Orphanhood and Completion of Compulsory School Education Among Young People in South Africa: Findings From a National Representative Survey

We examined the association of orphanhood and completion of compulsory school education among young people in South Africa. In South Africa, school attendance is compulsory through grade 9, which should be completed before age 16. However, family and social factors such as orphanhood and poverty can hinder educational attainment. Participants were 10,452 16–24‐year‐olds who completed a South African national representative household survey. Overall, 23% had not completed compulsory school levels. In univariate analyses, school completion was lower among those who had experienced orphanhood during school‐age years, males, and those who reported household poverty. In multivariate analyses controlling for household poverty, females who had experienced maternal or paternal orphanhood were less likely to have completed school; orphanhood was not independently associated with males' school completion. Findings highlight the need for evidence‐informed policies to address the education and social welfare needs of orphans and vulnerable youth, particularly females, in South Africa.     

The Devil is in the Detail: Clinicians,Academics and Researchers Resolving the Problems of Clinical Research

The difficulties associated with conducting valid family therapy research within a clinical practice discourage many potential researchers. This article will describe collaboration between a group of academics, researchers and clinicians who decided to explore the process and efficacy of systemic family therapy conducted within a working private practice. The specific questions we are addressing are, whether the requests clients bring to their first session of therapy can be reliably classified by practitioners, whether these requests change over time, and whether the nature of the request is associated with therapist and client ratings of therapeutic outcome. Additional questions about the form and nature of the therapeutic alliance as experienced by both client and practitioner are also being explored. This paper will map the passage of the work from inception to its current state where over 140 clients are active participants. In doing so attention will be paid to the obstacles encountered: practical, financial and ethical, and the solutions devised to address these.     

Community Reactions to Young People Who Have Sexually Abused and Their Families: A Shotgun Blast,Not a Rifle Shot

Data on 117 young sexual abusers were examined to investigate the nature of community responses to young people's abusive behaviour. A wide range of community responses were found, with stigmatisation, social isolation and collateral damage being common. A contagion effect was noted, with community responses extending over time and across contexts. Some young offenders and their families were attacked and forced out of their homes. In some cases, community responses heightened risk factors. The policy and practice implications of the findings are discussed, including the need for caution about the inclusion of children in policies on community notification of sex offenders.     

‘We Can All Just Get on a Bus and Go’: Rethinking Independent Mobility in the Context of the Universal Provision of Free Bus Travel to Young Londoners

This paper uses qualitative data from interviews with 118 young Londoners (age 12–18) to examine how the universal provision of free bus travel has affected young people’s independent mobility. Drawing on Sen’s capabilities approach, we argue that free bus travel enhanced young Londoners’ capabilities to shape their daily mobility, both directly by increasing financial access and indirectly by facilitating the acquisition of the necessary skills, travelling companions and confidence. These capabilities in turn extended both opportunity freedoms (e.g. facilitating non-‘necessary’ recreational and social trips) and process freedoms (e.g. feeling more independent by decreasing reliance on parents). Moreover, the universal nature of the entitlement rendered buses a socially inclusive way for groups to travel and spend time together, thereby enhancing group-level capabilities. We believe this attention to individual and group capabilities for self-determination provides the basis for a broader and more child-centred view of independent mobility than the typical research focus upon travelling without an adult and acquiring parental permissions.     

On the Inside: A Narrative Review of Mental Health Inpatient Services

This paper describes and discusses the results of a narrativereview of inpatient mental health services in the UK. Four mainthemes emerge from the review: the growing pressure on inpatienthospital services; the negative experience of inpatient servicesreported by many service users; the problematic nature of hospitaldischarge; and possible alternatives to hospital admission.This review also suggests that a failure to recognize and acton what appears to be happening in hospitals could result ininpatient care once again being subject to the scrutiny andcriticism that cast a shadow over psychiatric services in the1960s and 1970s. To stop this happening, current governmentpolicy is right to focus attention back onto acute care throughnew guidance and by commissioning research. However, changesalso need to take place at a practice level so that front lineworkers are familiar with conditions in local acute servicesand can challenge unacceptable behaviour/services in supportof their service users. With current changes in the make-upof local mental health services and a greater emphasis on partnershipworking between health and social care, it may be that socialcare practitioners can do this not only from the outside, butincreasingly ‘on the inside’ (from within integratedhealth and social care organizations).     

The Long-Term Effects of Parental Divorce in Childhood on Adult Adjustment

Relationships between experiencing a parental divorce or separation prior to age 16 and a variety of measures of adult adjustment and psychological functioning are examined using data from two national cross-sectional surveys conducted nearly 20 years apart. Although few differences between adults from parentally-divorced and intact family backgrounds persist when controls for contemporary life circumstances and other social background factors were included, two modest trends are still evident. First, although associations between psychological distress and early experience with parental divorce have weakened somewhat over the past two decades, coming from a non-intact family of origin still has some significance for adult psychological well-being. Second, men and women from non-intact families of origin display different patterns of adjustment to and valuation of the major life roles of spouse and parent. Nevertheless, because such relationships are not very powerful, it is concluded that contrary to much of the literature and popular thought, these early experiences have, at most, a modest effect on adult adjustment.     

System abuse: towards a greater understanding from the perspectives of children and parents

The present article explores the concept of system abuse from the perspectives of children and parents. Four main ways in which the term has been used are highlighted and, with reference to the literature, the commonalities underlying the various uses of the term are explored. Reviewing the available evidence suggests that many families may become unnecessarily involved in the child protection system; this finding is discussed within the parameters of the current Section 17/Section 47 debate. Features of the investigation identified as particularly salient for children and parents include the initial phase of the investigation; investigative interviews and medical examinations; case conferences; social-worker/family interaction and the lack of follow-through services. Gaps in service provision when workers do not consider that abuse has occurred are also considered. Finally, pointers for practice during investigations are discussed in the light of this review     

Haley and Hildebrand on the Training of Family Therapypists

Jo Grimwade and Helen Pavlin were asked to conduct a correspondence about two books which both relate to the teaching of family Therapy. There has been recent debate in Victorian family Therapy circles about the relevance of family of origin exploration to family Therapy trainees. Judy Hildebrand and Jay Haley have views on this topic, as Jo and Helen note. The nature of the books they are reading means that they find themselves caught in a parallel process and at times, are distracted from the writers’ message by the way that message is delivered.