Racial/Ethnic Differences in Court Referred Pathways to Mental Health Services for Children in Foster Care

Racial/Ethnic disparity in placement patterns and service utilization among children in foster care has been documented in a variety of studies. This study examined the role of the court process in referring children in foster care to mental health services and tested for racial/ethnic differences in the patterns of referral and service use. Court records for 142 children ages 2–16, representing Caucasian, African American, and Hispanic racial/ethnic groups were reviewed. Results indicate that the court process does play a significant role in referring children to services. Significant differences by race and ethnicity in mental health service utilization prior to the child's protective placement, as well as service orders, and post-placement service use were identified. Caucasian youth were more likely to receive orders for psychotherapy and to have documented use of psychotherapy than were African American and Hispanic youth, even when the possible confounding effects of age and type of maltreatment were controlled. Implications for the effective delivery of supportive services to those children most in need are discussed.     

Equal Opportunities and Ethnicity in the Early Years: Implementing the Children Act

SUMMARY: This paper discusses findings from a research study on the implementation of the Children Act 1989, undertaken a year after the Act came into operation. It covers the three main functions of provider, coordinator, and regulator assigned to local authorities in respect of daycare and related services to children under-eight; focusing on the ways in which local authorities interpreted the Act in responding to issues of equal opportunities and ethnic diversity.     

Assessing Depression in Childhood and Adolescence: A Guide for Social Work Practice

Depression is relatively common in children and adolescents, and if left undetected and untreated, can have long-term negative consequences. Social workers providing services to families, children and adolescents need to understand the characteristics, and conduct developmentally appropriate assessments, of depressive symptoms. This paper provides a review of current literature related to the definition, prevalence, co-occurrence, and measurement of depression in childhood and adolescence. It also highlights relevant gender, race, and ethnic influences.     

Every Child Matters? A critical review of child welfare reforms in the context of minority ethnic children and families

This paper critically reviews some key government papers that together largely provide the foundation for the relevant child welfare reforms in England and Wales. The context of this review was to evaluate whether these papers and documents made sufficient reference to improving policies and practices for minority ethnic children and families involved in child welfare matters, given the research evidence from the early 1990s suggesting that such families may experience particular disadvantages or discriminations within the UK child welfare system. The research evidence cited draws upon studies that have considered the experiences of different minority ethnic groups from the point of referrals through to long term services, including those children who have been looked after in local authority care and those families that have been subject to care proceedings. This paper concludes that more is needed under the Every Child Matters agenda to both acknowledge and address the specific needs of minority ethnic children and their families, as identified in the range of studies published post Children Act 1989. Copyright © 2008 John Wiley & Sons, Ltd.     

From neglect to partnership? Challenges for social services in promoting the welfare of Traveller children

This paper explores current and potential directions in social services' provision for Traveller children, drawing on a Nuffield‐funded study. Many Traveller communities experience harassment, racism and oppression, which create a structural ‘vulnerability’ for children. However, the paper focuses on services for children where structural and family vulnerability interact, and the extent of statutory neglect. After outlining the study, three models of provision are explored. Firstly, crisis response in relation to child protection and youth justice issues has dominated social services' interaction with Travellers, tending to reinforce existing difficulties in relationships between the two. Secondly, family support was the subject of initiatives beginning in the study areas (selected as more engaged with Traveller issues) to facilitate Travellers' access to services, and plan a more strategic engagement with Traveller communities. Thirdly, specialist work was represented both formally and informally in the study, and demonstrated considerable benefits. Lessons from these findings suggest priorities for developing work with Travellers: recognition of Travellers as a minority ethnic/cultural group; inclusion of Travellers in equality policy and practice; training for workers; changes to referral systems; development of community support services; specialist posts; support to, and outreach work in partnership with, voluntary agencies; interagency initiatives; and, crucially, consultation with Travellers. Copyright © 2000 John Wiley & Sons, Ltd.     

Conducting culturally competent evaluations of child welfare programs and practices

As the population of the United States has changed over the last two decades, so has the population of children who come to the attention of the child welfare system, resulting in increasing calls for cultural competence in all aspects of child welfare programming and practice. Given the changing demographics among children involved in the child weltare system and the increasing need to address the racial and ethnic disparities observed in this system, the need for culturally competent approaches to evaluate the outcomes of services for children and families is essential. This article discusses the challenges in conducting culturally competent evaluations and provides strategies to address those challenges within a child welfare context.     

Evaluating Services for Kinship Care Families: A Systematic Review

Despite their needs, kinship care families receive less support and fewer resources than other foster care families. This study systematically reviews thirteen studies that evaluated services and programs for kinship caregivers and children. Studies evaluating the effectiveness of the Kinship Navigator Program, financial assistance, support services, and training/educational programs were identified and reviewed. The Levels of Evidence-Based Intervention Effectiveness (LEBIE) scale was used to evaluate the research designs. The findings indicate that although positive results are shown for enhanced well-being and permanency outcomes of children and kinship caregivers, the rigor of the research designs are low, making it difficult to draw any firm conclusions about the effectiveness of these programs. Recommendations for child welfare practice and future research include the need to develop services for informal caregivers and particular racial/ethnic groups. In addition, more rigorous research designs and qualitative research should be conducted to support the effectiveness or social validity of the services and to inform evidence-based practice.     

Asian adolescent and young adult adoptees' psychological well-being: Examining the mediating role of marginality

Adolescent adoptees from an ethnic minority background different from that of their adoptive parents can face unique challenges to their psychosocial adjustment that may include, for some, a sense of marginality and low self-esteem. Using a web-based survey design with a sample of 100 internationally adopted Asian adolescent and young adults, the present study examined how feelings of marginality mediate the relationship between ethnic and racial socialization and psychological well-being among Asian adoptees. The results showed that (a) supports for racial socialization decreased adoptees' feeling of marginality and thereby, increased their positive sense of self; and (b) ethnic socialization was not related to feelings of marginality and self-esteem. This study illustrates the importance of providing post adoption services addressing racial socialization issues. Further, adoptive parents should teach their children how to deal with racial prejudice and discrimination, and prepare them by helping them to develop positive coping strategies.     

The Development of a Black and Ethnic minority health policy at the department of health

Britain is a truly multiracial and multicultural society. Immigration into Britain in 1960s and 1970s was mainly fiom South East Asia, Africa and the West Indies. A large number of immigrants have now become residents of Britain and we have a second generation of Black and ethnic minority groups in this country who were bom in Britain. More recently we have been joined by a number of refugee groups and asylum seekers. In the last 10 years, there have been a number of initiatives which have been taken to develop appropriate policies to improve access to health services by ethnic groups and to understand their health and disease patterns. The main issues are: (1) What policies have been developed? (2) The main areas of concern. (3) The differing health and disease patterns among ethnic minority groups. (4) How the policies are being implemented at the health service level and the lessons learned. (5) How the health professionals are being trained to deliver appropriate services to these groups. (6) How volunteer groups are invoked in planning services. (7) The national health services have recently been reformed and have introduced the idea of separating the delivery of health care from its planning and of the purchasing of services by health authorities. It is important to examine whether these have an impact in changing health services to make them more accessible to ethnic minority groups. (8) What the future plans in this area of work are.     

Influence of Age on Transracial Foster Adoptions and Its Relation to Ethnic Identity Development

In the United States, ethnic minorities are disproportionately represented in the foster care system and underrepresented among potential adoptive parents. The need to find permanent homes for foster children has led to an increase in the controversial practice of transracial adoption (TRA), wherein ethnic minority children are placed in adoptive homes with Caucasian parents. While many child welfare scholars and dependency stakeholders support TRA as a positive alternative to foster care, others are concerned that such adoptions may inhibit the ethnic identity development of transracially adopted children. This article documents the large number of ethnic minority children who are adopted through TRA prior to the onset of ethnic identification and how age influences which children are adopted out of foster care. The findings indicate that young ethnic minorities are significantly more likely to be adopted through TRA compared to older children, an effect especially prominent among African Americans. Implications for the child welfare system are discussed.     

Young African American Males: Barriers to Access to Health Care

African American males continue to experience an unacceptable and disproportionate number of health disparities when compared with other racial and ethnic groups. Young African American males can expect to live the least amount of time when compared to any other ethnic minority or racial sub-group. Understanding the obstacles and barriers that impede access to health care and wellness services among young African American males is essential to begin the process of decreasing health disparities. The goal of this qualitative study was to explore and identify the barriers experienced by young African American males in accessing health care services while also creating a rare opportunity to give voice to young African American males. The study results indicate that young African American males have multiple perceptions of barriers to health care services. Their perceptions fell into three categories: the negative impact of environment or community, lack of finances or no insurance, and distrust of medical practices associated with race history resulting in accessing healthcare as a last resort. Additional research is needed to craft community-based programs to: a) educate young African American males on the importance of preventative strategies to maintain wellness; and b) ensure that the appropriate medical and wellness services are available and reaching young African American males in need.     

Do working mothers have healthy children?

This paper examines the effects of maternal employment on children's physical and mental health. The data used are from the Health Interview Survey 1981, Child Health Supplement. A health production model is developed on the basis of Becker's household production theory. The results reveal that a mother's employment is a significant factor affecting her child's physical health. Use of physician services, prices (i.e., CPI used as a proxy variable), sex of the child, receipt of Medicaid, the number of relocations, the mother's education, the mother's health status, breast-feeding practices, and the birth weight of the child are other important variables explaining the health status of children. The role of each of these factors varies according to the marital status of the mother.The authors wish to thank anonymous reviewers for their helpful comments resulting in a much improved product.She received her Ph.D. from Cornell University in 1990. Her current research interests include health care of children and elderly, teen pregnancy and welfare use, children and divorce, and immigrant consumers.She received her Ph.D. from Northwestern University in 1983. Her research includes long-term health care for frail and ethnic elderly, health insurance purchases for the elderly, and health services utilization by the employed and working poor.     

The subtle–blatant distinction of ethnic prejudice among ethnic majority chidren

Research on ethnic prejudice among children is important for contemporary multicultural schools seeking to enhance communication among students from different ethnic groups and provide effective intercultural education. Current scientific discourse points to the appearance of new implicit forms of prejudice, witnessed in modern multicultural societies, while traditional explicit prejudice tends to decline. However, empirical studies concerning the blatant–subtle distinction of prejudice in children are scarce. This paper examines ethnic prejudice in 329 ethnic majority preadolescents (aged 10–13?years) attending 10 urban and rural schools in central Greece. Data were collected using questionnaires constructed on the basis of focus group discussions with children, in addition to sociometric tests. Findings support the subtle–blatant distinction of prejudice in children and indicate that although blatant prejudice expressed as personal rejection is indeed low, perceptions of ethnic minority groups as a ‘problem’ for school life, as well as subtle prejudice, are substantial. Ethnic minority children are less popular and stigmatizing behaviour is common. Intimacy with an ethnic minority classmate is associated with lower levels of blatant prejudice at the individual level but the other forms of prejudice are not affected.     

Asian Americans and Mental Health Services

Abstract

Research in the 1970s and 1980s revealed that Asian Americans, compared with other ethnic groups, tended to under-utilize mental health services. This article is aimed at adding new information to the literature by examining data from the 1990s. The raw data comprised 97,212 total admissions representing 45,774 total individuals utilizing mental health services during a four-year period in San Diego County, California. By comparing our findings with previous research cases on utilization patterns of mental health services, new evidence is found about Asian Americans in terms of their (1) underrepresentation in mental health services, (2) presentation of more severe symptoms than those of other racial/ethnic groups when first seen at clinics, (3) lower dropout rates and higher average lengths of stay than other racial/ethnic groups, and (4) higher percentages of using day treatment and outpatient programs but lower percentage of using inpatient programs.     

The impact of vocational services and employment on people with HIV/AIDS

The perceptions of vocational services and the impact of employment among 25 individuals with HIV/AIDS diagnoses were explored through a qualitative study. Participants who ranged in age from 22 to 58, represented diverse ethnic backgrounds and were at various stages of the employment process. The key themes that emerged from the data fell into three main areas: (a) personal impact of vocational services, (b) programmatic qualities of vocational services, and (c) impact of employment. Factors that influenced each of these themes and the implications for rehabilitation counselors are discussed.     

Assimilation versus multiculturalism: The views of urban Americans

Parents of children in public schools in a large American urban center, representing a number of different ethnic groups, were interviewed about their personal views and feelings toward cultural and racial diversity in America today. Three main issues were addressed: respondents' attitudes toward the maintenance of heritage cultures versus assimilation; their attitudes toward bilingualism; and their attitudes toward other groups in the community. The analyses revealed important differences in attitudes between ethnic minority groups and established white and black groups. Nonetheless, strong support was shown for the retention of heritage cultures, even among middle-class white and working-class black Americans. The working-class white American sample was distinctive in its rejection of multiculturalism and in its negative attitudes toward other ethnic and racial groups. All groups supported the idea of bilingualism for their children, and certain groups thought that public schools had an important role to play in its promotion. Overall, the results delineate a series of factors that affect intragroup and intergroup harmony and the processes of adjustment that transpire within a social system when it has to cope with ethnic and racial diversity.     

‘What would it be reasonable for the kid to be called?’ – negotiating the racialised essentialism of names

In this article I assert that the importance of names within the process of racialisation has been under-explored in the UK context. I consider data from seven qualitative interviews, which suggest that names are racialised in the UK and that this racialisation can affect the naming choices of multiracial/ethnic parents. My participants indicated that, when choosing children’s forenames and surnames, there are juxtaposing concerns: a fear of potential discrimination faced by children on the basis of them bearing a ‘foreign’ name, and a desire to reflect the children’s multiracial and/or ethnic heritage. I describe and discuss two consequential strategies that my participants suggested: to give the child a white British name in an attempt to help them pass as white British, or to oppose the fears of racism/discrimination and give them a name that displays their Otherness. I discuss these ideas in relation to racial passing and whiteness literature.     

Children with Special Health Care Needs

Abstract

The health care model presented in this paper is a non-linear, systems approach to service delivery. The model was a by-product of three ethnic-specific conferences that were convened to discuss strategies for improving access to care and the quality of services provided to children with special health care needs (CSHCN) from diverse cultural backgrounds. The model evolved as insights regarding the common values and norms held by parents, health care providers, and cultural representatives were shared. Content analysis was used to identify core themes identified by participants. These themes were incorporated into a model that included the following elements: community-based, culturally competent, health-oriented, resiliency-focused, and family-centered care. At the fourth Consensus Conference, selected participants from the previous ethnic specific conferences reviewed the proposed model and deemed it a vehicle for facilitating health care service utilization by culturally and linguistically diverse CSHCN and their families.     

How many hours do you have to work to be integrated? Full‐time and part‐time employment of native and ethnic minority women in the Netherlands

Labour market integration of ethnic minority women is central for economic integration, as they may experience a double disadvantage: both as a woman and as a migrant. This presumed double disadvantage has recently become the focus of both Dutch integration and emancipation policy. To test several assumptions underlying this, we analyse to what extent labour market participation of different groups of women and the hours they work are influenced by human capital and household characteristics. Our results show some remarkable differences in employment patterns. Controlling for educational level, partnership and the presence of children, it was found that native women more often work in part‐time jobs than ethnic minority women. For native Dutch women, the number of children influences both the employment decision and the number of hours worked, whereas for ethnic minority women, this only effects full‐time employment.