Children with epilepsy who have special needs

SUMMARY. About five percent of children with epilepsy are severely or multiply handicapped. Many of these probably did not go to school before the 1970 Education Act, although epilepsy had been a named category for special education from the earliest provision. This paper describes two studies of the characteristics of children attending the residential special schools for epilepsy in England and Wales before the 1981 Education Act, and discusses the provision of local services for severely handicapped children with epilepsy as a consequence of the Act and the possible continuing role for residential schools for this group.     

Why youth run: Assessing run function to stabilize foster care placement

Youth running away from foster care placements is a serious problem that can significantly impact health and well-being. Given the severity of the problem, it is important to identify reasons youth run away because this information could help to identify effective intervention strategies. This paper describes results from focus groups conducted with child welfare providers, educational personnel, and youth with histories of running away from foster care placements. The qualitative analysis revealed that youth's motivation for running, or the function of running away, fell into two general categories: running “to” something (friends, activities, etc.) or running “away” from something (aversive placements, etc.). Suggestions are provided for how understanding the reason for running away could help in determining successful prevention and intervention strategies that result in stable placements.     

Using a Biopsychosocial Paradigm in Social Work Practice with Children who have Tourette Syndrome

Tourette Syndrome (TS) is a neuropsychiatric disorder that is often under-diagnosed and misdiagnosed in children because of the lack of education and awareness of the wide range of indicators and symptoms of the disorder. Through the use of a case study and review of the empirically based literature, this article aims to describe the etiology and symptomatology of the disorder using a biopsychosocial paradigm that informs clinical practice with children who have TS and their families.     

A Support Group for Families who have Children in Care: an Evaluative Case Study

This article evaluates an attempt to establish a support group for parents and relatives whose children are in care in one health board in Ireland. It uses a qualitative methodology, drawing on a group evaluation session, supplemented by individual interviews with the members of that group. The paper shows that it was successful in so far as it provided members with a forum where they felt accepted, where their rights as parents were validated, their self-esteem enhanced and informal access provided to senior social workers. Finally, the paper suggests ways in which the therapeutic potential of such groups could be enhanced and more needy parents attracted into them.     

Children who refuse to speak: Ethnic background of children with special educational needs described as elective mute

SUMMARY. Headteachers reported on the characteristics of 8,067 children in a large sample of urban special schools and units. Twenty-three children were identified as elective mute. The age, sex, ethnic background, and other behaviour difficulties described in this sample are outlined. It is argued that previous explanations for the ethnic composition of samples of elective mute children need to be reconsidered in the light of this data.     

The long run health returns to college quality

The link between education and health is one of the most robust empirical relationships in the social sciences. However, little research has examined the effects of educational quality on health outcomes. We estimate the long run relationship between health behaviors and graduating from a selective college in the 1960s using the Wisconsin Longitudinal Study, which has tracked siblings for over 50 years. Importantly, we control for measures of health endowments, ability, and time preferences before college enrollment as well as shared family and environmental factors. We find large effects of college selectivity on reducing overweight for individuals in their 60s.     

‘A Hidden Group of Children’: Support in Schools for Children who Experience Parental Imprisonment

Schools have been identified as playing a key role in supporting the children of prisoners. This paper reports on a study, which explored the support provision offered in schools to children who experience parental imprisonment. By interviewing school representatives, stakeholders, parents and children, we illustrate the support available in schools, the issues that arise and ways in which support provision can be strengthened. Our findings indicate that children of prisoners often constitute a ‘forgotten’ group in schools, and we suggest that an awareness of these children and the challenges they face needs to be raised amongst education practitioners and policy‐makers.     

Understanding those who self-mutilate

Self-mutilating behavior is a symptom seen in both men and women with various psychiatric disorders, but the majority of those who self-mutilate are women with borderline personality disorder. This complex, maladaptive behavior is used by clients as a means of self-preservation and emotion regulation, and is often associated with childhood trauma. Clients who self-mutilate perceive they receive poor care in hospital emergency departments and are retraumatized by these experiences. Clinicians who understand the complexity and purposes of self-mutilating behavior are better able to provide clients with supportive, empathetic care.     

Employment-based health benefits: who is offered coverage vs. who takes it

This Issue Brief provides data on employment-based health insurance, with a discussion of recent trends and how sponsorship rates, offer rates, coverage rates, and take-up rates vary for different workers. Other sections examine reasons why workers do not participate in employment-based health plans, alternative sources of health insurance, and uninsured workers. In 1997, 83 percent of the 108.1 million wage and salary workers in the United States were employed by a firm that sponsored a health plan. Of those workers, 75 percent were offered coverage, and 62 percent (or 67.5 million workers) were covered by that plan. Of those workers who worked for an employer that offered them a health plan, 83 percent participated in the plan. Sponsorship rates have barely changed in the last 11 years. In 1988, 83 percent of wage and salary workers reported that their employer sponsored a health plan. This declined slightly to 82 percent in 1993 but had increased to 83 percent by 1997. Offer rates significantly changed between 1988 and 1997. In 1988, 82 percent of workers reported that they were eligible for health insurance through their employer. By 1993, the percentage of eligible workers declined to 74 percent, and it has only slightly increased since then to 75 percent in 1997. In 1997, 40.6 million American workers did not have health insurance through their own job. Forty-five percent of the workers without coverage were employed at a firm where the employer did not provide health insurance to any workers. Thirty-three percent of the workers without coverage were offered coverage but declined it. Twenty-two percent of the workers without coverage were employed in a firm that offered health insurance to some of its workers, but certain workers were not eligible for the health plan. The 13.7 million workers who were offered coverage but declined it gave a number of reasons for doing so. In the majority of cases (61 percent), the worker was covered by another health plan. Of the remainder, 20 percent reported that health insurance was just too costly. Overall, 41 percent of the 40.6 million workers who were not participating in an employment-based health plan through their own employer had coverage through a spouse. However, 42 percent of the 40.6 million workers who declined their employers' health plan or who were not offered health insurance from their employer were uninsured.     

Protecting Children

Abstract

In this study, difficulties that women with alcohol problems and victimization experiences might have protecting their children from victimization were investigated. Mothers of children (ages 3-17) were recruited from a longitudinal study of women, alcohol problems, and victimization; women came from alcohol treatment programs, battered women's shelters, mental health clinics, drinking and driving programs, and a random household sample. Hypothetical parenting scenarios were constructed to assess mothers' ability to protect their children from victimization trauma. Women's responses to the scenarios were analyzed thematically and coded. Next, coded responses were analyzed quantitatively to identify significant differences among women with past alcohol and other drug (AOD) problems, current AOD problems, and no AOD problems. Women with current AOD problems were more likely than women with no AOD problems and women with past AOD problems to provide aggressive responses to scenarios. Women with past AOD problems were more likely than their non-addicted counterparts to perceive sexual abuse as a possibility, to attribute responsibility for the problem to the other participant only (seeing no role for their child), and to seek information about what happened from the other participant only. Findings suggest that some interpersonal problem-solving difficulties resolve when women become sober while others persist into recovery, potentially affecting women's ability to protect their children.     

Twilight's Children

The following article describes conditions in South Africa just as the "dismantling of apartheid" was beginning in earnest at the start of this decade. Thus it provides something of a baseline by which to compare changes which have taken place in that country since then. However, its greater contribution may be its evocation of the atmosphere of the time. As such it provides a unique perspective and a useful addition to the historical record of South African social welfare as well as a testament to those who struggled and continue to struggle to serve the nation's children.     

Appreciating Children

ANOTHER Spring Festival was drawing near. From her college in Dalian, sophomore Zhou Tingting returned home to Nanjing—to the family that had given her life and affection, and perhaps most importantly, appreciation. Family indeed has special meaning for Zhou Tingting. She is a deaf girl who entered college at age of 16, but it     

Expendable Children

In spite of alarming statistics about the status of children in the United States, there is little evidence of a public commitment that addresses the various dimensions of the problem (e.g., poverty, abuse) in a systematic, integrated, and long-term way. It is argued that this is because very poor children contribute disproportionately to these statistics and that they have become expendable within the context of contemporary economic trends. Examination of a variety of programs addressing children's issues illustrates that many of these have the effect of further marginalizing young people. Suggestions on how to reverse these trends are discussed.