Challenges Faced by Young Mothers with a Care History and Views of Stakeholders About the Potential for Group Family Nurse Partnership to Support Their Needs

Women with experience of being ‘looked after’ are more likely than their peers to become young mothers. There has been limited research investigating support for their needs. This study, embedded in a randomised trial of Group Family Nurse Partnership (gFNP), involved interviews with young mothers with care experience, Family Nurses delivering group gFNP, and health and social care professionals. This first qualitative study to explore the views of these varied stakeholders found consensus regarding young mothers’ social isolation and lack of trusting relationships but diversity in views about the potential of gFNP to meet their needs.     

Integrative Family Therapy for Child Behavioural Problems in a Parenting Support Agency

This paper describes family therapy for behavioural problems in a parenting support agency. It discusses the literature on the effectiveness of family therapy with child behaviour problems within a community support environment. The paper presents a detailed family case study, which is discussed from an integrative family therapy framework. Narrative therapy is used as an overarching framework for integrating systemic therapy and parenting skills to help a family with a mixed cultural Aboriginal and Australian background. This allows sessions that are meaningful for the family and encourages a connection to their own resources and to their community, besides creating a safe space for a dialogue that hears and values all voices.     

The Baby as Subject: The Hospitalised Infant and the Family Therapist

This article is concerned with the experience of infants who endure long hospitalisations. It explores the concept of the baby as subject; that is, infants as active, psychic participants in their earliest relationships. It explores therapeutic possibilities with hospitalised infants from an infant mental health perspective. It advocates for family therapists to equip themselves for infant—parent therapeutic work.     

Context,Diversity and Engagement: Early Intervention with Australian Aboriginal Families in Urban and Remote Contexts

This article describes challenges met implementing an early intervention programme for Aboriginal parents and their children in the NT (Northern Territory) of Australia in the context of efforts to remediate Aboriginal disadvantage. The intervention is an adaptation of an 8‐ to 10‐week, manualised parenting programme designed for four‐ to six‐year‐old children with behavioural difficulties. It was implemented for both Aboriginal and non‐Aboriginal children in urban Darwin and for Aboriginal children in three communities of the Tiwi Islands, near Darwin. Measured outcomes of the programme were positive overall with different outcomes by gender and Indigenous status. There were marked differences in retention of families from different socio‐cultural backgrounds in the programme, with a significant loss of participants from referral through commencement to six‐month follow‐up. This drop‐out was most marked for urban Aboriginal participants, despite highly flexible strategies of engagement and cultural adaptation of the approach pursued in each setting. The research provides lessons for the contextualisation of preventive interventions in diverse community settings and shows that systematic attention to cultural ‘fit’ of the intervention logic and cultural competence in engagement of disadvantaged families with multiple problems are fundamental to sustainability.     

Work/Family Policy Stratification: The Examples of Family Support and Family Leave

In the past decade the United States Congress has debated and passed legislative policies concerned with women's work, both in the family and in the labor force. The Family Support Act of 1988 and the Family and Medical Leave Act of 1993 fall into this category of legislative policy. A comparative study of Congressional testimony in each case reveals that these two pieces of legislation are excellent examples of how federal policies—and the debates which fashion these policies—maintain and promote a system of policy stratification that perpetuates differences based on gender, race, class and marital and occupational status.     

Psychological Absence in the Intact Family: A Systems Approaches to a Study of Fathering

No abstract available for this article.     

The Social Relations Model in Family Studies: A Systematic Review

The Social Relations Model (SRM) allows for examination of family relations on three different levels: the individual level (actor and partner effects), the dyadic level (relationship effects), and the family level (family effect). The aim of this study was to present a systematic review of SRM family studies and identify general patterns in the results. Results of reanalyses of 17 data sets showed that characteristics of the person who reports on the relationship and the unique characteristics of the relationship were most important explanations of differences in family relationships. The present systematic review contributes to a better understanding of who is driving relationship outcomes in families and provides suggestions concerning the application of the SRM to family data.     

Family Structure Transitions and Maternal Parenting Stress

Data from the Fragile Families and Child Wellbeing Study (N = 4,176) are used to examine family structure transitions and maternal parenting stress. Using multilevel modeling, we found that mothers who exit coresidential relationships with biological fathers or enter coresidential relationships with nonbiological fathers reported higher levels of parenting stress than mothers in stable coresidential relationships. Mothers who enter coresidential relationships with biological fathers reported lower levels of parenting stress than mothers who remain single. Mothers' resources, especially their relationships with biological fathers, accounted for most of the associations between transitions and parenting stress, with posttransition resources being more important than pretransition resources. Mothers with high levels of education were less affected by transitions than mothers with less education.     

Understanding Latino Family Attitudes in Relation to Latino Gang Members' Substance Abuse

Abstract

This paper presents a content analysis of ethnographic interviews from long-term Latino gang members whose families have recently immigrated to the United States. Positive relationships within the family, parental support, a consistent and constructive parental discipline style and adult supervision tend to be related negatively to adolescents' deviant behaviors and their association with deviant peers. An expected positive relationship between the parent-child constructs, adolescents' deviant behaviors, and association with deviant peers was not found. Positive family attitudes toward deviance were associated with the number of drug type transactions and greater levels of drug use. This association has been overlooked in previous research.

Our study expands the examination of the influence a family's positive attitudes toward deviance has on the apparent progression of drug use in a sample of Latino gang members with histories of drug use. An analysis of structured interview content differentiated family attitudes toward deviance as: encouragement and tolerance, imitation, and defining norms.     

Family Mapping: A Cumulative Measure of Family Structure and Instability

Family structure is an important area of study given the growing rates of family instability. The research, however, is limited due to broad definitions and measurement methods that only consider one time point. Using a sample of young adults (N = 398), our goal was to develop a user-friendly implementation procedure and coding system that efficiently captures a broad range of information. The coding system offered includes multiple levels of detail and hundreds of previously untapped variables. Examinations of standard methods versus the cumulative family mapping method revealed additional variance explained in measures of substance use, providing early indications of measurement utility.     

Childhood Autism and Proactive Family Coping: Intergenerational Perspectives

This article considers the value of intergenerational and specifically, grandparental support, in the management of adaptive tasks posed by raising a young child with autism. The tasks addressed range from accessing early intervention to enhancing family social functioning. We note unique social, financial, and health-related stressors faced by families of children with autism. We outline an innovative, stress theory-based framework, the Autism Proactive Intergenerational Adaptation (APIA) Model, which delineates the role of grandparents in contributing to family adaptation to the stresses of raising a child with autism. We focus on proactive family coping strategies in building resilience and ameliorating the adverse impact of stressors on quality of life (QOL) for individual family members and for the family unit. We discuss barriers and facilitators of intergenerational alliances involving grandparental participation and support.     

Child Health and Family Emotional Climate in Early Childhood

This study tied together literature from the fields of family sociology, child development, and social work to investigate the impact of child health and developmental challenges on family emotional climate spanning the first 5 years following birth. To measure emotional climate, three family determinants (interparental discord, parenting concordance, and parenting challenges), which served as either the product or process for six empirical models of interest, were examined. Overall, children’s poor health and development could open up more opportunities for parental discord, undermine parental ability to compromise, and increase challenges in parenting. Practice implications aimed at strengthening family ties were also discussed.     

Blame the Parents? Challenges for Parent‐Focused Programmes for Families of Gang‐Involved Young People

Parent‐focused interventions are a potentially effective tool for preventing and reducing gang involvement, although the challenges of delivering such services are considerable. Drawing from data collected over 26 months for the ethnographic study, Youth Gangs in an English City, including interviews with parents of gang‐involved young people, we identify potential obstacles. These include: psychological barriers to the participation of parents relating to perceived denial, stigma and blame; and possible counter‐productivity of interventions. Strategies to minimise these are discussed.     

Mothers of Children With Physical Disabilities: Influence of Family Processes on Mothers' Depressive Symptomatology

This study examines how family processes, or specific behaviors and relationships within the family, influence the risk of depression in mothers of children with disabilities. Specifically, the collective influence of children's maladaptive behavior problems, father involvement, and coparental conflict on the risk of depression among 60 married mothers of children with physical disabilities is examined. Based on data from the National Survey of Families and Households, findings showed that these mothers perceived the child's behavioral problems as less influential when they were more satisfied with the father's parenting. Furthermore, coparental conflict appeared to mediate the influence of the child's behavior and her satisfaction with the father's involvement on the mother's risk of depression.     

Family Functioning as a Measure of Success in Intensive Family Preservation Services

ABSTRACT

An experimental research design was employed in evaluating intensive family preservation services to reunify families after out-of-home placement. There was a significant difference between the treatment group and control group in terms of family reunification, but there were mixed findings with regard to the difference between the two groups on measures of family functioning. Although more treatment parents than control parents felt their families were functioning better, there was no difference between scores for the two groups of parents on normed instruments designed to measure family functioning. The author describes the measures of family functioning employed in the evaluation and discusses the confusing findings along with implications for program evaluation.     

Parenting as a Dynamic Process: A Test of the Resource Dilution Hypothesis

In this paper, we tested the resource dilution hypothesis, which posits that, because parenting resources are finite, the addition of a new sibling depletes parenting resources for other children in the household. We estimated growth curve models on the self‐reported parenting practices of mothers using four waves of data collected biennially between 1994 and 2000 on a nationally representative sample of 2,082 Canadian children aged 2 to 5 at initial interview and in continuously intact, two‐biological‐parent households. Results showed that when new children were added to the household, mothers exhibited declines in positive interaction, but increased their levels of consistent parenting. Taken together, these findings suggested that parenting resources were reallocated, rather than diluted, when family size increased.     

Family Support in Nursing Homes Serving Residents with a Mental Health History

Using 2003 nursing home data from the Minimum Data Set (MDS) database, this study investigated the role of family support among nursing homes serving residents with a mental health history. Exploratory factor analysis was used to create and test a conceptual model of family support using indicators located within the MDS database. Families were found to be in regular contact with their relatives and supportive of their care. In nursing homes, daily contact, an ongoing relationship, involvement in assessment, and being responsible for the resident constitute the model family support. This study advances the understanding of family support in nursing homes and conveys information to guide practice through proposing ways to enhance family support and involvement in nursing homes.     

The roller-coaster of experiences: becoming the parent of a deaf child

When early testing indicates a hearing loss, parents find themselves on a roller-coaster of experiences leaving little time or space for reflection. This study is based on interviews with families in the Flemish region of Belgium, one of the earliest in the world to introduce universal neonatal screening for hearing loss. Starting from a phenomenological approach, we explore parents’ accounts of their experiences in order to uncover the meanings of early parenting of a child identified with a label. Soon after birth, these parents encounter a different world in which intertwined discourses construct parenthood with a deaf child. During the process of becoming a parent, representations of deafness as impairment were omnipresent. In contrast to a medical and technological perspective that insists on the need to intervene as fast as possible, it is argued that the private and social implications of rapid intervention require explicit consideration.     

Learning from Experience in Family Support Programs

ABSTRACT

The paper describes three related California family support program initiatives representing field experiments in program development and policy related to reducing adverse outcomes for vulnerable families through replicating known “best practices” models. The ways in which the three initiatives were affected by the context of implementation are used to demonstrate the difficulty both of identifying the “best” program models and the need for leadership at all levels in order to develop programs and policies, which achieve the intended effects.