scholarly journals The Extent of Stability and Relational Permanence Achieved for Young Children in Care in Northern Ireland

2018 ◽  
Vol 43 (2) ◽  
pp. 124-134 ◽  
Author(s):  
Dominic McSherry ◽  
Montserrat Fargas Malet

Placement stability is sought for children who enter care and need a place to call home. This is deemed to be necessary for the formation and continuation of secure and loving relationships with parents and carers. However, the term placement stability does not capture the quality of the placement or the subjective experience of the young person. In contrast, the term relational permanence denotes an enduring and supportive relationship between a young person and a caring adult. Research studies have tended to focus on placement stability, or legal and physical permanence, and overlook relational permanence. Within the current study, we found high levels of long-term placement stability for the study population, 354 young people who were under five and in care in Northern Ireland on the 31st March 2000. Placements for those who were adopted, on Residence Order, and rehabilitated with birth parents were more likely to be stable than those in long-term foster care and kinship foster care. However, early interview data with 30 young people and/or their parents/carers revealed high levels of relational permanence, irrespective of placement type, and that placement disruption did not necessarily mean a breakdown in the relationship. Implications for policy and practice are discussed.

2019 ◽  
Vol 19 (5-6) ◽  
pp. 1111-1129 ◽  
Author(s):  
Lisa Moran ◽  
Caroline McGregor ◽  
Carmel Devaney

This paper focuses on qualitative findings on how young people in long-term foster care in Ireland interpret permanence and stability. We focus principally on subjective and relational permanence, emphasising the significance of these concepts for social work, while extending some conceptual approaches to permanence. Importantly, findings from this study highlight conceptual gaps in how permanence and stability are conceptualised in research and we outline an approach which more fully embraces the multi-dimensionality of young people’s life experiences and emotions. Recent studies underline that permanence encompasses several elements (e.g. ecological, legal). However, this paper extends current research in illustrating how Irish young people in foster care experience permanence and stability every day, and how these experiences embrace discursive, emotional and temporal dimensions.


2018 ◽  
Vol 42 (2) ◽  
pp. 176-188 ◽  
Author(s):  
Justin Rogers

This article presents findings from research into how young people growing up in foster care in the UK manage the relationships in their social networks and gain access to social capital. It is a concept that highlights the value of relationships and is relevant to young people in care as they have usually experienced disruptions to their social and family life. Qualitative methods were used and the findings show that despite experiencing disruption to their social networks, the young people demonstrated that they were able to maintain access to their social capital. They achieved this in two ways. Firstly, they preserved their relationships, often through what can be seen as ordinary practices but in the extraordinary context of being in foster care. Secondly, they engaged in creative practices of memorialisation to preserve relationships that had ended or had been significantly impaired due to their experience of separation and movement. The article highlights implications for policy and practice, including the need to recognise the value of young people’s personal possessions. Furthermore, it stresses the need to support them to maintain their relationships across their networks as this facilitates their access to social capital.


2021 ◽  
Author(s):  
Rochelle Ann Burgess ◽  
Nancy Kanu ◽  
Tanya Matthews ◽  
Owen Mukotekwa ◽  
Amina Smith-Gul ◽  
...  

Within high-income-countries, the COVID-19 pandemic has disproportionately impacted people from racially minoritised backgrounds. There has been significant research interrogating the disparate impact of the virus, and recently, interest in the long-term implications of the global crisis on young people’s mental health and wellbeing. However, less work explores the experiences of young people from racialised backgrounds as they navigate the pandemic, and the specific consequences this has for their mental health. Forty young people (age 16-25) from black, mixed and other minority backgrounds and living in London, participated in consecutive focus group discussions over a two-month period, to explore the impact of the pandemic on their lives and emotional wellbeing. Thematic analysis identified seven categories describing the impact of the pandemic, indicating: deepening of existing socioeconomic and emotional challenges; efforts to navigate racism and difference within the response; and survival strategies drawing on communal and individual resources. Young people also articulated visions for a future public health response which addressed gaps in current strategies. Findings point to the need to contextualize public health responses to the pandemic in line with the lived experiences of racialised young people. We specifically note the importance of long-term culturally and socio-politically relevant support interventions. Implications for policy and practice are discussed


1997 ◽  
Vol 4 (1) ◽  
pp. 42-53
Author(s):  
Maeve McColgan ◽  
Judith Smith

2016 ◽  
Vol 101 (9) ◽  
pp. e2.54-e2
Author(s):  
Jeff Aston ◽  
Keith Wilson ◽  
David Terry

AimTo identify the experiences of patients, parents or carers when a child/young person is prescribed a new long-term medicine.MethodPatients' prescribed a new long-term (>6 weeks) medicine were recruited from a single UK paediatric hospital out-patient pharmacy.A semi-structured questionnaire was administered to participants, via telephone, 6 weeks after the dispensing of their medicine. The questionnaire included the following themes: information requirements, resources used to seek further information, medicine administration issues, new concerns or questions that have arisen, adverse effects, arranging repeat supplies and an assessment of adherence.The results were analysed using Microsoft Excel 2013 and NVivo Version 10.ResultsFifty patients consented and were included in the study. Eighteen (36%) participants had undertaken further research prior to taking/administering their new medicine. 13 (72%) of these used the internet for further information. Participants had further concerns/questions in 18 (36%) cases with 7 (38.9%) contacting the hospital team for further advice. Thirteen (26%) participants experienced difficulty administering/taking the medicine. Sixteen (36%) believed that they had experienced an adverse effect. Eight (16%) participants experienced difficulties when obtaining further supplies. With regard to adherence, 17 (34%) participants had forgotten a dose on at least one occasion and 4 (8%) found it difficult to keep to the medication regimen.ConclusionThis research has demonstrated that paediatric patients, parents and carers experience a wide range of issues during the first few weeks after starting a new medicine. This is in accordance with a recent review of non-adherence in paediatric long-term medical conditions.1 The New Medicines Service (NMS) offered through community pharmacists is designed to support patients' who have recently been prescribed a medicine to manage a long-term condition.2 However, this is not readily available to children/young people or their carers. The main barriers being the targeted conditions included in the service, consent and exclusion of undertaking an NMS consultation with a carer. Further research is required to establish and evaluate a paediatric specific medication review service for children/young people and their parents/carers when a new long-term medicine has been prescribed. This research will support the recent research recommendation of the National Institute of Health and Care Excellence.3


2020 ◽  
Vol 113 ◽  
pp. 104901
Author(s):  
Rebecca Jackson ◽  
Bernadine Brady ◽  
Cormac Forkan ◽  
Edel Tierney ◽  
Danielle Kennan

2014 ◽  
Vol 204 (3) ◽  
pp. 214-221 ◽  
Author(s):  
J. M. Green ◽  
N. Biehal ◽  
C. Roberts ◽  
J. Dixon ◽  
C. Kay ◽  
...  

BackgroundChildren in care often have poor outcomes. There is a lack of evaluative research into intervention options.AimsTo examine the efficacy of Multidimensional Treatment Foster Care for Adolescents (MTFC-A) compared with usual care for young people at risk in foster care in England.MethodA two-arm single (assessor) blinded randomised controlled trial (RCT) embedded within an observational quasi-experimental case–control study involving 219 young people aged 11–16 years (trial registration: ISRCTN 68038570). The primary outcome was the Child Global Assessment Scale (CGAS). Secondary outcomes were ratings of educational attendance, achievement and rate of offending.ResultsThe MTFC-A group showed a non-significant improvement in CGAS outcome in both the randomised cohort (n= 34, adjusted mean difference 1.3, 95% CI −7.1 to 9.7,P= 0.75) and in the trimmed observational cohort (n= 185, adjusted mean difference 0.95, 95% CI −2.38 to 4.29,P= 0.57). No significant effects were seen in secondary outcomes. There was a possible differential effect of the intervention according to antisocial behaviour.ConclusionsThere was no evidence that the use of MTFC-A resulted in better outcomes than usual care. The intervention may be more beneficial for young people with antisocial behaviour but less beneficial than usual treatment for those without.


2014 ◽  
Vol 39 (2) ◽  
pp. 87-92 ◽  
Author(s):  
Frank Ainsworth ◽  
Patricia Hansen

The media coverage of foster care in Australia is replete with adoration for foster carers who look after disadvantaged and difficult children and youth. As this article is being written, New South Wales is holding a ‘foster care week’ with enhanced media coverage and praise for foster carers, the recruitment of new foster carers and acclaim for the ‘foster carer of the year’. Yet, there is another side to foster care that offers less than ideal circumstances for children in care. There is the worrying issue of multiple placements, the problem with children and young people running away from foster care before they reach the legal age for discharge, and evidence of increased incidence of poor educational attainment and involvement in juvenile offending for young people in foster care. In addition, there are cases of foster children being abused by foster carers. As adults, former foster-care children and youth are over-represented among the homeless, in adult correction centres, the unemployed and the users of mental health services. This article documents these negative outcomes of entering the foster-care system, and asks whether family (or non-relative) foster care can survive this evidence. For too many children and young people, family foster care may not provide better outcomes than less-than-optimal parental care from which the children were removed. An alternative is to reduce the use of family foster care and increase intensive support and parenting education services for birth parents who have limited parenting capacity. The aim should be to limit the number of children being taken into care.


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