Maternity and Child Care in Yinan County

YINAN is a poor county in the Yimeng Mountain Area in Shandong Province. It has a population of 900,000, over 80 percent of whom live in rural areas and about 600,000 of whom are women and children. Protecting the health of women and children is not only important to reach the goal "Everyone Enjoys Health Protection by the year 2000" and the goals set out in the "Program for Chinese Children's Development in the 1990s," but also has a crucial influence on the     

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.     

Delay and Anxiety in Care Proceedings: Grounds for Hope?

This paper draws on an evaluation of a pilot project in three London boroughs (the ‘Tri-borough’ authorities) which had the aim of reducing the length of care proceedings to 26 weeks, in advance of nationwide moves in the same direction. Rather than looking at this as yet another battleground between professional autonomy and bureaucratic rigidity, the authors focus on the psychological aspects both of court delay itself and of setting time limits, considering the impact of each on the children, parents and professionals involved. The challenge is to balance the pressures of time and the need for thoroughness, being mindful of the uncertainty and anxiety that pervade care proceedings. The pilot succeeded in greatly reducing the average length of care proceedings. Professionals involved in the project, including those whose job was to represent the interests of parents and children, seemed satisfied that this had not been achieved at the expense of thoroughness, and indeed that shorter proceedings might help to reduce the overall level of distress and anxiety that children and parents endure. On the other hand, the new approach adds to the pressures on the professionals themselves. If the changes are to be sustained, the anxiety involved in making these life-changing decisions about children must be recognised, and adequate support offered to those who have to make them.     

What Works in Group Care? - A Structured Review of Treatment Models for Group Homes and Residential Care

This paper presents findings from a structured review of treatment models that are relevant to group care and residential treatment settings for children involved with the child welfare system. Initiated and guided by The California Evidence-Based Clearinghouse for Child Welfare, five treatment models — Positive Peer Culture, Teaching Family Model, Sanctuary Model, Stop-Gap Model, and Re-ED — were reviewed for effectiveness. In this paper, each model's treatment features are described and relevant outcome studies reviewed in terms of their effectiveness as well as relevance for child welfare practice. Findings indicate that four of the models are either supported or promising in terms of evidence for effectiveness. Implications for group care practice and research are discussed.     

Benefactors and Beneficiaries? Disability and Care to Others

Individuals with disabilities often have limitations that require care from others to increase functioning and facilitate activities of daily living. Despite these care‐receiving needs, evidence suggests people with disabilities are also care givers. This study uses the 2008–2015 American Time Use Survey to examine the association between the presence of sensory, mental or cognitive, physical, or multiple limitations and the likelihood and intensity of time spent in primary child care, secondary child care, adult care, care of nonhouseholders, and support care (housework). Net of socioeconomic characteristics, the authors do not observe consistent differences in predicted child care time by disability status, although men with disabilities spend less time in care to adults and nonhouseholders. The largest difference in predicted care time by disability status occurs in support care. Overall, the results challenge the traditional focus on people with disabilities as only beneficiaries of care to document their role as benefactors.     

Social Economy and Home Care Services in Quebec: Co-Production or Co-Construction?

Third sector organizations have always played a significant role in the supply of home support services in Quebec, but this supply of services attained a crucial development phase in 1996, with the creation of 100 or so domestic help social economy enterprises (DHSEEs). These DHSEEs complemented the supply of public services delivered by the Quebec state, thus de facto taking part in the dynamics of co-production of services in the context of a mixed economy including the third sector. However, beyond that co-production, these enterprises also have to position themselves in a process of co-construction with the state, that is, in the joint, partnership-oriented construction of public policy, which provides the framework for their participation in services of public interest. Analysis of this public policy thus shows that the situation of DHSEEs in Quebec has swung, depending on the period, between co-production and various types of co-construction. A number of restrictive budget policies and subcontracting practices adopted by the Quebec state, along with tensions among DHSEE groups, curtailed the development of a genuine co-construction process during the 2000s.     

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.     

Care giving and nursing, work conditions and Humanitude®

Increased lifespan in western societies causes the increase of hospitalization in the old age, notably for patient showing forms of dementia including Altzheimer disease. These patients relate poorly to care givers and nurses, and cases of maltreatment have repeatedly been reported. To prevent abuse and increase patient's quality of life, Gineste and Pelissier (2007) proposed a philosophy of care based on the Humanitude? concept. Acknowledging that being human is being vertical and related to other humans, the pillars of Humanitude? are gaze, touch, talk, and standing. These modes of relation are systematically developed in care giving techniques derived from the concept. After several studies in geriatric hospitals, to assess psychosocial and ergonomic aspects of work, we present an analysis of the gap between the logic of human care and the logic of hospital organization, impacting employees work conditions and psychological welfare. Care giving is not only a "one to one" relation with the patient but needs to be integrated in the whole organization. Psychologists and ergonomists should be instrumental in defining the project and the organization linking human care giving towards the patients and better work conditions for healthcare employees.     

A Comparison of Out-of-home Care for Children and Young People in Australia and Sweden: Worlds Apart?

Abstract

In this paper we present a comparative analysis of out-of-home care in Australia and Sweden. We compare the age structure of the out-of-home care population and the types of out-of-home care services provided to children and young people in both countries. Our analysis reveals that in Australia the out-of-home care service system is focused mainly on children who are deemed to be abused or neglected within their families, while in Sweden the majority of the out-of-home care population are teenagers who cannot live with their families for emotional or behavioural reasons. These population differences intersect with variations in the forms of service provision in both countries, with a much greater reliance on home-based care in Australia than in Sweden, while there is more extensive use of residential care in Sweden. We envisage that this paper will demonstrate how the age structure of the out-of-home care population, though rarely considered in international comparative child welfare research, reveals much about the assumptions on which State intervention with children and young people is based. We intend that this analysis will assist social workers to better understand and address the gaps in the quality and comprehensiveness of out-of-home care service provision to children and young people in both countries.     

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.     

Maternal Care and Control as Mediators in the Relationship Between Mothers’ and Adult Children’s Psychosocial Problems

The current research investigated the relationship between mothers’ and adult children’s psychosocial problems through two different aspects of maternal interactions. Data were collected from family triads (N = 286), including a mother, a child, and a sibling. Mothers and their adult children completed measures of depression, loneliness, and self-esteem. The assessment of the maternal interaction variables (i.e., maternal care and maternal control) involved the perspectives of a sibling to minimize common method variance. Results partially supported the hypothesized model, wherein maternal care (but not maternal control) mediated the relationship between mothers’ depression, loneliness, and self-esteem to that of their children. Specifically, mothers who reported higher levels of psychosocial problems had children who reported that their mothers were less caring and, in turn, less maternal care was associated with higher levels of psychosocial problems in their young adult children.     

“Adding Their Flavour to the Mix”: Involving Children and Young People in Care in Research Design

Abstract

Children and young people are often the subjects of research but are not usually thought of as codesigners of research projects contributing to the development of tools and resources so that research about them and their peers is more likely to be appropriate and effective. This paper describes and analyses the involvement of a group of 14 children and young people who have been in out-of-home care. They assisted in the design of a research project that sought their views on what makes a “good” foster carer. The impetus for this study arose from a desire to include children and young people as stakeholders in improving the foster care system and a long-held belief that they could and should be active partners in creating change. The study demonstrated how children and young people could be engaged creatively in individual and group conversations and activities in relation to potential research questions and research methods and tools. The paper concluded that capturing their views will ensure that research will be of benefit to other children and young people and to policy makers and practitioners working in the field.     

Migrant Care Workers or Migrants Working in Long-Term Care? A Review of Australian Experience

Discussion of the role of migrant care workers in long-term care (LTC) that has gained increasing attention in the United States and other developed countries in recent years is of particular relevance to Australia, where 24% of the total population is overseas-born, two-thirds of them coming from countries where English is not the primary language. Issues of interest arise regarding meeting LTC workforce demands in general and responding to the particular cultural and linguistic needs of postwar immigrants who are now reaching old age in increasing numbers. This review begins with an account of the overseas-born components of the aged care workforce and then examines this representation with reference to the four factors identified as shaping international flows of care workers in the comparative study carried out for the AARP Public Policy Institute in 2005: migration policies, LTC financing arrangements, worker recruitment and training, and credentialing. The ways in which these factors play out in Australia mean that while overseas-born workers are overrepresented in the LTC workforce, migrant care workers are not identifiable as a marginalized group experiencing disadvantage in employment conditions, nor do they offer a solution to workforce shortages. The Australian experience is different from those of other countries in many respects, but it does show that the experience of migrant care workers is not unique to LTC and points to the need to extend the search for solutions to workforce shortages and improving conditions of all care workers well beyond LTC systems to wider policy settings.     

“No One Acknowledged My Loss and Hurt”: Non-death Loss,Grief, and Trauma in Foster Care

How do youth in foster care experience non-death loss? Drawing upon the theories of ambiguous loss, symbolic loss, and disenfranchised grief, this applied theoretical article integrates research findings to address how youth experience loss, grief, and trauma in foster care. Youth’s reports illustrate experiences of non-death loss, the impact of non-death loss on psychological and emotional well-being, and how non-death losses are disenfranchised and enfranchised within the foster care system. Recommendations are made that child welfare agencies consider how their practices and policies can be enhanced to meet the needs of grieving youth in foster care.     

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.     

Conference Addresses Problems of Reproduction and Women's Health Care

REPRODUCTION and health are important problems concerning women's progress and development. Since the 1960s the subjects have attracted the attention of the world. Awareness of these problems has gradually increased to the extent that some concepts have generally been agreed upon. They are:     

Making Critical Minds: Nurturing ‘Not‐Knowing’ in Students of Health and Social Care

The two authors have been involved in developing teaching and learning resources that can be used with students undertaking a whole range of health and social care courses. The aims of this development work included the fostering of critical thinking skills and of inter professional learning. In this Ideas in Action paper we share both some of the thinking behind our work and several of the learning activities that we have utilized with our students.     

Student,Practitioner, or Both? Separation and Integration of Identities in Professional Social Care Education

This paper presents and discusses some of the findings from a qualitative study of identities in work-related learners. The theoretical framework of structural symbolic interactionism is outlined and the two identities of interest, that of student and practitioner, discussed. The aim of professional education is viewed as enabling the practitioner to better deal with ambiguity and change through critical examination of work practices and location of these within theoretical frameworks. It is argued that for knowledge and behaviour to transfer to the work setting, the student and worker identities need to be integrated rather than kept separate. Factors identified as influencing the integration and separation of the social identities of student and social care practitioner are discussed.     

What Happens in Their Bedrooms Stays in Their Bedrooms: Staff and Residents' Reactions Toward Male–Female Sexual Intercourse in Residential Aged Care Facilities

This study aimed to investigate and compare the reactions of staff and residents of residential aged care facilities (RACFs) toward male–female sexual intercourse taking place in a private space within the facility. A total of 53 professionals and 47 residents from five RACFs located in Catalonia, Spain, were asked to reflect upon what they would think and do if they entered the bedroom of a resident and found him or her having sex with another resident of the opposite gender. The results suggest that male–female partnered sexual activity would generally be considered acceptable and would be respected, although some respondents called into question the appropriateness of such behavior and stated that they would react in a restrictive way. Overall, professionals appeared to be more accepting and permissive than were residents. Although our findings are broadly optimistic, they also suggest that male–female sexual intercourse may be considered an unwelcome sexual practice by some residents and professionals even if it occurs in a private space within the RACF. The fact that both staff and residents may also react in a negative way to the event could constitute a barrier to sexual expression among institutionalized older people.