scholarly journals Australian Foster Carers’ Views and Concerns Regarding Maternal Drug Use and the Safety of Breastmilk

Children ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 284
Author(s):  
Stacy Blythe ◽  
Kath Peters ◽  
Emma Elcombe ◽  
Elaine Burns ◽  
Karleen Gribble

Parental substance misuse and mental health issues are major factors associated with infant placement into out-of-home care. Such placements may result in disruption and/or cessation of breastfeeding. Provision of breastmilk to infants in out-of-home care (OOHC) is desirable in terms of infant health and development, and also in supporting maternal caregiving. However, little is known about how breastfeeding is supported for infants in out-of-home care. This study used an online survey to explore the facilitation of breastfeeding in the context of OOHC and foster carers’ management of expressed breastmilk (EBM). Foster carers were generally open to the idea of maternal breastfeeding and infants in their care receiving EBM from their mothers. However, the majority of respondents expressed concern regarding the safety of EBM for infant consumption due to the possibility of harmful substances in the milk. Concerns regarding the safety of handling EBM were also prevalent. These concerns caused foster carers to discard EBM. Findings suggest foster carers’ may lack knowledge related to maternal substance use and breastmilk. Better integration between health care and social service systems, where the voices of mothers, foster carers and child protection workers are heard, is necessary to develop solutions enabling infants living in OOHC access to their mother’s breastmilk.

2018 ◽  
Vol 43 (1) ◽  
pp. 47-56
Author(s):  
Amy Gill ◽  
Grace Oakley

Children and young people in out-of-home care (OOHC) experience a wide range of educational issues at rates disproportionate to their peers. Collaboration between child protection and education systems is critical to addressing unique educational needs within this cohort. This article presents a qualitative case study investigating child protection workers’ perceptions of their work with primary and high school educators in Western Australia. Methods included policy analysis and in-depth interviews with a purposeful sample of 11 Case Workers and Education Officers employed by The Department for Child Protection and Family Support in metropolitan, regional and remote locations in Western Australia. Overall, participants reported that a jointly established Memorandum of Understanding had helped strengthen mutual accountability for education planning to support students in OOHC. However, difficulties obtaining Documented Education Plans and limited access to supplementary educational supports within both systems were considerable sources of tension. An adaptation of Whittington's (2003) Two-Stage Model of Collaboration illustrates the hierarchical nature of the influences on cross-system collaboration in the present study. While the size of the study limited its scope to one stakeholder group, the study offers frontline insights that may inform the development of future education and child protection agency initiatives.


2016 ◽  
pp. bcw165 ◽  
Author(s):  
Paul Bywaters ◽  
Josephine Kwhali ◽  
Geraldine Brady ◽  
Tim Sparks ◽  
Elizabeth Bos

2021 ◽  
pp. 152483802110360
Author(s):  
Nutmeg Hallett ◽  
Joanna Garstang ◽  
Julie Taylor

Kinship care is a global phenomenon with a long history, which in high-income countries (HICs) at least, is being increasingly formalized through legislation and policy. There are many benefits to kinship care, including improved child mental health and well-being when compared to other types of out-of-home care. Despite this, kinship care is not without its risks with a lack of support and training for kinship carers putting children at an increased risk of abuse and neglect. This scoping review was conducted across 11 databases to explore the breadth and depth of the literature about abuse and neglect within kinship care in HICs and to provide initial indications about the relationship between kinship care and abuse. Of the 2,308 studies initially identified, 26 met the inclusion criteria. A majority of studies were from the United States, and most used case review methods. From the included studies, rates of re-abuse, and particularly rates of physical and sexual abuse, appear to be lower in kinship care settings when compared to other out-of-home care settings, but rates of neglect are often higher. This review has demonstrated that a small but significant number of children living in kinship care experience neglect or abuse.


2021 ◽  
pp. 107755952110389
Author(s):  
John L. Cooley ◽  
Heather N. Taussig

Research has consistently shown that child maltreatment and witnessed violence lead to disrupted patterns of social functioning, yet the mechanisms underlying these pathways remain unclear. This cross-sectional study evaluated whether anger and/or attention problems mediated the links from abuse, neglect, and witnessed violence to peer problems and aggressive behavior. Participants included a diverse sample of 470 children (ages 8–11; 52.1% boys) living in out-of-home care. Subtype and severity of maltreatment exposure were coded using Child Protection Services’ intake reports and court records. Witnessed violence and anger were assessed using child-reports, and caregivers provided ratings of attention problems and social functioning. Indirect effects were tested using a series of structural equation path analysis models. Results indicated that anger fully mediated the links from witnessed violence to both peer problems and aggressive behavior. Further, attention problems fully mediated the links from physical abuse and physical neglect to both peer problems and aggressive behavior. These findings highlight the need for interventions to target anger regulation and attentional control among children in out-of-home care in order to mitigate their risk for social maladjustment.


Author(s):  
Mette Lausten ◽  
Signe Frederiksen

Questions about whether love can be offered in residential child care units, whether combining child protection and safeguarding in social work with loving care or care with love is possible, and whether children and young people feel loved by someone who is paid to care for them, have raised long-standing issues. Social pedagogy puts such questions at the core of its philosophy and practice, and has been a fundamental part of care in Denmark for many years. Drawing on a Danish survey of 1,400 children in out-of-home care, this paper analyses the subjective feeling of love amongst children living in out-of-home care. The main moderating factors for feeling loved are the feeling of security and the feeling of social support, the tangible counterpart of Honneth’s concept of recognition.


2019 ◽  
Vol 44 (02) ◽  
pp. 84-90 ◽  
Author(s):  
Fiona Oates

AbstractChild protection work is one of the most difficult and complex areas of human services practice. Working within a trauma-laden environment often means that practitioner susceptibility to trauma-related mental health issues is an occupational hazard. However, many practitioners are reluctant to seek support when they start to experience symptoms of traumatic stress. This paper considers current literature relating to child protection workers’ exposure to work-related traumatic material, resulting traumatic stress symptomology and organisational responses to practitioner distress. Results from a recent doctoral study that explores the experiences of child protection practitioners based in Queensland will be presented. Findings from the study were derived from qualitative in-depth, semi-structured interviews. The study findings indicate that the organisational culture within statutory child protection agencies creates an environment where practitioners are labelled as incompetent or not suitable for child protection work when they disclose experiencing symptoms of traumatic stress. The experience of bullying and retribution by supervisors and colleagues and the fear of rejection by the workgroup were also found to be significant barriers for workers seeking support.


2020 ◽  
Vol 25 (4) ◽  
pp. 433-445
Author(s):  
Jason M. Armfield ◽  
Emmanuel Gnanamanickam ◽  
Ha T. Nguyen ◽  
James C. Doidge ◽  
Derek S. Brown ◽  
...  

Greater school absenteeism is associated with numerous negative educational outcomes. We used a retrospective cohort design with linked administrative data on 296,422 children to examine the relationship between school absenteeism and child protection system (CPS) involvement. Children with substantiated maltreatment had 4.1 times more unexplained and problem absences than children with no CPS involvement. In multivariate analyses, children with substantiated maltreatment had significantly greater “chronic” truancy ( OR = 3.41) and less “acceptable” levels of absences ( OR = 0.74) compared to children with no CPS involvement. Greater absenteeism was seen for children with substantiated neglect and who had their first CPS notification earlier in life. Being in out-of-home care for 3+ years was a protective factor for children who had a CPS notification before age 5. Additional adversities had a strong additive effect with CPS involvement on absenteeism and chronic truancy. This study demonstrates the potential scope for reducing problem absenteeism and helps inform the public debate regarding how the type and timing of CPS involvement might ameliorate or exacerbate harm for children.


1992 ◽  
Vol 17 (2) ◽  
pp. 17-25 ◽  
Author(s):  
Jo Cavanagh

It is well recognised that the maltreatment of children results from a range of factors; some residing within the person, their family history and background, and others, clearly attributable to social stress and difficulties originating external to the family. In the last few decades, child welfare efforts have centred on the improvement of Child Protection Services and raising the prevention of child abuse as a community concern. More recently, attention has been focussed on strengthening the capacity of families to nurture and protect their own as the best means of meeting the developmental needs of children. However, our best efforts to assist families may still necessitate removal to protect the child.Research has identified that children removed for their own protection may be at even greater risk in out-of-home care. (Ryan 1987, Dawson 1984) Whether the incidence of abuse of children in out-of-home care is currently equivalent or higher than for the general population, is at this point a secondary concern. Out-of-home care is an essential and complex service. It is imperative to acknowledge that abuse can occur within the very system entrusted with the responsibility of protecting and caring for vulnerable children and young people.


2003 ◽  
Vol 28 (2) ◽  
pp. 45-47 ◽  
Author(s):  
Helen Johnstone

This paper outlines the parameters of the national out-of-home care data collection managed by the Australian Institute of Health and Welfare. The paper discusses the need for national data, what is included in the national data collection and the current data collection process. In addition possible developments to the national collection are outlined, in particular the proposal to collect the data electronically in unit record format. The benefits of this would include greater flexibility of the data and the ability to analyse how children move through the child protection and out-of-home care systems.


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