L'Etat social suisse face aux nouveaux risques sociaux: Genèse et déterminants de l'adoption du programme d'impulsion pour les structures de garde pour enfants bas age

In this article we highlight the factors and the mechanisms that influence decision making processes in the adoption of new social policies in Switzerland, on the basis of a recent example: the introduction in 2002 of a federal subsidy for new child care facilities. The article begins with a discussion of various hypotheses, inspired from the social policy literature. It then reviews the policymaking process that lead to the adoption of the new programme. In the final discussion, several factors are identified as co‐responsible for the success of the initiative: the convergence of interest of employers and the libertarian left, the favourable economic situation in the 2000 and early 2001 which facilitated the opening of a “window of opportunity”. The fact that the success of this initiative is related to a fairly large number of favourable factors, suggests that the adoption of this kind of measures will remain a politically difficult exercise.     

Family Drug Treatment Courts As Comprehensive Service Models: Cost Considerations

Literature on family drug treatment courts (FDTCs) suggests that parental participation in these courts is associated with improved substance abuse treatment and child welfare system outcomes. Despite these beneficial outcomes, FDTCs serve only 7‐10% of eligible child welfare involved families. As part of a FDTC evaluation, this FDTC site sought to provide stakeholders with information about costs and benefits. Considering the program costs alongside the cost avoidance from reduced time in foster care, this analysis determined that FDTC participation resulted in a net savings per child of $9,710. The cost component of the evaluation proved valuable, challenging, and informative.     

From Foster Care to Adulthood: The Role of Income

This study explores the role of income for young people with experience in foster care transitioning to adulthood. It draws on in-depth structured interviews with eight staff members and 38 current and former foster youths age 18 years and older, who were participants in an innovative program to build their assets and financial capability. Interviews took place in four sites in three states. This study illuminates how those with experience in foster care seek to obtain and manage money to transition successfully to adult financial roles. Findings suggest that early and practical experiences with money are important for gaining financial capability. The study also highlights the need for child welfare professionals to develop expertise in financial literacy and understand the pitfalls that lie in both traditional and nontraditional financial services. By deepening understanding among staff of the economic realities facing the young people today, child welfare agencies will be more likely to prepare former foster youths for life on their own.     

Early Care and Education for Children in the Child Welfare System: Evaluations of Two Training Programs

Despite evidence that early care and education services benefit at-risk children, they remain underutilized by families in the child welfare system. This article describes two training programs developed to educate child welfare and childcare/preschool staff about the importance of early care and education for maltreated children and how to access these services. A combined total of 274 trainees completed knowledge tests about this topic and significant pre- to post-training improvements indicate that both training programs effectively increased participants' knowledge about this important topic. In addition, improvement in self-assessed competency was observed for participants in one program, and positive changes in attitudes and anticipated practice behavior regarding childcare for foster children were observed among participants in the other.     

Foster Parent Strategies to Support the Functional Adaptation of Foster Youth

Individual interviews and focus groups with 35 experienced foster parents explored strategies that facilitate the functional adaptation of children transitioning into their care. Findings from this qualitative study suggest functional adaptation is enhanced by unconditional commitment by foster parents, “claiming” behaviors of foster children and parents, establishment of routines, support of birth family relationships, and advocacy for the youth across systems. Implications of this study support the vital role that foster parents have in helping children adapt to placement, and indicate that agencies can provide increased support for foster parents to better meet the needs of foster youth.     

Antipsychotic Use and Foster Care Placement Stability Among Youth With Attention-Deficit Hyperactivity/ Disruptive Behavior Disorders

The objective of this study was to investigate the association between antipsychotic initiation and placement transitions among youth in foster care with attention-deficit/hyperactivity disorder and other disruptive behavior disorders (ADHD/DBD). Data were obtained from child welfare administrative records and Medicaid claims in one Mid-Atlantic state from January 1, 2010, through March 31, 2014. Cox proportional hazard model was conducted to estimate the risk of time to first placement transition during the 180-day follow-up among new antipsychotic users and propensity score matched nonusers. Results showed youth initiating antipsychotics had no significant reduction in foster placement transitions within the 180-day follow up (Hazard Ratio = 1.1; 95% CI = 0.7–1.6). Although antipsychotics are widely used for aggressive behaviors, a better understanding of clinical management of youth in foster care is needed to promote stable foster placement.     

Learn,Frame and Deploy? Cross-National Policy Ideas and Comparisons in Turkey’s Health Reform

Comparative analysis in health policy not only helps us learn about the organization of health care systems and reforms in other countries but also addresses the difficulties of drawing cross-national policy lessons. This case study on the Turkish health reform of 2003 focuses on the national policy discourse to identify how cross-national ideas and comparative analyses are used by policymakers and other key stakeholders. Building on the ideational perspectives and Kingdon’s streams approach, it explores agenda setting and ideological framing activities. The results provide evidence for the political nature of the process whereby cross-national ideas were deployed in domestic policy battles.     

Consent to Treatment for Transgender Youth: The Next Chapter – Bell & Anor v The Tavistock and Portman NHS Foundation Trust & Ors

In September 2021, the Court of Appeal reversed the controversial decision of Quincy Bell v Tavistock and Portman NHS Trust in a victory for transgender rights. At first instance, the Divisional Court had set a high legal threshold for transgender children to attain Gillick competence to consent to treatment with puberty blockers – effectively restricting access to treatment for many. On appeal, the Court of Appeal held that children are capable in law of giving valid consent to treatment for gender dysphoria, and court authorisation would not be routinely required before children could access such treatment. This note considers the implications of the Court of Appeal decision for the law on minors and consent to medical treatment in the transgender health context.     

Who needs Daddy Warbucks: The Kinship Guardianship Assistance Program should apply to children of those who surrender their parental rights

Families who find themselves in the middle of child protective proceedings have three possible outcomes: (1) the family can reunify; (2) parents voluntarily surrender their parental rights; or (3) the parents have their rights terminated. While it seems we should support children in the second and third scenarios equally, having funding sources such as the Kinship Guardianship Assistance Program (KinGAP) only available to children of parents whose rights are terminated, does the opposite. This Note proposes amending the eligibility requirements of KinGAP to include children of parents who surrender their parental rights which would encourage positive safe placements for children.