Family support policies and child outcomes: a realist-scoping review*

Family support policies (FSP) refer to government policies that promote the well-being of families with children (e.g. job-protected paid leave, cash transfers, childcare). We developed an initial conceptual and theoretical framework of FSP and conducted a realist-scoping review to document the state of evidence regarding the influence of FSP on three child outcomes: poverty, development, and health. Based on the contexts and mechanisms through which FSP are hypothesized to affect child outcomes, we constructed a framework to guide a search of five electronic databases (OVID, ProQuest, PubMed, Scopus, and Web of Knowledge). We analysed articles meeting our inclusion criteria (i.e. conceptualized FSP as a function of the welfare state; conceptualized child poverty, development, and health as outcomes; and conducted empirical analyses) in relation to our mechanisms and thematic concerns (context, developmental periods, and differential impacts). A total of 22 studies met our inclusion criteria, which tested 25 independent child outcomes. Our findings identified initial mechanisms that explain the relationship between FSP and child outcomes through (1) increasing parents’ basic capabilities, (2) shaping parents’ childcare options, and (3) influencing parental leave-taking and shifting beliefs about gender relationships in the home and workplace. Future work will be to test these mechanisms and framework through a realist synthesis.     

Piloting a social work doctoral programme: Ukraine’s vignette

In Ukraine the last decade was marked by significant changes in social work education development that evidence its academization and professionalization. International cooperation was a useful catalyst in these processes. The above has specific implications for developing the three cycles of social work education in Ukraine – Bachelor, Master and PhD programmes. Implemented in 2009–2012, an international project involving six European countries supported piloting of the first PhD programme in social work in Ukraine. This programme encountered a set of challenges that originated from the particularities of social work education in Ukraine and the broader academic context. Participatory observations and reflections demonstrate the challenges evident in Global North–Global South professional relations. Ukrainian social work education history evidences permanent localization of the international standards and experiences that have had various effects on social work academization.     

Mental illness etiology beliefs among African American men with serious mental illness and their social support networks

Semi-structured qualitative interviews were conducted with 26 African American men with serious mental illness who were consumers of community mental health services and 26 members of their social support networks. All participants were asked what they believed had caused the consumers’ mental illness. Consumer participants most commonly identified chronic life stressors as a causal factor, while social supports most often identified intrinsic factors such as genetics or biology as causes of mental illness. Some support participants believed that unintentional drug use had precipitated the onset of mental illness or had no causal theories. The fact that some support participants could not identify a causal explanation may indicate failure on the part of mental health care systems to engage with consumers’ social support networks and provide education about mental illness and its causes. The implications of etiology beliefs on mental health service utilization are discussed.     

Family Relationships,Social Connections,and Depressive Symptoms Among Chinese Older Adults in International Migrant Families

This study explored whether and how family relationships and social connections influence depressive symptoms of older migrants and older adults in transnational families using the data gathered from a cross-sectional survey in Los Angeles, California, United States, and Beijing, China. Regression results showed that the older migrants reported significantly higher levels of depression than the elders in transnational families. The findings highlight the importance of maintaining close family relations and having large friendship networks for older adults in international migrant families.     

“Let’s Talk About Children” resource: A parallel mixed method evaluation

Psycho-education interventions for families affected by parental mental illness have been found to be effective. This study aimed to assess the feasibility of a psycho-educational resource for parents, designed to initiate family discussions about parental mental illness and educate parents about the impact of their illness on children. In a mixed methods design, 19 parents read the “Let’s Talk About Children” psycho-educational resource and completed pre-and-post questionnaires measuring their perspectives of mental illness and awareness of the impact of mental illness on their children and family. 18 of these participated in a follow-up, one hour, individual interview to obtain further feedback on the resource. After viewing the resource, changes in parents’ attitudes and/or behavior in relation to mental illness and parenting were recorded. Interview findings indicate that the resource gave parents an awareness of the skills and knowledge needed for initiating family discussions about parental mental illness. The results of this study can be used to inform future interventions targeting parents who experience mental illness.     

How can context and discourse affect teachers’ and mental health professionals’ interactions with adults with mental illness?

Patients with severe mental illness may have needs different from those of patients with more limited illnesses and might benefit from other types of intervention than traditional treatment. We interviewed health care professionals from two open, short-term psychiatric wards and teachers from two schools for adults with psychiatric diagnoses. The focus was to explore how differences in contextual factors such as time, tasks, and organizational demands might affect the actions and attitudes of health care professionals and teachers, as well as the potential consequences for patients and students. Data were collected through qualitative interviews. Participants included 14 health care professionals and 14 teachers. The informants worked with patients and students with similar diagnoses and illness durations. All interviews were conducted during the informants’ work time. Findings and interpretations showed that both teachers and health care professionals were engaged in their work and in the wellbeing of students and patients. However, they described marked differences in practice, including the amount of time spent with students/patients, the organization of their work, main tasks, amount of control over their tasks, and social structure. These differences seemed to affect relationships with students/patients, attitudes toward students/patients, norms and values, and opportunities for patient empowerment. Our findings suggest that while existing psychiatric health care might be appropriate for limited short-term problems such as single-episode depression, a model with a supportive environment, based on stable relations and possibility for learning, may improve personal development and mental health for persons with severe mental illness and disturbances in self-experience.     

Supporting students to use social media and comply with professional standards

Student social workers live in a world where sharing of information seems to be straightforward and unproblematic. However, data sharing is a contentious issue in practice that raises ethical issues. There is a focus on this aspect of practice in social work education particularly in the context of data storage, confidentiality and multi-disciplinary work. There have been examples of qualified workers being sanctioned by the Health Care Professions Council for breaching professional standards related to inappropriate use of social media. Understanding the advantages and potential pitfalls of social media is crucial for social workers. The aim of this research was to develop an understanding about how student social workers use social media during their time at university as a tool for continuing professional development whilst balancing the need to present a professional persona. This paper reports on four themes that emerged from a study that considered social media and social work training: changing/securing profiles; using social media to support learning and development; university support; replicating earlier behaviour in the professional setting. The findings suggest student social workers are ambivalent about the use of social media both during training and as a way to support ongoing development beyond the university setting.     

Home Environment and Its Relation with Quality of Life of Older People

In this cross-sectional study, we tested the relationship between sociophysical environment, quality of life (QOL), and perceived social support among elderly in Iran. The sample includes 128 participants recruited in the city of Shahrekord, Iran. We measured Evaluation of Older People Living Environment (EVOLVE); Control, Autonomy, Self-realization and Pleasure scale (CASP-19) and Multidimensional Scale of Perceived Social Support (MSPSS) tools respectively, through home-based observation and interview. A significant relationship was found between several domains of home environment, QOL, and perceived social support. The interaction effect of the home environment and gender in relation to QOL and perceived social support was statistically significant. Our results support that the home physical environment may not be considered a strong predictor of QOL among the Iranian elderly.     

Reconsidering “community liberated”: How class and the national context shape personal support networks

The “community liberated” thesis has been influential in describing contemporary social support systems. Specifically, “community liberated” argues that people do not seek support in their immediate neighborhood but rather entertain a network of far-flung ties to support-providing alters. This paper uses personal network data from six countries – Australia, Germany, the US, Austria, Hungary and Italy – to evaluate this argument and shows that the degree of liberation of one's community is strongly linked to one's socioeconomic status – specifically, one's education level. Additionally, we describe strong country-level heterogeneity in the spatial dynamics of personal support networks and find national contexts to be moderating the effect of education on community liberation, especially in Italy and Hungary, thus suggesting network geographic dispersion to be linked to national economic structures and labor markets. The paper thus elucidates the effect of two different, yet related social contexts on personal networks: the class context and the national context.     

Developing a model of disability that focuses on the actions of disabled people

Disabled people, writers on disability and disability activists stress the importance of disabled people being included in all aspects of society. I argue that a major omission from this inclusiveness is that no current model of disability focuses on the impact of the actions of disabled people on disability. Disabled people are not passive bystanders, powerless to reduce the restrictions of disability. On the contrary, we are central to actively limiting its constraints. I develop a model of disability, called ‘active’, which focuses on the effects on disability of the individual and collective actions of disabled people. I describe published findings which indicate that engaging in self-help, using support groups and deploying assistive technology can all reduce the limitations of disability. Recent increases in the number of disability support groups and developments in assistive technology have substantially augmented the potential for disabled people to combat the effects of disability.