Housing hardship and energy insecurity among native-born and immigrant low-income families with children in the United States

The costs for rent and utilities account for the largest share of living expenses, yet these two critical dimensions of material hardship have seldom been examined concurrently in population-based studies. This paper employs multivariate statistical analysis using American Community Survey data to demonstrate the relative risk ratio of low-income renter-occupied households with children experiencing ‘rent burden', ‘energy insecurity', or a ‘double burden’ as opposed to no burden. Findings suggest that low-income households are more likely to experience these economic hardships in general but that specific groups are disproportionately burdened in different ways. For instance, whereas immigrants are more likely to experience rental burden, they are less likely to experience energy insecurity and are also spared from the double burden. In contrast, native-born African Americans are more likely than all other groups to experience the double burden. These results may be driven by the housing stock available to certain groups due to racial residential segregation, decisions regarding the quality of housing low-income householders are able to afford, as well as home-country values, such as modest living and energy conservation practices, among immigrant families. This paper also points to important policy gaps in safety net benefits related to housing and energy targeting low-income households.     

Unemployed fathers and their children: Implications for policy and practice

This paper reviews the literature on the family effects of unemployment in order to specify how changes in the economy might effect fathering during periods of unemployment. The purpose for doing so is to provide information to clinicians on how job loss effects family dynamics. This paper is organized around three variables that are seen as influencing the father and child relationship. These variables are: the father's reaction to job loss, the mother's reaction to job loss, and the characteristics of the child. The paper ends with a discussion of the policy and practice implications of the literature.     

Evidence-based social work practice with children and families: a cross national perspective

This paper summarizes, from a cross-national perspective, some commonly used models of evidence-based practice and relates them to social work practice with children and families. We first identify concepts and dimensions central to an analysis of the outcomes of social work practice. We then present and discuss key components of social work practice that any evidence-based model must take into account. Finally, we provide some examples of strategies that may be useful to practitioners and policy makers across nations and cultures in order to build a solid knowledge-base for effective social work practice.     

Evidence-based practice with families of chronically ill children: a critical literature review

A chronically ill child is financially, emotionally, and physically demanding on the family system. Although researchers have identified a plethora of risks, stressors, and needs of the families with a chronically ill child, there is a scarceness of evidence-based interventions in the existing literature. The purpose of the authors in this study was to critically analyze current treatment and identify the gaps in the available research. Findings revealed that there is a lack of support for empirically tested interventions that can help parents, siblings, and families of chronically ill children. The issues raised within this literature review bring attention to the need for shifts in research from exploratory to evidence based in order to successfully achieve more effective care.     

Examining risk,strengths, and functioning of foster families: Implications for strengths-based practice

ABSTRACT

Foster families provide safe and stable homes for children and youth who are removed from their homes due to maltreatment. Despite the stressors associated with bringing children in and out of a family’s home, many maintain healthy family functioning and continue fostering for many years serving an essential function in the child welfare system. This study sought to understand the factors that explained higher levels of family functioning within foster families. Collaborating with one statewide public child welfare agency, 681 licensed foster parents participated in an online survey that examined the association between family functioning with family strengths and risk factors. Findings from this study can inform strengths-based practice including training, assessment, and interventions for new and existing foster families to strengthen families and improve the well-being of children and youth in their care.     

Developing evidenced-based policy and practice in social interventions with children and families

This review article focuses on a series of reports commissioned by Barnardo's, the largest children's charity in the UK.¹ The series examines ‘what works?’ in different forms of social intervention with children and families. The publication of these reports is very timely. There is growing interest, indeed a demand, from many quarters for a strengthening of the evidence base that informs social policy. This, in turn, has opened a debate among researchers and users of research about what constitutes evidence. What sort of information enables us to make claims that a particular initiative works? This series considers the question of appropriate research methodologies and in so doing raises many further questions, which are the theme of this review.     

The ritual abuse of children: Implications for clinical practice and research

The development of a 14‐year‐old female from defending herself from sexual crimes to committing such a crime is presented in case‐report form. Her individual history, family dynamics, and transgenerational patterns are explored. A review of the current literature is utilized to understand why some abused persons become abusers.     

Effects of unemployment and underemployment on material hardship in single-mother families

Using data from the 2004 panel of the Survey of Income and Program Participation (SIPP), this study examined relationships between employment problems and four types of material hardship among single-mother families. Although a bill-paying hardship was the most common hardship reported by the mothers (41%), 38% of the families experienced a health hardship, 33% suffered a food hardship, and 25% had a housing hardship. The multivariate results indicate that compared with families whose mothers were adequately employed, families whose mothers were unemployed/had involuntary job gaps and were underemployed had heightened risks of experiencing bill-paying, health, and housing hardships. Only unemployment/involuntary job gaps was related to having a food hardship. A number of other factors associated with experiencing material hardship also were identified. Finally, implications for social work practice and social policy are discussed.     

Beyond the rhetoric: strategies for implementing culturally effective practice with children,families, and communities

Culturally effective practice remains elusive within child welfare agencies. Recognizing the hierarchical nature of becoming culturally competent, this article presents specific strategies that enhance cultural effectiveness at the individual, interprofessional, middle management, and upper management levels. The approaches evolve from a five-stage model of change: precontemplation, contemplation, preparation, action, and maintenance. Becoming culturally competent requires a clear assessment of where the individual practitioner and agency are on the change continuum. The article also explores barriers to culturally competent practice, with a focus on multilevel strategies that work within child welfare agencies.     

Effective child welfare practice with immigrant and refugee children and their families

This article presents a multistage migration framework to broaden the lens through which child welfare personnel can view immigrant and refugee families and their children. By better understanding the family's experiences in both emigration and immigration, including reasons for leaving their home country, experiences in transit, and reception and resettlement experiences in the United States, child welfare personnel are better equipped to assess their needs and provide effective prevention, protection, permanency, and family preservation services. Case examples illustrating the application of the framework and guidelines for program and practice are included.     

Individual and systemic/structural bias in child welfare decision making: Implications for children and families of color

The factors contributing to observed racial disproportionality and disparity in the child welfare system have been the subject of national discourse for decades. This qualitative study used focus groups to engage child welfare and collaborating system decision makers, community partners, and families in a subjective interpretive analysis of racial disproportionality and disparity that had been demonstrated by a previous quantitative analysis of Oregon's child welfare system. Thematic analysis yielded eleven themes from the participant focus groups, four of which clustered around individual and structural/systemic bias and are examined in this paper: visibility bias; cultural bias and insensitivity; personal influences on determination of minimally adequate care; and foster and adoptive parent recruitment and licensing practices. Participants offered recommendations to improve outcomes for children and families of color in light of these observations: increase awareness of bias, create checks and balances in decision-making, contract with and hire culturally and racially diverse professionals, and increase funding for training.     

Genetic counseling: Implications for social work practice

Considerable advances have been made in recent years in medical genetics. These advances have led to a better understanding of the inheritance of disease. Social workers involved in schools, child welfare, medical, and other institutional settings often work with clients who have genetically inherited disorders. Consequently, there is a growing need for social workers to increase their knowledge of genetics and genetic counseling. In this article, the authors discuss the emerging field of genetic counseling and its implications for social work practice.     

Integrating a family-centered approach into social work practice with families of children and adolescents with disabilities

This article identifies a family-centered practice construct for working with children and adolescents with disabilities and their families. The experiences of these families have shifted considerably over the past 30 years. A legislative and historical context provides the basis for an understanding of present policies and practices that influence current approaches to service delivery. Though family-centered practice is emphasized in various practice settings, there is still a need to integrate this philosophy into social work practice with children and adolescents with disabilities and their families. In order to enhance the ability of the social worker to integrate this construct into practice, a framework for exploring the experiences of children, adolescents and families is provided. This framework provides an overview of factors related to the individual child, the family and siblings for the social worker to consider when working with these families. The social worker's role as collaborator, advocate, team member and family resource is highlighted.     

Using a real case scenario in teaching social work with children and families in different practice settings

Transforming classroom knowledge into practice competency is particularly challenging in social work with children and families. It involves complex, competitive practice approaches and different service settings with procedures and norms influencing a child’s wellbeing. The paper presents the content, application, and evaluation of a module based on a case scenario which considers the limitations and achievements of social work with children and families in different settings. A mixed-method approach was applied to this review process. Students were given an evaluative questionnaire based on the theoretical framework of experiential learning whereupon they wrote reflective essays describing their learning experience. Case method contributes to the acquisition of reflective, integrative, and stimulating knowledge. The participation level contributes to the students’ satisfaction during such learning. Students have learned that families with multiple and complex needs require a holistic approach that separate systems and services cannot provide. This way of learning, with certain limitations, allows activation and an intensive learning experience for large groups of students relevant for a number of social work schools.     

Gender differences in moral judgment: Implications for clinical practice

While the potential for gender bias in psychotherapy is commonly recognized, most of the literature addressing this problem has concentrated on the assessment process. Therapists are left with few guidelines regarding the avoidance of bias in ongoing therapeutic relationships. This article reviews alternative explanations of gender difference in moral judgment with particular attention to their clinical relevance. The writer suggests that therapists' conceptions of these differences, as well as their own moral judgment, may be a potent source of gender bias. Understanding these differences is conceivably a powerful means of averting their contaminating effects on clinical theory and practice.     

Critical phases among adoptees and their families: Implications for therapy

A growing body of literature indicates that families with adopted children seek mental health care for the adoptive and other family members more frequently and for different reasons than biologically-bound families. This paper addresses the struggles and corrective strategies for adoptive families at various levels of their development.     

Adolescents in families adopting older children: implications for service

Editor's Note: The study reported here is of necessarily limited scope and design because of the realistically small number of adoptions with families containing adolescents that are available for examination. The findings and conclusions of the authors are nonetheless useful for agencies involved in special-needs adoption.     

Unmet legal and social advocacy needs of children with sickle cell disease: Implications for health care payer costs

Previous studies of advocacy needs faced by children and families have not differentiated needs that require attorney involvement (“legal advocacy needs”) from needs best addressed by social workers or lay advocates (“social advocacy needs”). Studies have also not examined the relationship between either type of need and health care costs. We developed a novel, replicable process to differentiate between legal advocacy needs and social advocacy needs. We then collected cross-sectional data from a sample of 52 children with sickle cell disease who were at least 1 year of age, a population with high advocacy needs and high health care costs. Mean annual health care costs to payers for children whose families had a least one legal advocacy need were $16,314, compared to $5552 for children in families with no legal advocacy needs (P = 0.007). After adjusting for covariates, the presence of a legal advocacy need was associated with $12,040 more in health care costs to payers (P = 0.02). Whether interventions to prevent and resolve legal advocacy needs can reduce health care costs by addressing the social determinants of health warrants future study.