Search Results (289)

This study focuses on the current service/care difficulties and challenges that social institutions in Hungary are facing during their daily operations; how they can react to them utilizing their internal resources, mechanisms, and capacities; and what concrete, tangible needs and demands are emerging in terms of methodological professional support, potential forms, interventions, and direction for professional development. A total of 24 general and 55 specific service and operational problems were identified and assessed in eight different service areas (family and child welfare services, family and child welfare centers, respite care for children, care for the homeless, addiction intervention, care for people with disabilities, care for psychiatric patients, specialized care for the elderly, and basic services for the elderly). The empirical base of the study uses a database of 201 online questionnaires completed by a professional target group working for social service providers in two counties (Győr-Moson-Sopron and Veszprém), representing 166 social service providers. The questionnaires were completed between November and December of 2022. The findings will be used to develop a professional support and development problem map. Social institutions face complex and serious service/care difficulties and challenges in their daily operations. Three distinctive basic problems clearly stand out in both severity and significance from the complex set of factors assessed. The biggest problem in the social care system is clearly the complex challenge of low wages, followed by the administrative burdens in the ranking of operational difficulties, and the third key factor was the psycho-mental workload of staff. Full article

In 2023, the USDA reported that 17.9% of U.S. households with children were food insecure, meaning they had limited or uncertain access to adequate food. However, there is evidence that far more children experience food insecurity than is currently being reported, and the effects of that insecurity on child health and development are broad and far-reaching. Childcare and early childhood education centers are particularly well-positioned to make a difference yet are often not discussed in the scientific literature. Childcare arrangements provide meals and snacks to the children they serve, buffer the effects of food insecurity by supporting children’s cognitive and social–emotional development, and provide an important point of intervention for food-insecure families. In this report, we unpack the definition of food insecurity and who is considered food insecure, review how food insecurity impacts child health and development across physical, social–emotional, and cognitive domains, and explore the evidence behind childcare’s role in addressing childhood food insecurity. Additionally, we make recommendations for policy and practice, advocating for a multi-stakeholder approach, with a special focus on how childcare providers can change to best combat children’s food insecurity. Full article

Background: Foster care alumni face increased health challenges across the domains of mental and physical health, yet there is a paucity of research examining the associations between care experiences, health, and sleep quality in alumni aged 30 and above. Objectives: Our exploratory mixed-method study examined the sleep quality of North American group care leavers aged 30+ to understand whether sleep quality in adulthood is associated with earlier child welfare system experiences during childhood and adolescence. Secondly, we examined the association between sleep quality and overall concurrent health. Methods: Using a convenience sample of 41 alumni of care aged 30–85 and 16 qualitative interviews, we explored the intricate connections between group care leavers’ developmental trauma, sleep quality, and health. Linear regression and qualitative content analysis were utilized to understand how sleep was related to well-being in aging care alumni. Results: Adult sleep was significantly associated with the perceived quality of their youth out-of-home placement experiences (β = 0.421, p < 0.01), controlling for friendship support networks and demographic variables. Adult sleep quality was a significant predictor of overall health (β = −0.328, p < 0.05). Qualitative interviews elucidated insights into the importance and linkages of child welfare system experiences, adult sleep, and well-being. Conclusions: Our research highlights the enduring association between child welfare placement experiences, and sleep functioning well into adulthood, even when accounting for contemporaneous social support and other demographic indicators. Practitioners should be inquiring directly about sleep, and future longitudinal research should delve deeper into the nature of sleep difficulties and their association with health and well-being. Full article

Social work has long operated at the intersection of care and control—nowhere is this more apparent than in its treatment of sex-working parents. This article draws on participatory research with thirteen sex-working parents in California to examine how the child welfare system, family court, and public benefit infrastructures extend punitive surveillance under the guise of support. Utilizing the framework of prison industrial complex abolition, the analysis identifies three key findings: first, family policing systems often mirror the coercive dynamics of abusive relationships that sex work helped participants to escape; second, access to social services is contingent on the performance of respectability, with compliance met not with care but with suspicion and deprivation; and third, sex-working parents enact abolitionist praxis by creating new systems of safety and stability through mutual aid when state systems fail. As social work reckons with its complicity in the carceral state, the everyday practices of sex-working parents offer a powerful blueprint for care rooted in trust, unconditional positive regard, and self-determination. Full article

Background: Peer bullying is a global problem affecting youth around the world that can impact youth development including school engagement. The relationship between child maltreatment and school bullying victimization and perpetration is well known. However, few studies have explored the extent of bullying among vulnerable groups of adolescents. Youth in orphanage care may be at higher risk of both maltreatment and bullying because of the circumstances and stigma that brought them into care. This study aimed to examine peer bullying victimization among adolescents residing in orphanage care compared to a national sample of adolescents in South Korea, and to investigate the mediating effect of bullying victimization on the relationship between child maltreatment and school engagement. This comparison allowed for an examination of how caregiving contexts may differentially influence the impact of maltreatment and bullying on school engagement. Methods: Data from the national Korean Welfare Panel Study (KoWePS) 7th wave (n = 521) and a study of 153 South Korean adolescents in orphanage care were merged into one dataset (n = 675). Analysis included descriptive and bivariate statistics, two simple mediation analyses, and multiple regression analysis to verify mediation effects using PROCESS Macro. Results: Adolescents in orphanage care reported significantly higher bullying victimization and lower school engagement than the national sample. Negative correlations were identified between child maltreatment, bullying victimization, and school engagement among adolescents in orphanage care. Importantly, bullying victimization significantly mediated the relationship between child maltreatment and school engagement within this group. Conclusions: These findings highlight the complex relationship between maltreatment and bullying victimization, emphasizing the need for comprehensive interventions addressing both maltreatment and peer bullying to enhance school engagement among vulnerable youth. Full article

To reduce the risk of COVID-19 infection, transmission and illness during the pandemic, the Department for Education (DfE) issued guidance to schools. However, research on how the school community perceives the impact of the COVID-19 mitigation measures outlined remains limited. This qualitative study aims to explore the effects of school closures and in-school mitigation measures on daily school life, as well as their impact on mental health and wellbeing from the perspective of English secondary school staff and students. Participants were purposively sampled from English secondary schools serving diverse communities participating in the COVID-19 Mapping and Mitigation in Schools study (CoMMinS). Selection ensured representation of staff roles and student demographics. Semi-structured interviews were conducted remotely, and data analysed thematically. Interviews took place between January and August 2021 with participants from five secondary schools (20 staff and 25 students). Both staff and students reported significant disruption to school life, with four themes identified: (1) teaching and learning impact, (2) social impact, (3) safeguarding impact, and (4) and mental health and wellbeing impact. Findings highlight widespread negative effects across every aspect of school life, for both staff and students. This study suggests that COVID-19 mitigation measures in UK secondary schools led to a sense of loss and uncertainty as well as increased self-reported stress among both staff and students. Full article

This article introduces the Third Space of Indian child welfare to theorize how Indigenous nations simultaneously engage and disrupt settler legal systems while building sovereign, care-based alternatives. Drawing from legal analysis, Indigenous political thought, and sociohistorical synthesis, I trace the historical continuity from boarding schools to today’s foster care removals, showing how child welfare operates as a colonial apparatus of family separation. In response, Native nations enact governance through three interrelated strategies: strategic legal engagement, kinship-based care, and tribally controlled family collectives. Building on Bruyneel’s theory of third space sovereignty, Simpson’s nested sovereignty, and Lightfoot’s global Indigenous rights framework, I conceptualize the Third Space as a dynamic field of Indigenous governance that transcends binary settler logics. These practices constitute sovereign abolitionist praxis. They reclaim kinship, resist carceral systems, and build collective futures beyond settler rule. Thus, rather than treating the Indian Child Welfare Act (ICWA) as a federal safeguard, I argue that tribes have repurposed ICWA as a legal and political vehicle for relational governance. This reframing challenges dominant crisis-based narratives and positions Indigenous child welfare as the center of a “global Indigenous politics of care” with implications for theories of sovereignty, family, and abolitionist futures across disciplines, geographies, and social groups. The article concludes by reflecting on the broader implications of the Third Space for other Indigenous and minoritized communities navigating state control and asserting self-determined care. Full article

The ability of parents to maintain and develop family ties after a child is placed in public care is a fundamental yet challenging aspect of child welfare. While legal frameworks emphasize the preservation of parent–child relationships, limited research has explored how access to information affects parental involvement over time. This study draws on qualitative semi-structured interviews with 31 parents whose children were placed in public care to explore how parents experience information-sharing structures within child welfare services and how these experiences influence their ability to maintain and develop family ties with their children. A thematic analysis identifies three key themes: (1) lack of information, (2) conflicting and inconsistent information, and (3) bureaucratic barriers and systemic obstacles to information. Findings indicate that restricted and unpredictable access to updates fosters uncertainty, emotional distress, and a weakening sense of parental identity. Moreover, discretionary decision-making and institutional constraints contribute to inconsistencies in communication, further reinforcing parental exclusion. These findings highlight the role of information sharing as more than an administrative function; it is a structuring mechanism that facilitates or hinders ongoing parent–child relationships. The study highlights the importance of establishing clearer and more consistent communication structures to ensure that parents remain informed and can maintain a relationship with their child in public care. Full article

This study discusses how cultural interpretations of the foster parent role might shape perceptions and practices related to the temporariness of care and reunification with biological families. Employing a contrastive-comparative approach, the study compares interviews with seven Japanese foster parents, with prevailing discourses surrounding the foster parent role in Norway. The findings suggest that the Japanese foster parents implicitly recognize the temporariness of their role. In contrast, the Norwegian foster parent role has typically been associated with an emphasis on the risks associated with separation from new attachment figures, which may be perceived as detrimental to children’s well-being. We argue that this conceptualization, which frames children as inherently vulnerable, may shape the foster parent’s role as one of protection, with a primary focus on shielding the child from disruption and fostering a secure attachment. This perspective, we suggest, could have implications for the temporariness of children’s care placements and the process of reunification. The study calls for a critical examination of the values underlying current child protection practices and encourages openness to alternative perspectives, including those informed by different cultural contexts. Full article

Establishing good contact arrangements between children in public care and their parents is of great significance for those involved. To ensure the child’s protection and safety, supervised contact may be necessary. This can be a complex situation that necessitates high-quality social work and thorough reflection. Empirical data were derived from a vignette study and eight focus groups conducted by the Norwegian Child Welfare Services. Our research considers the following questions: How does supervised contact become a theme when assessing contact arrangements for children and parents after the child has been taken into care, and how is the concept of supervised contact understood by social workers? The findings show that supervised contact may be recommended for various reasons, such as control, support, and safety, to observe and gather more information. This study reveals a need for social workers to develop greater awareness in their assessments and decisions regarding the implementation of supervised contact. It is important to explore the various ways supervised contact is conceived and practiced. We also need to critically discuss the opportunities and challenges it represents, as well as the need to provide support and guidance to the child and parents and facilitate positive collaboration with child welfare services. Full article

Background/Objectives: Nonverbal synchrony—the temporal coordination of physical behaviors such as head movement and gesture—is a critical component of effective social communication. Individuals with autism spectrum disorder (ASD) are often described as having impairments in such synchrony, but objective and scalable tools to measure these disruptions remain limited. This study aims to assess body motion synchrony in ASD using phase-based features as potential markers of social timing impairments. Methods: We applied a phase difference detection algorithm to high-resolution triaxial accelerometer data obtained during structured, unidirectional verbal communication. A total of 72 participants (36 typically developing TD–TD and 36 TD–ASD) were divided into dyads. ASD participants always assumed the listener role, enabling the isolation of receptive synchrony. Four distribution-based features—synchrony activity, directionality, variability, and coherence—were extracted from the phase difference data to assess synchrony dynamics. Results: Compared to the TD group, the ASD group exhibited significantly lower synchrony activity (ASD: 5.96 vs. TD: 9.63 times/min, p = 0.0008, Cohen’s d = 1.23), greater temporal variability (ASD: 384.4 ms vs. TD: 311.1 ms, p = 0.0036, d = 1.04), and reduced coherence (ASD: 0.13 vs. TD: 0.81, p = 0.036, d = 0.73). Although the mean phase difference did not differ significantly between groups, the ASD group displayed weaker and more irregular synchrony patterns, indicating impaired temporal stability. Conclusions: Our findings highlight robust impairments in nonverbal head motion synchrony in ASD, not only in frequency but also in terms of temporal stability and convergence. The use of phase-based synchrony features provides a continuous, high-resolution, language-independent metric for social timing. These metrics offer substantial potential as behavioral biomarkers for diagnostic support and intervention monitoring in ASD. Full article

This study examines how the Norwegian Child Welfare Tribunal justifies regulating telephone and digital communication between children in public care and their parents. The regulation of such contact represents a distinct form of state interference in family life and must adhere to principles of necessity, proportionality, and respect for children’s rights. Using a thematic analysis of 34 Tribunal decisions involving 44 children, the study identifies four central themes: ensuring stability and emotional security, addressing parental behavior, balancing proportionality and necessity, and considering the child’s view. The Tribunal’s reasoning often reflects a cautious, preventive approach, prioritizing emotional stability. However, the lack of transparent assessments of necessity and inconsistent inclusion of children’s perspectives raises concerns about proportionality and children’s autonomy. Additionally, the limited involvement of children in these decisions risks making restrictions difficult to implement in practice, as children may not understand or agree with them and instead seek unregulated contact. The findings underline the need for clearer justifications and more consistent consideration of a child’s view to ensure that decisions align with their best interests and remain feasible in practice. Full article

Background/Objectives: This study explores how children with cerebral palsy (CP) and their parents experience botulinum toxin type A (BoNT-A) treatment, focusing on emotional and procedural challenges and communication within the triad of children, parents, and healthcare providers. Methods: This qualitative sub-study was conducted within the WE-study, a randomized controlled trial on BoNT-A effects in children with CP. Semi-structured interviews with 20 parents and 18 children (aged 4–15 years, GMFCS I–II) were thematically analyzed. Results: Three themes were identified: Preparing for the treatment, Being in the moment, and Adapting after treatment. Pre-procedural anxiety was common, with children describing nervousness or physical discomfort in the days before the treatment. During the procedure, pain management and sedation choices influenced children’s experiences, with healthcare providers being the primary source of information. After treatment, some children experienced temporary walking instability, but most quickly resumed daily activities. Communication primarily occurred between healthcare providers and each party individually, rather than through a triadic interaction. Conclusions: BoNT-A treatment involves both emotional distress and adaptation. Strengthening child-inclusive communication, structured preparation, and collaboration within the triad may improve treatment experiences and better align care with child-centered principles. Future research should explore strategies to enhance child involvement in repeated treatments. Full article

This commentary explores the innovative introduction of English Problem-Based Learning (PBL) scenarios into child and adolescent psychiatry at Nagoya University, Japan. Recognizing the increasing need for multicultural competence and English proficiency among Japanese medical students, our initiative aims to enhance clinical problem-solving skills and cultural awareness. Developed in collaboration with the Norwegian University of Science and Technology, these PBL scenarios address the unique challenges of treating patients from diverse cultural backgrounds. Implemented since 2018, our curriculum integrates these scenarios for fourth-year medical students, fostering an environment of active learning and intercultural communication. Surveys conducted in 2019 and 2021 reveal positive student attitudes towards this approach. This commentary highlights the significance of English PBL in modernizing medical education in Japan, promoting global readiness among future medical professionals and addressing the demographic challenges faced by Japanese universities. Full article

The theme of this article is how child welfare workers understand children’s reactions when they assess visitation between parents and children in public care in Norway. The data material consists of 35 transcribed, anonymised recordings of child welfare workers from different child welfare services across the country discussing visitation. The analytical approach is based on Sara Ahmed’s perspectives on discourses on emotions and how the circulation of emotions creates reactions. This has enabled an exploration of child welfare workers’ understanding of children’s reactions as hierarchical, produced by stigma and adaptations. This article shows the complexity present when child welfare workers consider visitation between parents and children in public care. It shows how children’s reactions to visitation can be interpreted and understood and how this affects the assessments that are made. The article provides an insight into how child welfare workers are influenced by societal discourses about what emotions are and what they do and how this is of significance when assessing visitation between children and parents. Full article