Residential and Specialised Care Models: Outcomes for Children in Out-of-Home Care

December 28, 2007 by Char · 5 Comments 

Article by Charmayne (Char) PaulOsborn and Bromfield state that residential care may be the ideal option for some children in out-of-home care. This supports the conclusions of Bath (1998) and Barber and Gilbertson (2001) who found comparable health and well being outcomes across groups of foster/kinship and residential care.

The “continuum of care” requires a range of placement options to meet the diverse needs of children. It is suggested that for children with extreme behavioural-emotional responses a residential setting may provide the support, structure and therapeutic intervention that they need. There is a call in Australia for more research into innovative options for out-of-home care for children.

A meta-analysis of 9 Australian studies comparing foster/kinship and residential care between 1994 and 2006 concluded across the studies that for children with highly unstable placements, residential care might be more suitable. Their vulnerability to placement breakdown may exacerbate behavioural-emotional responses. A reasonable long-term option for sibling groups, high placement instability, and those moving on to independent living could well be some form of residential care.

Residential care needs to be recognised for the benefits that it can bring to some children with special needs. Child protection agencies need to explore a mix of out-of-home options. Evaluation of residential care options can bring significant change. The aim is to be better able to place a child in a matched environment early in the placement process. This protects secondary trauma; confusion, self-blame and aggression/dis-affective behaviours and cognitions.

The elements that characterise care (i.e., levels of discipline, routine, autonomy and free time) rather than the type of care (foster or residential) could be the determinate of how restrictive a placement will be. Instead of first placing a high needs child within a home setting, and risk multiple breakdowns and subsequent trauma, utilise residential care. Currently, many residential facilities in Australia do not actively implement and monitor intervention theories and models.

A greater use of treatment foster care involving specially trained foster carers whose remuneration and training is commensurate with the difficulty of the task they are undertaking” is also called for by Osborne and Bromfeild.
Family Focus Australia

Literature highlights the real need to address the limited number of care options available for children and young people with high support needs in Australia (Delfabbro & Osborn, 2005; Delfabbro et al., 2005; Flynn et al., 2005). However, at present, few conclusions can be drawn about what constitutes “appropriately designed residential and specialised models of care”.

What are your thoughts on residential care for children in out-of-home care?

For further information on Foster care and its many isues, please read:
We are Not Victims, We are Survivors
Praise for New South Wales for Creativity Regarding Foster Care

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National Children and Youth Council (CONANI):Dominican Republic Celebrates 29 years of Child Safety

November 26, 2007 by Char · 4 Comments 

Article by Charmayne (Char) PaulThe Dominican Republic announced its policy on child protection for 2007-2012 yesterday. President Leonel Fernández and his people celebrated the 29th anniversary of the National Children and Youth Council (CONANI). The Caribbean nation on the island of Hispaniola which has a population of around 9 million, has some serious human rights issues (e.g., child prostitution, abuse of children, child labor, trafficking of children, violence and discrimination against women). This may be due to the country having salient income inequality, with the poorest half of the population accessing less than one-fifth of the GNP.

The policy aims to reduce the risk of children aged 5-17 from being exposed to threatening environments, such as living on the streets. At present, 200 agents regularly scope the streets of the nations capital to gather children aged under 14 who are known to sniff glue, clean windshields and generally roam the streets. A Specialized Judicial Police force collect the minors from the streets and return them to their parents or take them to lodgings with the National Childhood Council (CONANI). Parents receive a warning that they must respond to their children’s needs or be charged. It is also part of the policy to enhance the standard of living of these children who are living on the streets.

Interestingly, the Justice Ministry fines the parents for their children being “subjected to one of the most humiliating manifestations of violence.”

The anniversary celebrations also saw the debut of a selection of infomercials promoting the rights of children and youth, and demanding a focus on child abuse prevention. Obviously an attitude that needs to be fostered in the West Indies nation given that it tends to be a source, transit point and ultimate destination for human trafficking, especially children, for commercial sexual exploitation and forced labor.

Maybe a white ribbon day is needed too in the Dominican Republic…? Though with ongoing allegations of forced detentions, torture and ill-treatment in prisons and detention centres, it is unlikely that ribbons and policies will take hold until the government commits itself to model protective behaviours, and respect human rights.

How you can help:

* Purchase a White Ribbon: We can start a global movement form our “backyard”

* Log onto Amnesty International to be aware of ongoing issues and how to help

* Encourage children and youth that you know to apply for grants to initiate their own projects

Child Sex Tourism in the Dominican Republic

Caribbean Youth Development

The Link Between Domestic Violence and Child Abuse

Safe Kids: It’s a Community Responsibility

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Safe Kids: It’s a Community Responsibility

November 18, 2007 by Char · 2 Comments 

Article by Charmayne (Char) PaulI’m at home with a pseudo-crèche to keep kids safe. The neighbours have had some personal woes and whilst Mum and Dad were out front “sorting things”, their three children are huddled on the back step crying. When does one step out on a limb and interfere?

When there are distressed kids, and the interference is unlikely to lead to more traumas for them, methinks. I sang out to the kids from my back step that I was going to ask mum and dad if they could come over here and watch DVDs. I then went to the front gate, politely interrupted dad (from a distance) and TOLD him that the kids were coming over to play. “Yeah, OK” he responded and got back to “talking” with mum.

I walked under the house, ushered the kids through the gate and my foster son invited them into our home and promptly put on a DVD (Home Alone III) and started cooking up some popcorn to share. When the police parked out front to go chat with dad (mum had driven off) I reassured the kids that adult stuff is for adults to sort out, and that their job as kids is to play and have fun. So after two hours of tiggi games, cricket bowling and drawing, my house looks like a junk yard and the kids are laughing together playing board games.

I haven’t heard from either parent so I guess it’ll be take-away pizza tonight with more DVDs. I would not have stuck my nose into the domestic if it hadn’t been that the kids were so distressed, and given that we’ve been neighbours for a while, so I was confident that physical abuse was not likely. If dad had of refused my taking the kids out of the situation I would have come home and phoned the police.

I’ve seen first hand the results of people getting involved and winding up on the receiving end of a fist or verbal abuse. I weighed up the likelihood of further distress to the kids, my safety, and mum or dad retaliating to my interference. As I said, we have been neighbours for years, so I was confident that my actions would go over ok. I was polite yet firm when I spoke with the dad, and watched myself to not come across as judgmental. My priority was to remove the kids from the situation which was causing them pain, fear and confusion. As it was, after the kids came over mum was able to remove herself from the scene also. Fight over.

Share your stories of “interference“, perhaps we can glean from each other how best to be community orientated without causing harm to others or ourselves.

Responding to Domestic Violence Resource Package

Eight Ways to Develop a Child Protection Culture

Teach Children Rules for Fighting Fair

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Policy in Child Protection

November 10, 2007 by Char · 2 Comments 

Article by Charmayne (Char) PaulOf what relevance is policy to foster carers and foster children? Policy in child protection is in place because it is recognized that consistent recommendations can guide decision making, ensuring the rights and safety of all concerned. Codes of practice aim to reduce known risks and to indicate a “least of harm” way to proceed when a foster care issue is ambiguous (an ethical dilemma).

Policy is used as an important guidance structure in the delivery of social and care services in foster care. Standards put in place by policy are the parameters as to what is considered best practices. They indicate how actions are to be carried out, by whom and how to evaluate if the process was effective. Policy aims to provide a consistency to the delivery of foster care services to both the carer and the child. Overall, there is an inherent moral obligation to see that human rights of dignity, justice, respect and safety are maintained.

A lot of literature exists about  policy analysis. The following points of recommendation have been gleaned from a number of documents and identify key areas of policy for the foster care system;

  • Create and evaluate a system of recording information that occurs during discussions with foster carers and children. This includes casual interactions where an agreement is made between an agency and their client (i.e., the carer and or child in care).
  • Continuously review policies with all stakeholders and modify standards as necessary. It is important that child safety policies provide supported direction that is relevant to changing situations (e.g., introduction of the frequency test to account for Indigenous Australian family visitors that are often spontaneous, culturally important and stay for very short periods).
  • Ongoing task-specific training (e.g., application of policy or supported visits) that includes group work and the foster carers when possible as well as child protection agency staffs.
  • Ensure that continuous supervision is available with all training within the child protection industry. Mentoring or buddy-up systems work well as a novice carer or child protection worker is able to start as a participant observer. Discussion of concerns and inquiries within a learning and development relationship provide a senior worker at hand to take over responsibility when necessary.
  • To establish an inclusive culture that integrates and standardizes stakeholder responses and builds on shared multi-disciplinary knowledge, skills and competencies.
  • Cultivates a culture of critical thinking, including reflection on one’s own decision making and actions.
  • Identify known ongoing risks to all persons involved in each child protection case. Have indicators of danger to alert stakeholders that a more formal assessment or supervisor intervention may be needed.
  • Provide reinforcement of organization’s key values and goals to create a culture of consistency, responsible decision-making and confidence.
  • Develop a decision matrix that contains categories of concerns and rates the level of each. A standard guide as to “where to draw the line” will ensure that only the extremes of concerns will require a more controlling interaction with regards to relevant authorities.

Ultimately, the policy of child protection requires the input of all stakeholders and so transparency of information is also needed. Foster care policy must seek to limit tragedies and to enable whilst empowering children in care, their carers and parents and child protection staffs.

 Safe Kids and The Act

Foster Carer University: Online learning for therapeutic parenting

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Safe Kids: and The Act

October 28, 2007 by Char · 2 Comments 

Article by Charmayne (Char) PaulWell~ I’ve had a busy week learning more about safe kids and the Child Protection Act, 1999. I expect a lot from the child protection workers I engage with on a daily basis as a foster carer, and so I’ve decided to step up to the challenge myself. Oh the joys of policy analysis :-) It is one of the frustrations of being in the child protection system that so much legislation does exist, amendments occur regularly and no-one ever seems to be up to date with most of it! So as a busy multi-tasker myself, I’m going to help my foster child, other foster parents, the rest of my child protection team and myself to be aware and implement best practices to keep kids safe.

Experience has shown me (I am an online tutor) that the best way to read an Act is to have a goal. Recently I was having a hissy fit over the different points of view about people staying overnight at my home~ the boundaries kept shifting. I’ve been a carer for almost 9 months and in that time have had friends, lovers and family over for dinner/drinks/dvds or to babysit and have invited the person to stay the night. As none of these people “regularly” stayed over I did not ask them to get a Blue Card, as outlined during my initial interviews and assessments to become a foster carer. However, a week ago it became clear that “regular” can mean different things to different people.

According to the Child Protection Act, 1999 there is a criteria to determine who is legally considered to be a “regular” member of a household. If a person “stays overnight in the person’s home at least – once a week in a month; or once a fortnight in 2 consecutive months or; once a month in 6 consecutive months” (CPA, 1999, Schedule 3(b)(i)(ii)(iii)) they meet the frequency test criteria to be considered a regular member of the household.

So at present, I have no one in my life meeting these requirements, though my support team and I are now reviewing my child’s support plan to ensure that his special needs, my lifestyle choices and our safety strategies are functional and clear. However, this is an issue that should have been nutted out at the beginning of the placement- I am a 35, single, sexually active and social being. And he is a child who was placed with me to learn about “normal” functioning.

Evidently child protection workers and foster carers need to understand more about legislation for keeping kids safe, and we need to review it on a regular basis (pun intended). Carer frustration at apparent increasing control over one’s life and lack of consistent information; children’s anxiety and confusion brought on by stressed out carers; and workers stressed about making the most correct decision to ensure children’s safety, could be negated by us all getting to know the boundaries a bit(ss) better.

Guide to Child Protection Legislation

Invest in Foster Carers and We’ll all Benefit

Foster Care Training: Online Learning for Therapeutic Parenting


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