Foster parents exposed to political violence: The role of social support in addressing emotional and functional difficulties

BackgroundBeing a foster parent is stressful. It becomes even more stressful when foster parents face major threats to their own families and to the foster children in their care, such as during war situations. This study focuses on foster parents' reactions to the war with Gaza in southern Israel that took place in 2014. The first goal of this study was to describe posttraumatic symptoms (PTS) and problems in functioning among foster parents following their exposure to the war. The second goal was to identify background and social support predictors of PTS and functioning problems among these parents. The third goal was to examine the role of formal and informal support received by the parents as a moderator of the association between exposure to war events and PTS and problems in functioning.MethodsParticipants were 354 Israeli foster parents who were exposed to the war. Participants completed structured instruments of exposure to war events, PTS, functioning, and social support.ResultsExposure to war events was associated with PTS and related functioning problems. Education and religiosity were correlated with PTS and problems in functioning. Contrary to our hypothesis, more formal social support was associated with more PTS. Social support did not moderate the association between exposure to war events and PTS.DiscussionThe unexpected positive correlation between support and PTS was interpreted as either reflecting the fact that foster care agencies targeted foster parents who were most in need, or as a reflection of the inadequacy of the support they received. The findings indicate that foster parents need support during times of major stressful events such as natural disasters and wars, so that they will be able to help the children in their care. Specialized professional training for foster care workers needs to be implemented. Future longitudinal and mix-methods studies are suggested to help address the limitations of the present study.     

Infants in Foster Care

Abstract

This article highlights the importance of attachment issues for infants placed in foster care. We offer a framework for understanding how early separation and maltreatment may affect infants' ability to securely rely on a foster parent. We argue that disruptions in foster infants' primary attachment relationships, combined with a history of maltreatment, place these infants at risk for developing predominantly insecure or disorganized attachments to foster parents, regardless of foster parent characteristics. We argue that foster infants' successful passage through the foster care system requires a high level of foster parent sensitivity to their unique attachment needs. We also argue that this level of sensitivity is likely to require specialized training for foster parents.     

Decision-making around psychotropic medications for children in foster care: Perspectives from foster parents

Background and objectiveChildren in foster care have complex mental health needs and receive high rates of psychotropic medications. Rarely can foster parents make legal decisions about treatment, yet they are intricately involved in the child's life and responsible for the child's safety and well-being. We aimed to conduct the first study of foster parent perspectives on decision-making relevant to the use of psychotropics with children in foster care.MethodsWe conducted semi-structured phone interviews with 13 parents in a small northeastern state who had fostered a child receiving psychotropics in the past 5 years. The state child welfare agency sent information about the study via email to all foster and adoptive parents for whom they had email contact. Interviews queried parents' knowledge and attitudes toward psychotropics, engagement in decisions, and recommendations for the decision-making process. Interview responses were coded and synthesized using mixed inductive and deductive methods in Dedoose software.ResultsChildren came into care on an average of four psychotropics. Parents reported receiving little information about the medications and finding information on their own. Parents acknowledged the potential benefits of medications, yet attitudes were largely against their use. Internal and external pressures for and against the use of medications were described. Many parents felt left out of the decisions and recommended team decisions.ConclusionsEfforts to improve foster parents' knowledge of medications, side effects, and monitoring, as well as team decision protocols, are sorely needed to improve decisions for this population.     

Preparing and Partnering with Families to Support the Adoption of Children from Foster Care

ABSTRACT

This investigation evaluated the effectiveness of a pre-placement education and preparation curriculum (PREP) for prospective foster/adoptive parents in improving attitudes toward children with prenatal substance exposure and their substance-using birth parent and increasing willingness to adopt these children. Participants included 1,836 prospective parents seeking adoption through foster care who received three 3-hour sessions of PREP. Prospective parents completed questionnaires assessing their knowledge about important issues involved in adopting a child from foster care, attitudes, and willingness to adopt children with a variety of characteristics. Changes from pre- to post-intervention were examined. Results indicated significant increases in self-reported knowledge; significantly more positive attitudes toward substance-abusing parents and children with prenatal substance exposure; and significantly increased willingness to adopt children with a variety of potential difficulties, including children with serious behavior problems, attention deficit hyperactivity disorder, and a biological history of mental illness. In sum, findings suggest that prospective adoptive parents who attended the PREP sessions felt better prepared by the end of training with regard to issues related to adoption of high-risk foster children with special needs, particularly those with prenatal substance exposure.     

Externalizing problems in young foster children: Prevalence rates,predictors and service use

Objective

Examining the prevalence of externalizing problems, their predictors and mental health service use for these problems by foster children and foster parents in a representative group of foster children aged 3 to 12 in Flanders.

Method

Survey data were collected on 212 foster children, who had been in the foster family for approximately four months. Foster parents filled out a Child Behavior Checklist to measure foster children's externalizing problems. Foster care workers reported on several potential risk variables for externalizing problems and on foster children's and foster parent's mental health service use. Predictors of externalizing problems were identified from a large number of variables using the method of purposeful selection of variables in linear regression.

Results

40.6% of the foster children had externalizing problems. Foster children who were placed because of behavioral problems had more externalizing problems. Only 20.9% of the foster children with externalizing problems and only 13.9% of their foster parents received professional help.

Conclusions

This study showed that externalizing problems are prevalent in this young foster care population, that it is hard to predict which foster children had externalizing problems, and that foster children and their foster parents rarely receive services for these problems. These findings call for a standard protocol of assessment of foster children's externalizing problems. Moreover, from a preventive viewpoint, guidelines are needed to systematically link young foster children with externalizing problems and their foster parents to appropriate services.     

Developmentalism and the Rhetoric of Best Interests of the Child

Abstract

The foster care system in Australia has recently recognised the importance of encouraging lesbians and gay men to become foster carers. Whilst this may be seen as an important step towards overcoming social stereotypes that position lesbians and gay men as unfit parents, I propose that foster care public policy in Australia is shaped by a number of key assumptions that effectively exclude lesbian and gay foster parents. In particular, I focus on how the logic of developmentalism [where children are assumed to follow a (hetero)normative developmental pathway] and the rhetoric of best interests of the child (within which a particular moral framework is employed to judge who can and who cannot protect children) work to recenter a normative understanding of families and parenting that encourages lesbians and gay parents to adopt a heterosexual model of parenting.     

Psychotropic medications in child welfare: From federal mandate to direct care

Background and objectiveChildren in the welfare system are prone to uncoordinated and unmonitored mental health care, including psychotropic medications. To address these issues, federal legislation mandated that state child welfare agencies improve the coordination and oversight of psychotropic medications. However, there is no clear guidance on how to improve these practices, particularly at the level of direct care. We aimed to identify specific areas for improvement through state-wide surveys of four groups.MethodsWe surveyed all known members of four groups working directly with children in foster care in one small northeastern state. Respondents included 209 foster and adoptive parents, 169 child welfare staff, 84 mental health therapists, and 33 clinical prescribers. Survey items addressed practices and perceptions related to sharing of information and cross-system communication and monitoring of medication effects and side effects.ResultsNearly two in five foster and adoptive parents reported not regularly receiving information about the purpose or side effects of psychotropic medications, and they disagreed among themselves on who was primarily responsible for monitoring safety and effectiveness. One-third of child welfare staff and two-thirds of mental health therapists reported that information about psychotropic medications is not regularly shared with the child's provider team. Half of clinical prescribers reported not regularly communicating with child welfare staff.ConclusionsWe identified specific areas for improvement related to communication, sharing of information, monitoring, and role clarification. Strategies to improving these activities are key to ensuring the safe and effective use of psychotropic medications in this population.     

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.     

Factors associated with provision of instrumental social support for physical activity in a foster parent population

PurposeTo examine demographic and psychosocial factors associated with foster parent’s provision of instrumental social support for physical activity among foster youth.MethodNinety-one foster parents completed surveys to assess perceptions of foster child physical activity (activity level, enjoyment, and coordination), five psychosocial variables from Theory of Planned Behavior (positive and negative behavioral beliefs, normative beliefs, perceived behavioral control) and self-efficacy to provide instrumental social support for youth physical activity. Associations between these variables and instrumental social support were determined using multiple regression analysis.ResultsMore supportive normative beliefs and higher self-efficacy for providing instrumental social support, and length of time a foster child resided in the foster parent household were significantly associated with greater provision of instrumental social support.ConclusionAmong foster parents, the perceived social expectations about providing instrumental social support and self-efficacy to provide instrumental social support for physical activity appear to be important influences on foster parent provision of instrumental social support for youth physical activity.     

Opportunities Lost––Why Some Parents of Young Children Are Not Well-Connected to the Service Systems Designed to Assist Them

Abstract

Evidence on how to engage isolated parents in formal services tends to rely on professional commentary, practitioner discourse, and parents who use services. It is critical to also hear the perspectives of isolated parents to inform practice and service design, yet there are clearly practical difficulties in researchers talking directly to families who do not use services–– not the least of which is how to find them. This paper reports on in-depth interviews with 20 financially disadvantaged sole parents of young children in the inner north of Canberra who define themselves as not well-connected to services. The study finds that these parents often lack the social networks needed to “introduce” them to services; their contacts with formal services in the past have left them feeling judged and under surveillance, and the services which they regularly “brush up” against miss critical opportunities to link them with avenues for support. A small but significant group who resist all formal services indicate they are most likely to be assisted in everyday environments that are normal and nonstigmatising, rather than through formal agency settings.     

Hardiness of Foster Families and the Intent to Continue to Foster

ABSTRACT

Recent research in the area of foster care has examined a number of external factors that may influence foster family retention. However, insufficient research has been devoted to the question of foster family hardiness, or internal strengths of foster families, and how it may affect retention. Hardiness in families means that families possess a belief that they can control or influence events of their experience, feel deep commitment, and anticipate change as a positive challenge. Additionally, hardy families exhibit a confidence in their abilities. Utilizing the Family Hardiness Index, this research reports findings from a study of 82 foster families from one southeastern United States metropolitan area. Foster families who reported an intent to continue to foster scored higher on the Family Hardiness Index than families from a non-clinical sample. Foster families who reported an intent to continue also scored higher than those foster families who reported they did not intend to continue. Logistic regression indicated that higher levels of hardiness and fewer years of licensure as foster parents were significantly associated with intent to continue to foster. The study also discusses implications of hardiness screening of prospective foster families and its potential value for improving support to and retention of foster parents, thus increasing stability and service efficacy for the children they serve.     

The need to do it all: Exploring the ways in which treatment foster parents enact their complex role

Treatment foster care (TFC) is an appealing approach for treating youth with emotional and behavioral disorders because it combines the potential for intensive interventions with opportunities for growth and development in a family-based setting. To accomplish this, TFC requires treatment foster parents to simultaneously play roles of both substitute caregiver/parent and front-line professional. This requires that treatment foster parents excel at both the behaviorally focused elements of an interventionist while simultaneously enacting the more relationally-based aspects of a parent. To date there has been little in the literature to explore the extent to which practicing treatment foster parents actually utilize both behavioral and relational approaches in their work with youth. This paper uses baseline data from a randomized trial (n = 247) to explore eight potential approaches that treatment foster parents might use (including: monitoring/supervision, approaches to discipline, consistency of responses to behaviors, time together, adult-child conflict, positive affect towards the child, perspective taking/empathy building, and communication) as well as a measure of their own assessment of their role. Results show that treatment foster parents recognize the complexities of their role, and most view themselves more as parents than as treatment providers. Substantial variation was evident on all examined dimensions of the treatment parent role (except supervision/monitoring). Variations in treatment parent approaches were most significantly related to child's age and their own view of their role. The paper concludes with discussion of implications and directions for future research.     

Kinship foster parenting; gender,class and labour-force participation

Objective: Knowledge about gender, class and labour-force participation of kinship foster parents in European countries is scarce. This study examines the gendered structure and generational pattern of kinship foster parenting in Norway and compares class components and labour-force participation of kinship foster mothers to the larger female population and to non-kinship foster mothers.

Method: The analysis is based on survey data on relationships between foster parents and child, social demographics and placement characteristics from 123 kinship and 88 non-kinship foster mothers of children in state custody. Labour Force Survey and Education Statistics from Statistics Norway were used to compare the kinship sample to the average female population.

Findings: Kinship foster care in Norway is gendered, in that it is women who assume the responsibility for relatives' children. Kinship foster care reflects class differences in that the educational level of kinship foster mothers and their household income are lower than the average female population and of non-kinship foster mothers in Norway. The labour-force participation of kinship foster mothers in Norway is comparable to that of the country's female population in general, except for women aged 35–55 with children under seven, among whom labour-force participation is lower than for the female population.     

The effects of adoption openness and type on the mental health,delinquency, and family relationships of adopted youth

ABSTRACT

Analyzing the 2007 National Survey of Adoptive Parents, this study examines the impact of open adoption, demographics, and other factors on adopted children’s mental health, delinquent behavior, and family relationships. Specifically, we compare findings for youth in private and public (i.e., foster care) adoptions and identify key similarities and differences between predictors of children’s well-being across these two types of adoption. We find that youth in open foster care adoptions are more likely to receive an attachment disorder diagnosis than those in closed foster care adoptions but are also more likely to have family relationships characterized by trust and adoptive parents’ willingness to recommend adoption to others. Further, we find children in both public and private adoptions who are older at placement are more likely to have posttraumatic stress disorder diagnoses. For children in private adoptions, no statistically significant predictors affected youths’ delinquency outcomes or family relationships, with the exception of parents of private adoptees in households characterized by lower levels of poverty indicating they would be more likely to recommend adoption to others. The implications of the key findings are discussed with regard to service provision for multiple types of adoptive families.     

The Use of Online Social Support by Foster Families

ABSTRACT

The extent to which foster families utilize social support on the Internet is examined in a sample of 34 foster families in a digital divide intervention program and a comparison sample of 30 foster families who were not part of the program. In spite of increased Internet access, the frequency of using online social support is low. A minority of parents and children increased their use of the Internet to give and receive help, communicate with other foster families and e-mail with their foster care worker. More than half of foster youth have used the Internet to stay in touch with friends and relatives and have “made a new friend” over the Internet. Implications for child welfare practice and for further research are discussed.     

EDITORIAL

ABSTRACT

Many states are implementing concurrent planning as a means to expedite permanency planning for children in foster care; however, the parameters for this strategy vary significantly and the research regarding outcomes is sparse. This qualitative study sought to examine the experiences of child welfare experts, parents, foster parents and caseworkers regarding concurrent planning in New York State. The findings indicate that although concurrent planning is generally understood, training, services and supports are lacking for parents, foster parents, and caseworkers in the implementation of concurrent planning. In addition, although all parties see concurrent planning as an effective strategy, crafting and maintaining working relationships between key parties is challenging. Clearer communication with parents, joint training of caseworkers and foster parents, improved information disclosure, and fuller involvement of foster parents in the planning process are among the recommendations for improving practice.     

Positive Reaction to Disclosure and Recovery from Child Sexual Abuse

ABSTRACT

Factors associated with improvement in the behavioral-emotional functioning of sexually abused children, from 6 to 18 years of age, were investigated. Children were classified by their therapist according to current level of disclosure regarding past abuse. Ratings of degree of support offered by significant people in the children's lives were also made. Findings showed children who were in an actively disclosing stage to be exhibiting significantly less externalizing behavior problems than non-disclosing children. Children who were fully disclosing without recantation showed significantly lower dissociation than did all other subjects. Children who recanted with or without re-disclosure showed significantly more post-traumatic stress symptomatology. As all the subjects were in foster care, the reactions to disclosure of foster parents proved to be most salient with respect to current functioning. Children who received full support from foster parents showed significantly lower depression scores than did children who received only partial support.

Other significant findings pertain to the effects of time since initial disclosure, age of subjects, and type of sexual abuse on behavioral-emotional functioning. Implications for developing structured training programs for foster parents and their caseworkers are discussed. Recommendations are made for future study using the present design with a non-foster care population and investigating the effect that the timing of supportive reactions to disclosure has.     

Social needs of aboriginal foster parents

A total of 82 Aboriginal foster parents drawn from a provincial registry of foster parents participated in a telephone interview. The interview included the question “What do you need socially to be a good foster parent?” The responses were grouped together by participants in accordance with Trochim's (1989) concept mapping method. Forty-two unique responses were grouped into 6 clusters. These clusters referred to social participation, social networks, activities, as well as family relationships, healthy community and cultural connections.     

Writing a Book Review for JFSW

ABSTRACT

For children in foster care, continued contact with biological parents may have significant implications. This article seeks to synthesize literature examining attachment theory and visitation between children in foster care and their parents. The results of the research synthesis indicate that although the exploration of attachment theory began over 40 years ago, the questions regarding the implications of foster care visitation and attachment continuation surprisingly remain unanswered.     

Gentle iron will: Foster parents' perspectives

In this qualitative exploratory study the perspectives of foster parents in an eastern Canadian province, who had at least five years of fostering experience, were explored through structured open-ended telephone interviews. The interview questions were organized around seven main areas based on the personal experiences as foster parents which were: the misconceptions they encountered, their motivation and the reasons they continue to foster, the joys, as well as the barriers and challenges these foster parents faced, and what advice foster parents would offer future foster parents. Four themes emerged through the data analysis: misunderstood intent, joyful satisfaction, unrealistic expectations, and missing pieces. The emergent theoretical model “gentle iron will” reflects the feelings associated with the obligation resulting from the commitment foster parents made to themselves and the children in their care. This study supports much of the literature on the experiences of foster parents because the participants' responses are reflected in the existing body of literature.