A longitudinal study of children’s outcomes in a residential special school

ABSTRACT

This study presents findings from a longitudinal study of the Mulberry Bush School (MBS), a therapeutic residential special school in England which provides an integrated approach to education and care for children aged between 5 and 13 years. Four cohorts were followed (23 = boys; 13 = girls), each for a consecutive 3-year period, approximating children’s time at the MBS. Children showed significant improvements in their socio-emotional, behavioural and academic development. The picture is more mixed for children’s attachment representations, which might be expected of the vulnerable and severely traumatised children who make up the MBS population. The importance of these improvements stem from the fact that they were achieved in the face of the exceptional disadvantages and challenges that characterise the lives of all children who attend the MBS. This is testimony to their achievement, and to the potential of the residential special school as a therapeutic learning environment.     

The Youngest Victims of Violence: Examining the Mental Health Needs of Young Children Who Are Involved in the Child Welfare and Juvenile Justice Systems

Children placed in the state’s custody due to neglect, abuse or maltreatment are one of America’s most vulnerable populations. Seventy-five percent of child victims of maltreatment are under the age of 12. Not only is their suffering a problem, these children are also at increased risk for delinquent behavior later in life. While research has documented the potential long-term consequences of child abuse and neglect, the mental health needs of young children involved in the foster care and juvenile justice systems have been largely overlooked. This study examined the social, emotional and behavioral difficulties of 670 children, age 3–11, who were involved in the child welfare and juvenile justice systems. Children in this study were living in residential treatment facilities, group homes, foster care homes or were receiving intensive home-based services. To assess the children’s mental health needs caregivers completed the parent form of the Strengths and Difficulties Questionnaire (Goodman, Journal of Child Psychology and Psychiatry 38:581–586, 1997). The findings indicated a high prevalence of mental health problems, with 81 % of the children in the sample having a total difficulties score in the borderline or abnormal range and 90 % of the children having borderline or abnormal scores on at least one of the subscales (conduct, emotional, peer or attention problems). When characteristics such as gender, race and age were considered significant differences were found among boys and girls, Caucasian and minority children, and age groups. The findings highlight the importance of mental health assessment and interventions that are gender and culturally sensitive and developmentally appropriate.     

Emotional Safeguarding: Exploring the Nature of Middle‐Class Parents’ School Involvement1

Although discussion of parents’ school involvement generally surrounds academic success, there are also emotional motivations for parents’ school interventions. In this exploratory analysis, based on interviews with 21 parents and teachers, I show how these middle‐class parents’ concerns for children extend beyond grades and academic success to the children’s own emotional comfort with schooling. I discuss examples of emotional safeguarding, a parental practice to protect children’s happiness at school. Results also suggest that emotional and academic concerns for children at school are interrelated, and parents often approach the emotional with the academic in mind. Parents focus on reducing children’s anxiety or discomfort at school with the ultimate goal of instilling a love of learning. The parents in this study perceive an emotional route to achieving academic success for their middle‐class children. Unlike parents, teachers in the study identify parents’ concerns as academic or a product of parents’ anxiety. This research introduces the possibility that while parents’ academic concerns are very real, they are also accompanied by equal and occasionally greater concerns for children’s happiness and well‐being at school.     

Using Family-Oriented Treatment to Improve Placement Outcomes for Children and Youth in Residential Treatment

Abstract

Traditionally, caregivers of children with severe emotional and behavioral disturbances have been excluded from treatment planning, and service providers have often blamed caregivers for children's mental health problems. More recently, an approach to treatment based on Systems of Care has emphasized the importance of including caregivers in every aspect of treatment. This article describes a family-oriented residential treatment program in eastern North Carolina and reports initial results of a pilot study in which caregiver participation is valued and emphasized. Implications for practice, policy, and professional training are discussed.     

“I Deserve a Family”: The Evolution of an Adolescent’s Behavior and Beliefs About Himself and Others When Treated with Theraplay in Residential Care

This article chronicles a seriously disturbed adopted adolescent’s experience in an attachment focused residential program at which the primary treatment was Theraplay^®. Adopted at age four following significant abuse and neglect, Tom lived in institutions for 5 years before participating in Chaddock’s Developmental Trauma and Attachment Program (DTAP). He now resides successfully in the home of therapeutic foster parents. Theraplay treatment directly meets attachment needs through adult-guided, highly positive, engaging and nurturing interactions to change the child’s working models of attachment and to develop affect regulation. Theraplay was especially useful with this adolescent who was born addicted and who had little ability to participate in insight oriented therapy. Topics include adolescence and attachment, Theraplay theory, process and applications, and the DTAP milieu and treatment program. This case study demonstrates that it is possible to improve the outcome for adolescent development by directly meeting the adolescent’s attachment needs through the Theraplay model.     

Practice Wisdom on Custodial Parenting with Mental Illness: A Strengths View

ABSTRACT

Social work principles of strengths, empowerment, and consumer-centered care for persons with mental illness are currently being adapted to broader contexts. This article presents study findings on practice wisdom about custodial parents with mental illness, a potentially increasing group of consumers in light of mental health reform. The research team organized thirty-six professionals with practice experience into five focus groups. Findings reflect strengths perspective categories of resilience, social support, family functioning, self-care, and parents' positive experience of their symptoms. Implications discuss how providers who work with custodial parents and their children can apply these findings in assessments and interventions.     

From group analytic to systems-centered consulting: a comparison of experience

ABSTRACT

This article provides a personal account of experiences of consultation to staff working in residential child care. The paper starts with experiences of receiving consultation while working in a therapeutic community, then of providing consultation to children’s homes, firstly from a group-analytic perspective and subsequently using a systems-centred approach. The author considers the goal of consulting to staff teams who care for traumatised children and draws conclusions about the different approaches regarding which are most likely to achieve the stated goal. Functional subgrouping – the central method of systems-centred approach – is described in action.     

Coparenting and Children’s Adjustment to Divorce: The Role of Geographical Distance from Fathers

After divorce, shorter distances between parents’ homes are often seen as facilitating nonresident fathers’ involvement with their children, good coparenting practices, and children’s well-being. However, few studies have explored how geographical distance relates to coparenting and children’s adjustment. Moreover, the direction of causality remains unclear, as uninvolved fathers due to paternal disinterest, maternal gatekeeping, or interparental conflict are more likely to move farther away from their children. Based on a probability sample of 144 divorced mothers of school-aged children living in Geneva, Switzerland, this study explores how the distance between parents’ homes relates to maternal promotion of the father–child relationship (cohesive coparenting) and children’s emotional and behavioral outcomes. Results show that cohesive coparenting relates more to frequent father–child contacts by phone or e-mails than to residential proximity. Both cohesive coparenting and fathers’ residential proximity have positive and independent effects on children’s adjustment. Children whose fathers live nearby exhibit fewer behavioral difficulties and more prosocial behavior than children whose fathers live far away. These findings suggest that frequent contacts by phone or e-mail can substitute for distance in coparenting, but geographical proximity still matters for fathers’ contribution to children’s well-being. Overall, this study recommends that spatial and mobility dimensions should receive more attention in divorce research.     

Initial reflections and learning from the development and delivery of staff consultations in an innovative residential childcare pathway

ABSTRACT

This paper explores the development of staff consultation in the context of an innovative residential childcare pathway within a local authority in the United Kingdom. A preceding attempt to develop group consultations in residential homes has been expanded upon and enhanced as part of implementing a broader therapeutic residential service model. A wide-ranging training programme and consultations have been developed for residential childcare workers to introduce and embed therapeutic ideas. Systemic therapy and attachment theory ideas have been used explicitly through exploring with staff how these approaches can inform practice, and implicitly by providing a framework of consultation to inform and expand individual and team thinking. Promoting reflective practice through group consultations has highlighted complex challenges, stimulating opportunities as well as a need to consider multiple levels of context. Recommendations from this learning are discussed to help inform practice in new and existing residential services.     

It's Good to Talk! A Multidimensional Qualitative Study of the Effectiveness of Emotional Literacy Work in Schools

This paper reports on a small‐scale research study evaluating the work of an emotional literacy project in the North West of England. The purpose of the evaluation was threefold: to assess the degree of success of the emotional literacy project in achieving its aims; to capture and disseminate learning of what works, with whom and in which context, when promoting emotional literacy; and to provide policy makers and practitioners within the LEA, and beyond, with research evidence upon which best practice can be delivered to children, young people and their families. A multi‐dimensional qualitative study was designed to explore the views of children, young people, parents/carers, headteachers, teachers, project workers and allied professionals regarding the emotional literacy project from their own perspective. The findings contribute to the growing body of research evidence on, and models of best practice in, promoting the emotional well being of children and young people. © 2006 The Authors(s).Journal compilation © 2006 National Children's Bureau     

‘Who do I turn to if something really bad happens?’ Key working and relationship-based practice in residential child care

ABSTRACT

This article explores the psychodynamics of relationship-based practice from the perspective of young people in residential care. This research involved qualitative semi-structured interviews with 10 care leavers, aged 18–24 years, who had been in residential care in Ireland. Drawing selectively from that research, this article reports their views and experiences of key-working and how relationship-based practice acted as a reparative method within their experiences of care and aftercare. Similar to previous research, this study underscores the necessity to ensure that children in care are cared for and supported by a trusted adult. In addition, based on this study, the role of a key worker appears capable of providing this ideal type of supportive relationship. It also highlights the importance of the care system working to provide consistency and support for the young people and confirms the importance of relationships with trusted adults, such as key workers.     

Family Therapy for Kids Without Families: Working Systemically With Children and Young People in Residential Care

A significant proportion (4%, Australian Institute of Health and Welfare, 2008) of children and young people in Australia live in some form of residential care, usually in small group‐homes staffed by residential care workers in shifts. However, as Hawkins‐Rodgers (2007) points out, these placements are often not resourced to heal the effects of trauma and multiple attachment disruptions in their residents. The lack of an archetypal ‘family’ has led in the past to family therapists considering that there is little work to be done with such clients. This leaves such placements to be supported most frequently by clinicians who specialise in behaviour management and other linearly founded models of practice. The Alternate Care Clinic (ACC) is the first mental health service in New South Wales dedicated entirely to children and young people in out of home care with a high level of complex needs. This article examines the systemic therapeutic model the clinic has developed in the last two years. In particular, the article seeks to explore the importance of ‘meaning making’ in a diffuse parental system, particularly with regards to the term ‘family’. The complexities of working in this area and possible ways forward are illustrated with a closely worked case study.     

Black women’s experience of colorist microaggressions

ABSTRACT

This paper reports the findings of a study that investigated Black women’s experiences of colorism. The authors introduce a new framework, “colorist microaggressions”, which highlight the microaggressions experienced by Black women. The results indicate that colorist microaggressions impacted the social, relational, emotional, and relational aspects of Black women’s lives and their well-being. The results also showed that like racial microaggressions, the “colorist microaggressions” that Black women encountered in their community, family, and in society, were pervasive. We conclude with a discussion of the implications for social work research, education, and practice.     

Trying to Comfort the Parent: A Qualitative Study of Children Dealing With Parental Depression

In this article, we look at children’s experiences of parentification in families in which one of the parents is hospitalized for depression. Children (7–14 years old) and their parents were invited for a family interview. Using thematic analysis, we constructed a general framework of 14 children’s experiences, guided by the explorative research question: How do children experience parental depression and how do they experience their own caregiving in the family? The thematic analysis revealed eight themes. One of these themes (trying to comfort the parent) was selected for a microanalysis in one family interview. Our study illustrates the process of overt negotiating of caretaking between parent and child with an underlying moral dilemma and related emotions. The dynamic of children hiding their worry can be seen as an answer to the parent’s expressed wish to not burden her children. These dynamics are situated in ongoing debates in family therapy literature, and some suggestions for therapeutic practice are formulated.     

Autonomy,spontaneity and creativity in research with children. A study of experience and participation,in central Italy and North West England

ABSTRACT

Research involving children, deemed to have difficulties with conventional means of communication, can perpetuate reductive forms of representation of children’s knowledges and experiences. This article focuses on the possibilities and opportunities that visual and creative methods can offer to researching with children. Children advance their views in and through spontaneous and concrete forms of participation. Autonomy in aesthetic acts is central to this methodology; to explore practices that produce and reproduce presuppositions deriving from societal attitudes affecting research with children, their agency and self-presentation. This cross-cultural study was conducted in Central Italy and North West England: children contributed their perspectives and experiences through participation in a series of creative encounters resulting in aesthetic and embodied outcomes of sociological and educational significance. The study contributes to the debate on children’s autonomy and the value and quality of participation through artistic practice. Examples from the corpus of data, which includes a series of artefacts and over 900 photographs from each geo-cultural context, are presented. The study shows that it is possible to harmonise power imbalances in spaces of creative freedom, in research and education, where children’s choices and agency are respected.     

Grandparenting and support from adult children: Does children’s international migration make a difference for Chinese older adults?

ABSTRACT

Guided by social exchange theory, this study investigates the association between grandparenting and support from adult children, and the role of children’s international migration in moderating such association. Data were derived from a 2012 survey of older adults in Beijing, China (478 adult children nested in 300 older parents). The results of independent cluster logistic and linear regressions showed that regardless of children’s migration status, grandparenting was significantly associated with a greater likelihood of receiving household help and personal care, but not with emotional or financial support from children. Children’s migration status moderated the associations between grandparenting and receiving support from children. Theoretical implications for research and practical implications for services and policies are discussed.     

“A Run-in with the Cops Is Really Few and Far Between”: Negative Evidence and Ethnographic Understanding of Racial Discrimination by Police

ABSTRACT

Statistics show that blacks are subjected to disproportionately more policing than whites, and more often interpret their encounters with police as affected by racial discrimination. The ethnographic evidence supports the numbers, but this body of work, I suggest, has been too focused on blacks’ experiences with prejudicial policing. A fruitful but largely unexplored way to advance the ethnographic study of police discrimination is to collect and analyze data from the group receiving preferential treatment from officers: whites. In practice, this often involves collecting and analyzing nonevents, such as not being stopped by police. This article’s purpose is to outline and illustrate the benefits and difficulties of such research by drawing on Lewis and Lewis’s 1980 typology of “negative evidence” and findings from my study of 30 white drug dealers.     

What Can We Say Regarding Shared Parenting Arrangements for Swedish Children?

ABSTRACT

Joint physical custody (JPC) refers to children living alternatively and about equally with both parents after a parental separation or divorce. The practice has been debated in relation to child well-being because of the frequent moves imposed on children and the potential stress from living in 2 homes. This study describes the background to the high frequency of Swedish children in JPC and the results from research on Swedish children’s well-being in this living arrangement. Children in JPC report better well-being and mental health than children who live mostly or only with 1 parent. No Swedish studies have found children’s health to be worse in JPC than in sole parental care from child age of 3 years and beyond. The existing literature cannot, however, inform us about the mechanisms behind the findings. The risks of selection effects into living arrangements are plausible. For this purpose, longitudinal studies are warranted.     

Evening and night work schedules and children's social and emotional well-being

ABSTRACT

An emerging body of evidence shows that parents’ non-standard work schedules have a detrimental effect on children's well-being. However, only a limited number of studies have investigated mediating factors that underpin this association. Likewise, only a few studies have examined the impact of fathers’ non-standard work schedules on children's well-being. Based on data from the Families in Germany Study (FiD), this study aimed to address these research gaps. The sample consists of parents and their children at ages 7–8 and 9–10 (n?=?838 child observations in dual-earner families). The data were collected in the years 2010–2013. Non-standard work hours were defined as working in evenings and or at night (every day, several times a week, or changing as shifts). Children's social and emotional well-being was measured with the Strengths and Difficulties Questionnaire (SDQ). The findings show that both mothers’ and fathers’ evening and night work schedules are linked to an increase in children's externalizing and internalizing behavior and that this association is partially mediated by mothers’ and fathers’ harsh and strict parenting, with a stronger mediation effect for fathers parenting.     

Evolve Therapeutic Services: A 5-year outcome study of children and young people in out-of-home care with complex and extreme behavioural and mental health problems

BackgroundLittle evaluation research has been conducted on the effectiveness of services and intervention provided to children in out-of-home care. This study evaluated an innovative Queensland, Australia program employing a collaborative wrap-round model of care in combination with a flexible intervention approach, individually tailored to children and young people in out-of-home care presenting with complex and extreme behavioural and mental health problems.MethodThe sample consisted of 664 children and young people. Two clinician-rated measures, the CGAS and HoNOSCA, were used to assess young people's functioning via a pre-post-treatment design.ResultsResults revealed significant improvements across a range of problems areas: general functioning and adjustment; disruptive, antisocial and aggressive behaviour; overactivity, poor attention and concentration; non-accidental self-injury; problems with scholastic and language skills; non-organic somatic symptoms; emotional symptoms; peer and family relationships; self-care and independence; and school attendance.ConclusionFindings provide good evidence for the effectiveness of the therapeutic intervention program. Implications for future research are explored.