Parenting interventions in shelter settings: a qualitative systematic review of the literature

The aim of this literature review was to critique the state of the research on the effects of implementing parenting programmes in shelters for homeless families. A comprehensive search of multiple databases yielded 12 studies for inclusion. The methodological sophistication of the studies varied, with most investigations based on very small samples and one‐group pre‐post designs. Results indicated that parents generally viewed the interventions as enjoyable and informative, and attendance was good. Incentives were often used to encourage attendance. Evidence was limited in terms of effectiveness of the interventions, but the few studies of evidence‐based parenting programmes showed changes in parenting and child functioning. Suggestions are provided for future investigations in this important yet challenging field of study.     

Parents in high‐conflict custodial cases: negotiating shared care across households

Understanding the dynamics of custodial conflicts is important for reducing the level of such conflicts and improving the upbringing conditions for the children involved. The parents in these cases care for children living in two households, and our approach therefore draws on the knowledge of how ‘ordinary’ parents proceed in sharing care within and between locations. The paper is based on qualitative interviews with 15 Norwegian parents who were in contact with the child protection service during their custodial disagreements, indicating a high level of conflict and concerns about inadequate care. When describing and reflecting upon their practices of care, the parents speak from two main positions: as a concerned parent or an accused parent. These positions imply different approaches on how to share care, which offer insight into the mechanisms of getting stuck. Although the concerned parent worries about the child's well‐being while staying with the other parent and thereby aims to take a continuous responsibility across households, the accused parent perceives the co‐parent's involvement as undue and negotiates increased distance in parenting. Focusing on practices of care may contribute to turning the attention away from conflicts between former partners and towards the child's situation.     

Poverty,caregiver depression and stress as predictors of children's externalizing behaviours in a low‐income sample

Previous research suggests a relationship between poverty, caregiver depression, caregiver stress and children's externalizing behaviour. However, little research exists to suggest the manner in which these concepts are interrelated. Latent growth curve analyses were conducted on caregiver–child dyads data from the Early Head Start Research and Evaluation Project to identify the path through which poverty, caregiver depression, caregiver stress and child externalizing behaviours were related. Analyses identified a path through which caregiver stress and depression mediated the effect of poverty on child externalizing behaviours. In addition, the influence of caregiver depression on child externalizing behaviours was mediated by caregiver stress. Implications and limitations of these findings are discussed.     

A small‐scale qualitative scoping study into the experiences of looked after children and care leavers who are parents in Wales

This paper presents the findings of a scoping study into looked after children and care leavers who are parents in Wales. Eight parents engaged in a qualitative interview. Thirty‐one pregnancies were discussed during the interviews: 16 live births, two ongoing pregnancies, one stillbirth, one termination and 11 miscarriages. At the point of interview, two parents continued to care for their children, but six had experienced the permanent removal of their child/ren as a result of social services intervention. Twelve of the 16 children discussed in the interviews were ‘looked after’ or adopted. Despite its small‐scale nature, the study highlights important considerations before, during and after participants became parents. Broadly categorized, these relate to the influence of parents' childhood experiences on their capacity to be parents, the availability and adequacy of support during parenting and the ensuing impact of parenting ‘success’ or ‘failure’. For parents who had experienced the loss of a child, some were resigned to having no further children, some continued to hope for a family in the future, while others had experienced cycles of repeated pregnancies and compulsory removals. The findings are considered in the context of related literature and suggest that increased attention is required in this under‐researched but highly emotive area.     

Practitioner accounts of responding to parent abuse – a case study in ad hoc delivery,perverse outcomes and a policy silence

Parent abuse is becoming recognized as a serious problem in some families. It can have a damaging impact on physical and mental health, family relationships and employment and has been found to be implicated in other past, current and future forms of family abuse and violence. For this reason, many frontline practitioners who work with troubled families frequently find incidents of parent abuse in their caseloads, but we know little of how they respond to it. This study used in‐depth interviews with nine practitioners who work in a range of agencies in one large county in England and explored how they each identify, conceptualize, explain and respond to parent abuse. In a context where there is no national guidance regarding how agencies should respond to this problem, this study finds that practitioners must ‘make do’ without appropriate resources or policy guidance to help them. The study concludes with suggestions for change for the benefit of families who seek support but who currently find little effective response.     

Young people's perspectives of being parented in critical situations: teenage non‐offenders and desisters speak out

This paper considers young people's perspectives of being parented and draws on a study that comprised secondary analysis of 112 qualitative interviews with teenagers who had either never offended or who had ceased to offend for at least a year. Young people's offending behaviour has traditionally been linked to parenting styles, but it is parenting practices that proved central to parental responses to revelations about their offspring's offending. During the interviews, desisters gave accounts of their upbringing and, in particular, the parenting they experienced in one critical situation, namely when their offending came to light. At this point, parents of desisters were reported to be more punitive, more emotional and less measured than they were customarily, and non‐offenders anticipated similar reactions from their parents if they were to offend in the future. The relevance of the findings for professional interventions, especially parenting programmes, and for social workers in child protection is discussed, and suggestions for further research is made.     

The well‐being of children of parents with a mental illness: the responsiveness of crisis mental health services in Wellington,New Zealand

Little is known about how mental health services consider the parenting role and the well‐being of children when assessing parents with acute mental illness. This paper investigated how crisis mental health services addressed child well‐being in the Wellington region, New Zealand. This mixed‐method case study included: (i) an audit of the electronic clinical records of all adults presenting to the crisis assessment team; (ii) interviews with 22 key informants; and (iii) a documentary review. We found that data about children were not systematically collected. Less than half of (49 of the 104) the records of patients who were parents included information on their child's well‐being; only six (6%) contained a specified plan for action. The focus for services was the adult patient. Key informants were unclear about their role. They identified inadequate training and institutional support, inflexible funding models and limited availability or inappropriateness of referral services as problems. They saw a need for children to become more visible, for collaborative working to improve the use of existing services and for new funding models, resources and roles. Existing national policy documents contained little guidance and no practice guidelines were in use. These were lost opportunities to improve support for the parenting role and promote child well‐being.     

‘Pains of imprisonment’: narratives of the women partners and children of the incarcerated

This paper focuses on an important line of inquiry in contemporary criminal justice social work research: the collateral consequences of incarceration in the Chinese context. It gives an insight into the impact of incarceration on families from an insider's perspective. An analysis of interviews with 10 partners and 10 children yielded three major themes concerning the impact of imprisonment: the problems associated with the imprisonment of a family member, the coping strategies used and views on the importance of maintaining family ties. It is hoped that this study will give practical guidance regarding what should be done, and how, to reduce the negative consequences brought about by the absence (temporary or permanent) of the imprisoned on their families, including both their partners and vulnerable children.     

Living on an island: consequences of childhood abuse, attachment disruption and adversity in later life

This paper reports on a study which sought to obtain greater knowledge and understanding of the life circumstances of a group of people who had experienced adversity and abuse in childhood. A qualitative research strategy involving in-depth interviews with individuals was used to help achieve the study's aim. The study found that interviewees detailed multiple risks to their development during childhood and adolescence, including experiences of child abuse, being placed in care and major grief and loss experiences. Most had left home in their mid-teenage years and had little or no contact with their families of origin. Interviewees had very limited social networks and described difficulties in making and keeping friends. Many reported unstable and often violent personal relationships. As suggested by attachment theory, this study supports the notion of developmental continuities from adverse childhood experiences into later life, particularly in relation to personal and social relationships. Recommendations for a number of suitable methods of intervention and support are outlined.     

The Parent Concerns Questionnaire and Parenting Stress Index: comparison of two Common Assessment Framework‐compatible assessment instruments

There is a long‐standing interest in finding ways to develop systematic and consistent means for conducting assessments. Behind this lies a concern with issues such as adequate responses to need, prevention, early intervention and evidence‐based practice. The Common Assessment Framework (CAF) has been developed for wide use for families with additional needs, for various contexts, including children's centres. This, however, has been subject to some criticism. Two instruments with considerable potential relevance to areas consistently important in child and family assessment, focusing on parents (and hence likely to be of generic use with CAF), are the Parent Concerns Questionnaire (PCQ), developed specifically in relation to children's social care populations, and Parenting Stress Index (PSI). The way forward is to investigate empirically what they offer to practice. This paper examines their potential for practice in children's centres through a comparative methodology, an approach particularly suitable to identifying the distinctive qualities and contribution of each. The findings demonstrate both have considerable potential relevance for practice, outlines what each offers, with the detailed individual assessments and its ecological framework characteristic of the PCQ providing benefits additional to the PSI.     

Parents at‐risk and their children: intersections of gender role attitudes and parenting practices

Existing research demonstrates that parent and child gender may influence important aspects of family relationships; however, most research in this area has been conducted with non‐clinical samples. As clinicians, it is important to consider how gender impacts family relationships, particularly among vulnerable families. This study examined the intersections of gender role attitudes and parenting practices among 34 parents involved with the child welfare system and referred for clinical intervention. Using a mixed methods design, themes regarding gender role beliefs and parenting practices were found through qualitative interviews with parents. Findings suggested that fathers felt responsible for financially providing for their families and expressed challenges in communicating with mothers, and mothers described challenges they face because of a lack of father involvement. Parents also discussed a perceived need to monitor daughters closely while fostering the independence of their sons. Results of the qualitative analyses were supported by quantitative findings indicating significant differences in harsh and inconsistent discipline practices and clear expectations for girls compared to boys. The discussion addresses implications for clinicians, including how a feminist family therapy perspective may help promote client influence over traditional gender norms by questioning gender role attitudes and exploring alternate narratives that may impact family dynamics.     

Children's competent social‐problem solving across the preschool‐to‐school transition: Developmental changes and links with early parenting

What is the developmental course of competent social‐problem solving (CSPS) across childhood? In this study, we sought to answer this question by tracing the development of multiple components of CSPS across 4 years spanning pre‐kindergarten to early grade 3. We also examined whether early positive parenting and sociodemographic factors predicted initial level and growth in CSPS in a sample of 585 children (52% female, 26% lower socioeconomic status, and 17% ethnic minority) and their families. CSPS components (response generation, evaluation, and efficacy) were assessed the summers prior to kindergarten and grades 1, 2, and 3. Positive parenting (warmth, involvement, and guidance) was measured the summer before kindergarten. Multilevel growth models revealed significant linear increases for CSPS, and there was some evidence that these increases were modestly related to early positive parenting and sociodemographic factors. Results underscore the importance of examining CSPS within a developmental perspective.     

'I made some mistakes . . . but I love them dearly' the views of parents of children in informal kinship care

In-depth semi-structured interviews with 30 parents of children living with relatives in informal kinship care arrangements revealed the parents' views of the reasons for the informal kinship care arrangements, quality of their relationships with the children and their caregivers, their current and future roles in their children's lives, feelings experienced when with and away from the children, positive and negative aspects of kinship care, future goals and dreams for their children, and their assessments of their own strengths and challenges. Results of these interviews suggest several implications for social work practice and research.     

Recurrent grief in mothering a child with an intellectual disability to adulthood: grieving is the healing

Much of the literature on mothering a child with a disability focuses on grief in the context of diagnosis, with a paucity of longitudinal studies focusing on ongoing grief as the child moves through the life stages. This qualitative study explores the existence of recurrent grief within the lived experience of six women, in mothering their children with intellectual disability through to young adulthood. Informed by the differing theories of grief and disability, the study considers mothers' perception of the experience of recurrent grief as influenced by personal and societal factors, with a focus on its triggers, its manifestation and its amelioration. The findings have relevance to social work practice, policy and research in revealing the necessity for ongoing support and advocacy for mothers of children and young adults with intellectual disabilities.     

The role of informal caregivers in the well‐being of orphans in Botswana: a literature review

With the orphan population escalating, communities continue to rely on relatives to provide care to orphans. Therefore, there is a need to explore the role of caregivers with regard to the well‐being of orphans, the challenges they face, as well as how they could be empowered to be more responsive to children's needs. The paper acknowledges that informal caregivers play an important role in the lives of orphans. The paper also concedes that, in the process, caregivers are faced with challenges which make it difficult for them to fulfil their responsibilities and roles. As a result, they sometimes act as sources of stress to orphans, which eventually complicate the children's adjustment to the loss of their parents. Lastly, the paper paves the way to ensuring that challenges faced by informal caregivers are addressed in a manner that will make them more supportive to orphans.     

The cost‐effectiveness of UK parenting programmes for preventing children's behaviour problems – a review of the evidence

Parenting programmes are widely used in the UK, promoted in policy documents as a cost‐effective way for children's services to address behaviour problems and thereby the longer‐term costs associated with conduct disorders, particularly antisocial behaviour and criminality. To explore whether these programmes are a cost‐effective component of family intervention, this paper examines evidence from cost‐effectiveness studies based on randomized controlled trials, modelling studies estimating longer‐term costs and outcomes, and studies estimating costs of UK parenting programmes, including evidence from routine practice. Findings indicate that parenting programmes have the potential to be cost‐saving in the long term; however, gaps in the evidence include: lack of follow‐up of families who drop out of programmes, absence of control groups in longer‐term follow‐ups, and little information about costs and effects of programmes in routine practice. The size of savings resulting from implementation of effective parenting programmes will depend on the extent to which families likely to be most costly to society attend and experience lasting benefit.     

The challenges presented by parental mental illness and the potential of a whole‐family intervention to improve outcomes for families

Parental mental illness (PMI) can negatively affect the lives of all family members, and there is acknowledged need to work with family and social contexts to promote recovery. However, programmes undertaking such work remain rare and knowledge concerning mechanisms through which PMI impacts families and through which recovery might be achieved is underdeveloped. This paper outlines a new family intervention programme and presents evidence from focus groups with 16 professionals into their experiences of work with families with PMI. Evidence suggests that interactional effects of PMI, family communication and family relationships are key to understanding its impacts, but professionals are liable to struggle to engage with these due to concerns over stigma, lack of skills and low confidence. Positive impacts on practice were achieved through raising awareness of the whole‐family context in relation to PMI, building confidence to raise and engage with PMI and the provision of structured tools for use with families. Positive impacts on the lives of family members were then achieved by professionals in relation to symptoms for the ill parent, the burden on children and overall family well‐being, strongly mediated through improved family communication, understanding and relationships. Implications for policy and practice are considered.     

From parental engagement to the engagement of social work services: discussing reductionist and democratic forms of partnership with families

Social work has moved from a child protection discourse towards a child welfare discourse that views the relationship between social workers and families as a partnership. Partnership with families in the field of child protection and child welfare, however, mirrors diverse ideological motives of social policy, civil society and practice. We engage in a theoretical discussion of different interpretations of partnership. We draw a primary distinction between reductionist and democratic forms of partnership with families. In a reductionist approach, social workers activate parents in order to realize the goals set by social work. A democratic approach to partnership refers to a shared responsibility between social workers, parents and children. In this approach, effective partnership is not something to be realized as an outcome, but a point of departure that implies a joint search for meaning and an experiment with which social workers engage. This engagement presents ‘non‐participation’ not as problematic but as an essential element of participation. The focus then shifts from a methodical approach to partnership – how to activate people to participate in the care process – to the question of how the engagement of social workers can be constructed together with families.     

Self‐control,peer preference,and loneliness in Chinese children: A three‐year longitudinal study

The purpose of this study was to explore the longitudinal links among Chinese children's self‐control, social experiences, and loneliness, largely from a developmental cascades perspective (which postulates mechanisms about how effects within a particular domain of functioning can impact across additional domains over time). Participants were N = 1,066 primary school students in Shanghai, P. R. China, who were followed over three years from Grade 3 to Grade 5. Measures of children's behavioral self‐control, peer preference, and loneliness were obtained each year from peer nominations and child self‐reports. Results indicated that as compared with the unidirectional and bidirectional models, the developmental cascade model represented the best fit for the data. Within this model, a number of significant direct and indirect pathways were identified among variables and over time. For example, self‐control was found to indirectly contribute to later decreases in loneliness via a pathway through peer preference. As well, peer preference both directly and indirectly contributed to later increases in self‐control. Finally, loneliness directly led to decreases in self‐control from Grade 3 to Grade 4, but not from Grade 4 to Grade 5. Results are discussed in terms of the implications of self‐control for Chinese children's social and emotional functioning over time.