Teaching Clients to Cope with Stress

This study evaluated a structured group coping skills intervention designed to reduce stress. The treatment focused specifically on modifying cognitive mediation of events and on improving coping with ongoing routine stressors, and contained relaxation, cognitive restructuring, and social skill training components. The experimental treatment was compared to a relaxation-only treatment and to a waiting list control condition. Treated subjects significantly improved on three of four dependent measures of stress. Although no statistically significant differences were found between the conditions, the study provided support for further examination of the intervention.     

An evaluation of a groupwork intervention for teenage mothers and their families

This paper describes the implementation of a specific, community‐based, multi‐family group (MFG) intervention strategy (Families and Schools Together [FAST] babies) aimed at improving the outcomes for infants of teenage mothers in 11 Canadian communities. The aims of this social work group intervention were (1) to engage the teenage mothers into a socially inclusive experience that might challenge the social disapproval they often experience, (2) to enhance the mother–infant bond, while increasing feelings of parental efficacy, and (3) to enhance the social context of the teenage mother by reducing stress, social isolation and intergenerational family conflict. Groups were co‐led by teams of service users (a young mother, a grandmother of the baby of a teenage mother and a father of the baby of a teenage mother) collaborating with multi‐agency professionals (health visitors and social workers). Teams that reflected the ethnic diversity of the participating family members were trained to facilitate eight weekly group meetings. They showed respect for the young women's ‘voice’, and supported her ‘choice’ to prioritize motherhood as her defining identity. The meetings comprised a range of activities, including crafts and singing, discussion of ‘conflict scenarios’ in cross‐familial, cross‐generational groups, infant massage delivered to babies by the young mothers, grandmother support groups, and a shared community meal. Where necessary, teams made referrals for specialist help. One hundred twenty‐eight young mothers came once to 17 groups, and 90% graduated having attended a minimum of six sessions. Evaluation data from mothers and grandmothers showed positive change when comparing pre and post, based on standardized questionnaires. One‐tailed, paired t‐tests showed statistically significant increases in parental self‐efficacy for the teenage mothers, improved parent–child bonds, reductions in stress and family conflict, and increases in social support. Given that rates of teenage pregnancy in the UK are among the highest in Europe, this paper concludes with a discussion of the feasibility and possible merits of introducing FAST babies to England.     

The Resource Worker Project: Evaluating a Specialist Social Work Service for Severely Disabled Children and their Families

Please address reprint requests and correspondence to Caroline Glendinning at the Social Policy Research Unit, University of York, Heslington, York Y01 5DD. Summary Accumulated research evidence revealed the continued fragmentationof support services for families caring for a severely disabledchild; while parents themselves repeatedly reported the lackof a comprehensive source of information and advice. The resourceworker project was designed to assess whether the levels andcoherence of services to the families of severely disabled childrencould be improved through the intervention of specialist socialworkers. The activities of the social workers were extensivelydocumented and multiple methods of data collection were usedto evaluate their intervention, in comparison with a matchedgroup of families who continued to receive the normal genericservices. According to a number of ‘outcome’ measures—forexample families' use of services, facilities and professionalexpertise; the incidence and severity of stress among parents;the mental and physical well-being of various family members—changesoccurring as a result of the intervention were, apparently,neither large scale nor consistent. Nevertheless parents werevirtually unanimous in their positive and enthusiastic appreciationof the help and support they had received. The implicationsof these findings for the evaluation of social work interventionare discussed; and attention is drawn to the importance of evaluatingintervention of this kind, as the long term support of familieswith severely dependent members is likely to place increasingdemands on social work and social services resources in thefuture.     

Clinical Home Visitation for Children With Externalizing Disorders: A Randomized Study

ABSTRACT

Clinical home visitation (CHV) was empirically tested in a randomized study to determine if it could reduce a child's externalizing behaviors while alleviating parental stress. Clinic-referred waitlisted young children (n = 33) with symptoms suggesting an externalizing disorder were randomly offered a CHV intervention composed of a developmentally guided dyadic-centered syllabus. Families were recruited to participate in an experimental (n = 21) or control group (n = 12). Mothers completed the Parenting Stress Index (PSI) and the Child Behavior Checklist. Results of paired-samples t-tests indicated that postintervention aggression scores were significantly different from the pretest scores for the entire sample. The Difficult Child domain was the only significant PSI subscale. The results did not support definitive conclusions about CHV as an effective intervention to reduce an externalizing disorder or to alleviate parenting stress. Future research should include larger numbers of children with externalizing disorders pooled from the clinic-referred and community samples. To address the complexities involved in treating externalizing disorders, CHV could be offered as part of a multimodal intervention (e.g., CHV combined with parent and family education).     

Needs and availability of support among care‐leavers: A mixed‐methods study

Data are scarce on the long‐term needs of care‐leavers and on the support resources that are available for them in the years after leaving care. This mixed‐methods study presents data on the needs and availability of support of 222 Israeli care‐leavers, suggesting that the most urgent needs of care‐leavers are a lasting need for a stable and available support figure and assistance with educational issues. For some care‐leavers, these needs are fulfilled by their mentors. Parents and other familial figures were found to be the most common support resource for care‐leavers, which highlights the need for the intervention of social workers to improve relationships within families while the children are still in care. Due to high rate of young people who have no support resources and a low rate of services utilization, social services should provide a platform to support this group, using mentors and other supporters. The longitudinal data of up to 4 years after leaving care indicated that the availability of various types of informal support improved over the years, and the reports on difficulties in relationships of the care‐leavers with their parents were significantly fewer 4 years after leaving care than on the verge of leaving care.     

Parental stress and parenting in Chinese immigrant families: The mediating role of social support

As the population of Chinese immigrants has been growing rapidly in the United States, it has been understudied on the parenting behaviours as well as the roles parental stress and social support playing in parenting in this group. This study investigated whether parental stress was associated with parenting and whether this relationship was mediated by social support in a sample of 255 Chinese immigrant parents from the Survey of Asian American Families in New York City. Regression analyses with a rich array of control variables found that a higher level of parental stress and the presence of one or more stressors such as unemployment, low income, and low education were positively associated with the use of harsh discipline and parent–child conflicts and negatively associated with positive parenting practices. Social support functioned as a significant mediator in the relationships between parental stress and positive parenting practices but not in the relationships of parental stress with parent–child conflict or the use of harsh discipline.     

Access to Services by the Elderly:

Abstract

This analysis evaluated the hypothesis that comorbidity, as a measure of physical health status, would negatively impact the stress management capability of caregivers. To examine this relationship, data from 3,112 caregivers participating in the Uniform Caregiver Assessment through California's Caregiver Resource Center System in 2000 were used. Results indicated that comorbidity was not a significant predictor of caregiver inability to manage stress; however, high depression scores, disruptive behavior by the care receiver, and reduced social support from family and friends were significantly associated. Implications for social workers in these areas are discussed.     

Effects of a Solution-Focused Program on the Reduction of Aggressiveness and the Improvement of Social Readjustment for Korean Youth Probationers

ABSTRACT

The purpose of this investigation was to explore appropriate intervention methods for helping Korean youth probationers reduce their aggressiveness and increase their social adjustment. This study examined the effectiveness of solution-focused group treatment with Korean youth probationers using a pre- and post-test control group design. The researcher randomly assigned the consented 40 participants either to an experimental group that received the solution-focused session or to a control group that took individual supportive sessions on a needed basis. The pre- and post-test scores of each group were compared using the Aggressiveness and Social Readjustment Questionnaire to confirm the levels of statistical significance between the two groups. Results indicate that solution-focused group treatment was followed by positive changes with the participants' aggressiveness and social adjustment problems. This study also suggests that a solution-focused program is an appropriate short-term intervention for Korean probation youth.     

Developing Evidence-Based Interventions for Foster Children: An Example of a Randomized Clinical Trial with Infants and Toddlers

Children who enter foster care have usually experienced maltreatment as well as disruptions in relationships with primary caregivers. These children are at risk for a host of problematic outcomes. However, there are few evidence-based interventions that target foster children. This article presents preliminary data testing the effectiveness of an intervention, Attachment and Biobehavioral Catch-up, to target relationship formation in young children in the foster care system. Children were randomly assigned to the experimental intervention that was designed to enhance regulatory capabilities or to a control intervention. In both conditions, the foster parents received in-home training for 10 weekly sessions. Post-intervention measures were collected 1 month following the completion of the training. Outcome measures included children's diurnal production of cortisol (a stress hormone), and parent report of children's problem behaviors. Children in the experimental intervention group had lower cortisol values than children in the control intervention. Also, the experimental intervention parents reported fewer behavior problems for older versus younger foster children. Results provide preliminary evidence of the effectiveness of an intervention that targets children's regulatory capabilities and serve as an example of how interventions can effectively target foster children in the child welfare system.     

A Study of MSW and BSW Students' Involvement with Group Work in the Field Practicum

ABSTRACT

Over six hundred students from ten schools of social work participated in a study designed to determine the extent to which they were involved in group work in their field practicum and their attitudes towards this intervention. Results indicated that the majority of the students felt they understood group work, even though they had actually had relatively little academic preparation and limited experience with groups in their field placement. In addition, the findings suggest that actual experience with group work in the field placement may decrease students' desire to lead groups in their professional practice, unless this experience is accompanied by appropriate support and guidance.     

Vital Conversations with Family in the Nursing Home: Preparation for End-Stage Dementia Care

Family members of persons with advanced dementia may be asked to make complex treatment decisions without having adequate knowledge regarding the risks and benefits. This 6-month, prospective, randomized trial tested the effect of an intervention consisting of a face-to-face, structured conversation about end-of-life care options with family members of nursing home residents with advanced dementia. A comparison group received only social contact via telephone. Structured conversations between a palliative care team and intervention group family members included goals of care and how best to achieve those goals, and provision of psychosocial support. Psychosocial support was also provided via telephone at three 2-month intervals. Family members participated in three telephone interviews: baseline, 3, and 6 months. Specific advance directives for persons with dementia were extracted from medical records. Results showed that intervention families had higher satisfaction with care than comparison families at the 6-month time point, and they were more likely to have decided on medical options listed in residents' advance directives (Do Not Resuscitate, Intubate, Hospitalize) over time. Study findings reinforce the need for increased education and support for families around issues of end-of-life care decisions for advanced dementia.     

Life Skills Training with Mothers of Handicapped Children

This paper describes a life skills training intervention with 230 mothers of children with a variety of developmental disabilities. The study's design evaluated the effects of a skills-building method developed to improve coping and social support networks of mothers of handicapped children. In groups of 10-12, mothers of handicapped children participated in one of two intervention groups: a skills-building intervention or a comparison treatment intervention using traditional counseling methods. At posttest assessment participants in the skills-building sessions demonstrated improved coping and communication skills, greater satisfaction with social support networks, and a reduction in depression and stress levels.     

Child protection social workers' constructions of children and childhood: An integrative review

Social workers' constructions of children and childhood are central to how professionals interact with children and support their needs. The aim of this integrative review was to provide a comprehensive portrayal of child protection social workers' constructions of children and childhood. We analysed and synthesized 35 empirical studies with samples of social workers in the child protection domain where issues regarding the child or the child's situation were the study focus. The findings show that children and youth are constructed as a generalized group viewed in light of their parents. We see a fragmented and context‐free child produced by causal shortcuts strongly informed by specific and, at times, simplified and biased psychological knowledge. Moreover, we identify constructions of the child in need of protection and thereby position children as objects for intervention, separating that from children as subjects in their own rights. Although the participatory child is visible in the data material, the actual practice of involving children seems arbitrary.     

Patterns of individual change and program satisfaction in a positive parenting program for parents at psychosocial risk

Despite the evidence of effectiveness of positive parenting programs, little is known about the typology of changes that parents at psychosocial risk undergo after an intervention. We compared individual patterns of change in three parenting outcomes in 256 at risk parents with young children attending the group‐based Growing Up Happily in the Family program delivered in municipal social services. We identified four clusters of individual change: Cluster 1 (30.6%) had negative changes in parental child‐rearing attitudes and parenting stress, Cluster 2 (27.7%) had positive changes in child‐rearing attitudes and negative results in parental perceived competence, and Cluster 3 (24.1%) and Cluster 4 (17.6%) showed overall better results. Residential area, type of social support, and quality of implementation characterized cluster membership. Participants in clusters with better results were more satisfied with the program than those with worse results. Practical recommendations are provided for the successful implementation of group parenting programs in family preservation services.     

Emotional Climate in Organizations: Applications in Latin American Prisons

Two studies in Latin American prisons analyzed the relation between emotional climate and subclimates, organizational culture, stress, coping, and social support. In the first study, emotional climate was measured in prisons in three different countries by asking employees and prisoners how they perceived the climate in their own group and how they perceived the climate in the outgroup. Employees perceived more positive and less negative emotions in their own group than the prisoners perceived in theirs. The employees correctly perceived high levels of loneliness and sadness in the prisoner group but perceived more guilt and anger and less hope than inmates reported. Within their own group, detainees perceived less joy and confidence in the institution and much more sadness and loneliness than did employees. Participation in institutional activities was associated with a more positive emotional climate. In a second study, using data compiled from five different prisons, it was again found that prisoners perceived high amounts of sadness and loneliness. A negative balance of climate among detainees was associated with a violent and avoidance subculture and with a negative climate among employees. A more positive balance of climate was associated negatively with PTSD and avoidance coping and positively with internal locus of control and subjective social support. The results suggest the importance of distinguishing between positive and negative emotional climate.     

Addressing the vision challenges of residents at a retirement community: collaborative research with a community partner

Staff members at a community retirement village were concerned about the demise of a support group for residents with vision loss, and requested help developing effective services for residents with vision challenges. This study explored past barriers to support group participation, as they were perceived by residents, family members, and employees. The community partner worked collaboratively with the researcher in all phases of the study. Questionnaires were designed to elicit demographic data, diagnosed vision problems, level of adjustment to vision loss, well-being, and motivation for attending institutional programs about vision challenges. Residents responded to standardized vision and depression scales; qualitative questions were posed to all 3 groups concerning motivations for resident participation in program activities. Results indicated that, although many residents had diagnosed vision conditions, they were, in general, coping well with vision loss and did not report depressive symptoms. Participants considered ongoing personal contact and follow-up, a group design that offered the choice of educational presentations and/or process discussions, and individualized assistance with practical challenges to be critical to an effective program. This case study, utilizing a collaborative research process, generated requests for expanded social work services and an increased valuing of the social work role.     

A new preventive intervention for children of substance‐abusing parents: Results of a randomized controlled trial

Children of substance‐abusing parents (COS) are at risk for developing psychosocial problems. We evaluated the effectiveness of the manualized, 9‐session psycho‐educational preventive intervention “TRAMPOLINE” (PE) for 8–12‐year‐old COS compared with a non‐educational “fun and play” group (NE) of equal length delivered by social workers in 27 German counselling centres. A randomized controlled trial was conducted to compare PE (n = 130) and NE (n = 88) outcomes at baseline, post intervention, and 6‐month follow‐up. Primary outcomes were related to stress and coping; secondary were also examined. Analyses were conducted using baseline‐adjusted repeated measures linear mixed models. Five outcomes revealed improvements both in PE and NE, four of which were more pronounced in PE, and one more pronounced in NE. Small but significant group differences in favour of PE were found in “social isolation” and “addiction‐related knowledge.” Children from both groups reported reduced mental distress, reduced avoidance in coping with family stress, improved self‐perceived autonomy, and a better parent–child relationship. No changes were observed in self‐efficacy, physical stress symptoms, and in other health‐related quality of life aspects. TRAMPOLINE can instill positive changes in COS by reducing mental distress and social isolation.     

A qualitative perspective of family resources among low income, African American grandmother-caregivers

This ethnographic study describes a group of 7 low-income, African American, grandmother-caregivers' perceptions of family resources. An ethnographic design, enhanced by a genogram, captured those who were available and unavailable to provide support to the grandmother. The analysis used a constant comparative method to thematically capture grandmothers' perceptions of family support resources as absent, unavailable, dependent, and reliable support, and the circumstances that led to that status. The findings reveal that many African American grandmothers are rearing children with little family support, owing mainly to the devastation of negative social and economic conditions. The results suggest areas for improvement in social work assessment and intervention.     

The Effects of Family-Friendly Policies and Workplace Social Support on Parenting Stress in Employed Mothers Working Nonstandard Hours

This study examines whether family-friendly policies (childcare leave, on-site childcare, and flexible working hours) and workplace social support (supervisor and coworker support) in South Korea are directly related to parenting stress among employed mothers with nonstandard work schedules. In addition, this study investigates the moderating role of family-supportive organization perceptions in the aforesaid associations. Data were collected from 223 employed mothers who have nonstandard work schedules with at least one or more children under the age of six. Results show that on-site childcare, flexible working hours, and supervisor support are negatively associated with parenting stress, whereas childcare leave is positively associated with parenting stress. Employed mothers with high family-supportive organization perceptions report low levels of parenting stress when they received high levels of supervisor support or did not take childcare leave. Additionally, employed mothers with low family-supportive organization perceptions report high levels of parenting stress when they did not use on-site childcare. Consequently, our findings indicate that employed mothers’ greater family-supportive organization perceptions are key factor reducing their parenting stress when they are limited to use family-friendly policies. Implications are discussed in terms of the importance of work-family intervention to the work-family balance among mothers working nonstandard hours.