Interjurisdictional placement of children in foster care

As the population of children in foster care has increased and more children are freed for adoption, foster and adoptive families are needed in ever increasing numbers. One avenue for expanding the pool of families is through placement of children with families in other counties and states. This article considers the policy and practice implications of interjurisdictional placement in the context of foster care, adoption, and kinship care and suggests directions for interjurisdictional adoption practice and policy.     

Physical and mental health effects of being stalked for men and women

Stalking is relatively common yet little is known of the longer-term health effects of stalking. Using the National Violence Against Women survey, we estimated lifetime stalking victimization among women and men, ages 18 to 65, identified correlates of being stalked, and explored the association between being stalked and mental and physical health status. With a criterion of being stalked on more than one occasion and being at least "somewhat afraid," 14.2% of women and 4.3% of men were victims. Among those stalked, 41% of women and 28% of men were stalked by an intimate partner. Women were more than 13 times as likely to be "very afraid" of their stalker than men. Negative health consequences of being stalked were similar for men and women; those stalked were significantly more likely to report poor current health, depression, injury, and substance use. Implications for victims, service providers, and the criminal justice system were reviewed.     

Parenting Assessment in a Psychiatric Mother and Baby Unit

Correspondence to Dr Gertrude Seneviratne, Section of Perinatal Psychiatry, Division of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. E-mail: G.Seneviratne{at}iop.kcl.ac.uk Summary Courts and social services often seek the advice of mental healthprofessionals in deciding whether a mentally ill mother shouldremain the primary carer of her infant. This paper describesthe referral pathways, outcomes at discharge and subsequently,of a sample of mothers referred for parenting assessments toa psychiatric Mother and Baby Unit. A further aim was to examinefactors predicting outcome. A casenote study of sixty-one consecutivereferrals for in-patient parenting assessment over a six-yearperiod is described. Social Services were contacted to establishdevelopments at least nine months after discharge. Fewer thanhalf of the mothers were discharged together with their babiesat the end of the assessment period, and at follow-up, lessthan a third were still caring for their children. Diagnosisof the mother's illness was the main factor determining whethershe continued to care for her child both at discharge and atfollow-up; mothers with depression were more likely to remainprimary carers. Variations in the timing and process of referralsrelated to a lack of antenatal planning were associated withincreased rates of separation of mother and infant before theassessment. The findings illustrate the need for more integratedco-ordination between professionals in mental health and children'sservices to ensure early planning for mothers and infants atrisk.     

Understanding Feelings and Coping with Emotional Situations: A Comparison of Maltreated and Nonmaltreated Preschoolers

The effects of maltreatment on childen's emotion knowledge (e.g., recognition of facial cues for happy, sad, mad, scared, and surprised expressions), parent- and teacher-rated social and expressive behavior (e.g., aspects of emotion regulation such as emotional intensity, regulation of emotionally-driven behavior, and classroom social competence with peers such as conflict management), and hypothetical social problem-solving skills were examined in a sample of 45 preschool-aged, predominantly African-American preschoolers. Comparisons between maltreated, high-risk, and low-risk groups revealed no reliable differences in emotion knowledge, but several significant differences in hypothetical social problem-solving skills and in parent- and teacher-rated social and expressive behavior. Specifically, maltreated children were rated high on negative emotionality and emotional support-seeking at school, and they were rated low on support-seeking at home, instrumental action at home, problem-focused social problem-solving strategies, and conflict management. In general, teachers rated maltreated children as the least competent, low-risk children as intermediate, and high-risk children as the most competent.     

Public Research, Private Concerns: ethical issues in the use of open-ended interviews with people who have learning difficulties

This paper is an exploration of the ethical dilemmas in open-ended interview research with people with learning difficulties. We address the possibility that research which gives voice to the experience of abuse, from the viewpoint of the victim, can itself be abusive. Such research is justified in terms of empowering, illuminating and disseminating the meaning that participants give to their lives. Yet every stage of the process raises complex ethical issues when research participants are drawn from vulnerable and powerless groups in society, and the focus for investigation can be deemed private. As a vehicle for our exploration, we reflect on our ethical dilemmas in researching the story of a young woman who has learning difficulties and has been the victim of various forms of abuse. We argue that ethical dilemmas cannot be overcome solely by Ethical Codes or even predetermined 'good practice'. They are integral to the whole research process and necessitate continuous explicit examination of decision making processes within research.     

Governance in Public-Private Community Health Partnerships: A Survey of the Community Care Network SM Demonstration Sites

This review of the governance practices of twenty-five public-private partnerships involved in addressing a broad range of community health needs shows that governance in public-private community partnerships departs significantly from traditional notions of institutional governance. Governance structures and degrees of progress toward governance goals vary widely and appear to be systematically related to the organization, composition, location, and activity of each partnership.     

Child protection services and parental reactions to children's behaviour

A commonly used expression in child protection is the term 'physical abuse'. This paper consists of a quantitative and qualitative analysis of a 100% sample of 'physical abuse' child protection cases drawn from research in an Australian state child welfare agency, which shows that about 90% of these concerned incidents in which parents used physical punishment to control children. Resulting physical harms to children (where they occurred) were generally of a very minor nature. The paper examines these results in the light of research findings in the UK and Australia on patterns of physical punishment used by parents to control children. Such findings suggest that those child rearing practices that make frequent and systematic use of physical punishment are located largely amongst lower social class parents, who believe that such practices are an essential and normal component of effective parenting behaviour. One interpretation of child protection services in respect of these cases is that they are concerned primarily with the normalization of child rearing practices. The paper concludes with a discussion of the limited impact of the Swedish anti-spanking law of 1979, which appears to have only reduced the use of physical punishment by those parents who may not necessarily have believed in such measures in the first place. However, legislation of this nature has the potential to criminalize a substantial sector of the population, but at least state intervention under the aegis of a specific criminal law provides a clearer mandate than does intervention under much looser, broader and subjectively interpreted child protection legislation.