Social Crisis and Aboriginal Alcohol Abuse*

This article summarizes the major results of three studies into aboriginal alcohol abuse in and around Perth. The first study was based on in-depth interviews with thirty-one officers and members of sixteen Perth community organizations. In addition, a review of impressionistic arguments and research documents was also completed. This section also includes a structured interview with the thirty-one respondents. The second study examined the fringe dwellers' situation through interviews with four community workers and thirty-five camp inhabitants. The final study reported on interviews with a representative sample of fifty-three Perth whites to ascertain the nature of the ‘white backlash’. Overall the results support the predominant role of environmental alcohol abuse and the need for a long term, organic approach.     

Interpersonal Behaviour in Relation to Aboriginal Programs

Over recent years there has been increased concern for the health, education and welfare of aboriginal people. Many of the newer programs in these areas are worthwhile. As health, education and welfare services are directed at people, greater understanding of interpersonal behaviour is needed by administrators and fieldworkers if outcomes are to be improved. The importance of interpersonal behaviours such as looking, listening, talking and touching is noted. The distinctiveness of these behaviour patterns in aboriginal society is examined and their impact on programs discussed.     

Aboriginal Health Courses

The relevance of social and economic factors other than physical circumstances in determining aboriginal health is discussed. How these factors determine the goals of aboriginal health and influence what the participants can do about them is examined. A critical need is seen for health courses to train indigenous health workers. Problems of running such courses and selecting candidates are raised, and a greater role for social scientists in such courses is noted.     

Part Aboriginal Juvenile Offenders: Some Considerations of Care and Treatment

Among child care workers there has in recent times been an increased interest in the care and treatment of part aboriginal juvenile offenders in corrective care. This paper briefly discusses some current treatment approaches and makes a number of recommendations on alternatives. In particular it is suggested that there is a need for special training colleges or centres to meet the needs of these young people.     

The importance of schools and teachers in child welfare

The article begins by challenging what is considered to be the relative neglect by child and family social work of the importance for children of school and teachers. Key roles of school in children's lives are conceptualized. School is argued to have potential as an ally for children, a guarantor of basic protection, a capacity builder, a secure base from which to explore the self and the world, an integrator into community and culture, a gateway to adult opportunities and a resource for parents and communities. It is suggested that school can have a special supportive value for children experiencing adversity, including those in state care or under supervision, those whose parents have divorced, and those recovering from abuse or neglect. The implications of the central importance of schools and teachers for child and family social work are discussed with reference to the child as client, work with teachers, work with the wider school and community, and policies in social work agencies and in education and training programmes for social workers and teachers.     

Secure Attachment to Family and Community

ABSTRACT

Disproportionately large numbers of high risk clients from Multiple Problem Families (MPFs) utilize a disproportionately large percentage of Medicaid, Health and Human Services. Clients from these families are involved in domestic violence, addiction, child abuse and neglect. They are over represented on the caseloads of state protective service agencies. The approach outlined in this paper is based on social attachment theory models. It stresses the use of long-term, home-based therapy, and community support agencies to establish and maintain safe secure attachment for these fragile families. The therapeutic goals are to foster attachments that lead to increased mentalisation, and to decrease the crisis-driven behavior that often results in high cost utilization of state services. A placement prevention model, outlined as an alternative “mentalising social system” approach, is proposed for treating disruptive MPF children. Family oriented, in-home, community-based treatment is found to be more cost effective and therapeutically helpful for these children than costly inpatient psychiatric admission followed by residential care.     

The Role of Aboriginal Medical Services

The research reported in this article evaluates a social psychological model predicting preferences of black patients for alternative medical facilities in Townsville. Results show that proximity, security, experience, assimilation, and seriousness of illness all contribute to a preference for either the Aboriginal and Islander Community Health Service or the white administered out-patient service of the General Hospital. The hospital sample is characterized by an active preference for integration, whereas patients attending the Aborignal and Islander Community Health Service do so because of the services provided and socio-emotional support. The study also shows that a substantial number of black patients do not attend any medical facility, supporting the need for an active community organized program of health services.     

Packaging effective community service delivery: the utility of mandates and contracts in obtaining administrative cooperation

Voluntary agreements, mandates, and contracts integrate networks of social service organizations, allowing them to function as coordinated wholes. The author reviews the history of contracting and mandating in the public sector. It is hypothesized that contracted relationships formalize agreements between local organizations dependent on others. Mandated relationships are perceived to be important by policy-makers at a state or federal level. The differential acceptance and rejection of these relationships in the community is explored. Data from social service agencies are used to compare administrators' assessments of the effectiveness of mandated and contracted relationships used to coordinate a group of agencies delivering services to children. When a mandated relationship has been formalized into a contract by a local administrator the perceived effectiveness of that relationship is higher than any other relationship in the community. If the mandated relationship has not been formalized by a contract this relationship is perceived to be the least effective. Important mandated inter-organizational ties without monetary incentives are less likely to work. Local administrators having developed the contracted ties see these ties as producing a higher level of performance.     

Independent fostering agencies uncovered: the findings of a national study

This paper presents the findings of a survey of independent fostering agencies (IFAs) in England, Scotland and Wales. Information was gathered about their operational arrangements, services, fees, staffing, foster carers and the children and young people in placement. This information is supplemented by an earlier evaluation of one large English IFA and by reference to the available relevant literature. The expansion of the IFAs has been generally greeted with hostility by local authority managers because of what is perceived as the loss of foster carers to the independent sector, the costs of the IFAs and their position outside the public welfare sector. This paper questions the validity of these views following an examination of the status of the agencies, the background of their foster carers and the circumstances surrounding the placements of the children and young people. It concludes by identifying gaps in our knowledge and areas for future research.     

Behavioural and emotional problems of children by type of out-of-home care in Croatia

The aim of this article is to compare the kinds of behavioural and emotional problems of youth in relation to type of out-of-home placement in Croatia. Children living in children's homes manifest significantly more behavioural and emotional problems than other groups of children in out-of-home care or children living in their primary families. Children living in foster families or in family-type homes integrated in the community do not differ from a comparative group of children living in primary families. Regardless of differences among sub-samples regarding behavioural and emotional problems, the current problems of individual children in all groups of children in out-of-home placement were connected more to currently experienced stressors than to unfavourable circumstances before their removal. This indicates that there are benefits to be gained by improving services in the children's present care environment.     

A Description and Analysis of Multi-Sectoral Fostering Practice in the United Kingdom

Correspondence to Clive Sellick, School of Social Work and Psychosocial Sciences, Elizabeth Fry Building, University of East Anglia, Norwich NR4 7TJ, UK. E-mail: c.sellick{at}uea.ac.uk Summary Foster care is the preferred placement option for children andyoung people in the public care system in Britain. In recentyears, fostering has been the subject of extensive policy andresearch review and its practice and services have been widelyexamined. Although still provided principally within the public,local authority sector, there has been a significant growthin the use of independent fostering agencies and a steady useof the fostering services of established voluntary child-careorganizations. This paper reports a recent review of innovativefostering practice in all sectors across the four countriesof the UK, which was commissioned by the Social Care Institutefor Excellence. All British fostering agencies were invitedto submit examples of what they considered to be innovativeor effective in respect of six main categories: foster carerrecruitment and training; retention and job satisfaction; placementprovision; fostering children with complex needs; service provision;and user evaluation. These were examined in the light of relevantresearch knowledge to determine the extent of ‘research-mindedness’amongst fostering agencies. The authors conclude with a critiqueof four key factors which are impacting upon contemporary fosteringpractice in Britain.     

Effects of Placement Changes on Health Insurance Stability Among a National Sample of Children in the Child Welfare System

ABSTRACT

Children in the child welfare system have entitlements to health insurance coverage—critical because of their considerable physical and mental health needs—based largely on their placement status. This study conducted path and transitions analyses on data from the National Survey of Child and Adolescent Well-Being (3,801 children followed-up for 3 years) to examine the interplay between placement changes and insurance stability. Children maintained in-home at Wave 1 had significantly lower odds of being insured (OR = 0.7); children transitioning from out-of-home placement to in-home care had significantly lower odds of maintaining insurance coverage (OR = 0.6). Child welfare workers working with children maintained in-home and those being reunified should safeguard the children's insurance status. Policy makers should consider extension of categorical eligibility to all children presenting to child welfare agencies in order to assure access to needed services for these vulnerable children.     

Preferentially rejected children and their development in permanent family placements

Several studies of family placements have indicated poorer outcomes for children who are placed singly in new families. In an effort to understand why this may be so, this paper explores differential outcome among a group of children who were placed singly with adoptive or long‐term foster families during middle childhood. A small number of these children were ‘only children’ at the time of placement but most had siblings living elsewhere. Particular attention is paid to preferential rejection by birth parents in the children's backgrounds. Preferential rejection indicates that one child has been rejected while siblings are accepted. This was found to be associated with poorer progress in placement. The methodological and statistical detail of the analyses are to be found in another paper. We focus here on describing the patterns which emerged and the ways in which the findings may assist practitioners in making and supporting permanent placements.     

Understanding and negotiating identity: Children from cross-community families in public care in Northern Ireland

In Northern Ireland, most research on the impact upon children of living through the ‘troubles’ and in a divided society has assumed that children are from either the Catholic or Protestant community. There has been very little research with children from cross‐community families who have one parent from a Catholic background and one from a Protestant background. It is known, however, that these children are over‐represented in the public care system in Northern Ireland. The study reported in this paper addresses this gap in knowledge by exploring the experiences and views of children from cross‐community families who are in public care in Northern Ireland. The study has key messages for the development of services for looked after children from cross‐community families, if these are to be delivered in accordance with legislative duties in Northern Ireland and in an anti‐sectarian manner.     

Reaching Inner-City Children

One of the obstacles faced by community social service agencies is difficulty in attracting adolescents to the services offered them. Adoldscents typically do not walk in or keep appointments at outpatient clinics and can be difficult to engage even for outreach programs. One solution to this dilemma is to go where the children are: the public schools. One of the biggest problems in the Boston public school system is that many students and their families have pressing social, emotional, and physical needs that are not being met outside the school and that adversely affect their education. The schools are educational institutions, not human service agencies, and they are ill prepared to deal with many of the problems and needs of their students' lives. In 1984, an independent board composed of representatives from the Boston Public Schools, state, city, and private social service agencies, parents and students, secured funding and formed the Boston Student Human Services Collaborative. The mission of the Collaborative was to supplement and expand support services to the schools. The hope was that such services would free up both children and teachers to invest in each other, thereby increasing learning. This paper describes the group work component of a Collaborative program at an inner-city school. After a brief look at the inner-city context, the group work program model is presented as a case study, including specific types of groups that have worked well and details of recruitment, composition, goals, activities, and leadership roles. Following this is a discussion of race, color, and ethnicity, and then a list of guiding principles for working with middle school adolescents in groups.     

Children after Divorce: Whose Rights? Whose Responsibility?

Concern about the increasing welfare bill for supporting parents and the growing number of mothers and children living in poverty after divorce or separation has recently led Governments to seek new strategies to enforce maintenance payments. A major emphasis in these arguments has been that noncustodial parents (usually fathers) have a responsibility to provide economic support for their children, and that children, mothers and the community have a right to expect this support. At the same time, there has been an increased concern by fathers for their rights to custody and access to their children after divorce or separation. These two concerns, however, have tended to be treated as separate issues, and little attempt has been made to examine the possible interaction between the two, or to examine systematically the respective rights and responsibilities of mothers, fathers, children and the community. These issues are examined here in the context of an analysis of interpersonal rights and responsibilities for financial support and child care.     

A Pedagogical Model of Clinical Supervision of Adolescents as Therapeutic Caretakers for Children and Each Other

This article describes a model of supervision provided to adolescents who function as therapeutic “caretakers” with children in a unique neighborhood community mental health organization located in the South Bronx. Rooted in theories of community mental health, social support, and pedagogy, the article describes the recruitment process, training, and supervision given to the organization's adolescent “caretakers” to ensure that they will develop the attitudes and skills needed in their therapeutic interactions with children. Particular emphasis is placed on “in vivo” supervisory processes derived from the organization's pedagogical model. The model's usefulness is not limited to training adolescent therapeutic caretakers and is readily applicable to training professional or nonprofessional helpers in a variety of settings (e.g., collaborative partnerships with schools and community agencies where personnel are trained to serve directly or in an auxiliary role as therapeutic change agents).     

Outcomes of permanent family placement for children of minority ethnic origin

The paper explores the outcomes of permanent family placement for children of minority ethnic origin, using a sample of 254 placements drawn, in the main, from a cohort of 1165 British children placed between 1980 and 1985. Statistical techniques are used to explore the relationship between 'success' (defined, for the purposes of this paper, as the placement not known to have broken down) and a range of variables, including the characteristics of the child, the birth parents and the adoptive parents, and the type of placement. In most respects, the findings are consistent with those of similar studies. Age at placement is found to have an important effect, with success least likely for children placed in the middle age range. Lack of problem behaviours in the children at the time of placement is also found to be associated with success. Variables which are found to have no effect on the probability of success include ethnic origin of the child, whether it is an adoptive or permanent foster placement, and whether contact with birth parents continued after placement. There was an interesting gender effect in that boys did better in 'transracial' than in 'matched' placements, but the opposite was the case for girls.     

Education and employment opportunities among staff in Aboriginal family service agencies

The purpose of the study was to describe ways that successful culture‐based Aboriginal preventive family service agencies offer employment and education opportunities for staff. Staff in three inner‐city, culture‐based Aboriginal family agencies were asked about their employment and educational opportunities. Forty‐four individuals were asked the question: ‘what employment and education opportunities have you had while in this job?’ A total of 81 unique responses were received. Participants grouped the responses into eight themes including: planning for services, promotion within the agency, specific skill development, enhanced self‐confidence, cultural awareness, teaching others, workshops as well as certified training. Differences between the experiences of study participants and the existing literature indicate that practices within culture‐based Aboriginal family agencies are distinct in relation to funding, staff mobility, strengths‐base, practical training and cultural knowledge, and that these should be understood and recognized formally in funding decisions and in future research.