Wraparound Services: An Effective Intervention for Families Impacted by Severe Mental Illness

ABSTRACT

Children and families impacted by severe mental illness (SMI) have multiple strains that effect family functioning, child safety, and parental rights. Traditional services for children and families struggling with severe mental illness have not achieved success in improving family functioning and keeping families intact. Wraparound is a philosophy and a system of care with a promising evidence base that could enhance collaboration of child welfare, mental health, and community services to work more effectively with families impacted by SMI.     

Play Therapy: A Paradigm for Work with Families*

The dream-like, open-ended process of play therapy has much in common with the family therapy style of the authors. This paper provides a partial list of similarities between play therapy and family therapy. It reviews methods for using play with families and considers the question of indications and contraindications for play therapy with families. Clinical examples are utilized to illustrate throughout the paper.     

Prospects for Disabled Children and Their Families: An International Perspective

The aim of this paper is to provide an international overview of some of the main developments now taking place in educational provision for children with disabilities. Difficulties experienced by disabled children in many countries in gaining access to any form of education are contrasted with home-based and centre-based projects, such as Portage. Particular attention is given to the nature of collaboration between families and teachers, in the context both of schooling and of community-based rehabilitation. Obstacles to parent-professional collaboration are identified and suggestions made for how these might be overcome.     

Financial Penalties Under the Temporary Assistance for Needy Families Program: Policy Discourse and Strategies for Reform

Many families did not leave welfare of their own accord but instead were forced off, sanctioned, for failure to conform to new, strict requirements (Bloom & Winstead, 2002). Studies of leavers indicate that many of these leavers are among the families that do not receive needed health insurance, food stamps, and child care assistance for which they remain eligible (Loprest, 2001; Zedlewski & Gruber, 2001). Sanctioned families are less likely to do well after leaving welfare compared to other leavers (Goldberg & Schott, 2000). As part of TANF reauthorization, Congress should prohibit states from sanctioning if they have not met certain requirements: conducted an assessment, made accommodations for people with physical/mental impairments or other barriers, and instituted strong pre-sanction and post-sanction procedures.     

An innovative child welfare pilot initiative: Results and outcomes

Successful family reunification is achieved only about 50% of the time when children are in foster care. Parents' ability to access and complete court ordered services are paramount in determining whether the family can achieve reunification. However, the research on how to best facilitate service access and utilization are sparse. A matched sample of 100 families with no prior child welfare involvement and at least one child in out of home care were selected from Department of Children and Family closed administrative case files. This study compared 48 families who received traditional child welfare services to 48 families who received a Family First model intervention (PFFP) from a large urban public child welfare agency. The independent variables were the elements that distinguished the Family First model from traditional child welfare services and included the number of caseworkers for the life of the case, caseload size, and service needs met through community partnerships. The dependent variables were the stability of the children's out of home placement, the time to reunification, the length of agency involvement, the stability of reunification at one year follow up, subsequent substantiated child maltreatment reports one year after the cases were closed, the distance a placement location was from the home of the family at intake, the match between identified needs and the timely access of services. Hierarchal regression and survival models were constructed to examine elements of the intervention for their impact on family outcomes. The results suggested that a community partnership model that incorporated family engagement, enhanced service provider accessibility, reduced caseloads, one caseworker for each family, are associated with successful reunification outcomes. Moreover, the intervention families were more likely to have their needs met with clinical or economic services, experienced fewer days in out-of-home placement, shorter involvement with the agency, reduced placement moves and were more likely to be reunified sooner compared to the group who received standard child welfare services. At one year follow up, the intervention families also had fewer substantiated child maltreatment reports and children were more likely to be living in the parental home. Implications for policy, research and practice are presented.     

Plasticity in Early Alzheimer's Disease: An Opportunity for Intervention

The scientific evidence of plasticity, or the brain's dynamic ability to alter its organization and activation throughout one's lifetime, has increased significantly over the last decade. This analytic review evaluates selected evidence regarding the persistence of plasticity in people with early-stage Alzheimer's disease (AD). Functional neuroimaging provides persuasive evidence of plasticity throughout aging as well as the early stages of dementia, including the possibility of a heightened response during the prodromal period of AD. Behavioral outcomes research demonstrates the ability of people with early-stage AD to relearn previously forgotten information or otherwise improve cognitive abilities following a cognition-focused intervention. Both of these bodies of evidence support the existence of compensatory processes at work, even in the presence of dementia-related pathology. This retained ability of the brain to adapt to neurodegenerative disease in an attempt to maintain function may provide a valuable opportunity for intervention, particularly in the prodromal or earliest stages of AD.     

The Child Welfare System and State Intervention in Families: From Historical Patterns to Future Questions

The child welfare system remains one of the most important welfare institutions in regulating family life and meanings of gender. However, it has largely escaped sociological analysis. This article provides a framework for thinking about the meanings of state intervention in family life and describes the legal and procedural machinations of the system by providing an overview of the history of the system. In doing so, this article elucidates the complex and contradictory mandates the child-protective services system and its actors face and raises several questions or quandaries that remain under-explored and deserving of analytical attention.     

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.     

Organising Work and Home in Same‐Sex Parented Families: Findings From the Work Love Play Study

In this article we present findings from the Work, Love and Play (WLP) study: a survey completed by 445 same‐sex attracted parents across Australia and New Zealand. Comparisons of household division of labour are made between a sub‐sample of WLP participants, who were currently cohabiting with a same‐sex partner (n = 317), and 958 cohabiting opposite‐sex parents surveyed as part of a major Australian study, Negotiating the Life Course. This comparison showed that same‐sex couples divided household labour significantly more equally than heterosexual parents, and lesbian couples also shared parenting tasks more equally. Qualitative findings from the WLP study indicate that, for many same‐sex couples, major decisions around who gives up paid work and how many hours parents choose to work, as well as decisions around work/family balance, are negotiated on the basis of couple's preferences and circumstance rather than an assumption that one parent will be the primary child carer. It is speculated that this finding highlights an important point of difference between same‐sex couples and heterosexual couples where the division of household labour is often based on the assumption that the mother will almost always be the primary child carer and homemaker. The research is a collaborative partnership between La Trobe University, Deakin University, The University of Melbourne, and Relationships Australia Victoria.     

Parenting Plans for Infants,Toddlers, and Preschoolers: Research and Issues

In the debate over parenting plans for infants and toddlers, a central question is whether these very young children should spend overnight time away from their mothers in their fathers’ care. This article summarizes and critiques the 11 empirical studies that have addressed this question. Overall, overnighting was not associated with negative outcomes for infants and toddlers and was associated with positive outcomes for preschoolers.     

Coordination,Fragmentation and Definitions of Need: The New Under Fives Initiative and Homeless Families

SUMMARY. This article links together the broad coordination debate within the early years field, and how children's needs are conceptualised and defined. It does this in conjunction with an examination of the government's new Under Fives Initiative and the situation of the homeless families that some of the voluntary projects funded under the Initiative are intended to reach. For homeless families, mothers' more holistic perceptions of their children's needs are revealed as providing a good basis for coordination within and between sectors, as opposed to policy, agency and professional definitions of their needs. The latter are being forged and reformulated in the context of increasing service fragmentation, as well as short term government funding for the voluntary sector. Coherence in definitions of needs could provide a pragmatic response to such changes in service provision and funding.     

Parenting Success and Challenges for Families of Children with Disabilities: An Ecological Systems Analysis

This article examines factors that are associated with parenting success for caregivers of children with disabilities using Bronfenbrenner's ecological systems framework. Although numerous studies have investigated risk factors for negative parenting among caregivers of children with disabilities, there are relatively few research findings on parenting success. More specifically, we examine factors for parenting success within the context of micro- (parenting practices, parent-child relations), meso- (caregivers' marital relations, religious social support), and macro-systems (cultural variations, racial and ethnic disparities, health care delivery system), which is then followed by implications for social work practice.