Remaining home: Well-being outcomes and co-occurring parental substance use following a maltreatment investigation in middle childhood

PurposeThe purpose of the study is to understand differences in child well-being related to parental substance use among children ages 6–12 who were investigated for maltreatment but not removed from their homes. Children with a substance-using parent in the home are compared to those without a substance-using parent in the home.MethodsLongitudinal data from waves 1 and 3 of the second National Study of Child and Adolescent Well-Being (NSCAW II) are used. NSCAW II is a national sample of families with children and youth aged birth to 17.5 investigated by child protective services (CPS). A subset of the data (analyzed with domain analysis methods) is used for this study (n = 575). Eight well-being outcomes from four domains (cognitive development, physical health, psychological/behavioral development and social/emotional competence) are analyzed.FindingsWe hypothesized that (among children investigated for maltreatment and not removed from home) children whose parents used substances would exhibit lower mean levels of well-being at thirty-six months follow-up compared to those whose parents did not use. Unexpectedly, we found no significant differences in well-being levels between children with parents in the home using substances and those without.ConclusionsChildren with substance-using parents may be able to remain at home over an extended period after investigation, while maintaining well-being levels similar to children at home with parents not using substances. If an effective safety plan can be put in place, this option may provide a path to maintaining safety, permanency and well-being for such children without placement in out-of-home care.     

Exploring emotional aspects of care and control in social work with children and families - a single case analysis of conversation

ABSTRACT

In this article, I explore how emotions are displayed and dealt with on a communicative level in face-to-face encounters between social workers and parents in a child welfare setting. The analysis draws upon detailed analysis of a whole encounter between a social worker and a parental couple who have recently had their new-born daughter placed in foster care. By examining the way emotional stances are expressed and responded to I discuss how orientations toward institutional tasks and goals create constraints for the display, recognition and validation of clients’ emotion displays. I consider the communicative challenges this poses for the parents and the social worker and the implications these may have for the client–worker relationship.     

Gay Youth

Abstract

In recent years there has been a growing awareness among parents and social service professionals of the complex sexual identity development of adolescents. Despite this, adolescents continue to struggle to define their sexual identity. Gay and lesbian adolescents in particular are at risk for a host of problems, including substance abuse and suicide. In this context it is important for social service researchers to study adolescent sexual identity and to report their findings in such a way as to be accessible to professionals and to the public.     

Adoptive Parents and Identity Development for Chinese Children

Summary

In 1991, the People's Republic of China passed an Adoption Law that legalized the adoption of abandoned female infants. The majority of adopted parents were from the United States, which caused a major impact on parental childrearing practices. The lack of birth information forced these adoptive parents to prepare for questions concerning the shaping of identity development and formation. Research has documented the Chinese policy changes, parents' initial adjustment to bonding, and problems with special needs. But little attention has been paid thus far to identity development. This qualitative study examines the anticipated concerns and projected strategies in addressing the lack of birth information and identity development. The study found parents focusing on creating a birth heritage, instilling pride in Chinese culture, nurturing American backgrounds, addressing the orphan identity, and coping with special needs. Practice implications for theory building, practice innovations, and new research developments are discussed.     

The Social Ecology of Child Development in the Mexican American Population

Abstract

This article explores the influence of contextual factors on the developmental outcomes of Mexican American children. The contextual structure of child development is conceptualized as a complex system of environments, including the socio-demographic, social service, academic, and parental home environments. Based on an extensive review of the current theoretical and empirical literature, we find that the disadvantaged social position of Mexican American children has detrimental implications for all other aspects of their environment, thus hindering their development. In addition, although Mexican American parents are highly competent in providing a nurturing and culturally-rich environment, there is a often a discontinuity between the home environment and both the academic and the social service environments.     

Initial Communications with the Parents of Emotionally Disturbed University Students

Abstract

Communicating with the parents of emotionally disturbed university students is a relatively infrequent but consistent and significant activity of students' therapists. Therapist, parent, and student attitudes about such communications are discussed. Examples are given of crisis and noncrisis situations leading to parent-therapist communications and suggestions are made for the management of each situation outlined. In all such encounters, the therapist's guiding objective is to forge with the parents an alliance designed to promote the growth and development of the student.     

Openness in International Adoptions

ABSTRACT

Along with the increasing numbers of international adoptions, there is a developing trend toward openness. In this study, the authors examined the experiences of U.S. adoptive parents who adopted children from the Republic of Marshall Islands. The surveys addressed their initial motivations, the facilitation process for openness, the terms and conditions and the level of understanding of them by birth and adoptive parents, and insights gained from their experiences. The results suggest that in general, this group of parents embraced openness from the onset, they have had difficulty maintaining contact with birth parents, and still would recommend open international adoptions to prospective adoptive parents. Policy and research implications are discussed.     

Achieving Competent Family Practice with Same-Sex Parents

Abstract

Due to the increasing recognition of same-sex marriage in different jurisdictions and growing numbers of parents raising children in the context of a same-sex relationship, it is becoming ever more important for family therapists to attain clinical competence in working with families headed by same-sex parents. This paper takes as its premise that good intentions and general acceptance of diversity are not sufficient in working with this population of families. Rather, clinical competence rests on experience working with lesbian and gay clients and knowledge of the impact of heterosexism on parenting in the context of same-sex relationships. Equally critical to competent family therapy practice is a theoretical framework that pulls together complementary concepts from different bodies of theory to analyze family structures and functions in the social context of heterosexism. To this end, this paper reviews family systems theory, structural social work, ecological systems theory and queer theory with an eye to culling complementary constructs relevant to working with same-sex parents. Specific aspects of family functioning such as maintenance of boundaries around and within families and role differentiation between parents are then explored using this theoretical framework. Finally, implications for the clinician working with families led by same-sex parents are reviewed.     

A response to 'factitious disorders by proxy: A trap for the unwary' Parent induced illness,factitious illness by proxy (Munchausen by proxy)

Abstract

Introduction This form of child abuse is quite rare but perhaps not as unusual as the figures imply. The name itself and the recent changes confirm that there is increasing awareness of its significance; Munchausen Syndrome by proxy has been changed to factitious illness by proxy or parent induced illness. Roy Meadow (1977, 1982, 1990), first drew attention to this form of abuse where parents present their child with an organic illness. Bools et al (1994) has developed the work and there has been a recent important article from Gray and Bentovim (1996), based on work at Great Ormond Street Hospital. The complexity and diversity of these cases and the range of presentations seem to be part of the problem in recognition. An outline of the emergence of awareness of this form of child abuse and a review of the literature is well covered in the article 'Factitious disorders by proxy' (Randall & Parker, 1997). While drawing this difficult and complex form of abuse to the attention of professionals, what we would suggest is also needed is both an outline of the various forms of presentations and some thoughts about the processes that are present both within the professional system, intrafamilially, and intraphysically.     

Children of Lesbian and Gay Parents

ABSTRACT

The purpose of this paper is to review the research literature concerning the development of children with gay and lesbian parents. It begins by discussing some of the social, theoretical, and legal implications of studying this population, and critiques a number of the assumptions guiding this research. The review then proceeds to include studies on children of divorced lesbian and gay parents, as well as studies conducted on children of gay and lesbian families that are planned. The body of literature generally concludes that children with lesbian and gay parents are developing psychologically, intellectually, behaviorally, and emotionally in positive directions, and that the sexual orientation of parents is not an effective or important predictor of successful child development. The paper also includes a discussion of the limitations of these studies, provides suggestions for future research, and discusses the challenge these families pose for the meaning and definition of family.     

Family Functioning as a Measure of Success in Intensive Family Preservation Services

ABSTRACT

An experimental research design was employed in evaluating intensive family preservation services to reunify families after out-of-home placement. There was a significant difference between the treatment group and control group in terms of family reunification, but there were mixed findings with regard to the difference between the two groups on measures of family functioning. Although more treatment parents than control parents felt their families were functioning better, there was no difference between scores for the two groups of parents on normed instruments designed to measure family functioning. The author describes the measures of family functioning employed in the evaluation and discusses the confusing findings along with implications for program evaluation.     

“We didn’t tell everybody because everybody didn’t need to know”: an examination of parental disability-disclosure of Spina Bifida

Abstract

This qualitative study sheds light on the process that parents go through as they learn of a spina bifida diagnosis and the communication strategies that are used to discuss an expected disability diagnosis with others. Interviews with 30 participants discovered that there were immediate disclosures made with family and close friends. Additionally, circumstantial disclosures took place when returning to routine behaviors. Participants described five distinctive criteria that developed a privacy boundary: self-blame, grief, helping others cope, maintaining privacy of child, and stigma. Implications for parents, medical professionals, and communication scholars are discussed.     

Child Sexual Abuse Evaluations: Adherence to Recommendations

ABSTRACT

Sixty-eight parents of children with alleged child sexual abuse (CSA) were surveyed 4 months after visiting an interdisciplinary CSA evaluation clinic in order to examine the extent to which recommendations were recalled and implemented. Of those parents for whom specific recommendations were provided, 9% recalled recommendations for medical follow-up, 79% recalled recommendations for child therapy, and 43% recalled recommendations for parental therapy. Families were more likely to receive and adhere to recommendations when there were behavioral problems and a strong indication of CSA. To improve communication with families, the reasons for recommendations must be clearly conveyed, and possible barriers to implementation should be anticipated and addressed. In addition, recommendations need to be realistic, and professionals need to facilitate the implementation of their treatment plan.     

Parent-Child Interaction Styles Between Gay and Lesbian Parents and Their Adopted Children

SUMMARY

While myths exist that call into question the parenting ability of gay and lesbian parents as well as the impact of such parenting on children in their care, there is an ever increasing body of literature that clearly demonstrates the capabilities of these parents with their birth children. However, there continues to be a dearth of research on gay and lesbian adoptive parents and their children. To address this deficiency in the literature, this article explores the parenting styles of gay and lesbian adoptive parents and strengths of their children between the ages of 5–9 years (N = 94), using scores from the Parent-as-a-Teacher Inventory and the Behavioral and Emotional Rating Scale. Results illustrate that the gay and lesbian adoptive parents in this sample fell into the desirable range of the parenting scale and their children have strength levels equal to or exceeding the scale norms. Finally, various aspects of parenting style significantly predicted the adoptive parents' view of their child's level of care difficulty which subsequently predicted the type and level of strengths assessed within their adopted child. Recommendations for practice, policy and future research are highlighted.     

Theory,practice, and perspectives: Disability Studies and parenting children with disabilities

Abstract

In this process-oriented article, the authors weave short personal narratives with theoretical reflections to examine the relationship between Disability Studies scholarship and parenting children with disabilities. The authors present three findings: first, their position as parent-teacher-scholars informs their work in Disability Studies. Second, the work of Disability Studies scholars has the potential to positively influence parents’ understandings of disability; consequently, Disability Studies-informed parenting can influence parent advocacy for their children. Third, parent-scholars have the potential to create research that can positively impact parents, practitioners, and the field of Disability Studies. The authors conclude by arguing that there is a need for Disability Studies scholarship for and by parents. This work is significant because it challenges divisions between theory and practice, and articulates a need and responsibility for parents to grapple with alternative understandings of disability and alternative (collective) ways to create better social conditions for their children.     

Addressing Wife Abuse in Mexican Immigrant Couples: Challenges for Family Social Workers

SUMMARY

In blended families, the two parents have a unique challenge to develop a united front (“WE”) in the face of “us” and “them” thinking. Without such a united front, the children will naturally manipulate the situation and further divide the blended family. The key to successful step-parenting is the development of a solid “WE” between two parents so that the whole family works together as a unit. Practical suggestions are given for development of this united front so that step-parenting can become a positive experience.     

Minding the (Information) Gap: What Do Emerging Adult Adoptees Want to Know About Their Birth Parents?

Abstract

The formation of an adoption information gap was examined for a group of 169 emerging adults (M?=?25.0?years) who were adopted as infants. Participants completed interviews and questionnaires at adolescence and emerging adulthood (late teens to 20s). The Adoption Curiosity Pathway model guided research questions about formation of an adoption information gap, which exists when there is a difference between what an adopted person knows and what he or she desires to know regarding his or her adoption. In addition, specific issues were identified about which emerging adults were curious. Differences in these specific issues were examined across gender and openness arrangement with birth parents at emerging adulthood. The most frequently sought information was medical and health history. Logistic regression analyses revealed that the formation of an adoption information gap, which contains the specific items of curiosity, was more likely for those who were less satisfied with the amount of openness with birth parents during both adolescence and emerging adulthood. Implications for practice are presented.     

How parents suspected of child maltreatment change their cognition and behavior: A process model of outreach and child protection,generated via grounded theory

AimAlthough considerable efforts have been made to improve relationships between professionals and parents suspected of child maltreatment, little research has been conducted to examine the ways in which parents escalate their negative cognition and behavior involving professionals. This study developed a model of parents' negative reinforcement of their cognitive behavior and the factors influencing reductions in this reinforcement.MethodInterview data were collected from 21 parents, who had experienced outreach and child protection issues, and analyzed using the grounded theory approach.ResultIn the outreach phase, the analysis initially produced the negative image of help-seeking behavior category, followed by the dissatisfaction with outreach and reinforcement of negative cognition categories. In this phase, the analysis also identified the social support and support groups step as a means of reducing negative cognition. In contrast, in the child protection phase, the analysis produced the anger and psychological conflict with child protection services and unwilling consent categories. In this phase, the analysis also identified the psychoeducation and timely feedback step as an acceptable means of minimizing the escalation of negative cognition.ConclusionThe hypothetical model revealed the ways in which parents changed their cognition and behavior and demonstrated the factors influencing reductions in the reinforcement of negative cognition and behavior. These results could be useful for practice in child maltreatment cases.     

Chinese Parents’ Perspectives on Adolescent Sexuality Education

ABSTRACT

There is growing interest in China to understand how young people learn about sexuality, but there are few existing studies about the role of parents as sex educators of their children. This study surveyed 694 Chinese parents of adolescents in three cities about their knowledge, attitudes, and practices regarding sexuality education for their children. The majority supported sexuality education, yet few parents had provided it. High-income parents had more favorable sexual attitudes and, in turn, were more likely to educate children about sexuality. The findings provide insight into parents’ role in adolescents’ sexual behavior and can be useful to sexuality education professionals.     

ADAPTING THE MODEL: THERAPEUTIC WORK WITH CHILDREN FROM ARMY FAMILIES

This paper describes the development of a specialised therapeutic service for parents and their young children in an inner city social services family centre. The Under five's counselling service, based on the Tavistock Model, offers brief psychoanalytic interventions to parents who are worried about their young child's development e.g. crying, eating, persistent crying etc. The premise behind setting up such a service was to provide therapeutic intervention to the parent-child relationship at the earliest possible stage, preventing further ongoing difficulties. The paper draws upon observations and interventions with families I have seen in the first year the service was opened. Particular themes which emerged in the work with these families will be highlighted. In particular a link is made between early childhood difficulties and unresolved loss in the mother's lives. Furthermore, the impact of the service upon the rest of the social services family support services is commented upon.