A preventive services program model for preserving and supporting families over time

Selected findings from a three-year study are reported regarding a prospective sample of 189 families served by the Center for Family Life's preventive services program and the nature and results of the services the families received. The program combines elements of both family preservation and family support services to provide a comprehensive, individualized response to families in need and prevent the unnecessary placement of children in care. Four program elements correspond with those typically identified as characterizing family preservation programs, and three key program elements differentiate the Center's approach from other family preservation programs. These latter characteristics are more typically found in family support programs and address limitations of current family preservation programs as identified in the literature.     

Family Therapy Training in Israel*

In Israel the difficulties met with in training social workers in family therapy arise from inherent resistance to change in social and other professional agencies and from insufficient experience in the methodology of training. The family in Israel—a developing country—is undergoing wide-reaching social and cultural changes, which make for additional difficulty in using training models developed in other countries. Nevertheless, graduates of the family therapy program of the Institute for Training and Continued Education of Social Workers in Tel-Aviv, Israel, have shown substantial improvement in several areas of working with problem families.     

Sexual abuse: giving help to the children: A practical guide for concerned proiessionals

SUMMARY. This paper has been written for those professional workers who may have to deal with situations involving child sexual abuse, while having only limited knowledge and training. There are two sections. The first examines some of the key issues needed to increase understanding, and includes a preliminary discussion on the emotional impact of sexual abuse on Professional workers. Following a clarification of definitions, family aspects and incidence, this section focuses first on the child victims and then on the perpetrator. Finally, there is an examination of the consequences of child sexual abuse. The second section gives guidance on how a professional worker might respond if confronted with a case—from recognising the signs to facilitating disclosure. Suggestions are made about supporting the child during the investigation and heaving the child afterwards.     

Family preservation or child safety? Associations between child welfare workers' experience,position, and perspectives

In child welfare, there is sometimes a false dichotomy between child safety and family preservation. In an evaluation of Family Group Decision Making in four child welfare jurisdictions, worker surveys were administered to caseworkers, supervisors, program directors, and program coordinators asking about worker perceptions, demographics, organizational culture and climate, and job characteristics. The surveys contained the Dalgleish Scale, an instrument designed to measure the perspectives of workers across the continuum of child safety versus family preservation beliefs. Assessing a number of worker characteristics, an analysis of the Dalgleish Scale revealed that staff who have worked in child welfare longer are more likely to be oriented toward family preservation, whereas staff working in the field for a shorter time period or rating the shared vision among staff higher are more likely to be oriented toward child safety. Evidence has demonstrated that caseworkers' perspectives influence disposition decision making, and that child and family outcomes, such as maltreatment recurrence or out-of-home placement, are not solely determined by family and case characteristics. The potential utility of developing a better understanding of staff orientation has implications for organizational culture, compliance with policy mandates, workforce development, and most importantly, outcomes for child welfare-involved families.     

Professional stances and personal values in the realm of transnational family reunification with older parents: social work practice in an emerging field

National rules for family reunification take place in an increasingly transnational context. Social workers in Switzerland, whether they work in services for migrants or for elders, are confronted with requests for transnational family reunification with older parents. Such requests, while relatively rare, elicit responses which must be viewed as largely founded on professionals' values and norms regarding the care of elders, family cohabitation, the influence of cultural factors, and examined against a backdrop of increasing suspicion of motives for migration—especially in fields where migration issues have not been at the forefront of professional debate and practice. The militant stance of some services for migrants can thus be contrasted with the relative inexperience of professionals active in social services for elders, who rarely encounter recent migrants. The latter are more likely to reflect their own private—and unexamined—views when advising clients in a field characterised by complexity and instability. The authors interviewed social workers and families in two Swiss cantons. Their results point to ways in which distinct professional cultures could enrich each other and provide social workers with tools to critically analyse their own practice in a very difficult field, the contours of which remain largely unexplored.     

Family characteristics as predictors of intensity in family services

This article investigates factors influencing the number of hours families are involved with family services and uses these factors to develop a predictive model. This research began with focus groups involving family service workers who identified three key domains influencing service intensity: worker/family relationship, family motivation, and family characteristics. The family characteristics domain is the focus of this article. Influencing factors within this domain are examined through analysis of database information from 258 families who had previously accessed family services through a community services organization. Key predictors identified include the gender of main consumer, family size, and presence of issues such as family violence and physical illness. These findings are used to develop a model to predict intervention intensity for families accessing family services. The ability to estimate service intensity provides data to effectively develop innovative programs and enable better balancing of staff workloads and resources. Additionally, the capability to predict intensity helps allocate families to appropriate workers and programs.     

How do you solve a problem like Maria? Family complexity and institutional complications in UK social work

ABSTRACT

This paper draws on UK data from an international, comparative project involving eight countries. The study examined how social workers’ conceptions and definitions of family impact on the way they engage with complex families, and how social policies that frame social work context impact on the way social workers engage with families. Focus groups were held in which social workers from four service areas (child welfare, addictions, mental health and migration) were asked to discuss a case vignette. Several factors were embedded in the vignette to represent a realistic situation a social worker may come across in their day-to-day work. Social workers clearly identified the complexity of the family’s situation in terms of the range of issues identified and candidate ‘causes’. However, typical first responses were institutional, looking for triggers that would signify certainty about their, or other agencies’ involvement. This resulted in a complicated story, through which the family was disaggregated into individual problem-service categories. This paper argues that understanding these processes and their consequences is critical for exploring the ways in which we might develop alternative, supportive professional responses with families with complex needs. It also demonstrates how organisational systems manifest themselves in everyday reasoning.     

Implemented as intended? Recording family worker activities in a Families First program

In evaluating family preservation services, it is important not only to study the service outcomes and the family characteristics, but also what actually happens during the treatment. This requires a program model. This article describes how a program model works, prescribes how workers should carry it out, and describes how researchers should measure the program's characteristics. The authors use data from Families First in The Netherlands to test the model. Results show that the method of the program meets the specified characteristics. The results are important for treatment, policy, education, and evaluation research.     

Intensive Family Preservation Services: The Perceptions of Client Families

This qualitative study seeks to understand the correlation between intensive family preservation services and family functioning in those families who have participated in services. The focus is on the perceptions of client families with respect to the impact of services on family functioning including communication, family dynamics, and parenting skills. The discussion centers on the responses of client families to a narrowly constructed survey instrument designed to capture their perceptions with respect to the services provided by case workers.     

It's no picnic: personal and family safety for rural social workers

This paper reports the key research findings related to personal and family safety of rural welfare and social workers, from a study conducted in rural Victoria, Australia. Significant findings included concerns about personal and family safety, frequency of episodes of work related violence and harassment, and the resultant impact on personal and family activities. A range of useful strategies was identified to combat and cope with both the risk and experience of violence and harassment for the worker, and for their families. Workplaces, professional associations and educators need to recognise the impact of this occupational hazard and respond with sensitivity to these issues, which have particular relevance for rural practitioners where anonymity and privacy are frequently compromised.     

Decision making in child welfare: A critical review of the literature

The decision to intervene with families has enormous implications for a democratic society. Child protective services must both protect children and families. Practice theory, social policies, and agency procedures have not provided a consensus on the criteria to guide decision making in child welfare. This paper reviews the empirical studies in the decision making literature for the purposes of: identifying variables workers are using to guide their decisions; identifying major professional concerns and issues with this literature; and suggest questions for further research.     

Therapeutic collaboration: Bridging the gap between statutory and therapeutic work

This paper will consider the clinical effectiveness of child and youth mental health workers and child protection workers employing a therapeutic collaborative model for practice when engaged with extremely at risk and vulnerable families. It will be argued that this approach has the potential to assist professionals work in a meaningful way that enhances therapeutic containment and subsequent engagement with families. The author will advocate for a model that does not demarcate statutory from psychological thinking. Indeed, such a split it is argued, promotes barriers that impede and fragment the helping process. Various examples will be discussed using this practice model, including the need for greater flexibility and professional goodwill across government and non-government agencies.     

Implications of Recent Research on Eastern European Adoptees for Social Work Practice

Social workers engaged in preparing and supporting families that adopt non-infants and sibling groups from Russia and other Eastern European countries need to be well-versed in: (1) the issues that affect this population of adoptees and adopters; and (2) the recent research on both. They also need to expand the model of adoptive families that drives their work. The authors identify three areas of risk to successful older-child adoptee and adoptive family functioning, explore the consequences of detrimental adoption policies and practices on the micro and macro-levels, and make recommendations for needed changes. The changes the authors identify are framed through an investigation of recent research on international adoptees and their adoptive families. The authors use adoptive parents’ own words to make the issues they discuss more concrete. Implications for social worker training and practice, and expanded roles for social workers, are identified.     

Issues in African-American family preservation

This article is concerned with African-American family preservation. The authors' assumptions are that (1) child welfare service takes place in a cultural context; (2) effective work with African-American families requires a culturally relative "nondeficit" perspective on African-American culture; (3) this begins with helping service providers to acquire an analytical approach to culture and factual knowledge about the cultural behavior of clients; and (4) staff members must be prepared through training to implement a cultural knowledge base in transactions with African-American families and must have the supervisory and policy supports to do this. The several practice issues central to African-American family preservation are highlighted.     

Mental health issues and the foster care system: an examination of the impact of the Adoption and Safe Families Act

Although marriage and family therapists are being called on to help at-risk families, some say that clinicians have insufficient knowledge about the impact of policies on families involved in the foster care system. The purpose of this qualitative investigation was to identify how the Adoption and Safe Families Act informs decision making, to recognize trends in decisions regarding termination of parental rights of parents with mental health issues, and to explore treatment issues of families involved in the foster care system. Results indicate that court cases decided after the implementation of the Adoption and Safe Families Act are likely to result in termination of parental rights. Implications for clinicians and researchers are discussed.     

Children,adolescents and social work: A statement from the editor

Current social policy affects clinical social work with children, adolescents, and their families. As a result of inadequate funding, many resources that are needed for prevention and therapeutic work are not adequate for the needs of the client group. Gaps in resources affect the welfare of children and their families and often contribute to the causes of mental health problems. Other issues related to service systems and professional arrangements affect the identity and status of clinical social workers and interfere with optimal professional activities.     

Action-oriented evaluation of an in-home family therapy program for families at risk for foster care placement

The purpose of this study was to conduct an action-oriented evaluation of an in-home family therapy program serving families deemed at risk for the placement of children in foster care. In this study, feedback was solicited from both clients and therapists. Results indicate "duality" associated with several aspects of in-home family therapy, including the opportunity to observe families in their own homes versus the vulnerability some families feel when therapy is conducted in-home; therapists suggesting that sufficient training is required for in-home family therapy to be effective versus clients' opinions that therapists' lived experiences are more relevant; and the importance of the therapeutic alliance versus feelings of abandonment upon termination. Implications for researchers and practitioners are discussed.     

The Family,The Statutory Worker and the Therapist Working Together for Change

Myths have developed for some therapists and statutory workers that have prevented or interfered with their forming a satisfactory working relationship. In such a climate, families tend to remain confused and disempowered and become more dependent on the authority of the legal and statutory system. This paper describes work with one particular family and a local Community Services, Victoria social worker, where these issues were addressed in a way that allowed the workers to be clear about their roles and enabled the parents to resume their responsibility for parenting. The emphasis in this article is on practice issues.     

Supervision in Family Therapy: A Developmental Perspective

A group model of supervision of family therapy was implemented by a team of three supervisors with doctoral students in counseling psychology. It was believed that such an approach would provide students with more opportunity to work as therapists with families and to observe a greater variety of families, therapists, and therapeutic styles than in other models. Interchange in supervisory sessions focused on co-therapy issues, observation skills, family dynamics, differing therapeutic techniques and approaches, and planning and goal setting in therapy. This experience contributed to the professional and personal growth and development of students.     

Family Unity Meetings: Decision Making and Placement Outcomes

ABSTRACT

The sample consisted of all families (747) who were invited to receive a Family Unity Meeting from a Public Child Welfare Agency in a large urban county. Data was derived from the review of agency case files. The design was a retrospective case review with an embedded prospective study. This study describes factors that distinguish between CPS clients who accept an invitation to participate in a Family Unity Meeting (FUM) and those clients who decline to participate. The meeting process is described, and logistic regression is used to identify variables that predicted successful outcomes FUM meetings.

Families with reunification as a goal were the most likely cases to agree to participate followed by Voluntary and Permanency Planning cases. Cases with severe neglect were the least likely group to participate in a meeting process. Approximately nine people attended an average meeting. Maternal relatives were more likely to attend than paternal relatives.

Empirical evidence was found to support the notion that FUM expands the notion of family. Only 38% of children were placed with a parent after a meeting, but 82% of children were placed with a family member. Children were not placed with either the parent or family if the social worker had placement as a goal before the meeting. Cases with permanency plans were also less likely to be placed with the family. Social workers were more likely to agree with a placement with relatives if they had a concern about parental drug abuse. Having a maternal aunt in attendance at the meeting was predictive of having a child placed with the family.

Social workers and families stated concerns prior to the meeting diverged. Families were more concerned with economic and financial issues than were the social workers. Social workers were more concerned with child protective service issues (type of abuse, placement issues, etc.) and the behavior of the parent (substance abuse, mental health, etc.) than was the family. Paying attention to family issues such as finances may be a necessary precursor to families focusing on more complex matters like substance abuse or parenting practices.

Placement outcomes were consistent with worker's goals stated before the meeting. If a social worker said they wanted to place a child with the family before the meeting, that placement was most likely the outcome of the meeting. Social workers may be guiding the decisions of the family. If this interpretation is correct then it raises questions about who makes decisions at the meeting. An alternative conclusion is that the social workers are good diagnosticians who know prior to the meeting if placement is necessary, and know what decisions the family will make.