of Massachusetts Special Education Law, Chapter 766. Case exploration suggests several possible strategic points of intervention for other states faced with implementing a later, but similar law, The Education for All Handicapped Children Act (P.L. 94–142). Seen within the larger context of degree of change required by a policy and consensus on policy goals, recommendations at the guideline development, resource distribution, and oversight stages can affect such implementation problems as organizational capability, dispositional conflicts of key actors, and interorganizational communications. The paper supports early analysis and feasibility estimates of policy implementation to enhance the needed interorganizational coordination for the education of handicapped children in the least restrictive environment.     

Working for families with dysfunctional children: An approach and structure for the first family therapy interview

A preplanned and structured format for conducting the first family treatment interview is presented in which the assessment task is seen as an opportunity to help a family succeed in constructively, coherently, and logically looking at itself, the problem child, and the problems with which it is attempting to deal. Strategies of modelling openness and competence are suggested. Building on the family's perceptions and plan in the empathic and respectful way is postulated as a way of avoiding power struggles and setting the stage for collaboration. The model is designed to provide a successful first session for the family and therapist, during which they complete a challenging task.     

A curriculum model for a community development approach to community-based rehabilitation

Community-based rehabilitation (CBR) is not a new concept but has become the focus for groups such as the World Health Organisation and other international aid agencies in facilitating the availability of rehabilitation services in developing countries throughout the world. Although much of the literature debates institutional versus community-based services and auxiliary versus fully trained personnel, little information is available to address the curriculum issues relating to training personnel to undertake CBR activities. The purpose of this paper is to present a curriculum model for preparing and implementing short programme workshops to encourage the development of CBR in different cultural settings. The curriculum model has foundations which are firmly rooted in curriculum and educational theory and concepts. It provides a flexible adult learning approach to introduce the broad concepts of CBR, providing the participants with culturally relevant, concrete, practical tools to allow the implementation of CBR activities. The workshop model has been used successfully with participants from diverse or homogeneous backgrounds.     

Brief online surveys to monitor and evaluate facilitated peer support groups for caregivers of children with special needs

BackgroundThere have been few systematic evaluations of experiences of participating in peer support groups for parents and other caregivers of children with special needs. In Australia, facilitated groups are available to caregivers in community settings, through a nationally funded program, MyTime. Mechanisms for ongoing monitoring and evaluation have not yet been instituted.AimTo establish whether brief, online surveys can be used for monitoring and evaluating peer support groups for caregivers of children with special needs.MethodsTwo brief, online surveys, with both fixed-choice and open-ended questions, were developed. All caregivers who attended any MyTime group during a 1-month period were invited to participate.ResultsOf 89 caregivers who expressed interest in participating, 54 and 31 respondents completed respectively. Respondents represented a variety of backgrounds and circumstances. Responses revealed both positive and negative aspects of group participation. Linked data on expectations and experiences provided important feedback for the program.ConclusionBrief, online surveys are a suitable mechanism for ongoing monitoring and evaluation of peer support group programs for caregivers.