Results of an Interdisciplinary Intervention to Improve the Psychosocial Well-Being and Physical Functioning of African American Grandmothers Raising Grandchildren

ABSTRACT

This paper describes the effects of an interdisciplinary intervention designed to enhance family adaptation toward stress of grandmothers raising grandchildren by improving their psychosocial well-being and physical functioning. Participants were predominantly low-income, African American grandmothers raising one or more grandchildren in parent-absent households in an urban area in the southeast. The intervention consisted of social work and nursing case management, participation in monthly support groups, and parenting classes, as well as legal service referrals for those seeking custody or adoption of their grandchildren.

Results indicated that there were statistically significant differences in the direction predicted for psychological distress, family resources, social support, and family coping, but not physical health. These findings suggest that the intervention positively affected the psychosocial well-being of grandmothers raising grandchildren. Implications for practice, policy, and research are discussed. doi:10.1300/J194v05n03_04     

Developmental Processes in African American Families: An Application of McLoyd’s Theoretical Model

In accordance with McLoyd’s model of African American children’s development, we examined the linkages among family income, maternal psychological distress, marital conflict, parenting, and children’s outcomes in early and middle childhood, using a sample of 591 African American children from the National Longitudinal Survey of Youth. Income during early childhood had a direct effect on behavior problems and reading recognition in middle childhood. Income also had an indirect effect on the child outcomes via maternal psychological distress and parenting. In a comparison of African American and White families, marital conflict predicted children behavior problems only in White families. Findings suggest that family psychological and material resources influence parenting as well as behavioral and cognitive outcomes for African American children.     

New Scoring Method of the Family Drawing for Sexually Abused Preschoolers

This study assesses whether the global psychological adjustment score on the family drawing, derived with a new scoring method, can predict the presence of internalized and externalized behavior problems among sexually abused children. A family drawing was completed by 78 sexually abused children, and three questionnaires were administered to the nonoffending parent. The results indicate that a poorer global psychological adjustment score on the family drawing is associated with a higher probability of clinical thresholds for internalized and externalized behavior problems in children who have been sexually abused, even when controlling for parents’ psychological distress, child's age, number of stressful events experienced by the child, and type of sexual abuse.     

Skipped Generation Families: Sources of Psychological Distress Among Grandmothers of Grandchildren Who Live in Homes Where Neither Parent Is Present

Abstract

Today, more than at any period in U.S. history, more grandparents are raising their grandchildren. In many instances, the biological parents are absent from these grandparent-headed households for a variety of reasons. Although grandfathers and grandmothers both serve in the role of surrogate parents, grandparent caregiving can be seen as a “women's issue” when examined from the broader sociological context of gender. Using data from the National Survey of America's Families, this study examined factors associated with the frequency of feelings of psychosocial distress among grandmother caregivers of grandchildren in skipped generation families. Multivariate regression models indicate that for these grandmothers, being Black and living in the Midwest, having a family income below the poverty level, having Medicaid or SCHIP coverage, not receiving Welfare payments for childcare, and having a usual place for health care were all associated with more frequent feelings of psychosocial distress. On the other hand, being married, receiving social services help with childcare, grandmother's perception of less parenting burden, and living below poverty in the Midwest were associated with less frequent feelings of psychosocial distress.     

Grandparents,kinship ties,and belonging after migration: the perspective of second‐generation grandchildren

In this article, I investigate the roles of grandparents for second‐generation immigrants who live with their parents in a different country from their grandparents. I draw on in‐depth interviews with second‐generation Vietnamese immigrants living in the Czech Republic, where they are very often raised by Czech caregivers. The carers and the children are joined through the process of caregiving and become grandmothers and grandchildren to each other. The analysis focuses on how the interviewees make sense of, interpret, and understand their roles as grandchildren vis‐à‐vis their Czech and Vietnamese grandmothers. It shows how, after migration, the kinship ties are performed, negotiated, and reproduced on a micro level of everyday life, with tasks of caring, homeland visits, and a transnational/face‐to‐face maintenance of intimacy. The article concludes that grandparents play an important role in the grandchildren's sense of belonging both to their family kin and to the homeland.     

Adolescents in Foster Care with Their Grandparents

ABSTRACT

The aim of this research was to analyse the relationships between foster grandparents and their adolescent grandchildren. The sample consisted of 54 grandparents from Malaga (Spain), with a mean age of 65.9 for grandfathers and 63.6 for grandmothers, who foster 70 adolescents, 31 boys and 39 girls, with ages ranging between 11 and 17. The majority of the grandfathers were retired, while the grandmothers worked at home. The grandparents presented a low level of education and scant economic resources. The results indicated that the relationship between the grandparents and grandchildren was mainly perceived as good or very good. The grandparents perceived that grandchildren maintained a better relationship with their grandmothers, whom they trusted more and to whom they disclosed more, than with their grandfathers. The grandparents recognised that their relationship with their grandchildren was perceived more as parent-child than grandparent-grandchild. The grandparents were more affectionate and communicative with their grandchildren than critical or rejecting. They also used more inductive styles than rigid or indulgent forms when applying rules.     

The early home environment and developmental outcomes for young children in the child welfare system

The quality of the early home environment is predictive of young children's subsequent cognitive, academic, and behavioral functioning. Limited research has focused on the effects of the early caregiving environment on the functioning of young children involved with the child welfare system. This study investigated the influence of children's home environments (i.e., number of children in the home, number of moves the child experienced, level of cognitive stimulation, and level of emotional support) during the first 2 years of life on their preschool developmental outcomes (i.e., cognition, language, social skills, and behavior problems).As anticipated, a high-quality early home environment promoted the well-being of preschool children who had entered the child welfare system as infants. Children who lived with greater numbers of children incurred more compromised cognitive, language, behavioral, and social outcomes. No significant associations emerged between the total number of placements and developmental outcomes; children who remained in the same home during infancy (typically the birth family home) had more compromised developmental outcomes in every domain except behavioral problems.Both cognitive stimulation and emotional support in the home predicted higher cognitive and language scores, decreased behavioral problems, and increased social skills. Early out-of-home placement and lack of emotional support interacted to predict children's behavioral problems. These findings are considered in the context of extant research and policy relevant to young children in the child welfare system.     

Caregiving role affects family relationships of African American grandmothers as new mothers again: a phenomenological perspective

Currently, African American grandmothers are becoming caregivers to grandchildren whose parents, for various reasons, are not providing them with adequate care. Replacing their adult children, as parents, while continuing to mother them along with caring for grandchildren are essential components of this complex situation. A part of the findings from this qualitative study of the experience of grandmother caregivers indicated that family relations are affected with their grandchildren, the parents of their grandchildren, and their other adult children. Implications for culturally sensitive, family-centered clinical practice and future research are discussed.     

Adolescent Children of Alcoholics on Disclosure,Support, and Assessment of Trustworthy Adults

The aim of this study is to describe adolescent children of alcoholics’ (COA) perspectives on disclosure and support. COA reported assessing the trustworthiness of adults before disclosing their home situation. Before disclosure they may have raised their own level of consciousness, told a peer, told an adult stranger, or in-directly communicated with an adult. These findings are the result of interviews with 27 adolescents attending support groups for COA in Sweden. Adults, who ask questions, listen carefully and cooperate with the child/adolescent, and who are knowledgeable about families with alcohol problems, are considered as supportive and trustworthy. The adolescents reported psychological, communicative, environmental, and generational aspects of the disclosure process.     

Children placed in long-term family foster care: A longitudinal study into the development of problem behavior and associated factors

Due to prior experiences of trauma and abuse, many foster children have behavioral problems. The placement of the child in a family foster home is expected to reduce the behavioral problems. However, this expectation is seldom met and mostly behavioral problems increase or remain stable during placement. Research on the development of behavioral problems in foster children is scarce. Moreover, most of the research results are situated on a group level, which obscures the development of problem behavior on a case level. This study investigated the development of problem behavior of 49 foster children on a case level and the association of global, contextual, familial and child factors with the increase or decrease of problem behavior. Over a two year period 18 foster children had more, 23 just as much and 8 less problem behavior. An increase was associated with the use of more negative parenting strategies by the foster mothers. A decrease was related to the use of supportive parenting. Support of foster parents aiming at reducing the use of negative discipline practices and promoting the use of supportive parenting may have a positive effect on the development of foster children.     

The effects of maternal working conditions and mastery on child behavior problems: studying the intergenerational transmission of social control.

We assess the impact of maternal sense of mastery and maternal working conditions on maternal perceptions of children's behavior problems as a means to study the transmission of social control across generations. We use a sample of 521 employed mothers and their four-to six-year-old children from the National Longitudinal Survey's Youth Cohort in 1986. Regarding working conditions, we consider mother's hourly wage, work hours, and job content including involvement with things (vs. people), the requisite level of physical activity, and occupational complexity. We also consider maternal and child background and current family characteristics, including marital status, family size, and home environment. Maternal mastery was related to fewer reported behavior problems among children. Lower involvement with people and higher involvement with things, as well as low physical activity, were related significantly to higher levels of perceived problems. In addition, recent changes in maternal marital status, including maternal marriage or remarriage, increased reports of problems; stronger home environments had the opposite effect. We interpret these findings as suggesting how maternal experiences of control in the workplace and personal resources of control can influence the internalization of control in children.     

A multimodal intervention for grandparents raising grandchildren: results of an exploratory study

This article describes the results of an exploratory study of a multimodal, home-based intervention designed to reduce psychological stress, improve physical and mental health, and strengthen the social support and resources of grandparents raising grandchildren. The six-month intervention included home visits by registered nurses, social workers, and legal assistants; the services of an attorney; and monthly support group meetings. The intervention resulted in improved mental health scores, decreased psychological distress scores, and increased social support scores. Participants also experienced improvement in the level of public benefits received and in their legal relationships with their grandchildren. Implications of these findings for practice are highlighted.     

Mothers' Time,the Parenting Package,and Links to Healthy Child Development

Studies show that mothers' time in particular activities with children is positively associated with child well‐being, but results are mixed regarding associations between child outcomes and the sheer amount of time that mothers spend with children. Using data from three waves of the Panel Study of Income Dynamics Child Development Supplement (N = 2,622), the authors assess whether gains from mothers' total time with children vary by the quality of mothers' other investments in children or the “parenting package.” Mother–child shared time was associated with children's broad reading scores and adolescents' externalizing behavior, but mothers' other parenting investments did not moderate these associations. Results were robust to alternative measures of mothers' time and to the incorporation of earlier assessments of child academic and behavior problems. Parenting investments may be indicative of the quality of children's home environments, but do not magnify gains from mother–child shared time.     

Children's behavior problems in the United States and Great Britain

We analyze the effects of family capital on child behavior problems in the United States and Great Britain by comparing a longitudinal survey sample of 5- to 13-year-old children from the 1994 National Longitudinal Survey of Youth (N = 3,864) with a similar sample of children from the 1991 National Child Development Study "British Child" (N = 1,430). Findings suggest that in both societies, male children, those with health problems, and those whose mothers are divorced are at increased risk for behavior problems, while those with stronger home environments are at reduced risk. Family structure effects are more pervasive in Great Britain than in the United States, although some of these findings are a function of our racially diverse U.S. sample. We conclude that parents are important in both societies in promoting child social adjustment, and evidence that the more developed welfare state in Great Britain may substitute for capital at home is weak.     

Pathways Among Marital Distress,Parental Symptomatology,and Child Adjustment

A community sample of 295 mothers, fathers, and children (M age = 11.14 years, SD = 2.32 years) rated marital distress, maternal and paternal psychological symptoms, and child adjustment. The predicted direct relations between these family and child variables were demonstrated for both fathers and mothers. Tests of pathways among these variables were conducted for separate but complementary mediation models. Maternal and paternal symptoms mediated the association between marital distress and child adjustment. Marital distress mediated the link between fathers’ symptoms and child adjustment, but the direct pathway between mothers’ symptoms and child adjustment remained. Pubertal status was modestly related to higher levels of family stressors. Joint implications of marital distress and parental symptoms for child adjustment are discussed.     

Racial Discrimination as a Moderator of the Links Among Stress,Maternal Psychological Functioning,and Family Relationships

This study focuses on the links between social contexts and normative family patterns to identify factors at the societal, community, family, and individual levels that enhance African Americans' ability to overcome stressful life events and foster positive family relationships. The Mundane Extreme Environmental Stress Model was used to explore these links. From urban and rural areas in Iowa and Georgia, 383 families with 10‐ or 11‐year‐old children were recruited. Structural equation modeling was used to test the hypotheses. Maternal psychological distress was linked with parent‐child relationship quality both directly and indirectly through its association with intimate partnership quality. When racial discrimination was greater, stronger links emerged between stressor pileup and psychological distress, as well as between psychological distress and the quality of both intimate partnerships and parent‐child relationships. Future research on African American family processes should include the effects of racial discrimination.     

Maternal Work–Family Conflict and Psychological Distress: Reciprocal Relationships Over 8 Years

The relationships between employed mothers' work–family conflict and psychological distress are unlikely to be static or one way. Using longitudinal data, the authors investigated reciprocal effects between work–family conflict and psychological distress across 8 years of the family life cycle. They modeled cross‐lagged structural equations over 5 biennial waves of data, in 4 overlapping samples of Australian mothers reentering work between child ages 0–1 to 8–9 (N range: 1,027–2,449). The findings revealed that work–family conflict and psychological distress are distinctive aspects of mothers' well‐being that influence each other over time. Reciprocal influences were not confined to one period of parenting but continued as children grew older. Associations persisted after controlling for a range of work and family characteristics, and there was no evidence of mediation by family socioeconomic status, maternal age, or job quality. The findings suggest that employed mothers may benefit from policies and workplace practices that both promote maternal well‐being and reduce conflicts between employment and raising children.     

A Theory of Mental Health and Optimal Service Delivery for Homeless Children

Homeless children are a vulnerable group with high risk for developing mental health disorders. The pathways to disorders among homeless children have not been fully elucidated, with significant logistical and measurement issues challenging accurate and thorough assessment of need. The environments of homeless children are uniquely chaotic, marked by frequent moves, family structure changes, household and neighborhood disorder, parenting distress, and lack of continuous services. Despite high rates of service use, mental health outcomes remain poor. This paper reviews the literature on homeless children’s mental health, as well as prior theoretical explorations. Finally, the paper proposes a theoretical model that explains elevated rates of mental health problems among homeless children as consequences of harmful stress reactions triggered by chronic household instability along with repeated service disruptions. This model draws upon existing conceptual frameworks of child development, family poverty, health services utilization, and the biology of stress to clarify the role of environmental chaos in the development of child emotional and behavioral problems. Potential strategies to mitigate the risk for mental health disorders among homeless children and future research directions are discussed.     

The Impact of Complex Family Structure on Child Well‐being: Evidence From Siblings

Evidence from the United Kingdom Millennium Cohort on children at ages 3 and 5 with older siblings addresses the questions of whether those living with both biological parents and only full siblings have better emotional and behavior outcomes than other children, and whether nonfull siblings affect children's outcomes independently of parents' partnership status. Adjusting for measured family circumstances and resources in cross‐sectional regressions accounted for much of the adverse association of family complexity with child outcomes. Controlling for unobserved family and child fixed effects did not, however, attenuate all estimates further. Fixed unobservable factors appeared to be masking underlying associations. Allowing for them intensified some, albeit modest, estimates. These revealed excess externalizing behavior problems for boys with single or stepparents but only full siblings. For girls with single mothers, the chances of internalizing problems were raised. Whether siblings were full or not made little difference to outcomes in general.