After Safety,What is the Goal of Child Welfare Services: Permanency,Family Continuity or Social Benefit?

Child welfare services have multiple goals, including child protection, family continuity, and achievement of legal permanency so children can end their involvement with child welfare services and have a lifetime family. These goals are not all achievable to the same extent in all cases. American child welfare policy has, in the last few years, become more definitive about the priority of child protection above family preservation. Now, situations which involve safety risks that are too great do not require any efforts at reunifying children to their biological homes. Less clear in American child welfare policy and practice is the value to be placed on other factors – particularly when a child cannot return home and will need an alternative adoptive family. Practitioners often emphasize family continuity – that is, the opportunity to maintain contact with the biological parent and extended family members – as a key decision making consideration. Yet, family continuity does not necessarily predict a successful transition to adulthood that is healthy for children or provides social benefits to the community. This paper explores the rationale for expanding child welfare decision making criteria by adding longer-term outcomes and the likelihood that children will eventually generate social benefits.     

Children with relatives abroad: assessment for placement

This study investigated a sample of children being considered for placement with relatives abroad where there were no relatives in the UK, or where the immediate family could no longer provide the care they needed. International Social Service is frequently asked to arrange for reports to be written on the suitability of relatives abroad to care for the child. The survey, based on questionnaires completed by local authority social workers, showed that following reports related to 108 sample children, 37% were placed abroad and 63% remained in the UK. Although the majority remained in the UK, the proportion of children placed abroad was higher than had been expected. The two most significant factors predicting placement were whether or not the relative abroad was offering to provide care and the impression of the relatives given by the report writer. Older children and black, Asian and mixed parentage children were more likely to remain in the UK. The paper ends with a discussion of these findings and implications for practice, policy and legislation.     

GPs and Contracts: Bringing General Practice into Primary Care

This paper argues that the terms on which GPs entered the NHS, as self-employed contractors, have proved remarkably resistant to the managerial pressures which have come to dominate other sections of the National Health Service. However, this traditional mode of financing and organizing the delivery of a key element of the National Health Service has become increasingly incompatible with wider health policy objectives—the development of an integrated network of good-quality, equitable and well-coordinated primary and community health services which are responsive to local needs. Furthermore, primary health services have themselves come to play a crucially important role in securing other strategic changes in the wider health policy arena, such as securing and sustaining a shift in the traditional balance between hospital and community-based health services and controlling expenditure in a needs-led service. The paper argues that, notwithstanding the change of government, the 1997 NHS (Primary Care) Act and the White Paper "The New NHS" are both integral to the achievement of wider strategic health policy objectives, such as improving the quality and coherence of services, and increasing professional accountability for the financial consequences of clinical decisions. However, the greatest significance of these and other related measures is that they shift the emphasis of health policy from commissioning and purchasing by primary care to commissioning and contracting for primary care. They thereby extend the exposure of GP-based services to managerialist scrutiny and control.     

Decision-Making of Mothers in Hong Kong Regarding the Occasional Use of Alternative Child-Care Arrangements

This study examines the use of alternative child-care arrangements as an everyday life decision in a family context. Interviews with twenty-four mothers from a working class neighborhood in a new town in Hong Kong were transcribed and analyzed using a grounded theory approach. Results of the analysis outlined: (a) the structural components of making a decision regarding alternative care, which consisted of demands, resource options, definitions of the situation, types of decision situations, and the respective decision-making strategies; and (b) the nature of decision-making processes, varying from ad hoc to standing. Together, these aspects illuminate how mothers make decisions regarding the use of alternative child-care arrangements and, in turn, the characteristics of family decision-making in everyday life.     

Young Mothers' Time Spent at Work and Time Spent Caring for Children

The association between the time a mother spends at work and in different child care activities is investigated, using data from the 1981 National Longitudinal Survey of Youth (NLSY). The mothers who worked on the index day spent almost one hour less time in physical care, one-half hour less time in interactive care, and over two hours less time in passive supervision of their children. The effects of a set of predictors on time use at work, time use in physical care, interactive care, and passive supervision of children were estimated using a covariance structure model. When the effects of these predictors are controlled, the number of hours at work predicts: (a) a small reduction in time spent in interactive care, and (b) larger reductions in time spent in physical care and passive supervision.     

To make and keep friends: The role of health status in adolescent network tie formation and persistence

Health status may shape network structure through network dynamics (tie formation and persistence) and direction (sent and received ties), net of typical network processes. We apply Separable Temporal Exponential Random Graph Models (STERGMs) to National Longitudinal Study of Adolescent to Adult Health survey data (n = 1779) to differentiate how health status shapes network sent and received tie formation and persistence. Results indicate that networks are shaped by withdrawal of adolescents experiencing poor health, highlighting the importance of separating distinct and directed processes of friendship formation and persistence when considering how health relates to adolescent social life.     

Curbing the demographic “drifting dune” in long-term care insurance financing: The case of Germany

Long-term care provision and financing are becoming increasingly important matters in all ageing economies. Therefore, a major challenge for policy makers is to strike a balance between adequate care and sustainable financing. In this study, we evaluate the proposal of a so-called sustainability factor in German long-term care insurance. Considering changes in the beneficiary-contributor ratio, it aims for a rule-based consideration of demographic dynamics to alleviate pressure on long-term care financing. Using the framework of generational accounting, we demonstrate that this proposal could have a relieving effect on finances, depending on the share of involvement of current and future generations. It may offer an option for pay-as-you-go long-term care insurance systems worldwide that need to curb the impact of ageing societies. Therefore, this article addresses policy makers tasked with designing a sustainable financing model for long-term care insurance. It demonstrates that the sustainability factor represents a step towards sustainable finances and, thus, it might be one component of a more comprehensive reform package.     

Journeys of culturally connecting: Aboriginal young people's experiences of cultural connection in and beyond out-of-home care

With growing overrepresentation of Aboriginal and Torres Strait Islander children and young people in out-of-home care (OOHC), cultural disconnection is an omnipresent threat. Despite research and inquiries that have highlighted the risk of cultural disconnection for Aboriginal and Torres Strait Islander children living in OOHC, limited research has explored Indigenous children and young people's experiences of cultural connection in the Australian context. Informed by Indigenous Standpoint Theory, this Aboriginal-led qualitative study sought to understand 10 OOHC-experienced Aboriginal young people's experiences of cultural connection over time, including after exit from OOHC, through retrospective interviews that employed a phenomenological lens. It was found that Aboriginal young people experienced cultural connection as a heterogenous process involving identity formation and the practice of culture, enacted as a choice over time. The complexity of Aboriginal young people's experiences of cultural connection over time gives rise to a new understanding of cultural connection as a journey of culturally connecting, wherein the risk of cultural disconnection is complicated by intergenerational child removals, dominant discourse about what constitutes Aboriginal culture, and removal from an Aboriginal cultural milieu.     

Nowhere to go: Housing pathways of college students with foster care and homelessness experience

This study builds on previous research to understand longer term housing experiences in late adolescence and early adulthood for vulnerable college students. Using a biographical, qualitative method, we study high school and college housing and family circumstances for 27 students with homelessness or foster care experience enrolled in 4-year colleges in Georgia. We identified three different housing pathway types in high school—family homelessness, unaccompanied youth and foster care. Housing instability and frequent moves were common in high school among all housing pathway types. In college, students who were able to find low or no-cost housing and those who identified a foster care pathway in high school achieved greater housing stability. Others students experienced a continuation of housing instability that began in high school. Additional funding to cover the cost of on-campus housing would likely contribute to increased stability. Additional strategies, such as rental assistance programmes tailored for college students, may be needed to address housing instability for vulnerable college students. More research on the unmet housing needs and the consequences of housing instability during college for homeless and foster youth is needed to further a housing policy agenda that focuses on practical solutions.