Showing papers in "Child Welfare in 2009"

Engaging parents in child welfare services: bridging family needs and child welfare mandates.

Abstract: Calls for expanded use of tested child mental health interventions in child welfare practice add new urgency to the longstanding question of how to enhance parent engagement in child welfare services, where low and uneven levels of engagement are pervasive, and services to parents and children tend to be separated, leaving important opportunities for parent-child interventions underutilized Tackling these issues requires both expanded understandings of what engagement entails and the incorporation into child welfare practice of systematic, research-based strategies for supporting parental involvement Drawing on a review of factors that shape (and often confound) efforts to engage parents in child welfare, and on relevant research, this paper lays the initial foundation for such an approach by identifying and describing six core dimensions of engagement and related intervention strategies

Mental health services for children placed in foster care: an overview of current challenges.

Abstract: Given the evidence from studies indicating that children in care have significant developmental, behavioral, and emotional problems, services for these children are an essential societal investment. Youth in foster care and adults who formerly were placed in care (foster care alumni) have disproportionately high rates of emotional and behavioral disorders. Among the areas of concern has been the lack of comprehensive mental health screening of all children entering out-of-home care, the need for more thorough identification of youth with emotional and behavioral disorders, and insufficient youth access to high-quality mental health services. In 2001, the American Academy of Child and Adolescent Psychiatry (AACAP) and the Child Welfare League of America (CWLA) formed a foster care mental health values subcommittee to establish guidelines on improving policy and practices in the various systems that serve foster care children (AACAP and CWLA, 2002). Because of the excellent quality and comprehensiveness of these statements, the Casey Clinical Foster Care Research and Development Project undertook consensus development work to enhance and build upon these statements. This article presents an overview of mental health functioning of youth and alumni of foster care, and outlines a project that developed consensus guidelines.

Homelessness and the transition from foster care to adulthood.

Abstract: Prior research suggests that homelessness is a significant problem among young people aging out of foster care. However, these studies have not attempted to identify potential risk or protective factors that might affect the likelihood of becoming homeless during the transition to adulthood. This paper uses data from a longitudinal study to examine both the occurrence and predictors of homelessness among a sample of young people from three Midwestern states who recently aged out of foster care.

The influence of supervisor support, peer support, and Organizational culture among early career social workers in Child Welfare Services

Abstract: Previous studies have demonstrated that those who are in the first years of Child Welfare Services (CWS) employment are at particularly high risk for turnover. This study explored how the effects of support and organizational culture on retention (as the antidote for turnover) vary across different stages of CWS careers. A sample of 767 workers was divided into subgroups based on their years in CWS. A series of multilevel models were used to examine the differences between the groups. Findings include the crucial role supervisor support plays in retaining workers not only in their agencies, but in the field of CWS. In addition, passive defensive organizational culture has a negative effect on early career workers, but not on mid or late career workers. This suggests that a unique sensitivity to passive defensive organizational cultures exists early in CWS workers' careers that appears to dissipate over time. Implications for organizational practices are discussed.

Psychosocial interventions for children and adolescents in foster care: review of research literature.

Abstract: Between one-half and three-fourths of children entering foster care exhibit behavioral or social-emotional problems warranting mental health care. This paper, condensed and updated from a technical report prepared for Casey Family Programs in 2005, reviews evidence-based and promising interventions for the most prevalent mental conditions found among children in foster care. This paper also makes several recommendations regarding increasing access to mental health care and effective psychosocial interventions for foster care children.

Mental health and substance abuse indicators among homeless youth in Denver, Colorado.

Abstract: We report the results of mental health evaluations from 182 homeless youth residing in a Denver, Colorado, shelter. The literature on homeless youth, although developing, is still somewhat limited as it relates to mental health, substance abuse, and trauma. This study was motivated by clinically observed high rates of mental illness, trauma, dangerousness issues, and drug and alcohol abuse. Using archival data from mental health evaluations conducted over two years, variables including gender, age, ethnicity, primary diagnosis, drug of choice, trauma history, suicidal ideation, homicidal ideation, and legal history were assessed. Results discovered significantly higher than expected diagnoses of mental illness and associations between drug of choice and diagnosis, trauma history and suicidal ideation, and trauma history and diagnosis. Results suggest a strong need for co-occurring treatment, trauma-focused therapy, and attention to both mental illness and substance abuse in homeless youth.

Best Practices for Mental Health in Child Welfare: Screening, Assessment, and Treatment Guidelines.

Abstract: The Best Practices for Mental Health in Child Welfare Consensus Conference focused on developing guidelines in five key areas (screening and assessment, psychosocial interventions, psychopharmacologic treatment, parent engagement, and youth empowerment) related to children's mental health. This paper provides an overview of issues related to the first three areas, presents the guidelines developed in these areas, and discusses the implications these guidelines have for the field of child welfare.

Effects of early maltreatment on development: a descriptive study using the Vineland Adaptive Behavior Scales-II.

Abstract: Children with histories of chronic early maltreatment within a caregiving relationship may develop complex trauma or developmental trauma and suffer from a variety of deficits in many domains. This study explored the effects of complex trauma on the development of 57 children, as measured by the Vineland Adaptive Behavior Scales-II. This is the first descriptive study to report on the significant discrepancies between chronological and developmental ages in adopted and foster children. This study found that adopted and foster children with a psychiatric diagnosis of reactive attachment disorder show developmental delay in the domains of communication, daily living skills, and socialization. The average adaptive behavior composite score for the children in this study yielded a developmental age (age equivalency) of 4.4 years, while the average chronological age was 9.9 years.

Your policies, our children: messages from refugee parents to child welfare workers and policymakers.

Abstract: In this study, refugee parents living in Canada share their views of parenting and their experiences of Canadian child welfare services. Using photovoice methods, parents develop messages for child welfare workers and policymakers working with refugee families and communities. The messages are presented from the parents' point of view within three major themes: understanding the hopes and fears we have for our children, understanding our settlement challenges, and working with us in the development of child welfare policies and services.

Recruiting and retaining child welfare workers: is preparing social work students enough for sustained commitment to the field?

Abstract: Graduates of specialized BSW child welfare education programs are more likely to be retained after two years of service in the agency, but many leave at the four year mark. Two studies explored possible reasons for departure at this time. The first study found that graduates of specialized child welfare programs were significantly more likely to engage in best practices in nine areas than workers from other fields. Thus, frustration with practice skill was ruled out as a cause. The second qualitative study found that poor supervision, lack of coworker support, and organizational stress among other variables prompted these high-functioning workers to leave the agency. Suggestions for innovative interventions to enhance retention at this critical juncture are included.

Enhancing the empowerment of youth in foster care: supportive services.

Abstract: This paper reviews the research on youth empowerment in seven child welfare programmatic areas. A lack of studies specifically focused on the empowerment of youth in foster care was found. Conceptual perspectives and existing data, however, suggest that the empowerment of youth in and transitioning out of care is essential and should be overtly facilitated through policy and program development.

Posttraumatic Stress Disorder: The Missed Diagnosis

Abstract: Posttraumatic stress disorder (PTSD) is frequently underdiagnosed in maltreated samples. Protective services information is critical for obtaining complete trauma histories and determining whether to survey PTSD symptoms in maltreated children. In the current study, without protective services information to supplement parent and child report, diagnosing PTSD was missed in a significant proportion of the cases. Collaboration between mental health professionals and protective service workers is critical in determining psychiatric diagnoses and treatment needs of children involved with the child welfare system.

Improving the retention of child welfare workers by strengthening skills and increasing support for supervisors.

Abstract: Increasingly, effective supervision has been found to be critical in the retention of child welfare workers. In 2006 the State of Missouri Children's Division implemented a supervisory strategic plan to concentrate on supervisory training and effectiveness, with the expectation that emphasis on supervision would improve the retention of frontline workers. Using annual responses to the survey of organizational excellence and retention data, this study examines perceptions of child welfare workers and supervisors on three workplace constructs. Analyses support hypotheses that retention of workers improved in the year following the implementation of the supervisory plan, and measures of supervisor effectiveness, team effectiveness, and job satisfaction also increased. Explanations of primary findings are provided and implications for practice and policy are discussed.

Predictors of undesired turnover for child welfare workers

Abstract: The persistently high turnover of child welfare staff hampers the ability of agencies to adequately serve families, children, and youth. This article presents the results of an experimental retention study using baseline demographic and attitudinal data collected from a child welfare worker survey, combined with employment data from a human resource database. Survival analyses and multilevel regression models identify the strongest predictors of intent to leave and actual turnover. Implications for research-based recruitment and retention strategies are discussed.

Overlooked: children with disabilities in residential care.

Abstract: While estimates suggest that 10% to 31% of children in residential care are identified as with a disability, little is known about their characteristics or functioning as compared to nondisabled peers. This study evaluated data of 123 children with (n=34) and without (n=89) disabilities in residential care to determine demographic, behavioral, mental health, and educational characteristics. Data included demographic, behavior checklist, and standardized mental health and academic measures. Results indicated that both groups presented elevated risks; however, scores for children with disabilities revealed even greater levels of need. Primary risks were found on indicators of behaviors (e.g., social functioning), mental illness (e.g., anxiety), and academic performance (e.g., general knowledge and reading). Implications, limitations, and recommendations for future research are discussed.

The voices of grandchildren of grandparent caregivers: a strengths-resilience perspective.

Abstract: This paper presents the perspectives of grandchildren who are cared for by 20 grandparents or great-grandparents. It is based on videotaped family interviews that were analyzed qualitatively, and it shows how the grandchildren portray their parents and how they talk about their grandparents, as well as the grandchildren's strengths and resources. This inquiry demonstrates the nature of the grandchildren's attachments to their grandparents and their resilience. Implications for child welfare practice are identified.

Identification of mental health service need among youth in child welfare.

Abstract: Despite the recognized importance of mental health concerns among youth in the child welfare population, data suggest a significant gap between children who need services and children who receive services. This paper aims to address this problem by focusing on the ways in which the system identifies--or fails to identify--children as needing mental health services. The paper reviews current guidelines, policies, and practices for mental health screening and assessment of youth in child welfare including available evidence-based screening instruments that have been evaluated in child welfare or other settings. It is concluded that the use of evidence-based screening and assessment instruments will improve the identification of children needing mental health services and offer the opportunity to provide appropriate care to children who are currently being overlooked.

Individuals with Disabilities Act of 2004 and the John H. Chafee Foster Care Independence Act of 1999: What are the policy implications for youth with disabilities transitioning from foster care?

Abstract: Youth with disabilities who are transitioning out of foster care are at high risk for poor adult outcomes. Although there are not definitive studies, research estimates that between 50% and 80% of youth in the child welfare system are youth with disabilities (United Cerebral Palsy & Children's Rights, 2006). The John H. Chafee Foster Care Independence Act of 1999 expanded transition services for youth aging out of foster care; the Individuals with Disabilities Education Act of 2004 continues the federal commitment to transition supports for youth with disabilities through special education services. This article examines the similarities and differences between the transition mandates in each of the two laws and makes recommendations for policy improvements.

The effects of training reinforcement on training transfer in child welfare.

Abstract: The purpose of this research was to compare the impact of different training methods on training transfer. Child welfare workers were assigned to one of three groups: classroom training only, classroom training plus reinforcement, and no training. The effect of these different training approaches on the transfer of assessment and case planning skills from the training was examined through a review of 120 child welfare case records. Results indicated that providing both training and reinforcement yielded a higher level of transfer than training alone or no training.

Removing barriers to educating children in foster care through interagency collaboration: a seven county multiple-case study.

Abstract: This multiple-case study examines interagency collaboration between child protective services (CPS), local education agencies (LEAs), and other public agencies in seven California counties. These agencies were provided technical assistance to remove barriers impeding the education of children in foster care and improve their educational outcomes. Results of this study suggest that making changes to remove educational barriers for foster children and improve their educational outcomes requires successful collaboration between CPS and LEAs and strong leadership within at least one of the agencies.

Design teams: A promising organizational intervention for improving turnover rates in the child welfare workforce

Abstract: This purpose of this article is to describe results from a quasi-experimental study investigating the effects of an intervention designed to address organizational causes of turnover in public child welfare. Much of the previous research in this area has used proxy measures for turnover while the current study measures both worker intent to leave and actual turnover rates. This study adds to the knowledge base by (1) describing an organizational intervention aimed at addressing the organizational causes of turnover; (2) analyzing quantitative changes in actual turnover rates as well as organizational factors; and (3) analyzing supplemental qualitative data to provide a deeper understanding of the organizational changes that occurred through the course of the intervention.

Realistic job previews in child welfare: state of innovation and practice.

Abstract: We review the uses of realistic job previews (RJPs) for recruitment, selection, and retention of child welfare employees. We describe the history of development of RJPs in child welfare, summarize the contents of 10 RJPs, and report on interviews with human resources personnel and other key informants about how RJPs were developed and how they are used in child welfare recruitment and selection. Outcome data on the effectiveness of RJPs were available from one state, Michigan; these findings are reported.

North African and Latin American parents' and adolescents' perceptions of physical discipline and physical abuse: when dysnormativity begets exclusion.

Abstract: This research documents the cultural norms around physical discipline and physical abuse among immigrant parents and youth, and assesses the impact that perceived divergences in these norms have on the relation between the family and the outer social world. Interviews were conducted with 10 parents and 10 adolescents from North African Arab countries, and 10 parents and 10 adolescents from Latin America living in Canada. Results highlight that divergent discipline practices were perceived by participants as an important source of tension when they were accompanied with a demeaning image, projected by the host society onto the immigrant family. Language: en

A longitudinal evaluation of the preservice training and retention of kinship and nonkinship foster/adoptive families one and a half years after training.

Abstract: A comprehensive evaluation of the Parent Resources for Information Development and Education (PRIDE) foster/adopt preservice training and resource family development program was conducted one and a half years after training. Results indicate PRIDE is an effective training, family development, and retention program whose lessons stay with the participants well after they have completed the program. Knowledge tests were administered to participants before PRIDE training, at graduation from training, and 18 months after the completion of training. This is the subsequent study to the Christenson and McMurtry (2007) publication titled "A Comparative Evaluation of Preservice Training of Kinship and Non-Kinship Foster/Adoptive Families."

The restraint spiral: emergent themes in the perceptions of the physical restraint of juveniles.

Abstract: This qualitative investigation explores the experiences of both children who were physically restrained in a juvenile facility and that of the adult professionals who restrained them. Among the major themes identified were the rationalizations of safety and noncompliance for restraint use by the adults. Children associated fear, anger, and retraumatization with the experience of being restrained. Both the children who were restrained and the adults who restrained them identified lingering emotional and behavioral postrestraint effects. Restraint incidents were found to follow a predictable 10-layered behavioral spiral. Implications for practice and further research are explored.

Challenges of transcultural placements: foster parent perspectives.

Abstract: A random sample of licensed foster parents in a central Canadian province was asked, "What are the challenges of fostering children who have different values, beliefs, and traditions than you?" In response to this question, 49 unique responses were made and grouped together by foster parents. Seven themes emerged from the analysis: understanding, respecting, learning, compromising, disagreements, child's feelings, and teaching. Several differences were found between the literature and study participants, suggesting areas worthy of future research.

A research-based child welfare employee selection protocol: strengthening retention of the workforce.

Abstract: This article describes the development and initial implementation of a new employee selection protocol (ESP) for child welfare grounded in the results of recent large-scale employee retention studies and a set of research-based, minimally essential knowledge, skills, abilities, and values. The complete ESP consists of a sequenced set of Web- and site-based assessment processes and procedures for potential applicants. Using the ESP, applicants and employers make informed decisions about the goodness of fit between the applicant and the demands of a career in child welfare. To date, the new ESP has been piloted in three Georgia Division of Family and Children Services (DFCS) regions and implemented by all nine colleges and universities participating in IV-E child welfare education programs. Evaluation data collected from students and new employees in one DFCS region strongly support the value of the ESP Web-based activities to make a more informed decision about whether to apply for the IV-E stipends and child welfare positions. Feedback from trained ESP assessors supports the value of various ESP activities. A major goal of implementing the ESP is to select more professionally committed and highly qualified applicants to strengthen employee retention and outcomes for children and families.

Best practices for mental health in child welfare: parent support and youth empowerment guidelines.

Abstract: This paper, the second in a series of two guideline papers emerging from the 2007 Best Practices for Mental Health in Child Welfare Consensus Conference, provides an overview of the key issues related to parent support and youth empowerment in child welfare and presents consensus guidelines in these important areas. The paper also discusses some of the implications these guidelines have for the child welfare field.

Emerging issues at the intersection of immigration and child welfare: results from a transnational research and policy forum.

Abstract: In July 2006, the American Humane Association and the Loyola University Chicago School of Social Work facilitated a roundtable to address the emerging issue of immigration and its intersection with child welfare systems. More than 70 participants from 10 states and Mexico joined the roundtable, representing the fields of higher education, child welfare, international immigration, legal practice, and others. This roundtable created a transnational opportunity to discuss the emerging impact of migration on child welfare services in the United States and formed the basis of a continued multidisciplinary collaboration designed to inform and impact policy and practice at the local, state, and national levels. This paper presents the results of the roundtable discussion and summarizes the emerging issues that participants identified as requiring attention by child welfare systems to facilitat positive outcomes of child safety, permanency, and well-being. Suggestions for further research and implications for policy and practice are also presented.