Parental functioning and child sexual abuse

Eighty-two mothers and 46 fathers of emotionally disturbed youth in a day treatment program completed the Family Assessment Device (FAD) at time of intake. Interviews with therapists enabled classification of families into three groups: those whose client (the youth) had been sexually abused, those where sexual abuse was suspected but not confirmed, and those without a sexual abuse history. All cases of abuse were non-incestuous. Comparisons of the confirmed abuse and non-abuse groups were made, using three types of analyses. ANOVA of parental responses to the FAD by group yielded significance for mothers but not for fathers, with mothers of abused children reporting more family dysfunction in problem-solving and roles than mothers of non-abused children. Second, significant differences between parents according to group were found in the abused sample in problem-solving, communication, and general functioning, but not in the non-abused sample; mothers reported significantly greater pathology in their families than did fathers. Third, comparison of differences between mothers and their children within families yielded a greater number of differences in the non-abused group. Significance was obtained in affective responsivity and behavior control in both samples. Additionally, however, significant differences in communication and roles were obtained in the non-abused group. Caution in differentiating between incestuous and non-incestuous families is suggested. Implications of this research for family interventions, especially with regard to mother/child perceptual congruence, are discussed.     

Recovery coaches and the stability of reunification for substance abusing families in child welfare

Substance abuse is a long-standing challenge for child welfare systems. Parental substance abuse disrupts family stability, family cohesion, and jeopardizes the well-being of children. In the current study we test an intervention to improve child welfare outcomes for substance abusing families, specifically the probability of families achieving a stable (at least 12 months) reunification. The intervention was an integrated case management model where recovery coaches were appointed to substance abusing parents associated with an open foster care placement. A diverse group of families (n = 1623) were randomly assigned to either a control group (services as usual) or an experimental group (services as usual plus a recovery coach). Multinomial logistic regression indicated that substance abusing parents associated with a recovery coach were significantly more likely to achieve a stable reunification as compared with similar families in the control group.     

Programa shortstop: a culturally focused juvenile intervention for Hispanic youth

Culturally sensitive juvenile delinquency and substance abuse interventions are relatively limited and unavailable to many first-time Hispanic juvenile offenders. The purpose of this study was to test the effectiveness of a culturally focused juvenile and substance abuse intervention program for first time Hispanic youth offenders. The intent of the program was to decrease juvenile recidivism and increase substance abuse resistance. Programa Shortstop is a family based intervention designed for Hispanic youth ages 9-17. The intervention was delivered to 352 youth and at least one parent/caregiver over the 5-year study period. For intervention youth, the results of the recidivism study (n = 321) indicated that 89% of youth participating in Programa Shortstop between 1995 to 1997 were not rearrested within one year of completing Programa Shortstop. Additionally, statistical paired t-test analysis found that the intervention model had a positive effect on legal knowledge and school related factors associated with substance abuse and delinquency. Parent participants demonstrated significant increases in knowledge related to substance abuse and the legal system.     

A Community Response to Tragedy: Individualized Services for Families

The murder of a 13-year-old young woman mobilized one community to initiate a wraparound service model for their most hard-to-reach families. These families struggled with parental substance abuse, youth at high risk, and associated complex needs cutting across existing categorical programs. The strength and empowerment based program, in which interventions were designed specific to each family, presented challenges in evaluating outcomes with traditional standardized instruments. This paper describes the project, its outcomes for families and youth, and the evaluation design that evolved to measure outcomes in a strength-based program with no uniform intervention.     

Engaging substance-affected families in child welfare: parent perspectives of a parenting intervention at program initiation and completion

Families affected by substance abuse are at an increased risk of child welfare involvement and poor child welfare outcomes. One strategy to improve outcomes among these families is evidence-based parenting interventions. While these interventions show the potential for advancing the child welfare field, they have not been widely and rigorously evaluated with birth parents, especially those affected by substance abuse, who face marked vulnerability and marginalization. We sought to draw on parents’ expertise and to understand their first and changing impressions throughout involvement in a parenting intervention, as well as overall impressions at program completion. Semi-structured interviews were conducted with a purposive sample of 10 parents who were involved in child welfare and a family drug treatment court. All parents were affected by parental substance use and had recently completed the Strengthening Families Program. Interviews were transcribed verbatim and analyzed for prominent themes. The study’s findings showed that parents described four key themes that influenced their perspectives of the parenting intervention: program reputation as communicated by peers, relevance and applicability of the program, children’s involvement and enjoyment of the program, and program structure issues that pointed to the need for high-quality group facilitation. Implications for practice and research are discussed.     

Perceived Needs for Support Program for Family With Child Sexual Abuse Victim in South Korea: Focus Group Interview With Therapists and Mothers

This study assessed perceived needs for psychological support program for family with victim of child sexual abuse in South Korea. We conducted two separate focus group interviews with five therapists who served child sexual abuse victims and families as well as four mothers of a child sexual abuse victim. Consensual qualitative research analysis revealed four domains: Emotional support for parents, psychoeducation, family therapy, and tailored and flexible service delivery. Core ideas of the four domains were identified. The results were consistent with the family support program contents developed in Western countries and suggested culture-specific contents and culturally sensitive service delivery. Clinical implications for developing family support program in South Korea were discussed.     

Sexual Risk‐Taking Among Recently Emancipated Female Foster Youth: Sexual Trauma and Failed Family Reunification Experiences

Foster youth evidence shows elevated rates of risk behaviors, including sexual risk‐taking (e.g., unprotected sex). Some studies have identified child maltreatment, particularly sexual abuse, as a risk for later sexual risk‐taking, but none have examined how child welfare placement experiences relate to youth's sexual risk‐taking. This study investigated relations among child maltreatment, child welfare placements, and sexual risk‐taking among 114 recently emancipated female foster youth. Sexual abuse and failed reunifications with parents were associated with greater sexual risk‐taking. Moreover, dissociative symptoms exacerbated the relation between sexual abuse and sexual risk‐taking. These findings highlight the need for greater consideration of risks associated with emancipated youth's sexual risk‐taking and for more research to understand how youth experience unsuccessful family reunifications.     

Conditional Families and Lesbian,Gay, Bisexual,Transgender, and Queer Youth Homelessness: Gender,Sexuality, Family Instability,and Rejection

Existing research on lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth homelessness identifies family rejection as a main pathway into homelessness for the youth. This finding, however, can depict people of color or poor people as more prejudiced than White, middle‐class families. In this 18‐month ethnographic study, the author complicates this rejection paradigm through documenting the narratives of 40 LGBTQ youth experiencing homelessness. The author examines how poverty and family instability shaped the conditions that the youth perceived as their being rejected because of their gender and sexuality. This rejection generated strained familial ties within families wherein the ties were already fragile. Likewise, the author shows how being gender expansive marked many youth's experiences of familial abuse and strain. This study proposes the concept of conditional families to capture the social processes of how poverty and family instability shape experiences of gender, sexuality, and rejection for some LGBTQ youth.     

Evaluation of a family-based substance abuse prevention program targeted for the middle school years

A family-based substance abuse prevention program was evaluated which emphasizes family cohesion, school and peer attachment, self-esteem, and attitudes about adolescent use of alcohol and tobacco. The program was implemented in rural communities and targeted families with students entering middle or junior high school. Baseline surveys were conducted with students and parents in four schools and were readministered one year later. Because the program was voluntary, a quasi-experimental design was used to compare participants (29 students and 28 parents) and nonparticipants (268 students and 134 parents). Analyses of covariance indicated that student participants, as compared to nonparticipants, had higher family cohesion, less family fighting, greater school attachment, higher self-esteem, and believed that alcohol should be consumed at an older age at the one year follow-up. There were fewer significant results for parent participants. Strategies for involving parents in prevention programs are discussed.     

The Use of Peer Support for Parents and Youth Living with the Trauma of Child Sexual Abuse: An Innovative Approach

ABSTRACT

This article describes and reports on an innovative intervention program for parents of sexually abused children and youth. Peer support provided by non-professional staff and volunteers, who have been personally affected by the trauma of child sexual abuse, is an approach with unique advantages. Many of these consumers have not been able to benefit from traditional service delivery approaches. Goals and objectives of the Peer Support Program (PSP) have been developed through inter-agency collaboration initiatives comprised of a coalition of existing social service agencies. This report examines characteristics of service delivery and level of consumer satisfaction of parents and youth who have participated in the peer support program. Implications for interventions with sexually abused youth and parents of sexually abused children are discussed.     

From Strength to Strength: A Manual for Professionals Who Facilitate Diverse Parent Groups

Abstract

This paper describes and analyses the program of Child Welfare Services (CWS) in Norway, using primary sources, aggregated data from Statistics Norway (SSB) and data from a recent study of 715 parents in contact with CWS. These data show that Norway's program orientation is on support, prevention, and early intervention, policies relevant to the emerging Australian policy context. Many of these services were beneficial for the general welfare of the children's family with over three- quarters of the children registered as clients in the Norwegian CWS receiving only supportive services during 2008. On the contrary, Australian systems primarily aim to identify and protect children under (possible) risk of abuse or neglect. Also, the survey data shows that families in contact with CWS are different to the general population in important ways, including family structure/demographics, socioeconomic characteristics, and physical and mental health. The results demonstrated that most of the parents agreed to contact CWS, and many were satisfied with the help they received. The data demonstrate that the Norwegian CWS respond to the welfare needs of vulnerable and marginalised families. Possible implications the Norwegian system might have for the children and parents who are accessing services are discussed.     

The KIND Program for Adolescent Family and Dating Violence

Adolescent relational violence has significant and pervasive impacts for young people's current and future relationships. It is known that there is a cross-over between adolescent family violence and other offending behaviour, meaning there is a need for youth justice systems to recognise and respond to these forms of violence. This paper outlines a pilot intervention, the KIND Program, run in Youth Justice South Australia, and aimed at intervening with adolescent family and dating violence. KIND aims to provide tailored systemic intervention to young people and their support network, reducing violence while increasing connection and strength within relationships. The pilot of KIND ran for seven months in 2017, and had eight families participating in the program. Participation in, feedback from, and impact of the program suggest that participation was worthwhile and useful for young people and their families. The KIND Program would benefit from a more extensive pilot period to explore the outcomes of this form of intervention.     

Supporting family life: A survey of homeless shelters

Survey data from a national sample of homeless family shelters (N=59)were analyzed to describe the family support programming available to residents. Data were reported on facility and resident characteristics and family support programming, as well as on facility admission criteria and program participation requirements. Four independent variables (length of stay, shelter capacity, sponsorship, and program philosophy) were examined for their relationship to the family-oriented services offered. Facilities sheltered an average of 17 families, with a range of 2–200; the average length of stay for families was slightly over 5 months. Regarding family programming, services of an educational nature were more popular than those focused on providing support or therapy/intervention; services to parents to further adult development were more often offered than those either directed to parents in their parenting roles or to the family as a unit. Virtually all shelters (98%) applied eligibility criteria to families seeking admission. The most common reasons for exclusion were active drug (86%) and alcohol (83%) abuse by a family member; 40% also refused acceptance to families with adolescent males. Seventy-eight percent of facilities mandated participation in some support services. Smaller shelters operated with greater numbers of exclusions (¯x=5.98773; p<.05);larger shelters had higher percentages of mandatory family programming (¯x= 9.21823; p<.06).These findings shed light on shelter directors' beliefs about the etiology of family homelessness and proper steps to solve the problem.     

Family Support as a Gang Reduction Measure

Recent public concern about youth gangs in Britain has prompted a narrow, almost stereotypical, range of US‐derived policy responses. This paper argues that family support is an unexplored but potentially effective gang reduction tool, but in order to overcome persistent concerns regarding misidentification, stigmatic labelling and policy misdirection, programmes must not only be ‘good science’ but also be non‐punitive, acceptable to families and context‐sensitive. Beginning with a discussion of the grounds for intervention, the paper identifies likely barriers from the point of view of the parents of gang members, and from these, derives necessary standards for effective support. The paper describes some promising (‘public health oriented’) and unpromising (‘criminal justice oriented’) programmes, and argues for more ‘gang‐sensitive’ family support and a related research agenda.     

Internet Risks for Foster Families Online

ABSTRACT

Foster parents and children (n = 64 families) who participated in a program to reduce the digital divide among foster children were surveyed about difficulties experienced in use of online communications. Providing Internet access to foster families increased Internet use, but was not perceived by parents or children as taking away time from other family or social relationships. A minority of parents and foster youth, however, reported a variety of problems ranging from benign arguments over access to the computer or frustration over equipment failure to serious concerns about children receiving pornography or meeting a sexual predator online. Although the majority of both parents and social workers were confident in their ability to deal with Internet-related problems, approximately one-third had low confidence in their ability to deal with foster family's Internet-related difficulties. Training foster parents on using filtering software to prevent pornography from coming into the child's experience of the Internet significantly reduced problems related to pornography when compared to foster families not in the program. Implications for social work practice are discussed.     

Preparing for the drug free years: session-specific effects of a universal parent-training intervention with rural families

Like their urban counterparts, adolescents from rural areas are at risk for health and behavior problems, including alcohol and other drug use. This study tested the effects on parenting practices of specific sessions of a parent-training intervention, Preparing for the Drug Free Years, designed to prevent adolescent substance abuse and other problem behaviors. Two hundred and nine rural families were randomly assigned to an intervention or a wait-list control condition. Analyses of covariance comparing adjusted posttest scores revealed that parents in the intervention condition reported significant improvements in parenting behaviors targeted by specific intervention sessions when compared with controls. Effects were most pronounced among mothers. No significant effects were found for nontargeted parenting behaviors, and targeted behaviors were most improved among parents attending relevant program sessions. These results strengthen the internal validity of the study and increase the plausibility that reported improvements were due to the intervention.     

The Postsecondary Educational Progress of Youth From Immigrant Families

Approximately 650 youth from a variety of ethnic and generational backgrounds participated in a longitudinal study of the postsecondary educational experiences of youth from immigrant families. Youth completed questionnaires and provided official school records in the 12th grade and participated in a phone interview 3 years later. Youth from immigrant families demonstrated the same level of postsecondary educational progress as their peers from American‐born families across a broad array of indicators. In addition, youth from immigrant families were more likely to support their families financially, and some were more likely to live with their parents as compared with those from American‐born families. Variability among those from immigrant families suggested that youth from families with higher incomes, higher levels of parental education, and East Asian backgrounds were more likely to enroll and persist in postsecondary schooling as compared with their peers.     

Using child welfare assessments and latent class analysis to identify prevalence and comorbidity of parent service needs

Data collected through Illinois's Integrated Assessment (IA) program—an assessment and service coordination program incorporating clinical assessments of both parents following a child's placement in foster care—offers a unique opportunity to examine the service needs of parents within a family context. Between January 2007 and June 2010, integrated assessments were completed with 4089 families in which at least one parent participated in the assessment. Utilizing these data, this study employs a Latent Class Analysis approach to identify the patterns of service needs of parents with children entering foster care. Latent class models were generated for mothers and fathers who participated in comprehensive family assessments based on identified service needs. Models revealed “low need” and “high need” classes among both mothers and fathers. A distinct class characterized by substance abuse needs emerged among fathers and a similar class among mothers was characterized by both substance abuse and mental health needs. A mental health needs class was identified among fathers while a similar class among mothers was characterized by both mental health needs as well as trauma symptoms. In examining the distribution of classes among families where both parents were present, the largest groups of families were those in which both parents fell into the “low need” classes, those in which the father fell into the “low need” class and the mother fell into the “substance abuse and mental health” class, and those in which both the mother and the father fell into the “substance abuse” classes. Implications for case assignment practices, father engagement, and addressing comorbid service needs are discussed.     

Condoms and Connection: Parents,Gay and Bisexual Youth,and HIV Risk

The family has long been considered a powerful influence on youth's high‐risk behaviors. However, little is known about preventive family influences for gay and bisexual youth, a group at high risk for HIV infection. For this study, qualitative interviews from a sample of 38 gay and bisexual youth and their parents/guardians underwent a thematic analysis. Youth described parent–child closeness, parental warnings, and urgings to use condoms as influences. Youth denying family influence came from families in which parent–child relationships were disrupted or HIV‐related discussion was lacking. Most families reported discomfort discussing HIV risk. These findings, along with a case example, suggest how family therapists can enhance parental influence by helping these families strengthen their relationships and discuss this important topic. Video Abstract     

Supporting Family Life: A Survey of Homeless Shelters

Survey data from a national sample of homeless family shelters (N = 59) were analyzed to describe the family support programming available to residents. Data were reporled on facility and resident characteristics and family support programming, as well as on facility admission criteria and program participation requirements. Four independent valiables (length of stay, shelter capacity, sponsorship, and program philosophy) were examined for their relationship to the family-oriented services offered. Facilities sheltered an average of 17 families, with a range of 2-200; the average length of stay for families was slightly over 5 months. Regarding family programming, services of an educational nature were more popular than those focused on providing support or therapy/intervention; services to parents to further adult development were more often offered than those either directed to parents in their parenting roles or to the family as a unit. Vbtually all shelters (98%) applied eligibility criteria to families seeking admission. The most common reasons for exclusion were active drug (86%) and alcohol (83%) abuse by a family member; 40% also refused acceptance to falnilies with adolescent n'lales. Seventy-eight percent of facilities mandated panicipation in some support services. Smaller shelters operated with greater numbers of exclusions (x = 5.98773; p < .05); larger shelters had higher percentages of mandatory family programming (x =

9.21823; p < .06). These findings shed light on shelter directors' beliefs about the etiology of family homelessness and proper steps to solve the problem.