Showing papers in "Child Welfare in 2003"

Transition from care: status and outcomes of youth who age out of foster care.

Abstract: This study shows that a significant portion of youth exiting the foster care system face serious difficulty transitioning to life on their own. Many live on the streets, lack the money to meet basic living expenses, fail to maintain regular employment, are involved with the criminal justice system, are unable to obtain health care, and experience early pregnancies. Although youth reported exposure to independent living training while in care, few reported concrete assistance. Multiple placements while in care and less education correlated with more difficult postdischarge functioning. Training, services, positive supportive networks, and job experience in care are associated with more positive adjustments. The article advances implications for program and policy interventions.

Childhood abuse history, secondary traumatic stress, and child welfare workers

Abstract: Social workers are exposed to trauma vicariously through the trauma of their clients. This phenomenon, called secondary traumatic stress, vicarious traumatization, or compassion fatigue, presents a risk of negative personal psychological consequences. Based on a sample of 166 child welfare workers and using standardized measures, the study findings document the link between a personal history of primary trauma, childhood abuse or neglect, and the heightened risk for secondary traumatic stress in child welfare workers.

Educational Experiences and Aspirations of Older Youth in Foster Care.

Abstract: This study documents the school experiences of 262 youth referred for independent-living preparation from the foster care system of one midwestern U.S. county. Of the youth, 73% had been suspended at least once since the seventh grade, and 16% had been expelled. In the past year, 58% had failed a class, and 29% had physical fights with students. Yet the group reported high educational aspirations: 70% wanted to attend college. Those in congregate care and family settings often had school behavior problems. The results support the need for a system of education advocates who work to maintain proper education placements for youth in foster care and help them receive the academic resources they need to graduate from high school and proceed to college.

How parental drug use and drug treatment compliance relate to family reunification.

Abstract: This study uses Cox regression to assess the relationships among parental drug use, drug treatment compliance, and reunification from substitute care. The study finds that drug treatment compliance is associated with faster reunification, even when accounting for ongoing drug use and three parenting measures. The findings are consistent with a conceptual framework suggesting that certain client actions, such as drug treatment compliance, may serve as markers that substantially affect client outcomes. Language: en

School-Based Early Intervention and Child Well-Being in the Chicago Longitudinal Study.

Abstract: Chicago Child-Parent Centers provide comprehensive education and family support services to young, low-income children. Using data from 1,539 children in the Chicago Longitudinal Study, preschool participation was associated with significantly higher levels of school readiness, achievement, and educational attainment, and with lower rates of child maltreatment, juvenile delinquency, special education placement, and grade retention. Every dollar invested in the preschool program returned 7.14 dollars to society at large. School-age intervention also provided economic returns that exceeded costs. Findings provided strong evidence that large-scale, public, early interventions can enhance children's well-being. The authors recommend greater investments in programs with elements similar to the Child-Parent Centers.

Building evidence to promote educational competence of youth in foster care.

Abstract: Although the academic difficulties of students living in foster care are well documented, few studies have examined factors influencing academic achievement of youth in foster care This article reports the results of a study of educational competence in a sample of 152 foster youth in one midwestern state Using five standardized instruments, the study explored predictors of reading ability of youth in foster care Multiple regression analyses indicated that four factors--aspiration for higher education, placement in kinship care, participation in extracurricular activities, and drug use--accounted for 39% of the variance in reading ability scores The article discusses implications of these findings for practice, research, and policy development

Attitude, interest, and motivation for adoption and foster care.

Abstract: This survey compares prospective foster and adoptive parents' attitudes, willingness, and motivations, and discusses implications for media campaigns. The results show that demographic profiles of targets for adoption and foster placements are the same, an opportunity exists to shape positive attitudes toward foster care in immigrant populations, the most compelling way to attract parents is to focus on the child in need, and testimonials of personal experiences of foster and adoptive parents should address perceived barriers to adopting or fostering. Political, religious, and environmental ideology were unrelated to attitudes or willingness to adopt or foster. Respondents with strong identifications with gay or lesbian lifestyles exhibited a higher than average willingness to adopt or foster.

Transracial Adoption: Families Identify Issues and Needed Support Services

Abstract: The gap between the number of children of color in care and the recruitment of minority foster and adoptive homes has triggered growing support for transracial adoption, culminating in the Multi-Ethnic Placement Act (MEPA) and the Interethnic Adoption Provisions (IEP) legislation. Although MEPA and IEP focus on eliminating barriers to transracial placements, they do not address support for families that choose to adopt transracially. A lack of professional literature exists in this area. This study explores a number of trans-racial placements and adoptions, with the goal of identifying, from the perspective of the families interviewed, potential services that would enhance such placements and adoptions.

Parental views of in-home services: what predicts satisfaction with child welfare workers?

Abstract: Evidence on client satisfaction deserves consideration in the design of child welfare policies, programs, and practices Data in this study come from the National Survey of Child and Adolescent Well-Being Clients receiving in-home services reported moderate levels of satisfaction with their child welfare workers Caregiver reports of having less than two child welfare workers, having more recent contact, and receiving timely, responsive services were associated with higher perceived quality of relationships with child welfare workers The child welfare workers' reports of cooperativeness by the caregiver were also associated with higher caregiver-reported relationship quality

Characteristics of evidence-based child maltreatment interventions.

Abstract: This project summarizes, using a treatment protocol review technique, characteristics of effective interventions from nine studies of child maltreatment that examined recovery from abuse or the effects of maltreatment on child and parent outcomes. Results suggest that stronger effects are yielded by targeting parents and the parent-child interaction context in home-based settings during early childhood, designing multicomponent interventions delivered by professionals for teaching parenting competency skills, and targeting families of higher risk children.

Beyond the rhetoric: strategies for implementing culturally effective practice with children, families, and communities

Abstract: Culturally effective practice remains elusive within child welfare agencies. Recognizing the hierarchical nature of becoming culturally competent, this article presents specific strategies that enhance cultural effectiveness at the individual, interprofessional, middle management, and upper management levels. The approaches evolve from a five-stage model of change: precontemplation, contemplation, preparation, action, and maintenance. Becoming culturally competent requires a clear assessment of where the individual practitioner and agency are on the change continuum. The article also explores barriers to culturally competent practice, with a focus on multilevel strategies that work within child welfare agencies.

Foster care and Medicaid managed care.

Abstract: Children in the foster care system are often dependent on Medicaid for health care. These children, however, have more complex health care needs than the typical child receiving Medicaid. States are implementing Medicaid managed care programs as a way to control escalating costs while providing necessary services. This article reviews the issues surrounding delivery of managed health care services to children in foster care and describes several solutions.

Beyond cultural competence: language access and Latino civil rights.

Abstract: Social services remain largely unresponsive to the values and needs of Latino families, who often need Spanish-language services. This article discusses access to linguistically appropriate services, not just as a culturally competent practice, but also as a civil rights issue. Spanish speakers have protection from discrimination in federally funded human services under Title VI of the Civil Rights Law of 1964. The article discusses implications for all aspects of private and public child welfare, including investigations, foster care, family preservation, adoption, and quality assurance.

Predictors of short-term reunification in South Australian substitute care

Abstract: This study examines the factors that contribute to short-term reunification for 235 children placed in South Australian substitute care from 1998 to 1999. Proportional hazard analyses showed that non-Aboriginal children and those placed because of parental incapacity were significantly more likely to go home, whereas neglected and Aboriginal children were significantly less likely to go home. A detailed profile analysis highlighted the specific case characteristics or changes thought to have contributed to reunification in each case. Language: en

Trauma of children of the Sudan: a constructivist exploration

Abstract: This article examines the trauma of Sudanese refugee children living in a Midwestern city from a social constructivist view. From a qualitative perspective, the study explored how the Sudanese children, their U.S. foster parents, and social workers from an American child welfare agency described their understanding of the migration experience. Results point to the importance of placing the children's trauma in the context of their own cultures, as child welfare workers assist in the children's adjustment to the United States.

The empirical basis of risk assessment in child welfare: the accuracy of risk assessment and clinical judgment.

Abstract: The importance of risk assessment is juxtaposed with the lack of empirical support regarding the validity of risk inventories. This study compared risk ratings of one risk assessment tool to decisions made by case managers. The researchers sampled 450 children and compared predictive utility of risk assessment to child protection decisions. Risk assessment was consistent with clinical judgment in 74% to 81% of cases, more than previously reported in studies of risk assessment validity. Further analyses identified discriminate functions at the instrument's category and individual-item levels. The results have implications for the validity of the instrument and its utility in child welfare. Language: en

Gatekeeping in child welfare: a comparative study of intake decisionmaking by social workers in Canada and Sweden.

Abstract: This article details findings from social workers in Sweden and Canada, illuminating similarities and differences in gatekeeping in child welfare and child protection. Analysis revealed different p ...

Evidence-based practice in community-based child welfare systems

Abstract: The immaturity of the evidence base in some areas of child welfare practice demands that practitioners approach the development and refinement of practice in a systematic way that explicitly seeks to build on and learn from experience. The efforts of public child welfare agencies in Boston and Cleveland show that it is possible to draw on a broader base of knowledge and experience while responding to unique conditions and circumstances in each agency's community.

A first look at the need for enhanced support services for kinship caregivers.

Abstract: This article describes findings from a series of focus groups conducted with formal kinship caregivers in Maryland. The findings reveal that kinship caregivers are committed to providing safety and stability for the children placed with them. The findings also suggest that caregiving can be a significant adjustment for many kinship caregivers and that expanded support services are needed to enhance their relationship with the child welfare agency. Language: en

A model of culture-centered child welfare practice.

Abstract: This article presents a framework for culture-centered child welfare practice, including child-family-system interactions, service provision, recruitment and retention of homes, and culturally responsive legislation. There should be no one-size-fits-all approach to child welfare practice. In a diverse society, child welfare practice must be responsive to the particularities of various cultures. A culture-centered framework allows for a holistic system of child permanence, with consideration of a child's mental, physical, and emotional growth. This framework cherishes the distinctiveness of America's cultures.

Beyond cultural competence: what child protection managers need to know and do.

Abstract: This article addresses issues for child protection managers, such as hiring, program design, service evaluation, and policy development. It presents three frameworks for levels of organizational change: cultural sensitivity, which modifies existing services to better meet the needs of target populations; self-reflective cultural sensitivity, which calls for managers to be aware of personal and organizational cultural values; and cultural solidarity, which acknowledges that organizational power is vested in managers, which can oppress clients. Language: en

Framework for culturally competent decisionmaking in child welfare.

Abstract: This article provides a framework to understand the cultural, social, political, and economic factors that affect decisionmaking when working with ethnically and racially diverse families in the child welfare system. The article describes external factors affecting the decisionmaking process, including community environment, agency structure, and family characteristics. It then reviews the core stages of the casework process, describing key decisions during intake, assessment, service planning, implementation, evaluation, and closure. Although the framework is based on casework process in the child welfare system, it can be adapted to other child-serving systems, including education, mental health, and juvenile justice.

The nature and effectiveness of program models for adolescents at risk of entering the formal child protection system.

Abstract: This article compares rationales and outcome research for five areas of programming for adolescents: adolescent competence and skill development programs, family- and parent-focused programs, social integration programs, multiple component programs, and neighborhood transformation programs. The article examines program evidence for maltreated teens as well as teens coping with a variety of other challenges. The study uses a framework based on common developmental challenges and risk factors for adolescents to select and review programs. Language: en

Validation of the Strengths and Stressors Tracking Device with a child welfare population.

Abstract: The Strengths and Stressors Tracking Device (SSTD) is a rapid assessment measure of family well-being that assesses the particular strengths and needs of families at intake to help guide case planning and evaluate the effectiveness of treatment. The device assesses families from an ecological perspective in the domains of environmental conditions, social support, caregiver skills, and child well-being, and may be used at multiple points during treatment to assess change. SSTD has high internal consistency in all domains, distinguishes between physical abuse and neglect, and is sensitive to specific changes made by families across the duration of treatment.

Collecting data on the abuse and neglect of American Indian children.

Abstract: A survey of 10% of federally recognized American Indian tribes and the states in which they are located indicates national data systems receive reports of approximately 61% of data on the abuse or neglect of American Indian children, 42% by states and 19% by counties. The author recommends that American Indians develop culturally sound definitions of abuse and neglect and that the government provide the resources and assistance necessary to develop data tracking and reporting systems on the abuse and neglect of American Indian children.

A culturally responsive practice model for urban Indian child welfare services.

Abstract: This article describes collaboration among a university, a state child welfare agency, and a Native American community organization to develop a culturally driven practice model for urban, Native American child welfare. The approach includes a strategy to build resources to serve Native American clients, a training program for child welfare and court personnel using a culturally responsive curriculum, and an advocacy program that monitors for Indian Child Welfare Act compliance and provides assistance to child welfare workers and the court. The discussion identifies challenges and opportunities in addressing the needs of urban Native American communities. The article concludes with principles for culturally responsive practice for urban Native American child welfare practice.

Building effective working relationships across culturally and ethnically diverse communities.

Abstract: Amherst H. Wilder Foundation's Social Adjustment Program for Southeast Asians is implementing two collaborative, best practice, mental health and substance abuse prevention service models in Minnesota. It faced several issues in effectively bridging multiple cultural groups, including building a diverse collaborative team, involving families and youth, reconciling cultural variation in meeting styles, and making best practice models culturally appropriate. Researchers and program staff used multiple strategies to address these challenges and build successful partnerships. Through shared goals, flexibility, and a willingness to explore and address challenges, collaboratives can promote stronger relationships across cultural communities and improve their service delivery systems.

Evaluation of a treatment program for abusive and high-risk families in Spain.

Abstract: This article describes a six-year evaluation of a comprehensive treatment program for abusive families in Spain. The evaluation involved practitioners' clinical judgments, standardized measures, and follow-up data about children's living situations. The results were similar to those obtained by similar programs from the United States and other developed countries. The analysis obtained the lowest rates of success for neglectful and abusive-neglectful families. Dropout and nondropout families differed in two paternal characteristics: alcohol problems and childhood experience of out-of-home care. Rehabilitated and nonrehabilitated families differed in several variables, including time elapsed between case detection and referral to the treatment program. Scores on measures showed significant changes during treatment. Language: en

Racism and sexism in child welfare: effects on women of color as mothers and practitioners.

Abstract: This article articulates the complex factors that are in operation when racism and sexism influence decisionmaking in child protective services (CPS) and the devastating effect they have on clients and practitioners The article details the story of a mother involved with CPS and the experience of a CPS practitioner who is a woman of color, with the recommendation that understanding these interrelated experiences is a prerequisite for inclusive, equitable systems reform Finally, the article poses practice and policy questions that can guide discussion among practitioners or community members Language: en

Matching needs and services: an assessment tool for community-based service systems.

Abstract: This article presents results from an outcomes-based needs assessment in an urban service district, using case record data to profile service needs in different communities. The methodology emphasizes consistent collection of data from actual case records and explicitly includes line staff and clients in the planning process. Such reviews could benefit a variety of community-based child welfare, health, and education systems, although implementing identified service strategies can be challenging.