Revamping Family Preservation Services for Native Families

ABSTRACT

FamilyPreservationServices(FPS) have become widespread among child pro tection agencies to pre vent the un nee es sary removal of chil dren from their fam i lies and fam ily homes. Native chil dren, who are over-rep re sented in pub lie care sys terns, are largely ab sent from re ports eval u ating the ef feetive ness of FPS. This pa per ex am ines the FPS philosophy and pro gram structures in the con text of Native culture. The authors provide practical sug gestions for changing FPS in hopes that such pro grams will im prove sue cess in serving and pre serving Native fam i lies with child pro tection concerns.     

Women in Business-owning Families: a Comparison of Roles,Responsibilities and Predictors of Family Functionality

The purpose of this study is to compare groups of women associated with family businesses and ascertain predictors of functionality. The sample consisted of 589 women divided into five groups based on their roles in the business. Of interest were various combinations of work at home, in the family business, and outside the business and how multiple roles affect the family. The women varied on several characteristics with female business managers less likely to be married than other women and generally operating smaller businesses. The women were not significantly different on levels of family functioning. Family goal success, satisfaction with business role, and being married were positive significant predictors of family functionality. Higher levels of household tension were negatively associated with family functionality. Family therapists and family business consultants must be cognizant of the multiple role responsibilities of women associated with a family firm.     

Total Client Sampling and a Test of Family Preservation Services

Abstract

This study evaluates a five year quasi-experiment in the provision of family preservation to families at imminent risk of placement, comparing outcomes with a five year baseline experience and “customary services” program in a similar city. Clients in the experimental group received concrete services and a large amount of psychotherapeutic care of one sort or another. Clients in the two comparison groups probably received similar amounts of concrete services but much less therapeutic care. Clients in the experimental group were placed at a much lower rate than clients in either comparison group. Moreover, the home environment of experimental clients also improved much more than the home environment of controls.     

Poverty and placement outcomes of Intensive Family Preservation Services

It is argued that Intensive Family Preservation Services (IFPS) often fail to prevent the out-of-home placement of children because family poverty impedes long-term effectiveness of the interventions. Current research is examined to demonstrate that families with lower socioeconomic status have higher rates of substitute care placement and that many IFPS families do not have the minimum income commonly assumed necessary to facilitate successful therapeutic interventions. Research also shows that poverty contributes to child abuse and neglect, to mental health problems, and to juvenile delinquency, resulting in a disproportionate representation of poor children in the three child systems. Until family poverty is significantly reduced, IFPS will continue to have disappointing results for a sizeable portion of their clientele.     

Contributions of Family Leisure to Family Functioning Among Transracial Adoptive Families

ABSTRACT

The purpose of this study was to examine family leisure behavior among intact families with transracial adoptive children and make comparisons to a broad sample of families with only biological children. The sample consisted of 197 adoptive families. Data were analyzed from a parent, youth, and family perspective. The Family Leisure Activity Profile (FLAP) was used to determine family leisure involvement. FACES II was used to measure family functioning. Findings indicated that measures of family cohesion, family adaptability, and family functioning were higher among the adoptive family sample. Core, balance, and total family leisure involvement were also higher among the adoptive family sample. Multiple regression analyses indicated a positive relationship between family leisure and family functioning among this sample from the parent, youth, and family levels of measurement. Implications for practice and further research are discussed.     

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.     

Families of Children with Serious Emotional Disturbances: Parent Perceptions of Family Resources and Stressors

This study addresses the dearth of research on families of children with serious emotional disturbances (SEDs) by examining parents’ perceptions of their families’ resources and stressors. Parent and/or guardian responses on the Family Inventory of Resources and Stressors (FIRST) whose children were receiving treatment for SEDs (n = 80) were compared to those with children without SEDs (n = 48). One-way ANCOVA analyses revealed that, when controlling for income and education level, families of children with SEDs reported significantly greater stress levels than families of children without SEDs, but both groups reported similar levels of resources. The principles derived from this study provide critical information for treatment providers and researchers seeking to develop an in-depth understanding of the resources and stressors of families of children with SEDs so as to more effectively collaborate with them in treatment planning.     

The Impact of Socio-economic Status and Mobility on Perceived Family Functioning

Perceptions of current family functioning in relation to current household income level, educational status, social-class at birth and social mobility over the lifecourse were investigated in a group of 483 individuals at age 50. Subjective report of family functioning was assessed using the McMaster Family Assessment Device (FAD) with socio-economic information obtained from a self-report Health and Lifestyle Questionnaire. Results indicated significant relationships between household income, social mobility and FAD scores for men but not for women in this sample. For men, lower current income and downward social mobility over the lifecourse were associated with a more negative perception of family functioning. Further research is required to understand the gender differences observed and delineate cause versus effect mechanisms.     

The Family Outreach Model: Tools for Engaging and Working With Families in Distress

The purpose of this article is to present a family intervention model to family service providers that builds on previous research in areas of social support and family problem solving. The Family Outreach Model provides a set of strategies for engaging and working with families in five phases of family coping at different points in time in the family's life. The strategies reflect intentional choices by family service providers about both collaborative and directive styles of therapeutic alliance and highlights ways to determine which style best fits with what specific families want and need, depending on the manner of family coping that it is using. Implications for programs and public policy are presented.     

When Families Relinquish Care of a Child with a Disability: Perceptions from Birthmothers

This paper explores the experiences and perceptions of four mothers who relinquished care of their child with a disability to residential care in the child protection system in Queensland. Qualitative in-depth interviews were conducted with mothers who asked the statutory authority to assume care of their child. The mothers’ narratives put into sharp focus the socio-political nature of caring for a person with a disability, and the need for more coordinated resources and expertise in supporting such families. According to the mothers’ perspectives, relinquishment provided some reprieve from daily caring responsibilities but was complicated by associated feelings of grief, anxiety, and guilt; behavioural and emotional adjustment of the child with a disability; and difficulties working collaboratively with child protection workers. The findings highlight service deficiencies and the need to build a strong evidence base to improve practice in these areas.     

Perceived Family Functioning and Family Resources of Hong Kong Families: Implications for Social Work Practice

This article reports the results of a telephone survey (n = 1,015 respondents) that aims to identify the perceived general family functioning and family resources of Hong Kong Chinese families and their linkage to each other in a rapidly transforming society. The perceived general family functioning of the respondents was average, and the five types of family resources—time, income, human capital, psychological capital, and social capital—of the respondents ranged from average to good. The following family resource domains, in descending order, have accounted for significant variance in perceived general family functioning: income, time spent with family, stress coping efficacy, religion, and satisfaction with the living environment. Our findings provide empirical support for policy formulation and social work practice.     

Strengthening Australian Families: Socioeconomic Status,Social Connectedness,and Family Functioning

Abstract

Social connectedness has been promoted as one factor that may facilitate optimal functioning for families experiencing economic adversity. Using data from 218 Australian families, the current study explored the relative importance of social connectedness to the functioning of economically diverse families. Overall, results indicated similar levels of social connectedness and family functioning across low- and high-income groups. However, important differences were identified with regards to the relative contribution of social connectedness to the functioning of families across the economic spectrum. Clinical implications arising from these findings include the potential benefit of exploring social connectedness as a routine part of clinical assessment and ongoing intervention for families experiencing economic vulnerability.     

CHAPTER 6: The Family Crisis:

No abstract available for this article.     

Health-Promoting Influences of the Family on Late Adolescent Functioning

This study examined whether potentially modifiable health-promoting family factors during mid-adolescence (age 15) predicted adaptive functioning in late adolescence (age 18) among members of a working-class community cohort. Family factors included feeling valued in the family, cohesion, and social support. Late adolescent outcomes covered developmentally salient areas: academic functioning; mental health; suicidal behavior; and social, psychological, and behavioral functioning. Our findings demonstrate that a positive adolescent family milieu is related to both adaptive outcomes and a reduced likelihood of serious difficulties, including mental and behavior problems. Although each hypothesized health-promoting factor was significantly associated with multiple areas of age 18 functioning, the patterns of association differed by type of family factor. Taken together, results suggest that the family remains an important social context during mid-adolescence and that to be most effective programs designed by practitioners aimed at strengthening families should target multiple features of the family environment.     

The Family Experience of the Crisis of Involuntary Treatment in Mental Health

While policy and practice standards emphasise the importance of engaging and supporting families of people with mental health problems, many families have reported feeling unsupported and distanced from treatment and care planning in acute inpatient units. There has been little systematic interest in the changing role and experiences of families throughout the emergence of illness, crisis, seeking of treatment, and subsequent recovery. Nineteen in-depth interviews were conducted with the next of kin of 17 people who had been admitted under an Involuntary Treatment Order in a large metropolitan hospital in the Brisbane region. A general inductive approach was used to analyse the data. While hospital admission was described as a time where, ideally, families were able to let go of being responsible for their relative's behaviour and let the health care professionals take over, for many this did not occur. We suggest four critical elements for providing recovery-oriented support to families. These include: (a) ensuring that families feel that their relative is safe and receiving the care needed; (b) keeping the family informed about their relative's progress; (c) ensuring families have access to information about the mental health system, and (d) working in partnership with the families.

IMPLICATIONS

• Family wellbeing is improved when they feel part of a supportive team.

• Instituting an open policy where families can contact ward staff easily and access information about the person they care for may alleviate families’ anxieties and minimise stress.

• Family work is enhanced when health professionals acknowledge families’ relationships, expertise, and understanding of their family member.

     

Aboriginal Women's Perceptions and Experiences of a Family Violence Transitional Accommodation Service

Abstract

This article presents a qualitative study of Aboriginal women's perceptions and experiences of a transitional housing program in South Australia that was established to assist long-term homelessness and family violence. The aim of the study was to explore the experiences and service outcomes for Aboriginal women and their children and to identify both facilitators and barriers to the effective operation of the program. Face-to-face interviews were conducted with 13 Aboriginal women and thematic analysis was used to report their collective stories. The women's stories showed individualised, flexible, and open-ended support as well as practical outcomes of stable, safe housing for themselves and their children were particularly valued. The women reported that these features of the program augmented feelings of strengthened confidence and self-efficacy. The authors argue the domestic and family violence sector has the opportunity to learn from the perceptions and experiences of Aboriginal women, particularly allowing time and commitment to working long-term with families.     

Evaluation of the Stress Adjustment and Adaptation Model Among Families Reporting Economic Pressure

ABSTRACT

This research evaluates the Stress Adjustment and Adaptation Model (double ABCX model) examining the effects resiliency resources on family functioning when families experience economic pressure. Families (N = 128) with incomes at or below the poverty line from a rural area of a southern state completed measures of perceived economic pressure, family hardiness, social support, and the McMaster Family Assessment device. The family resiliency model was evaluated using regression and two path analyses. Results of the model evaluation indicate that when family resiliency resources are introduced economic pressure is not a significant stressor influencing family functioning. Family resiliency is a key to the healthy functioning of the family unit moderating distress and decreasing the negative effects associated with economic pressure. Implications for social work practice to enhance family resiliency using community and personal supports are discussed.     

Towards Program Evaluation for Practitioner Learning: Human Service Practitioners' Perceptions of Evaluation

Abstract

While human service practice improvement is acknowledged as an important outcome of program evaluation, much evaluation is narrowly focused on accountability requirements. This type of evaluation often has limited use and relevance to human service practitioners. In exploring forms of evaluation that do have practice relevance, this article presents the experiences and perceptions of human service practitioners subject to evaluations that set out to foster learning. Across the cases participants expressed concerns about data quality and credibility, the relevance of evaluation data to the program context, the invasiveness of the evaluation, management of the process (particularly limited consultation with practitioners), and the lack of effective dissemination. These cases illustrate the challenges for evaluation to be useful to practice, and to foster meaningful improvements to services.     

Questioning the Suitability of Traditional Self-Report Family Functioning Measures for Single-Parent Families with Young Children

Family functioning is a common interest of social science and health researchers. Most often, well-established self-report instruments are used to measure family functioning. Although these instruments have been used with families of diverse compositions, our experiences using one of the commonly used instruments, the McMaster Family Assessment Device (FAD), suggest that it is not appropriate for single-parent families with young children. In addition to describing the difficulties we encountered with the FAD, we discuss our experiences in relation to current research findings about the processes and effectiveness of family functioning in single-parent families. As well, we examine other frequently used self-report family functioning instruments, the results of which lead us to question the suitability of any of the commonly used self-report family functioning instruments for single-parent families with young children. We conclude by arguing for the development of family functioning instruments that are appropriate for diverse family structures and compositions.