Health Literacy in High-Risk Youth: A Descriptive Study of Children in Residential Care

Although previous studies have demonstrated that children in out-of-home care present with elevated levels of mental and physical health, educational, and behavioral problems, little is known about youth's ability to manage health care needs or access health information and support. This study evaluates the health literacy skills of 229 youth served in a residential setting. Results revealed that the majority of youth demonstrated some level of risk, and anywhere from one-quarter to one-third demonstrated significant health literacy deficits suggesting a need for additional research and treatment intervention. Implications, study limitations, and recommendations for practice and future research are discussed.     

Chapter 12. Conclusion-Looking Ahead

Abstract

Attention is drawn to important themes thought likely to influence the continuing development of group care services for children and young people in the decade ahead. These include a poorly educated workforce, autonomous training, multi-disciplinary approaches, centres of excellence, diversified programs, new trends and issues shaping the future, and group care practice and the law.     

Chapter 7. Creating and Sustaining a Culture of Group Care

Abstract

Group care centers are established to provide a range of living, learning, treatment, and supervisory opportunities for children and young people who, for a variety of reasons, need alternative, supplementary, or substitute care. It is important, therefore, that group care centres establish an organizational climate, ethos, or culture of caring that is consistent with these objectives. This is achieved through internal organizational design, administrative routines, maintaining the physical environment, and support for staff team functioning, including attention to Specific work methods.     

比利时养老模式对我国养老体系建设的启示

比利时作为典型的欧洲发达国家,在养老体系和长期照护制度建设上积累了较为成功的经验.本研究归纳和分析比利时养老模式、相关养老法规政策、养老经费筹集以及服务提供方的资质等,意在为进一步完善我国的养老体系提供参考.当前,比利时形成了居家养老、短期照护、老年公寓、养老院、老年护理院和老年病房等6种养老模式,并具有完善的法规和政...     

Subject Index

No abstract available for this article.     

The Estonian way of deinstitutionalisation. Experiences from an ethnographic research in SOS Children’s Village

This study provides insight into change processes of child residential care as depicted by ethnographic research on Estonian SOS Children’s Villages (SOS CV). Through the analysis of daily life in substitute homes, this study aimed to gain an in-depth and contextualised understanding of this deinstitutionalisation process. The changing approach of SOS CVs from institutional village-life-based to community-based approaches where nonbiological children are raised is discussed. The interpretation of said changes as deinstitutionalisation and their complicated nature is outlined. The latter is attributed to the divergent effects of activities. The findings ultimately lead to the conclusion that such change processes result in both challenges and difficulties to the Estonian substitute care system.     

The Project for the Education of Israeli Children in the Kibbutz Movement

Summary

In Israel there are various settings in which children can be raised if for various reasons they cannot live with their families. This article describes one of these programs, The Project for the Education of Israeli Children (Mif'al Lehahsharat Yaldei Israel) (Brashi, 1994), and focuses on the role of the kibbutz movement. The Project is special in that children are placed in foster families (or family homes), offering them not only warmth and love but also the opportunity for a remedial experience of family life in functioning families that provide physical and emotional support. The first part presents a general outline of the Project, and the second part describes the development of the Project in the kibbutz movement: the absorption procedures, the foster families and foster family homes, and the advantages and difficulties of absorbing children within a kibbutz framework.     

Chapter 13: Group Therapy for Birth Parents of Children in Foster Care

Psychological impairments render many biological parents of children placed in treatment foster care incompetent to meet child-rearing tasks. Service agreements identify and address critical areas of dysfunctioning but do not engage parents in a broader inventory of their parental functioning and dysfuntioning. A group method provides mutual support, exploration, and a positive child-rearing model. A clinical assessment of parenting that highlights ongoing developmental needs of nurturance and empathy, limit setting, structure, role modeling, reality testing, and separation and individuation is used to promote progress. Parents gain insight into their own overall impairments, origin of impairments, and compensatory techniques. Parents recognize broader responsibility for parenthood enhancing reunification efforts.     

Foreword

No abstract available for this article.     

The Development of a Parent Support Group as a Means of Initiating Family Involvement in a Residential Program

SUMMARY

Working with the families of children in residential care is critical to the success of the placement. For a variety of reasons, parents of adolescents in one residential setting were not receiving adequate services during placement. A parent support and education group was designed and implemented to provide opportunities for parents to access support, learn new parenting skills and, ultimately, optimize their relationships with their children. The responses of both parents and staff to this program were favorable. The group is now a regular component of the organization's range of services, and served as a springboard to enhance family involvement in other program areas.     

Chapter IV: Child Welfare Education:

No abstract available for this article.     

Finding Identity in Family Work

SUMMARY

The family has always enjoyed an elevated status in Ireland, yet it was not until the mid-1990s that family-based intervention work really found expression in a new division of child and youth care: community child care-workers. This paper introduces readers to an area of child and youth care work in Ireland devoted to an ecological understanding of the child “at risk” and working with the child and the child's family outside of a residential or institutional setting. The paper includes a brief interview with a community child care-worker, observations from a master's student in social care who has also worked in community child care, and concludes by reviewing 12 key areas community child care-workers must address if their status is to be secured in the Irish child and     

Chapter 4: Social Learning Principals:

No abstract available for this article.     

Chapter 11: Therapeutic Foster Parent:

Training can help foster parents manage reactions to the foster child, avoid stress and burnout, and cope with the difficult times so that placement is sustained. Training is necessary so foster parents will not take the child's aggressive behavior personally, will avoid becoming embroiled in power struggles, and will be less likely to become hurt or embarrassed by the child's behavior. Training will involve individual consultation by the social worker as well as participation in a foster parent group. Staff will assistn foster parents to develop behavioral management and communication skills as well as their own coping and self-control skills. Foster parents are given permission to take care of their own needs, are assisted in developing stress management skills, learn how to increase their own self-esteem, and learn to use cognitive approaches to handle their own emotions. Foster parents develop an understanding that they cannot change the child's behavior but can only change the way which they respond to the child, which may provide the child opportunities to change his or her own behavior.     

Changing Images in Books for Young People

Literature for young people has changed greatly since Severzteeiztlz Suinrner and Fifreerz were published. Society has changed greatly, too, in the last few decades. Many modern books reflect society's involvement with drugs, sex, alcohol, and violence. Teenagers will read a great variety of stories and view different images of themselves and their times.     

Creating an Extrafamilial Living Environment

Abstract

As human actors, the staff members and children who inhabit a residential center do not just react to their physical and social environment. In many ways they can be said to enact or create it.     

Guidelines in Child and Youth Care Family Work

SUMMARY

There are many paths that can be taken with the families we encounter in our work. It is this richness in options that can make the child and youth care approach so powerful. However, amongst each potential path there are a number of common guideposts that serve as markers for our interactions with families. These guiding principles are described through the use of examples from a family in a program for teens who are parenting.     

Name Index

No abstract available for this article.     

Chapter 11. The Economics of Group Care Practice

Abstract

For the past two decades, economic influences have significantly impacted the provision of health and welfare services for children, young people and their families in communities around the world. The dynamic of cost has reshaped both the nature and provision of group care services, promoting de-institutionalization and transforming the nature of caring services offered in local communities. In a reappraisal of themes identified in his seminal contribution more than two decades ago, this leading authority looks back at key themes impacting on the economics of social care that shape group care services for the new millennium.