‘Can I come home?’ The experiences of young runaways contacting the Message Home helpline

This paper reports the findings of a 3‐month survey of young people calling the Message Home helpline. Message Home is a national freephone helpline available to people who have run away or left home which allows them to send a message to their family or carer, to seek confidential help and advice and, if necessary, to be helped to a place of safety. The paper explores the characteristics, circumstances and motivations of the young people contacting the helpline. It also considers who the young people contacted through the helpline and the kinds of messages that were relayed to parents, social services and others. This study differs from most preceding studies of runaways in recording the views of young people while they are missing. The immediacy palpable in their accounts highlights the distress and isolation experienced by many of these young people who have run away or been forced to leave home.     

Building state capacity for welfare governance: The pathway and development of child welfare system and social work in China

ABSTRACT

China’s dramatic socioeconomic transformation after the reform and opening up, coincided with changes in state-family relationship, has resulted in a large number of children at risk of care. In the past three decades, child welfare has been highly concerned by the government and society, and the child welfare system has substantially developed in the direction of establishing a moderately universal system. In this process, the development of child welfare and social work has shown a mutually reinforcing trend. This includes the professionalisation of child welfare services, the professional training of child welfare workers and the advancement of child welfare policies. The governance of child welfare is an essential component of national social governance. Its future development should be oriented towards a developmental and holistic approach of governance, and social work as an important institutional actor plays a critical role in promoting good governance of child welfare and beyond.     

Child welfare workers who are exhausted yet satisfied with their jobs: how do they do it?

In response to a study of Canadian child welfare workers that unexpectedly found participants scoring high on a measure of emotional exhaustion (burnout) and, at the same time, high on overall job satisfaction, this paper reviews research that has investigated these constructs in the social work literature as well as in selected studies from sociology, social psychology, management and women’s studies. The review reveals that some previous studies also report the coexistence of high levels of emotional exhaustion and strong job satisfaction in child welfare and social worker samples. Several studies have suggested that individual characteristics, including finding reward in helping others, having a commitment to the mandate of child welfare and believing that one’s labour is ‘making a difference’, contribute to satisfaction with child welfare work in spite of work overload and emotional exhaustion. Attributions regarding causes of exhaustion, coping strategies and goal orientation may also attenuate the expected negative effects of emotional exhaustion. Considerable evidence supports the positive influence of variables organizational managers can control, including job autonomy, supportive supervisors, workload, promotional opportunities and perception of personal safety. The degree to which this phenomenon is associated with female socialization and the ‘ethic of care’ underlying social work is discussed. Implications for child welfare research, practice and policy are offered.     

Survival Analysis in Social Work Research

Correspondence to Dr Richard Pugh, School of Social Relations, Keele University, Staffordshire ST5 5BG, UK. E-mail: spa08{at}keele.ac.uk Summary Survival analysis is a method of analysing any data set thatconsists of time to event where the data set is not temporallycompleted. That is, where not all of the initial events havebeen succeeded by the end events. Its major advantage is thatit allows the researcher to model the data using the whole set.Although widely used in other disciplines, with a few exceptions,it has received relatively little attention in social work.This paper provides a review of the method and illustrates itsapplication in a study of child protection practice.     

The effectiveness of selected interventions for previous maltreatment: enhancing the well-being of children who live at home

The authors critically assessed reviews of the literature published between 1984 and 2002 to describe the state‐of‐knowledge about the effectiveness of interventions aimed at protecting or improving the welfare of child victims of maltreatment and who remain in the family home. The interventions studied target children, parents or families. They chiefly involve cases of sexual abuse, physical abuse or neglect; very few concern psychological abuse or exposure to violence. For the most part, the intervention effectiveness indicators measure changes in parents’ and children's knowledge (e.g. better knowledge of child development), attitude (e.g. gains in enthusiasm), emotion (e.g. decreased anxiety) and behaviour (e.g. decreased rates of aversive behaviours). Few assessments follow up on participants to determine whether the changes are lasting. The small number of evaluative studies, methodological limitations and disparities in the content and the carrying out of interventions make it difficult to draw sound conclusions about the effectiveness of interventions, even for interventions most often and most favourably assessed, such as behavioural and cognitive‐behavioural interventions with maltreating parents. Implications for practice, research and policy are underlined.     

Assessment processes in social work with children at risk in Sweden and Croatia

The aim of this article is to compare Swedish and Croatian social workers' assessments and protection of a 4-year-old child exposed to risk in its own family. The data were collected from 87 Croatian and 72 Swedish social workers by means of a questionnaire, which incorporated a vertical vignette. Effects of the participant's country of residence were investigated with respect to: (i) risk assessments; (ii) perception of the main problems; (iii) tolerance of corporal punishment; (iv) judgements about appropriateness of interventions. The results suggest that Croatian social workers have a more child-protective approach than their Swedish colleagues. Swedish social workers have a more supportive approach than Croatian social workers. Despite fundamental similarities in assessments between the countries, significant differences were found in preferred interventions. The Swedish social workers were more in favour of keeping the child at home with the support of social services. The Croatian social workers were more in favour of removing the child from home by means of a care order. This might primarily be attributed to the differences in availability of family support services and to different discourses in Sweden and Croatia.     

Early feeding problems: identification by parents and health care personnel

This study investigated the discrepancy between parental reports indicating a high prevalence of feeding problems during infancy and the relatively low identification rate of such cases at child health care centers. Thirty nurses were interviewed about definitions, prevalence, causes, and interventions for such problems. Thereafter, they were retrospectively asked about presence of feeding problems in 30 infants, for whom parents had reported existence of feeding problems, and in 30 control infants. A group ( n =22) based on parent-nurse agreement about the existence of a problem was compared with a group ( n = 8) identified as problematic by parents only and with the control group. The parent-nurse agreement group stood out as more burdened: infant growth was affected, there had been feeding history problems (breastfeeding, weaning and protracted meals) and the level of parental concern was higher. More infant respiratory infections were reported, and more medication had been prescribed for this group. Although nurses seemed to rely to a great extent on parental reports in identifying feeding problems, the present results suggested that the parent-nurse discrepancy in identification rate may occur due to nurses' weighting of parental complaints with other factors such as the child's general condition and the family social situation.     

Illustrating the interface of family and peer relations through the study of child maltreatment

The developmental study of social adaptation in maltreated children provided the context for examining the linkages between family and peer relations. Participants included 115 school-age children; 59 were maltreated. Teachers and peers in the classrooms of the targeted children provided assessments of the social functioning of individual children. Mothers completed an assessment of their parenting practices. The results demonstrated that teachers perceived maltreated children, particularly physically abused children, as lower in social competence and social acceptance and higher in externalizing behavior problems. Peers were more likely to actively withdraw from or reject maltreated children. Patterns of peer-perceived aggression and withdrawal were examined, and maltreated children who were both aggressive and withdrawn were particularly deficient in social effectiveness. Maltreatment and parenting practices were related to differences in social effectiveness. Continuities in relationship disturbance from families to peers were discussed.     

Investigation or Initial Assessment of Child Concerns? The Impact of the Refocusing Initiative on Social Work Practice

This paper is based on a qualitative research study of socialworkers’ and parents’ experiences of attempts to‘refocus’ child protection practice in England sincethe late 1990s. A review of the research base for the refocusinginitiative is presented, leading to an exploration of one ofthe key changes arising from the initiative: the move away frominvestigations in ‘borderline’ cases towards lessintrusive initial assessments. Methods involved qualitativeinterviews with parents and social workers in twenty-three casesdrawn from two local authorities. The main conclusions are thatinitial assessments, as developed through the refocusing initiativeand the Framework for the Assessment of Children in Need andtheir Families (Department of Health, 2000), provide a formof practice that offers benefits in terms of balancing childprotection and child welfare approaches, and in terms of relationshipswith parents.     

An Exploratory Analysis of Seven Child Welfare Workers who Confused SIDS with Child Maltreatment Fatalities: A Brief Research Report

Abstract

Previous research shows that child welfare workers (CWWs) have low levels of knowledge of risk factors for child maltreatment fatalities. Further, these gaps in knowledge leave CWWs with misconceptions about causes of deaths and the characteristics of the perpetrators. This brief research report focuses on CWWs’ gaps in knowledge with regard to CMFs and sudden infant death syndrome (SIDS) and explores the socio-demographic characteristics of seven workers who confused fatal child maltreatment and SIDS. These workers were experienced professionals—who were in their middle-age, mid-career, and well-educated—and had been trained in how to recognize risk factors for CMFs. Implications for training and collaboration with other professionals are discussed, as well as the need for research to evaluate training efficacy.