Pre-foster Care Maltreatment Class as a Predictor of Maltreatment in Foster Care

The majority of youth in the foster care system have been removed from their homes as means of protection against parental maltreatment. Studies have shown, however, that foster youth may continue to experience maltreatment after they have entered the child welfare system (Poertner et al. in Child Youth Serv Rev 21(7):549–563, 1999; Tittle et al. in Urbana 51:61801, 2008). In this study, we explore how maltreatment prior to foster care entry may predict maltreatment while in care for youth who are preparing to emancipate. Using latent class analysis and multinomial logistic regression, we find that current or former foster youth with histories of multiple maltreatment (particularly, combined pre-foster care histories of neglect and physical abuse) are more likely to report neglect, physical abuse and sexual abuse in care than those with histories of low maltreatment. These youth should be the target of prevention efforts in child welfare agencies.     

Do Foster Parents and Care Workers Recognize the Needs of Youth in Family Foster Care with a History of Sexual Abuse?

Children in family foster care have the right to participate in decisions regarding their life, however, adults often advocate on behalf of children. This Q methodological study explored whether shared perspectives among foster parents and care workers resemble shared perspectives of youth regarding the psychosocial needs experienced by youth with a history of sexual abuse. Participants sorted a set of statement cards according to what they thought was most important for youth. By-person factor analyses examined how the Q sorts of foster parents and care workers related to those of youth. The results showed that foster parents mostly recognized the group of youth who value an instrumental relationship with their carers, while care workers mostly recognized the group of youth who value support of both foster and birth parents with regard to their preparation for independent living. The two youth groups characterized by ambivalence and autonomy were barely recognized. Results are discussed in light of the expected roles of foster parents and care workers, and youth’s contact with birth parents. Lastly, this study highlights the importance of youth participation, because youth offer unique and varying perspectives about their needs.     

Affectionate Care is the Hope for Overcoming AIDS

WE once felt lonely and helpless, and grieved to death. Luckily, we found Beijing You'an Hospital and all the staff from the infectious section warmly received us. Their affection warmed our hearts, their gentle words comforted us and their attentive treatment alleviated ou pain.... We are longing for the sunshine of love to melt the ice in our hearts, we are waiting for the advance of medical science and the arrival of the time that human beings can finally conquer AIDS. We are determined to struggle with the     

Israel’s Long-Term Care Social Insurance Scheme After a Quarter of a Century

Long-term care social insurance schemes exist in a number of countries, while the introduction of such schemes enjoys some support in others. Israel’s long-term care social insurance scheme has been operating since 1988. This article examines the emergence, goals, design, and impacts of this scheme and draws out some of the lessons that can be learned from Israel’s quarter century experience of long-term care social insurance.     

Women and Children's Health Care in the Yimeng Mountain Area

The Yimeng Mountain area in the central and southern part of Shandong Province, is very poor.     

Shared Parenting or Shared Care? Learning from Children's Experiences of a Post‐Divorce Shared Care Arrangement

This article examines three issues raised by three primary‐aged siblings experiencing a post‐divorce shared parenting arrangement. It argues that the conceptualisation of shared parenting in academic and policy discourse concentrates on parent–child relationships, overlooks children's relationships with siblings and fails to fully recognise the social and material resources necessary for shared parenting arrangements to work. It suggests that current policy discourse takes for granted that shared parenting promotes gender equality for fathers and mothers, despite the existing and ingrained gendered parenting practices produced and maintained in this UK context.     

Aging in Rural Japan—Limitations in the Current Social Care Policy

Owing to equal and increased opportunities for education and employment, today's trend in Japanese marriages is characterized by late and less frequent marriage. This paper discusses unavoidable diversity in rural families to point out the anticipated consequences of aging in rural areas and to discuss limitations in current public social care policies. Specifically, the averaged proportion of never-married and single persons at ages 45 to 49 and 50 to 54 in legally recognized depopulated cities, towns, and villages in Japan is calculated to illustrate the expected diversity in families in rural depopulated areas. It also illustrates the need for future studies to develop better social care policies for increasing numbers of single caregivers and single elders.     

Taking a Chance? The Risks Associated with Going Missing from Substitute Care

This paper reports on a study of over 200 young people going missing from residential and foster care in four local authorities. The proportion of young people missing from residential care was high, ranging from 25 to 71% of all 11 – 16‐year‐olds in mainstream children’s homes. Two types of absence were identified: the ‘runaways’ profile (those who ran away or stayed out) and the ‘friends’ profile (those missing to be with friends). There were variations in levels of risk for different sub‐groups within the sample. Risks included immediate risks of victimization, sexual exploitation (including prostitution), offending and substance misuse. A longer‐term risk of detachment was identified among those going missing often, involving high levels of non‐school attendance, detachment from carers and involvement in offending and in substance misuse. Difficulties in the assessment of risk are discussed and approaches to managing risk for young people who go missing from substitute care are explored. Copyright 1999 John Wiley & Sons, Ltd.     

Government guidance for the Care Act: undermining ambitions for change?

The UK Government claims to be creating a historic change to social care in England through the Care Act by putting people in control of their support. However, this is fundamentally contradicted by the draft guidance published to support the Act. This amounts to a formula for maintaining the prevailing resource-limited approach to assessing and meeting needs. This reality is obscured by a welter of choice and person-centred rhetoric. However, it need not be like this. Councils with a genuine commitment to being person-centred could refer directly to the Care Act to create an alternative future, while service users and their allies could bring about systemic changes if they use the Act to establish new rights.     

Why Has the Ethics of Care Become an Issue of Global Concern?

Since Carol Gilligan published her masterpiece, In a Different Voice, many scholars, especially feminist scholars in various fields, including moral theory, philosophy, and political and legal theory, have been inspired to establish a more inclusive approach to social injustice as well as sexual inequality. The purpose of this article is to explore the depth and expanse of the ethics of care for its potential as a political philosophy. To pursue this end, the article analyzes first the main claims of care ethics by responding to its typical counterarguments, which criticize the ethics of care as being too dependent on gender differences, particularism, and essentialism. The second section examines three challenges that care ethics poses to the male-oriented mainstream of political philosophy, especially the theory of justice. The ethics of care provides us with a new approach to moral and political issues because it focuses responsively on social injustice, proposes a new idea of relational self and takes the social connection model to justice. With these three perspectives proposed by the ethics of care in mind, the article turns its eyes to global implications of care ethics by referring to the issue of the “comfort women” of Japanese troops during the Second World War.     

“They Treat us Like Pests:” Undocumented Immigrant Experiences Obtaining Health Care in the Wake of a “Crackdown” Ordinance

This article presents findings from a qualitative study of Latino immigrant experiences seeking health care services in the wake of an anti-immigrant “crackdown” ordinance similar to Arizona's SB 1070. Prince William County, Virginia's 2007 “Rule of Law” ordinance escalated law enforcement efforts that targeted this population for deportation and ordered staff to ensure that no one receive social services other than those required by federal law. This article sought to answer the questions: (1) Were undocumented immigrants able to obtain health care? (2) How do immigrants characterize their experiences with health providers? Data were gathered via semi-structured interviews (n = 57) with Latinos in a low-income neighborhood. Analysis of Spanish-language narratives found that many were dissuaded from seeking care because of high costs as well as lack of familiarity with the health care system. Others perceived that they were treated with insensitivity or outright hostility—and believed this treatment was a deliberate effort to discourage them from seeking help.     

Where Are the Children? Extent and Determinants of Preschoolers' Child Care Time

According to the 1988 National Health Interview Child Health Supplement, half of all children under age six attended nonparental child care on a regular basis. Close to a quarter of all children spent 40 or more hours per week in care. Average time in care was 30.5 hours for children in care. Statistical tests indicate that (a) the predictors of whether parents use any child care differ from the predictors of the number of hours care is used, and (b) estimates for children under three years of age differ from estimates for children from three to five years of age. The probability of attending care is related to a child's age, mother's education, race, family type, number and age of siblings, type of adults living in the household, income, poverty status, and region and size of the community in which a family resides. For children from three to five years of age, hours in care are associated with child's age, mother's education, race, family type, siblings, income, poverty status, and region. For children under three years of age, relatively few factors (mother's education, race, siblings, and region) predict the number of hours spent in child care.     

Factors Related to the Institutionalization of Older Aged Individuals Using Home- and Community-Based Care Services: Data From the South Korea Long-Term Care Insurance Program, 2008–2013

South Korea introduced a public long-term care insurance (LTCI) program in response to its rapidly aging population. This study analyzed the association between living arrangement and caregiver type with institutionalization in LTCI grade 1 (very severe limitations), 2 (severe limitations), and 3 (moderate limitations) beneficiaries using data from the LTCI cohort, 2008 to 2013. The dependent variable was alteration status from home to institutional care within 1 year of receiving home service. Independent variables were living arrangement and primary caregiver type. The analysis was conducted using the generalized estimating equation model. Higher likelihoods of institutionalization were found in individuals living with a non-family member compared to individuals living with their spouses. Individuals without a caregiver or with a paid caregiver were also more likely to experience institutionalization than individuals with a spouse primary caregiver. Our findings underscore the importance of monitoring identified vulnerable groups of individuals to attain LTCI sustainability and enhance elderly quality of life.     

What’s the Relationship Got to do with It? Understanding the Therapeutic Relationship in Therapeutic Foster Care

The therapeutic relationship is increasingly recognized as important to understanding how process variables contribute to treatment outcomes. In this paper, we examine the therapeutic relationship between children with serious emotional and behavioral disorders and their treatment providers in the context of an observational study of Therapeutic Foster Care (TFC). Our findings suggest that the quality of the relationship between the treatment parent and youth in a TFC setting is significantly associated with better emotional and behavioral functioning for the youth. It appears from these findings that the quality of the relationship between the youth and treatment parent in a TFC setting is at least one of the mechanism or process factors that contribute to improved functioning for the youth.     

Doing the Scut Work of Infant Care: Does Religiousness Encourage Father Involvement?

Considerable debate exists regarding whether religiousness promotes or impedes greater father involvement in parenting. Our study addresses this issue using a Midwestern longitudinal dataset that tracks the transition to first parenthood for 169 married couples. We focus on performance of the "messier" tasks of infant care. We find little evidence that religiousness enhances father involvement in this domain. Biblically conservative couples exhibit a greater gender gap in childcare than others, with mothers more involved than fathers. The gender gap is also greater the more fathers work outside the home, the greater mothers' knowledge of infant development, and the more unadaptable the infant. Average daily childcare is lower the greater spouses' work hours, but higher with difficult pregnancies or fussy babies.     

Direct,Facilitate, Enable—the Juxtaposition of the Duty of Care and the Duty of Disclosure in Social Work Field Education

This article examines the significance of field education placements within contemporary social work field education, particularly considering the increasingly complex issues of the duty of care (to student, agency and field teacher) and the duty to disclose (to student, to field teacher) which schools of social work must negotiate. The dilemmas facing schools and field educators, and the steps taken to resolve them at the University of Melbourne (Australia), are considered to highlight the ongoing liability and accountability difficulties which continue to face social work education.