scholarly journals Conclusion: Implications for Policy and Practice

2021 ◽  
pp. 267-290
Author(s):  
Harriet Ward ◽  
Lynne Moggach ◽  
Susan Tregeagle ◽  
Helen Trivedi
Keyword(s):  
Family Support ◽  
Child Protection ◽  
Adoptive Parents ◽  
Policy And Practice ◽  
Birth Parents ◽  
Face To Face ◽  
Out Of Home Care ◽  
Improved Stability

AbstractThe book focuses on a study of 210 children in out-of-home care in Australia who were adopted over a 30-year period; 93 were traced for an average of 18 years after placement. The requirement for regular face-to-face contact with birth parents was considered beneficial by 69% of participants. Other findings show the adoptees’ extreme vulnerability, improved stability post adoption and the importance of adoptive parents’ commitment in facilitating positive outcomes. They also imply that child protection policy should focus on strengthening family support and more timely decision-making when parents cannot overcome their difficulties. Policy for children in long-term foster care should focus on reducing instability, increasing the quality of care and providing better care leaving support. Internationally, adoption policy needs to reflect the increased similarities between adoption and fostering engendered by open adoption from care, and acknowledge their implications for recruitment, training, contact arrangements and post-adoption support.

scholarly journals Permanency Planning Concepts

2012 ◽  
Vol 37 (3) ◽  
pp. 100-107 ◽  
Author(s):  
Jennifer Osmond ◽  
Clare Tilbury
Keyword(s):  
Child Protection ◽  
Planning Process ◽  
Permanency Planning ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Essential Components ◽  
Planning Concepts ◽  
Children In Care

Permanency, stability and continuity are essential components of quality out-of-home care. Permanency planning is a case planning process designed to promote stability and long-term connections for children subject to child protection intervention. This paper outlines findings from a small qualitative study that explored perceptions of permanency planning held by child protection practitioners, carers, and the parents of children in care in Queensland, Australia. Findings show that each group emphasised different aspects of permanency. Practitioners tended to focus on placement arrangements, carers focused on relationships and security, and parents were concerned about the quality of care their children received. Everyone involved in permanency decisions – whether children and young people, parents, carers or child protection practitioners – has ideas, theories and knowledge that they draw upon in expressing their views. Understanding these perspectives is useful for the decision-making process, as each stakeholder communicates with others about what they think is most important for the child. Implications for child protection practice include having a clear practice language and approach to permanency planning, exploring the unique areas of importance to different stakeholders on permanency planning, and ensuring quality participatory practice.

Parent? Carer? Mid-lifer? Older person? Similarities and diversities across different experiences of caring and their implications for practice

2015 ◽  
Vol 19 (2) ◽  
pp. 94-103 ◽  
Author(s):  
Jill Manthorpe ◽  
Jo Moriarty ◽  
Michelle Cornes
Keyword(s):  
Adult Child ◽  
Family Carers ◽  
Older Person ◽  
Policy And Practice ◽  
Content Type ◽  
Face To Face ◽  
Conducting Research ◽  
Practical Implications

Purpose – The purpose of this paper is to consider the experiences of carers caring for an adult child, particularly as they affect the transition from midlife into older age. It explores aspects affecting the vast majority of carers, such as accessing information and services, but focuses on the specific concerns of those caring for a child with a life-long disability or a child who acquires a long-term health problem in adolescence or adulthood. In the context of the introduction of the Care Act (2014) in England, the paper highlights ways in which support for carers could be improved. Design/methodology/approach – This paper draws on interview data which consisted of 86 face-to-face interviews with purposefully selected participants based in four local authorities. At the end of the study in 2014 the authors held a series of five focus groups for practitioners and carers to explore how the emerging findings chimed with their experiences and to refine the study’s messages for practice. The data from interviews are set in the context of policy and practice developments in social care in England. Findings – The paper draws attention to the need for practitioners to find ways of involving carers in decision making without compromising the rights to autonomy and choice on the part of the person cared for. Both those commissioning services and practitioners need to acknowledge that parent carers need assurances about the long-term viability and quality of the plans that are developed for the person they support. Research limitations/implications – This paper is drawn on interviews with carers and practitioners in four areas of England; most of the carers interviewed were white British and female. The implications of planning research and conducting research with family carers are explored and their similarities with practice encounters identified. Practical implications – The key practice point in this paper highlights the necessity of talking about the future with parent carers, making plans for possible and highly likely events, addressing mortality, and being aware of the potential for a deeply held sense of pessimism and unspoken distress among carers. Some participants seemed to feel that practitioners conveyed a sense that they were inadequate or unwilling to discuss these matters and practitioners who suspect this may apply to them or their team could usefully consider seeking skills development to improve their practice. Originality/value – This paper is the first to consider practice perspectives in the context of the Care Act (2014) and personal budgets in England relating to parent carers.

scholarly journals PHYSIOTHERAPY REHABILITATION IN LONG COVID: A CASE SERIES

2020 ◽  
pp. 81-82
Author(s):  
Khushali Jain ◽  
Mariya Jiandani ◽  
Pramila Lohakare
Keyword(s):  
Pulmonary Rehabilitation ◽  
Tertiary Care ◽  
Case Series ◽  
Functional Impairments ◽  
Tertiary Care Centre ◽  
Multisystem Disease ◽  
Chronic Respiratory Diseases ◽  
Face To Face

SARS-CoV-2 2 also known COVID 19, has been observed to cause long term functional impairments. There have been reports of post covid discharge symptoms such as dyspnoea, fatigue, and reduced overall capacity. Physiotherapy is an integral component of pulmonary rehabilitation. It plays a key role in improving functional status and quality of life in patients with chronic respiratory diseases. COVID 19 being a multisystem disease with primary affection of the lung can be benefitted with physiotherapy intervention. We present a case series of four patients with complaints of dyspnoea and fatigue post covid, enrolled for face to face pulmonary rehabilitation at our tertiary care centre.

scholarly journals Post-adoption Contact and Relationships with Birth Family Members

2021 ◽  
pp. 151-197
Author(s):  
Harriet Ward ◽  
Lynne Moggach ◽  
Susan Tregeagle ◽  
Helen Trivedi
Keyword(s):  
Online Survey ◽  
Family Members ◽  
Adoptive Parents ◽  
Adult Adoptees ◽  
Adoptive Families ◽  
Birth Parents ◽  
Face To Face ◽  
Birth Family ◽  
Children's Identity

AbstractThe chapter draws on data collected through responses to an online survey concerning 93 adoptees (44% of the cohort), completed on average 18 years after placement, and interviews focusing on 24 adult adoptees. Face-to-face post-adoption contact was a legal requirement. After placement with adoptive families, 93% of adoptees had contact with birth family members; at follow-up, 56% still saw at least one member of their birth family; 69% of both adoptees and adoptive parents thought contact was ultimately beneficial. There was minimal evidence of contact with birth parents destabilising placements. However, it introduced a ‘painful transparency’ for all parties and could be problematic. Over time, contact supported children’s identity needs by incorporating knowledge of their antecedents and could mitigate their difficulties with attachment, separation and loss. It forced all parties to engage with one another and helped adoptees achieve closure.

scholarly journals THE CHOICE BETWEEN ADOPTION AND FOSTER CARE AS CHILD PROTECTION RESPONSES

2015 ◽  
Vol 1 ◽  
Author(s):  
Stephen Gay
Keyword(s):  
Foster Care ◽  
Home Care ◽  
Child Protection ◽  
Policy And Practice ◽  
Number Of Children ◽  
Out Of Home Care ◽  
South Wales ◽  
Australian State ◽  
Outcomes For Children

Child protection systems in Australia are struggling to cope with the growing number of children requiring out-of-home care because of abuse or neglect occurring within families. Professionals and governments are grappling with the alternative care options that are available in an attempt to improve children’s health, education and emotional development. Research demonstrates that children suffer if they are exposed to multiple placements throughout childhood and this leads some to believe that the permanency of adoption would better serve the needs of children from broken families. This article considers the recent proposal by the South Australian State Coroner to expand the role of adoption as a child protection response, noting that New South Wales introduced such a model in 2014. It also examines international approaches in this area as well as the findings of studies into foster care and adoption. By drawing together the knowledge gained from different policy and practice approaches to out-of-home care, this article argues that introducing a blanket approach favouring adoption is not an appropriate option. It concludes that the only model likely to achieve the best outcomes for children is one involving individual responses to every child.

scholarly journals The Foster Family Process to Maintain the Will to Remain in Foster Care—Implications for a Sustainable Programme

2020 ◽  
Vol 12 (19) ◽  
pp. 7942
Author(s):  
Elisete Diogo ◽  
Francisco Branco
Keyword(s):  
Foster Care ◽  
Social Services ◽  
Child Protection ◽  
Family Process ◽  
Foster Care System ◽  
Foster Families ◽  
Out Of Home Care ◽  
Level Of Satisfaction ◽  
The Will

There were 7032 children in out-of-home care in 2018 in Portugal. Of these, only 2.8% were in foster care, despite this being the recommended response according to legal regulations. It is critical that more families be encouraged to become foster carers and also that experienced carers stay in the system to create a sustainable programme. How is the will to foster a child maintained? What can we learn from foster families’ experiences to improve childcare and the child protection system? The methodology of this study was based on interviews with foster carers. The analysis was inspired by grounded theory. We found three types of foster families, classified according to their will to leave or remain in foster care—unconditional, hesitant, or retired. The results suggest that the key elements for foster carers to remain in the foster care system are (i) their level of satisfaction with how the previous placement concluded, (ii) keeping in touch with the ex-foster child, (iii) the feeling of acknowledgement by all the stakeholders, and (iv) the quality of social services as well as the support of the professional teams.

Policy and practice supports for young people transitioning from out-of-home care: An analysis of six recent inquiries in Australia

2019 ◽  
Vol 20 (5) ◽  
pp. 599-619 ◽  
Author(s):  
Philip Mendes ◽  
Samone McCurdy
Keyword(s):  
Young People ◽  
Home Care ◽  
Lived Experience ◽  
Child Protection ◽  
Policy Issue ◽  
Sources Of Information ◽  
Policy And Practice ◽  
Out Of Home Care ◽  
Care Leavers ◽  
The Impact

Summary Government and parliamentary inquiries into child protection have historically exerted a significant impact on policy and practice reform. Yet to date, there has been no analysis of the impact of such inquiries on programme and service supports for young people transitioning from out-of-home care (often termed leaving care). This article uses a content analysis methodology to critically examine and compare the findings of six recent Australian child protection inquiries (five at state and territory level and one Commonwealth) in relation to their discrete sections on leaving care. Attention is drawn to how the policy issue is framed including key terminology, the major concerns identified, the local and international research evidence cited and the principal sources of information including whether or not priority is given to the lived experience of care leavers. Findings All six inquiries identified major limitations in leaving care legislation, policy and practice including poor outcomes in key areas such as housing, education and employment. There was a consensus that post-18 assistance should be expanded, and most of the reports agreed that greater attention should be paid to the specific cultural needs of the large number of Indigenous care leavers. Applications Care leavers universally are a vulnerable group; leaving care policy should be informed by the lived experience and expertise of care leavers; governments have a responsibility to provide ongoing supports beyond 18 years of age, particularly in areas such as housing and education, training and employment

scholarly journals Introduction: International Issues and Debates Concerning Adoption

2021 ◽  
pp. 1-38
Author(s):  
Harriet Ward ◽  
Lynne Moggach ◽  
Susan Tregeagle ◽  
Helen Trivedi
Keyword(s):  
Adoptive Parents ◽  
Adult Adoptees ◽  
Face To Face ◽  
Out Of Home Care ◽  
History Of ◽  
International Issues ◽  
Birth Family ◽  
Aboriginal Children ◽  
Children In Care

AbstractA history of systemic injustices and a lack of transparency have influenced public perceptions of domestic adoption. This book aims to introduce more empirical evidence into the debate by exploring the value of open adoption, as practised in Australia, as a route to permanence for abused and neglected children in out-of-home care who cannot safely return to their birth families. International evidence about the outcomes of adoption and foster care is discussed. The chapter introduces the Barnardos Australia Find-a-Family programme which has been finding adoptive homes since 1986 for non-Aboriginal children in care who are identified as ‘hard to place’. Regular post-adoption face-to-face contact with birth family members is an integral part of the adoption plan. The methodology for evaluating the outcomes for 210 children placed through the programme included case and court file analysis, a follow-up survey and interviews with adoptive parents and adult adoptees.

scholarly journals A study on effectiveness and progress outcomes of educational inhaler technique intervention in asthma and COPD patients

2019 ◽  
Vol 9 (2) ◽  
pp. 170-179
Author(s):  
R Bhavana ◽  
R Suchithra ◽  
Manupati Thejaswini ◽  
Gundlapalli Harish Kumar ◽  
Dev Apoorva
Keyword(s):  
Success Factors ◽  
Pharmacist Intervention ◽  
Inhaler Technique ◽  
Face To Face ◽  
Copd Patients ◽  
Correct Usage ◽  
Inhaler Devices ◽  
Keywords Asthma

Aim: A study on effectiveness and success factors of educational inhaler technique intervention in asthma and COPD. Objectives: To identify the percentage of common errors done by people who use inhalers. To identify the risk factors associated with asthma and COPD. Method: Data was collected from the subject’s face to face interview in a community setup and the lung capacities were measured using spirometer and peak flow meter; the values were noted and the subjects were asked to demonstrate their inhaler technique using placebo inhalers; numbers of correct and incorrect steps were noted. After a period of one month; the subjects were taken to follow up and measured the lung capacities and checked the inhaler steps; number of correct and incorrect steps were noted. Results: A total of 572 samples were collected and 500 were followed up, in which 300 had Asthma and 200 had COPD. Out of which 189 were female and 311 were male. Low education level was the single most important factor leading to incorrect technique. Formal training resulted in a statistically significant increase in the percentage of correct techniques for all the devices. For pMDI (54.01% vs. 91.03%, *p=0.005 before & after training respectively). For pMDI+Spacer (52.75% vs. 94.85%, *p=0.007 before & after training respectively). For Accuhaler (54.07% vs. 91.27%, *p=0.017 before & after training respectively). For Rotahaler (63.94 vs. 98.64%. *p=0.029 before & after training respectively). For Nebuliser (56.97% vs. 91.88%, *p=0.001 before & after training respectively. Conclusion: Proper education to patients on correct usage may not only improve control of the symptoms of the disease but might also allow dose reduction in long term. The number of subjects doing correct steps gradually increased after the pharmacist led intervention. Thus, proper counselling for the inhaler use in patients must be encouraged as it is directly linked to the quality of life of patient. Keywords: Asthma and COPD control inhaler devices, inhaler technique, pharmacist intervention, inhaler education.

Occupational and Functional Implications of Breast Cancer Among Israeli Women

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510269p1-7512510269p1
Author(s):  
Danit Langer ◽  
Hagit Magen ◽  
Shlomit Tendler ◽  
Asnat Bar-Haim Erez
Keyword(s):  
Breast Cancer ◽  
Online Survey ◽  
Rehabilitation Process ◽  
Face To Face ◽  
Perceived Quality Of Life ◽  
Wide Range ◽  
Functional Implications ◽  
Upper Extremity Function

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The goal of the study was to evaluate the long-term implications of breast cancer (BC) on upper extremity function, participation, and perceived quality of life (QoL) among Israeli women and examine the utilization of OT services in the rehabilitation process. The study included two steps: (1) an online survey and (3) face-to-face in-depth evaluation. Women with BC reported a wide range of impairments that are within the domain of OT, but only a small minority received OT services. Primary Author and Speaker: Danit Langer Contributing Authors: Hagit Magen, Shlomit Tendler, and Asnat Bar-Haim Erez

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