Child Welfare and the Disabled — Is the Battle for Justice Really Being Fought?

1987 ◽  
Vol 11 (2-3) ◽  
pp. 5-7
Author(s):  
Barbara Szwarc
Keyword(s):  
Foster Care ◽  
Child Welfare ◽  
Care Program ◽  
Respite Care ◽  
Holiday Period ◽  
The Disabled

AbstractThis paper is based on the latest findings of the Children's Bureau of Australia recently released study entitled Particular Care Reconsidered by Barbara Szwarc. The Study, being a follow-up to the 1979 Report by N.J. Smith and G. Gregory entitled Particular Care was based on an Australia wide survey conducted in June 1984 on all children living in Non-Government Childrens Homes and Foster Care. Particular concentration in the study has been given to children in disadvantageous positions.Also referred to in this paper is another report by Barbara Swarcz on A Study Into The Victorian Children's Aid Society Respite Care Program During the 1985-86 Holiday Period. This report was based primarily on the perceptions of parents of the children who used the program.Of particular concern in this paper is the amount of undue injustice and inequality that such children and their families suffer just because their children are disabled.

scholarly journals The Therapeutic Family Care Program: A 10-year community implementation of Treatment Foster Care in Ontario, Canada

2019 ◽  
Vol 1 (1) ◽  
pp. 22-40
Author(s):  
Dillon T. Browne ◽  
Jacqueline Johnson ◽  
Erin Beatty ◽  
Mary Price Cameron ◽  
Duane Durham ◽  
...  
Keyword(s):  
Foster Care ◽  
Child Welfare ◽  
Children And Adolescents ◽  
Family Care ◽  
Care Program ◽  
Treatment Foster Care ◽  
Birth Parent ◽  
Community Implementation ◽  
Clinical Tools ◽  
Over Time

The present study describes a community implementation of treatment foster care (TFC) for children and youth involved with child welfare in Ontario, Canada. There were two guiding research questions: (1) how are children and adolescents changing over the course of services and (2) how have the placements of children and adolescents changed over time? Clinical outcomes were tracked using the Assessment Checklist for Children (ACC) and Assessment Checklist for Adolescents (ACAs)—clinical tools that were specially designed to assess the functioning of young people in care. There were 1,068 ACCs on 518 children, and 559 ACAs on 222 adolescents. Each additional year of involvement with Therapeutic Family Care Program corresponded to additional improvement for both children, d = −.18; 95% confidence interval (CI) = −.25 to −.12, and adolescents, d = −.11; 95%CI = −.18 to −.03. Moderators and subdomains of clinical improvement were considered, though findings generally revealed significant improvement over time for most youngsters in most clinical areas. At the program level, there has been a significant increase in placement permanence across the last decade (i.e., greater prevalence of birth parent, adoption, and kinship care). In sum, this study illustrates an example of community implementation for TFC in a child welfare setting, which necessarily includes the systematic tracking of outcomes in the context of evidence-supported intervention.

Feasibility of hybrid telerehabilitation as component of a novel comprehensive care program after acute myocardial infarction in a one-year follow-up preliminary experience of a single center

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
E Piotrowicz ◽  
P Orzechowski ◽  
I Kowalik ◽  
R Piotrowicz
Keyword(s):  
Myocardial Infarction ◽  
Blood Pressure ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Functional Capacity ◽  
Care Program ◽  
Comprehensive Care ◽  
Monitoring Center ◽  
One Year

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): National Health Fund Background. A novel comprehensive care program after acute myocardial infarction (AMI) „KOS-zawał" was implemented in Poland. It includes acute intervention, complex revascularization, implantation of cardiovascular electronic devices (in case of indications), rehabilitation or hybrid telerehabilitation (HTR) and scheduled outpatient follow-up. HTR is a unique component of this program. The purpose of the pilot study was to evaluate a feasibility, safety and patients’ acceptance of HTR as component of a novel care program after AMI and to assess mortality in a one-year follow-up. Methods The study included 55 patients (LVEF 55.6 ± 6.8%; aged 57.5 ± 10.5 years). Patients underwent a 5-week HTR based on Nordic walking, consisting of an initial stage (1 week) conducted within an outpatient center and a basic stage (4-week) home-based telerehabilitation five times weekly. HTR was telemonitored with a device adjusted to register electrocardiogram (ECG) recording and to transmit data via mobile phone network to the monitoring center. The moments of automatic ECG registration were pre-set and coordinated with exercise training. The influence on physical capacity was assessed by comparing changes in functional capacity (METs) from the beginning and the end of HTR. Patients filled in a questionnaire in order to assess their acceptance of HTR at the end of telerehabilitation. Results HTR resulted in a significant improvement in functional capacity and workload duration in exercise test (Table). Safety: there were neither deaths nor adverse events during HTR. Patients accepted HTR, including the need for interactive everyday collaboration with the monitoring center. Prognosis all patients survived in a one-year follow-up. Conclusions Hybrid telerehabilitation is a feasible, safe form of rehabilitation, well accepted by patients. There were no deaths in a one-year follow-up. Outcomes before and after HTR Before telerehabilitation After telerehabilitation P Exercise time [s] 381.5 ± 92.0 513.7 ± 120.2 <0.001 Maximal workload [MET] 7.9 ± 1.8 10.1 ± 2.3 <0.001 Heart rate rest [bpm] 68.6 ± 12.0 66.6 ± 10.9 0.123 Heart rate max effort [bpm] 119.7 ± 15.9 131.0 ± 20.1 <0.001 SBP rest [mmHg] 115.6 ± 14.8 117.7 ± 13.8 0.295 DBP rest [mmHg] 74.3 ± 9.2 76.2 ± 7.3 0.079 SBP max effort [mm Hg] 159.5 ± 25.7 170.7 ± 25.5 0.003 DBP max effort [mm Hg] 84.5 ± 9.2 87.2 ± 9.3 0.043 SBP systolic blood pressure, DBP diastolic blood pressure.

Foster Care Factors and Permanency for Children With Substance-Related Removals

2020 ◽  
pp. 104438942094722
Author(s):  
Margaret H. Lloyd Sieger
Keyword(s):  
Substance Use ◽  
Foster Care ◽  
Child Welfare ◽  
High Risk ◽  
Substance Use Disorder ◽  
Care Setting ◽  
Foster Parent ◽  
Vulnerable Group ◽  
Children In Foster Care ◽  
Socioeconomic Risk

Children in foster care due to parental substance use disorder are at high risk for delayed permanency. Understudied is the effect of foster care factors on these children’s exits from care. This study analyzed 10 years of federal child welfare data to understand the effect of foster care placement, provider, and support factors for this vulnerable group. Results revealed that several foster care variables influenced time to, and likelihood of, permanency for children with substance-related removals. Foster care setting, foster parent age and race, and several types of federal supports affected permanency trajectories. Children in homes receiving more federal supports were less likely to achieve permanency, suggesting the insufficiency of these supports to counteract the effects of socioeconomic risk on permanency.

Unaccompanied immigrant children in long term foster care: Identifying needs and best practices from a child welfare perspective

2018 ◽  
Vol 92 ◽  
pp. 56-64 ◽  
Author(s):  
Thomas M. Crea ◽  
Anayeli Lopez ◽  
Robert G. Hasson ◽  
Kerri Evans ◽  
Caroline Palleschi ◽  
...  
Keyword(s):  
Foster Care ◽  
Child Welfare ◽  
Best Practices ◽  
Immigrant Children
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