Female Adoptees’ Experiences Balancing Relationships With Biological and Adoptive Mothers Post‐Reunification

Using a feminist postmodern perspective and the sensitizing concept of split loyalties from Contextual Theory, the primary purpose of this qualitative study was to develop a better understanding of how adult female adoptees from closed adoptions negotiate relationships with their adoptive and biological mothers post‐reunion. We conducted semi‐structured individual interviews with nine adult female adoptees, ages 28–52, who were adopted prior to the age of two. Six were Caucasian, three were African American, and the average age at reunion was 29. Grounded theory techniques were used to code the qualitative data, in particular the constant comparative method of analysis. Four main categories emerged: (a) Negotiating Mother–Daughter Relationships, (b) Relating to Mothers Equitably, (c) Loyalty, and (d) Adoptees’ Emotional Needs. Our findings suggest the adoptive mother–daughter relationship has a salient effect on adoptees’ relationships with biological mothers post‐reunion. Loyalty to the adoptive mother seems to influence the evolving relationship and closeness displayed toward the birth mother. Adult female adoptees from closed adoptions described struggling with managing their two mother–daughter relationships and need clinical help addressing their own emotional needs.     

Welfare reform's ineligible immigrant parents: Program reach and enrollment barriers

Since the implementation of the 1996 welfare reform act, the child-only Temporary Assistance for Needy Families (TANF) caseload has increased dramatically. Perhaps the least understood child-only population is that of ineligible immigrant parents (IIPs), who are ineligible for TANF because of their citizenship or immigration status. Using data collected through in-depth interviews and focus groups in Stanislaus County, California, this study examines how well California's TANF program serves this at-risk group. We analyze the factors that lead IIPs to seek aid for their children, the enrollment obstacles they face, and TANF's ability to meet their needs. Our results demonstrate that immigration-related fears as well as concerns about caseworkers, stigma, and future government sanctions heighten these parents' reluctance to seek aid. They also create multiple and often population-specific barriers to TANF enrollment. We close with research and policy recommendations for serving this vulnerable population.     

Leaving Home and Living Alone: An Historical Perspective

This paper provides a temporal and spatial perspective on a variety of household forms in present-day Europe. Compared with the situation in pre-industrial England, many more people now live on their own but there are some surprising continuities in household forms. Notably, pre-industrial households were no more likely than present-day ones to include distant relatives, and the recent rise in the proportion of one-person families has simply returned the position to that produced by early widowhood in the seventeenth century. Nor has the general increase during recent decades in the proportion of one-person households reduced the variation within Europe in the frequency of living alone which remains much less likely in southern and parts of eastern Europe than in western Europe and Scandinavia. A more thorough comparative exercise is hampered by inconsistencies in the design of tables used to illustrate household types in different countries, and it is suggested that a standard set of tables should be agreed and produced for different national populations.     

Nondrinker Mortality Risk in the United States

The literature has shown that people who do not drink alcohol are at greater risk for death than light to moderate drinkers, yet the reasons for this remain largely unexplained. We examine whether variation in people’s reasons for nondrinking explains the increased mortality. Our data come from the 1988–2006 National Health Interview Survey Linked Mortality File (N = 41,076 individuals age 21 and above, of whom 10,421 died over the follow-up period). The results indicate that nondrinkers include several different groups that have unique mortality risks. Among abstainers and light drinkers the risk of mortality is the same as light drinkers for a subgroup who report that they do not drink because of their family upbringing, and moral/religious reasons. In contrast, the risk of mortality is higher than light drinkers for former drinkers who cite health problems or who report problematic drinking behaviors. Our findings address a notable gap in the literature and may inform social policies to reduce or prevent alcohol abuse, increase health, and lengthen life.     

On the estimation of multidimensional demographic models with population registration data

In this paper the estimation of multidimensional demographic models is investigated in situations where population registration data are available. With this kind of aggregate data, estimation by traditional methods is not possible. We look at two versions of the multidimensional model: the constant intensities model and the linear integration model. Some logical inconsistencies in the derivation of the latter are discussed. In particular, we argue that the linear integration model is not compatible with a Markov process. A new algorithm for the estimation of the constant intensities model with population registration data is proposed. Some preliminary results on the mathematical and statistical properties of this method are given. The algorithm is applied to Dutch nuptiality data.     

The Social Construction of Reality in the Realm of Children's Mental Health Services

ABSTRACT

Across the United States, systems of care have emerged to provide mental health care to children and their families; fragmentation inhibiting the success of collaboration by stakeholders is common and compromises these systems of care. Survey data were collected from 1,428 respondents in a Midwestern state to examine problems that exist within systems of care from the perspective of the different stakeholder groups. Stakeholder group membership was based upon the respondent's employment or involvement within various child-serving systems and included those in child welfare, juvenile justice, and education, mental health providers, and consumers (i.e., caregivers/parents). Group differences revealed patterns of “finger pointing” by the stakeholder groups on where specific problems exist within systems of care. The findings provide insight into how the social construction of service delivery and practice emerges as stakeholder groups describe, understand, and evaluate problems within the system of care as a function of their own practice location within the system of care. Future research should consider exploring methods that might minimize the competitive nature of disparate child-serving systems and its potentially negative impact upon system performance and treatment outcomes.     

Evaluating Outcomes in Health and Social Care by Helen Dickinson

No abstract available for this article.