Children's reactions to sibling loss

Loss of a child is a severe trauma to the members of any family. Although the reactions of parents to the loss of a child has received a considerable amount of attention in the literature, relatively little has been written about the impact of such a loss on the remaining sibling(s). The effect of sibling loss on a child is complicated by many factors; among them are the tendency of children to deny the reality of death and the feelings associated with this experience, as well as the manner in which the parents are able to cope with the loss. This article reviews the available literature and calls for more research dealing with the impact of the loss of a child on the entire family system.     

Therapy with Families of a Mentally Retarded Child

Professional services to the families of mentally retarded children have traditionally centered around educational/vocational training and placement of the MR child. With increased social and legislative emphasis on services for exceptional children, helping professionals now have the opportunity to deal with the broader problem of family adjustment and reorganization following the birth of an MR child. Family therapy offers an effective means of dealing with the continued crises facing such families, through a shift in emphasis from the identified patient to overall family systems and members. Major goals, periods of crisis, family reactions, and basic techniques are suggested.     

Family Stress and Organization Following Parental Divorce or Death

This study examines whether children of separation/divorce experience more associated family disorganization and stress than those from homes broken by parental death or from intact families. Ratings of childrens' levels and types of parental attention, family problems, and economic hardship were obtained on three independent samples. The findings indicate that divorce per se, and not the more general case of family dissolution, is significantly related to increased levels of family stressors for the child. Children with histories of parental separation/divorce were seen to be experiencing significantly lower levels of educational stimulation from parents, as well as greater parental rejection, economic stress, and general family problems than those from homes broken by parental death or from intact families. This relationship was consistent across independent year samples, referred and normal populations, and urban/suburban and rural samples. The implications of these findings for previously demonstrated differences in the school adjustment patterns of children with parental separation/divorce or death histories are elaborated, and the importance of considering stressors for the child which are associated with divorce in the planning of preventive interventions is discussed.     

Social insurance and children: The relationship between Social Security,economic well-being,and family context among child recipients

The relationship between social insurance, which provides families protection against certain risks, and child economic security is understudied. Using the 2004 Survey of Income and Program Participation (SIPP) matched to Social Security Administration benefit records, this article investigates the economic welfare effects of the child component of the US Social Security program. We examine how the poverty rate of child beneficiaries would change, absent Social Security income, and how heavily the family incomes of these children rely on it, by family characteristics. Our findings reveal that Social Security plays an important role in mitigating economic insecurity among children deprived of a wage-earning parent through disability, death, or retirement. Family structure, earnings, and employment status are identified as key factors moderating the effect of Social Security on child recipients’ financial circumstance.     

Death of a child: Perspective of Chinese mothers in Singapore

The grief of Chinese mothers is examined in a phenomenological exploratory study. Grieving for the deceased child is moderated by diverse Chinese religious beliefs intertwined with cultural practices. Five aspects of grieving include giving meaning to the child’s life and death, quality and assurance of the afterlife, the function of crying, and a continuing bond. Extrapolating from the mothers’ grieving are questions related to the implications of children’s death for other family members and the significance of the interconnectedness of the self, others, the environment and the universe in processing a crisis through religion and spirituality in multicultural social work.     

A Theory of Mental Health and Optimal Service Delivery for Homeless Children

Homeless children are a vulnerable group with high risk for developing mental health disorders. The pathways to disorders among homeless children have not been fully elucidated, with significant logistical and measurement issues challenging accurate and thorough assessment of need. The environments of homeless children are uniquely chaotic, marked by frequent moves, family structure changes, household and neighborhood disorder, parenting distress, and lack of continuous services. Despite high rates of service use, mental health outcomes remain poor. This paper reviews the literature on homeless children’s mental health, as well as prior theoretical explorations. Finally, the paper proposes a theoretical model that explains elevated rates of mental health problems among homeless children as consequences of harmful stress reactions triggered by chronic household instability along with repeated service disruptions. This model draws upon existing conceptual frameworks of child development, family poverty, health services utilization, and the biology of stress to clarify the role of environmental chaos in the development of child emotional and behavioral problems. Potential strategies to mitigate the risk for mental health disorders among homeless children and future research directions are discussed.     

Care of the dying child. The demands of ethics

The identification of terminally ill children is a crucial task for e care providers--but one they resist. Acknowledgement of a child's impending death permits both family and caregivers to help the child come to terms with his or her "illness-reality."     

Child death review teams: a vital component of child protection

The alarming number of children killed and seriously injured as a result of child maltreatment and neglect has led to increased calls for action. In response, interdisciplinary and multiagency child death review teams have emerged as an important component of child protection. Paradoxically, child death review teams are among the least visible and understood elements in efforts to protect children. This article examines the role and functions of child death review teams and their contributions to child welfare in practice, prevention, and policy.     

Responding to child deaths: the work of Australia's Victorian Child Death Review Committee

The Victorian Child Death Review Committee (VCDRC) in Australia is a multidisciplinary Ministerial Advisory Committee established to review the deaths of children either currently child protection clients or known to the statutory child protection system. The Committee provides advice about each child death as well as insights into what are the surrounding patterns and issues. Key to this role is examining the contribution of the service sectors to the protection of children and the routine practices that are in place to respond to children and vulnerability. This paper provides a snapshot of the cases referred to the VCDRC and the key messages for practice drawn from them. What emerges is that often the threshold for when statutory child protection services must be involved in child and family matters can be ambiguous and that agreement about intervention, the level and nature of need or risk, and when cumulative harm and neglect require statutory responses are not always shared between agencies. It is clear that the lack of common frameworks about what constitutes child protection intervention challenges services. It is recommended that there be and used agreed definitions and frameworks to ensure shared understandings and collaborative responses across the service and legal systems.     

Utilizing a Family Decision-Making Lens to Examine Adults’ End-of-Life Planning Actions

Guided by Rettig’s family decision-making theory, the study investigated the effect of an adult child’s decision environment, an adult child’s decision-making perceptions, and a parent’s end-of-life (EOL) planning actions before death on an integrated measure of medical and financial EOL planning actions. Data came from Wave 3 of the public use data of the Wisconsin Longitudinal Study. Results indicated that household net worth, parent’s completion of a living will before death, and adult children’s avoidance of death ideation explained the greatest proportion of variance in adult children’s EOL planning actions. Results also indicated that women, those married, and those with higher education did more EOL planning. Practitioners can use this information to close accessibility gaps due to net worth differences, advocate for a more unified approach to EOL planning, and shift the focus of discussions of death from the death itself to a life well lived.     

Territorial Isolation and Physical Deformity: Israeli parents' reaction to disabled children

This paper presents and analyses three case studies portraying the attitudes and reactions of Israeli parents towards their deformed children. The research method employed was participant observation in homes, combined with in-depth interviews. It was found that parents tended to isolate their handicapped children from family territories in those contexts in which the child was defined as a 'non-person'. This pattern was not affected by the parents' socioeconomic status, or by their ethnic and religious background.     

Child Aware Practice in Adult Social Services: A Scoping Review

The development of “child aware” practice is about the capacity and capability of adult health and social service providers to identify and respond to the needs of children. A scoping review of the literature considered five adult adversities associated with family stress and reduced parenting capacity: mental illness, alcohol and substance abuse, homelessness, intellectual disability, and domestic violence. Although there are specific needs for children pertaining to particular adversities, there was substantial commonality of potential effects. These included emotional and psychological difficulties, physical and mental health problems, academic difficulties, language delays, peer difficulties, stigma, trauma reactions, loss and grief, instability, and social exclusion. How children react to difficulties in their family depends upon various protective factors, a child's frame of reference, and other dynamics within the family that can offset risks. The findings aim to inform policy, program development, and practice in adult social services, enhancing their responsiveness to children.     

Family Structure and Children's Success: A Comparison of Widowed and Divorced Single‐Mother Families

Compared with children raised in single‐mother families created by the death of the father, children raised in divorced single‐mother families have significantly lower levels of education, occupational status, and happiness in adulthood. Yet divorced single mothers are not significantly different than their widowed counterparts in child rearing, gender role, and family values and in religiosity, health‐related behaviors, and other dimensions of lifestyle. However, relative to widowed single mothers, divorced single mothers hold lower occupational positions, are more financially stressed, and have a higher rate of participation in the paid labor force. We speculate that the contrasting positions in the social structure of different types of single‐mother families may account for observed differences in child outcomes.     

How parentline helps

In their Editorial-Child Abuse Review Vol. 3: 1-3–Kevin Browne and Margaret Lynch called for “more support for families and children in need”. They highlighted the necessity of increasing resources for children and families in need. PARENTLINE is one such source of support. PARENTLINE began in 1973 as a UK community-based response to the death of Maria Colwell, the first public acknowledgement in modem times of the existence of child abuse and neglect. PARENTLINE offers a safe, non-judgemental, non-threatening support service to anyone who parents a child, in an atmosphere where parents can feel comfortable talking about anything or any problem that concerns them or any child in their family. They are given time in which they can be sensitively and closely listened to and are helped to talk through and identify their own solutions and strategies wherever possible.     

What’s a Parent to Do? How Parents Respond to Notification of a Child’s Police Detention

The current qualitative study involved in-depth semistructured interviews with parents whose children had been taken into custody. Their initial emotional reactions, cognitive processing, and behavioral responses to their child’s detention were examined. Five themes emerged from the data: (1) Parents try to defer immediate interactions with the child rather than react out of emotion; (2) Parents feel anger toward their child, but disappointment and shock are more strongly expressed emotional responses; (3) Parents do not accept the behavior but do not reject their child; (4) Police behaviors communicate the seriousness of the act; and (5) The entire family suffers consequences from the child’s act. Findings highlight the experiences of the parents as they interacted with the juvenile justice system.     

Healthy children in families affected by AIDS: Epidemiological and psychosocial considerations

Traditional means of conceptualizing the psychosocial impact of AIDS have emphasized infected individuals out of their natural context AIDS occurs not simply within hospitals but within families. A secondary morbidity occurs within a family system when one of its members is infected. Clinical experience suggests that non-infected children within families with AIDS are at significant risk for poor developmental outcomes as a consequence of the skewing of familial resources. Children living in families who have a member infected by HIV are impacted by isues such as stigma, isolation, abandonment, and death. This article explores the epidemiology of this child population and risk factors that render them vulnerable. Social workers are in a unique position to identify and serve these children in such diverse settings as schools, welfare agencies, and hospitals. Suggested interventions based on the developmental stage of the child are discussed as are implications for policy formation and program development.     

Conscription of children in armed conflict—a form of child abuse. A study of 19 former child soldiers

Armed combat in childhood is a form of child abuse. It may lead to serious consequences, including post‐traumatic stress disorder. The inherent emotional abuse and acts or omissions by caregivers may cause behavioural, cognitive, emotional or mental disorder in the child. Nineteen former child soldiers were interviewed in a rehabilitation centre using a standard questionnaire. Reasons for recruitment included: volunteered (18), hatred of enemy (revenge) (5), virtue of being a freedom fighter (martyrdom) (9), as a means of supporting their family (economic) (3). One child was abducted, 7 joined for fear of the ‘enemy’ abducting them, and in 5 a family member was killed by ‘enemy’ or own group. The children were involved in manual labour (15), guard duty (15), front‐line fighting (7), bomb manufacture (5), setting sea/land mines (5) and radio and communication (2). Fifteen were trained in firearms and 14 in self‐destruction. Twelve children attempted to or did run away and 11 refused to obey orders or argued. This led to various punishments, including kitchen duty, beatings, imprisonment, blackmail or death threats. A majority of the children felt sad and emotionally upset when they remembered their mother and family. Children's involvement in war, whatever the ‘justifications’ may be, should always be considered as forced, as they cannot truly comprehend their action in war. The responsibility must be taken by the adult caregivers. The following definition of the abuse of children in armed conflict is proposed: ‘The involvement of dependent, developmentally immature children and adolescents in armed conflict they do not truly comprehend, to which they are unable to give informed consent, and which adversely affects the child's right to unhindered growth and identity as a child’. Firm international agreement on guidelines for the lower age limit of recruitment of children into armed forces is required. Copyright © 2001 John Wiley & Sons, Ltd.     

The Impact of Home Daycare on the Biological Children of Providers: Case Examples of Unintended Consequences

Home daycare is a huge cottage industry in America, but no studies exist that examine the positive or negative impact of daycare on the biological children of providers. This paper presents two case studies that describe the unintended negative impact of home daycare on the social and emotional development of the children of providers. In one case, a home-schooled, psychosomatically ill adolescent scorns her experiences with home daycare. The other case describes an oppositional 10-year-old boy’s positive and negative reactions. These cases serve to illustrate several critical issues that biological children face when parents decide to operate a daycare program from their home. A special focus is on the vulnerable child whose ability to cope with other children may be compromised by temperamental factors or a history of family or personal trauma. Implications are discussed.     

Child development in foster family care – what really counts?

Previous research has demonstrated that children who grow up in foster family care – along with other child welfare recipients – manage less well in adulthood compared to those children who do not. Given this challenge, this integrative literature review locates the critical factors that either positively or negatively affect a child’s development in foster family care. The articles were analysed using theory-driven content classification in relation to Bronfenbrenner’s bioecological framework on child development. The results of the review suggest that there is a wide range of factors that could impact on a child’s development in foster family care. Child­related factors such as the child’s age, gender, behavioural or mental health problems, etc. were mentioned most often in the data. Micro­environmental factors are also essential to a child’s development. Linkages taking place between two or more of the child’s circumstances, such as the relationship between the child’s birth and foster families and between the foster family and the social worker, were also identified as being influential. Service usage and political and legislative factors, as well as attitudes towards children in care, were also indicated to be strongly influential. It is suggested that the factors identified in this review should be carefully considered as important aspects of care for fostered children and care documentation.