Focused Foster Care for Children with Serious Sexual Behavior Problems

Properly implemented, foster family care may represent a uniquely appropriate placement/treatment alternative for young children with pronounced or dangerous sexual behavior problems. A few programs have reported preliminary but promising results with such children in fostering environments specifically designed to address their special problems. This study details the salient components of one such program that has proven successful over the past six years with most of thirty youthful clients referred to it facing few alternative placement options. Rankings by program staff and program parents of the relative importance of ten program components to client success are reported, and updates on previously published outcomes with the first six clients to enter the program are offered. Subjective but important “lessons learned” by staff and parents about working with this difficult population in the fostering environment are also discussed.

Contentious issues in research on trafficked women working in the sex industry: Study design,ethics, and methodology

The trafficking of women and children for work in the globalized sex industry is a global social problem. Quality data is needed to provide a basis for legislation, policy, and programs, but first, numerous research design, ethical, and methodological problems must be addressed. Research design issues in studying women trafficked for sex work (WTSW) include how to (a) develop coalitions to fund and support research, (b) maintain a critical stance on prostitution, and therefore WTSW, (c) use multiple paradigms and methods to accurately reflect WTSW's reality, (d) present the purpose of the study, and (e) protect respondents’ identities. Ethical issues include (a) complications with informed consent procedures, (b) problematic access to WTSW, (c) loss of WTSW to follow‐up, (d) inability to intervene in illegal acts or human rights violations, and (e) the need to maintain trustworthiness as researchers. Methodological issues include (a) constructing representative samples, (b) managing media interest, and (c) handling incriminating materials about law enforcement and immigration.     

The impact of foster care privatization on multiple placements

The purpose of this study was to assess the impact of foster care privatization policy on multiple placements in Florida's foster care system. A variant of the interrupted time series design allowed for an assessment of privatization policy within 282 data points (six years of data nested in 47 counties). Results from hierarchical linear analysis models identified a significant effect for privatization while controlling for a major alternative explanation. Specifically, the percent of children in fewer than three placements was significantly lower in the post-privatization years than in the pre-privatization years. This effect varied across counties. Line graphs revealed a variety of trends among providers, which may explain the variation of privatization's effect across counties. These results have implications for policymakers seeking to address the goal of permanence and for child welfare administrators involved in the implementation of privatization policy.     

Survival and Abuse: What We Can Learn From It

This article is about a journey involving survival, abuse and learning. It is written by two people who have considerable experience of being involved with mental health services; both are currently making an active contribution to social work education. It describes the way in which, in situations of survival and abuse, service users can use their experience and knowledge to learn how to support and advocate for each other. It suggests that the relationships that are built between service users as a result of these experiences can be used to address some of the gaps in service provision. At the same time these relationships can provide mutual learning which can be used to improve the education and training of social workers and other professionals.     

Changes in Self-Rated Health During the Transition to Retiring Living Among Medicare Managed-Care Recipients

ABSTRACT

Moving into a retirement community may be precipitated by or bring about changes in health status. We hypothesized that moving into a retirement community would be associated with a decline in self-rated health (SRH), but that health-related factors would mitigate this association. We analyzed data from 58,272 participants in Cohort 3 of the Medicare Health Outcome Survey. Individuals answered questions regarding living status in 2000 and 2002. Those who moved into a retirement community were compared with those who did not. The primary outcome was change in SRH. We created adjusted and unadjusted models. A total of 2,520 participants (4.4%) moved into retirement communities between 2000 and 2002. There were no substantial differences in the mean change in SRH between those who moved and those who did not. In adjusted and unadjusted models, moving was not significantly associated with changes in SRH. In an analysis stratified by SRH, only those with the best SRH had a significant decline in SRH during the move. SRH mainly remained stable for most people regardless of moving into a retirement community. These findings argue against environmental context being a main determinant of self-perceived health status among older adults.     

A Systematic Review of Strengths and Resilience Outcome Literature Relevant to Children and Adolescents

The concepts of strengths and resilience are essential for understanding and promoting positive development in children and adolescents. These concepts have been studied in the research literature for many years and more recently have been applied to child and adolescent assessment and intervention research. However, strength and resilience based intervention programs have not been evaluated rigorously for their use of empirical methodology. In this article, we systematically identified and reviewed all of the outcome studies over the last decade for strength and resilience based intervention programs to assess the extent to which these studies utilized controlled empirical methodology. The results of the review yielded 11 outcome studies that examined strength and resilience based practices. Using the Quality Assessment Tool for Quantitative Studies developed by the Effective Public Health Practice Project, we found three studies to be high quality, exhibiting high levels of experimentally controlled research. The remaining 8 studies we considered to be moderate to weak quality research. We concluded that these 11 studies provide preliminary support for the efficacy of strength and resilience based interventions. Our systematic review also highlights areas where methodology in future studies can be strengthened to provide more conclusive evidence of these approaches.     

Transition from Home Care to Nursing Home: Unmet Needs in a Home- and Community-Based Program for Older Adults

A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.     

Helping Low-Conflict Divorced Parents Establish Appropriate Boundaries Using a Variation of the Miracle Question: An Integration of Solution-Focused Therapy and Structural Family Therapy

The authors discuss the implications of divorce and the effect that divorce has on the relationships between family members. Parents are encouraged to develop appropriate co-parental boundaries that direct and influence subsequent interactions between family members. Using an integration of solution-focused therapy and structural family therapy, a variation of the miracle question is suggested as a means to help parents gain confidence in making changes in behavior. The miracle question also is intended to help parents set new goals for themselves and increase the ability to cooperate and communicate as co-parents. A case study provides an example of this idea.     

Understanding media constructions of volunteering: an Australian perspective

This paper explores the Australian public's understanding of volunteering from a media perspective. A content analysis of 137 news articles published in The Australian newspaper revealed that volunteering in Australia is framed in terms of eight perspectives by nine claim makers. Since media-led images of volunteering tend to influence peoples' decision to volunteer, the findings have several implications for organizers of social development projects involving volunteers.     

Promoting Bank Accounts to Low-Income Households: Implications for Social Work Practice

In the wake of the recent economic challenges, it is clear that social workers must be educated about the financial opportunities for low-income households. Encouraging low-income households to have a bank account at an insured depository institution, or become banked, is increasingly emphasized in policy and practice. Becoming banked offers the opportunity to avoid high-cost alternative financial services. Social workers can facilitate relationships between low-income households and the mainstream financial services industry to help families advance their long-term financial interest. Understanding the structure of all types of banks and credit unions is imperative. Implications for social work practice are explored.