KNOWING THE CHILD: AN ECOLOGICAL APPROACH TO THE TREATMENT OF CHILDREN IN FOSTER CARE

Social workers in agencies and school settings often deal with high risk, multi problem children such as those in foster care. Increasingly, there is widespread recognition that a coordinated, multifaceted approach is required to address the range of cognitive, social, and mental health problems with which they present. This article recommends utilization of an ecological treatment intervention that is specifically tailored to the needs of the child based on a formulation of the child’s experience and developmental deficits. A case example comprising the treatment of an eight-year-old boy in foster care with comorbid diagnoses of alcohol related neurodevelpomental disorder, failure to thrive, and attachment disorder, illustrates this approach. The article concludes with implications for social work practice.     

Seclusion & restraint: a historical perspective

(1) The use of restraints in the care of psychiatric patients has been a topic of ethical controversy since the beginning of psychiatric medicine. (2) Enlightenment physicians regarded psychiatric illness as the loss of reason, and many advocated the use of restraints to help violent patients regain the use of reason. (3) John Conolly, a British alienist (a term used for psychiatrists) of the mid 1800s, claimed it was possible to treat psychiatric patients without the use of mechanical restraints, but he made liberal use of seclusion and physical restraint by attendants to manage violent behavior. (4) American alienists expressed misgivings about the use of mechanical and chemical restraint but most were reluctant to relinquish any usable intervention.     

ASSESSMENT OF INTERPERSONAL FUNCTIONS: DEVELOPING MEASURES TO AID THE FUNCTIONAL FAMILY THERAPIST

One of the cornerstones of the functional family therapy model proposed by Alexander and Parsons (1982) is the assessment of interpersonal functions, which has traditionally been accomplished through intuition and clinical judgment. In this study, 109 college freshmen were recruited to evaluate the test-retest reliability of a videotaped scenario measure and a questionnaire designed to assess interpersonal functions. Subjects responded to both measures during an initial assessment phase and then again, during a second assessment phase, 2 weeks later. Pearson product-moment correlations and average agreement percentages indicate that both measures have adequate reliability. There were no sex differences, nor were subjects' responses related to a measure of social desirability.     

A rural road: exploring opportunities,networks, services,and supports that affect rural families

The Great Plains Rural Collaborative project explored rural poverty through the experiences of people living at or below 185% of poverty. Researchers collected information through qualitative and quantitative research methods. They designed focus group questions to identify obstacles rural families face when trying to access economic opportunities, social networks, and services and supports. The article highlights the salient findings.     

Women and Economic Security in Retirement:Implications for Social Security Reform

Gender-related parenting roles lower incomes of women during the working-age years and in retirement years. National retirement income programs contribute to this gender-related difference in retirement income to the degree that they consider lifetime earnings in calculating benefits. This article examines two national pension systems: those of Australia and Sweden. The pension systems of these two countries often are considered as the extremes of pension generosity, and they are based upon different philosophies about the role of government in insuring against economic risk. Due to fiscal issues and the changing roles of women in the labor market, both have reformed their systems. How system reforms can balance the role of the government in insuring against income risk and the growing financial independence of women in the work force are discussed.