Understanding child,family, environmental and agency risk factors: findings from an analysis of significant case reviews in Scotland

This paper presents the findings from an analysis of 56 significant case reviews (SCRs) in Scotland. In contrast to England and Wales where national analyses have been undertaken for many years, until this study was undertaken, the findings from SCRs had not previously been collated nationally. The paper discusses child, parent, environmental and agency factors that were identified in the SCRs and, whilst noting that the pathways to death or harm will be unique in individual cases, tries to further our understanding of the ways in which these different factors may interact to result in death or harm. A significant finding was the high number of SCRs that relate to the care and protection of children living in families whose lives are dominated by drug use and the associated issues this brings, including criminality and neighbourhood problems. Another challenging finding was the lack of suitable resources for the placement and support of troubled teenagers. Finally, a number of SCRs involved long‐term neglect and/or sexual abuse of school or nursery age children who had been known to statutory services for many years.     

Nonprofit Governance Quality: Concept and Measurement

ABSTRACT

A nonprofit “governance quality index” was developed to enable verification and falsification of contemporary theoretical insights on social service organizations. Indicators were generated based on an extensive qualitative exploration. For the quantitative validation, a data set was composed of 526 respondents from 52 organizations. Five subdimensions of governance quality are introduced and are recommended to be used as separate scales, rather than combined into a single score on governance quality. Furthermore, the recommendation is made to rely on multiple raters per organization to assess governance quality or related concepts, given the substantial within-organization variance found.     

Couple Counselling Outcomes in an Australian Not for Profit: Evidence for the Effectiveness of Couple Counselling Conducted Within Routine Practice

Over 30 randomised controlled trials have shown the efficacy of couple therapy under controlled conditions. However only four studies explore effectiveness of couple therapy as commonly practised in the community (i.e., routine practice). These studies suggest effectiveness is about half that reported in randomised controlled trials. Further, there are no published couple therapy effectiveness data currently from Australia or New Zealand. This is troubling because (1) couple distress has negative effects on individual adults, couples, and families; (2) funders increasingly want proof of return on financial investment; and (3) clients want hope that their emotional investment in therapy is worthwhile. The first aim of this paper is to report the outcomes of a milestone multi‐centre study of over 1,500 Relationships Australia clients attending couple counselling. It outlines a simple, intuitive method for assessing effectiveness of couple counselling in routine practice that may motivate others to conduct effectiveness studies. The study used a cross‐sectional design and assessed current couple satisfaction and retrospective recall of couple satisfaction before attending counselling. Results revealed a moderate effect size improvement in relationship satisfaction. The results support previous published studies of couple therapy effectiveness in routine practice. The second aim of the paper is to increase interest in others doing similar research by addressing key barriers to the implementation of effectiveness studies within routine practice. These barriers include administrative burden, integration across services, and conceptual buy‐in by practitioners. The use of the retrospective measure of ‘pre counselling’ couple satisfaction measure overcomes these barriers in part. The paper concludes with a discussion of design limitations and suggestions for counselling agencies seeking to conduct their own effectiveness studies.     

The Gap Between Couple Therapy Research Efficacy and Practice Effectiveness

Meta‐analyses of randomized controlled trials of couple therapy find large improvements in couple adjustment, but published evaluations of the effectiveness of couple therapy in routine practice find only small‐to‐moderate effects. The current study analyzes possible explanations for the research‐efficacy to practice‐effectiveness gap and offers suggestions for enhancing couple therapy effectiveness. Major recommendations are that therapists should clarify whether couples’ therapy goal is to clarify commitment to the relationship or to improve the relationship; use standardized assessment of the individual partners and the relationship; and use systematic monitoring of therapy progress and the therapeutic alliance. It is also possible that the greater use of evidence‐based therapies when treating couple relationship distress could enhance couple therapy outcome.     

Black Immigrants in the United States and the "Cultural Narratives" of Ethnicity

This article argues that social science representations of post-1965 Black immigrants in the United States employ the concept of "ethnicity" in ways that reinforce the racialist myth of Black (American) cultural inferiority. Specifically, the discursive use of Black immigrant "ethnic" and "cultural distinctiveness," while admittedly reflecting an important recognition of the heterogeneity of the United States Black populations, is in fact predicated upon a repackaged "culture of poverty" discourse that serves to reaffirm the overarching racial order. In a discussion of the theoretical and historical development of the concept, I show how the current discourse of "ethnic distinctiveness" perpetuates a form of racism under a theory that denies the relevance of race while it continuously recodes the biological notions of race as "culture." Thus, Black immigrant distinctiveness, when presented through the prism of the cultural narratives of ethnicity, allows for the perpetuation of a "cultural racism" that adversely affects all Blacks in this country. I therefore call for a rejection of ethnicity theory as it is currently conceptualized and suggest the need to ground theories of Black distinctiveness within analyses of power relations and ongoing practices of racial subjugation.