Grandchildren Caring for Grandparents: Modeling the Complexity of Family Caregiving

ABSTRACT

This study focuses on grandchildren (Generation 3 or G3) caring for grandparents (Generation 1 or G1) and uses agent-based modeling to conceptualize and test a model of two factors—capability and motivation—that may affect a G3's decision to provide care for a G1. We tested our conceptual model and found that the simulated proportion of G3 caregivers has concurrent validity with existing empirical data. In experiments conducted with the validated model, we investigated universal- and targeted-policy changes (tax credit for caregivers) and found that although the universal-policy change increased G3 caregiving overall, a policy change targeting low- and middle-income caregivers was even more successful.     

Unexpected Caregiving in Later Life: Illuminating the Narratives of Resilience of Grandmothers and Relative Caregivers through Photovoice Methodology

ABSTRACT

This research study implements photovoice methodology with unexpected caregivers to illuminate the lived experiences of female grandparents and relative caregivers who are raising young children in the later stages of their life. As they enter older adulthood, grandmothers are increasingly finding themselves taking care of their children’s children for various reasons, including, but not limited to, their adult child’s incarceration, mental health issues, drug and alcohol addiction, or child abuse or neglect. Informed by various feminist theoretical lenses, we use photovoice methodology to highlight the narratives of resilience and explore the ways in which grandmothers re-conceptualize their roles and identity as an unexpected caregiver and the sources of strength and resilience that inform the ways in which they navigate the various circumstances in their lives.     

Perceptions of Caregiving Role by Son's Caring for a Parent with Alzheimer's Disease

Abstract

In this qualitative study, 18 sons were interviewed about the factors that led them to assume the role of primary caregiver for a parent with progressive memory loss, such as Alzheimer's disease, as well as the personal challenge that they experienced in this role. The analysis demonstrated that sons experience a range of emotional reactions, personal and professional conflict, as well as learn about new roles and responsibilities as they attempt to access the needed services for their parent. Clinical recommendations for geriatric social workers are discussed.     

We're GRAND: a qualitative design and development pilot project addressing the needs and strengths of grandparents raising grandchildren

Custodial grandparents play a significant role in sustaining healthy families, but the caregiving is demanding. A social research design and development process informed a school district‐university partnership project responding to the needs of a group of custodial grandparents. Three phases of the project are described: (i) needs assessment; (ii) design and implementation of a psychoeducational group facilitated by social work faculty and a school district administrator; and (iii) evaluation of programme impact. Major themes from the needs assessment and evaluation are presented. Discussion highlights the need for school and family engagement, recognition of the significant changes in family role required for grandparents, and viewing custodial grandparents as leaders and engaged caregivers. The meaning of diversity in group intervention for this population is also explored.     

Grandparent and Kinship Foster Care: Implications of Licensing and Payment Policies

ABSTRACT

In this article, we examine the different licensing and payment policies in the United States for kinship foster care and assess the potential impact of licensing policies on the likelihood that grandparents or other kin will become licensed as formal kinship foster care providers. With this information, discussion is presented that outlines possible barriers to formalized foster kinship care placement and identifies the need for changes in public policy that could lead to increased program access for kinship foster caregivers.     

Grandparents raising grandchildren: negotiating the complexities of role‐identity conflict

The purpose of this qualitative study was to better understand the experience of grandparents who are raising their grandchildren in New South Wales, Australia. In‐depth interviews were conducted with 34 grandparents and their narratives transcribed and studied using paradigmatic analysis to reveal common themes among the stories told. Identity theory further informed the discussion of these findings. Woven throughout the grandparent narratives is a story of paradox – of experience simultaneously made up of pain/pleasure, myth/reality, inclusion/exclusion, being deserving/undeserving, visible/invisible and voiced/silenced. The findings signal a significant role‐identity conflict for grandparents who are parenting grandchildren. This study points to the need for policy and practice that more closely reflects the complexity of experience associated with the grandparent‐as‐parent role.     

Caring and the generation of social capital: Two models for a positive relationship

Johansson S, Leonard R, Noonan K. Caring and the generation of social capital: two models for a positive relationship When caring is linked to social capital, it is generally assumed that the nature of the relationship is that social capital is a resource that can be used for care work. When there is inadequate funding of aged care services by the state, then social capital may be seen as a substitute for economic and human capital. Caring, therefore, is seen as a drain on capital. However, this does not have to be the case. Aged care services, if thoughtfully designed, can not only consume social capital, but also generate it. Two models of elder care, one Swedish and one Australian, have been identified which specifically address the generation of social capital. In each case, the services and facilities have been developed by third‐sector organisations with a strong community development focus, often in the face of resistance from state‐run or medically oriented services.     

Research Review: The role of grandparents in intergenerational support for families with disabled children: a review of the literature

The family in late modernity faces demographic change. However, it is still apparent that intergenerational relationships and exchanges of resources are valued. There is a growing literature on the important role that grandparents play in their children’s families. In contrast, there is limited research exploring the support grandparents provide to families with disabled children. This is an important gap in our knowledge, as families with disabled children frequently face additional caring responsibilities and emotional demands. From the studies that do exist, it is clear that grandparents’ support to families with disabled children is generally valued. However, the literature remains partial: past studies are small‐scale, focused upon parents’ perceptions of support (especially mother’s), and frequently based upon North American data. Recognizing these limitations and the fact that grandparents themselves have support needs which require consideration, this paper identifies key areas where important issues remain unanswered and further research is required. It argues that research is needed to begin untangling the different support needs of parents, grandparents and other family members, and the different effects of grandparent support that different family members’ experience. Exploration of grandparents’ own support needs also indicates the need for wider policy and service consideration.     

The Contribution of Practice Skills in a Care Management Process for Family Caregivers

Practice skills are believed to improve practice, yet, little is known about the extent to which skills affect outcomes. This exploratory study examined the extent to which 3 practice skills specific to a care management context for family caregivers, including communication skills, supportive skills, and linking skills, were associated with fidelity of a care management process. Twenty-one care managers who used a single process to serve 113 family caregivers were included in the study. Bivariate correlation analysis revealed the 3 practice skills are positively associated with process fidelity. Implications for social work practice, education, and research are discussed.     

The Chairperson of Child Care Reviews in Scotland: Implications for the Role of Reviews in the Decision Making Process

Correspondence to Dr A. J. Kendrick, Research Fellow, Department of Political Science and Social Policy, University of Dundee, Dundee DD1 4HN, Scotland. Summary This article is based upon the first stage of a research projecton statutory child care reviews in Scotland and explores therole of reviews in the decision-making processes for childrenin local authority care. We have argued that the position ofchairperson of reviews has an important role in locating childcare reviews in the organïzational structures of the SocialWork Departments. The designation of the chairperson also hasimplications for the objectivity of the child care review. Thenature of conclusions of child care reviews is also exploredand we show that this is a complex issue reflecting the childcare review's relationships to other decision-making bodiesand the manner in which the delegation of authority for thechairing of reviews is structured. While this research is basedupon the twelve Scottish Social Work Departments we believethat the issues discussed have a general relevance.     

Predicting Support for Eliminating the Dividend Tax: The Role of Framing and Attributions for Wealth

The proposed elimination of the dividend tax was among the most debated aspects of the Bush administration's economic stimulus package. Both the fairness of the initiative and who would benefit from it were questioned. Drawing on the political rhetoric of these debates, 86 respondents completed materials assessing the effects of framing and attributions for wealth on support for eliminating the dividend tax. The participants were less supportive of eliminating the dividend tax when it was framed as benefiting the wealthy than when the initiative was framed as benefiting the general public. Attributing wealth to personal initiative and "warm" feelings toward the wealthy emerged as the most powerful predictors of supporting the tax's elimination. Implications for social policy and economic justice are discussed.     

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.     

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.     

Preventive Services for Adolescents: Exploring the Process of Change

This paper reports on a quasi-experimental study which comparedoutcomes for young people referred to specialist family supportteams with those for others referred to mainstream social workteams. Although there was no evidence that the specialist servicewas more effective in promoting changes in child and familyfunctioning, nevertheless, many young people in both groupsshowed improvement in this respect. This paper explores how,why and in what circumstances these positive changes occurred.The factors which moderated or mediated the effectiveness ofinterventions included both risk and protective factors foremotional and behavioural problems and aspects of the interventionsthemselves. The paper explores the mechanisms whereby thesefactors interacted to help or hinder workers’ effortsto promote change. Child and family attributes and histories,the duration of child and family difficulties, motivation andoptimism all moderated the impact of interventions, making changemore, or less, likely to occur. Aspects of the interventionsthemselves also mediated their effectiveness, such as theirecological approach, the strategies used to change child behaviourand parenting style and the development of a therapeutic alliance.These moderators and mediators of change had a stronger impacton the outcome of interventions than differences in servicetype.     

角色的扭曲：西部地区产业结构演进的历史回顾

西部地区作为一个重要区域,其产业结构的优化,不仅是西部地区各方面(经济、社会、资源与环境)协调发展的前提条件,更是全国产业结构优化的有机组成部分,是促进整个国民经济协调发展、各民族共同繁荣进步的重要保证。解放后,在不同的历史时期,由于国际国内诸多方面因素的影响,西部地区在全国产业结构总体布局中充当的角色也在不断地发生着变化,但其发展变化的轨迹并不是按照比较优势、规模经济和区域分工原则来运行的。     

社会转型背景下社团发展的机遇与约束

改革开放和社会转型显现出社会对社团的需要,并为社团提供了自由生长和发展的空间和多元化资源获得的途径,此为社团的发展带来了机遇。然而,与此同时,政府通过政治和行政资源的辐射力控制了社团合法性的获得,并将这种控制加以制度化,也约束了社团的进一步发展。造成社团生长发展的处在机遇与约束中的根本原因在于,其所处的制度环境是由改革开放引起的社会转型的背景下建构的。因此政府一方面要释放部分垄断的空间与资源,另一方面又通过对政治、行政等稀缺资源辐射力的控制,约束社团的发展,并依据合法性的需要对社团进行选择性支持。     

The experience of gender dysphoria for pre‐pubescent children and their families: a review of the literature

In recent years, the experience of gender dysphoria has gained public prominence through an explosion of sensationalized interest in the popular media. However, childhood gender dysphoria remains poorly understood and both parents and children often find themselves having to educate professionals around them. This not only creates a sense of disconnect between family and professionals, but also means that social workers can often be unaware of the myriad of competing perspectives that seek to explain gender variance. This review of the literature seeks to provide interested social workers with an overview of gender dysphoria, current research in the field and theoretical paradigms, with a view to promoting understanding and better practice with families in this little understood field.     

The Role of Social Contact in the Experience of Discrimination: Implications for Subjective Health Among Marriage Migrant Women in South Korea

Several studies have found that various social contexts could serve a protective role for minorities facing discrimination. One of these contexts is frequency of social contact, which is known to be positively associated with health outcomes. The purpose of this study was to examine the frequency of social contact with various social groups as a protective factor against the negative association between perceived discrimination and subjective health. Using data from the 2009 Korean National Survey of Multicultural Families, a total of 27,083 marriage migrant women were analyzed via hierarchical multiple regression. After controlling for socio‐demographic factors and Korean proficiency, the experience of discrimination was found to be significantly associated with lower levels of subjective health (B = ?0.22; P < 0.001). More frequent meetings with one's family of origin (B = 0.02; P < 0.01) and in‐laws (B = 0.06; P < 0.001) were associated with higher levels of subjective health, while more frequent meetings with neighbors were negatively associated (B = ?0.02; P < 0.001). More frequent contact with one's family of origin (B = 0.03; P < 0.05), rather than with other groups, such as friends from their country of origin, in‐laws, and neighbors, seemed to reduce the negative influence of discrimination on subjective health.     

因病信教农民的宗教心理及其演变:试论把握“信念”概念对理解中国农村宗教实践的启示

本文通过对苏北望村基督徒因病信教现象的考察,关注信教农民的宗教心理及其演变。用"信念"来把握农民"信"的起点心理,它蕴含了个体面临生命困境时寻求宗教帮助并对之赋以期许的自然心态和家庭伦理。"信念"的宗教建构、"信念"的情感嵌入以及"信仰"要求三个宗教操演环节促使个体心理的由俗入圣。基于原有病型及其疗效基础上的个体与宗教间的互动,信徒发生了信念坍塌、信念过渡和信仰升级三种类型的心理分化。"信念"操演与分化构成了农民宗教心理演变的机理,也形塑了农民的信仰方式。文章进一步探讨"信念"对于理解中国农村宗教实践中的个体宗教心理、宗教皈信、宗教复兴等议题所具有的启发。