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Articoli di riviste sul tema "Foster care supervision services"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 1 febbraio 2022

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1

Medforth, Nicholas, James Evans, Melanie Hills, Hannah Madden e Jane Oyston. "Hearty Lives (Liverpool): a case study-based evaluation of a project designed to promote healthy eating and lifestyles in looked after young people". Adoption & Fostering 43, n. 1 (marzo 2019): 75–88. http://dx.doi.org/10.1177/0308575918823432.

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This article discusses the growing body of evidence on the importance of health for looked after children and young people and evaluates a project, Hearty Lives (Liverpool), designed to produce positive results. Unhealthy weight and lifestyles are significant issues for young people in care, whether living at home with parents under the supervision of social services, with foster carers or in residential homes, as there is a close relationship between food, nutrition and family connectedness. Following the principles of Appreciative Inquiry, the evaluation uses a case study approach to explore the learning and experiences of those involved in the intervention. The learning gained provides useful insights for practitioners and organisations who are interested in developing similar projects elsewhere.

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Cocker, Christine, e Helen Cosis Brown. "Sex, Sexuality and Relationships: Developing Confidence and Discernment When Assessing Lesbian and Gay Prospective Adopters". Adoption & Fostering 34, n. 1 (aprile 2010): 20–32. http://dx.doi.org/10.1177/030857591003400103.

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In the UK, the last 15 years have seen a profound change in the way that lesbians and gay men have been socially and politically located and acknowledged. This is evidenced by recent legislative changes that have given protection to lesbians and gay men and placed a duty on public bodies to provide equitable services. For a number of years lesbians and gay men have been specifically targeted, recruited and utilised as adopters of children in public care. With these changes has come the realisation that a number of complexities in adoption practice have been insufficiently addressed. Brown and Cocker (2008) have argued that in the assessment of prospective lesbian and gay adopters, struggling with complexities is crucial for safe and effective assessment of suitability to be realised. This appreciation of the complexity of practice has been articulated in the Independent Inquiry into the Circumstances of Child Sexual Abuse by Two Foster Carers in Wakefield (Parrott et al, 2007). The report noted that the ‘homosexuality’ of the foster carers became the primary focus of social work anxiety. This happened at the expense of holistic considerations of both the carers' potential and their actual foster care practice. Although these findings relate to foster care, they are transferable to the adoption field. The authors of the Inquiry emphasised the importance of ‘discrimination’ in practice, arguing that ‘discrimination’ was essential for discerning and analytical assessment, support and supervision. This article by Christine Cocker and Helen Cosis Brown offers a conceptual framework as well as practice tools to facilitate such discriminatory, effective, discerning and comprehensive assessments of lesbian and gay prospective adopters. The paramountcy of the child's welfare has to remain central to developments in adoption practice. This article maintains this centrality.

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Malin, Nigel, e Jane Tunmore. "Assessing the impact and implications for social workers of an innovative children’s services programme aimed to support workforce reform and integrated working". Social Work and Social Sciences Review 16, n. 3 (16 agosto 2013): 81–90. http://dx.doi.org/10.1921/swssr.v16i3.538.

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This article reports findings from an independent audit and evaluation of an innovative children's services programme (CSP) funded 2009-2011 by twelve Local Authorities under the auspices of the North-East of England's Improvement & Efficiency Partnership (NEIEP) to manage improvements and efficiencies across the children's services sector focusing upon messages for social workers. The overall purpose of the CSP was to make demonstrable progress in tackling the challenges of child poverty by delivering high quality support to the growing number of children with social care/health needs through regional improvement. The key objectives of the CSP included supporting workforce reform and integrated working; development of personalised services; family support to reduce the need for residential care; and provision of tools to aid commissioners with needs analysis. The audit identified key outputs, for example, improvements to best practice on Whole Family approaches, safeguarding and leadership training evolved through a skills framework; and included a regional model of social work supervision training along with a provision of options to increase the range and quality of foster care placements. The evaluation considered actions arising from the above findings, including demonstrated improvements to inter-disciplinary working and pooling resources to produce better outcomes for families; setting up a data-base to improve the balance between fostering, residential care and family support; and creating opportunities for social workers to explore the practical implementation of using personal budgets.

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Chiao, Jonathan, Jayme R. Dowdall e Samuel K. Pate. "Resource Utilization and Billing in a Resident-Managed Inpatient Consult Service". Otolaryngology–Head and Neck Surgery 163, n. 2 (19 maggio 2020): 244–49. http://dx.doi.org/10.1177/0194599820923620.

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Objective Patient care delivered by residents is an educational opportunity to foster autonomy. These services, however, may not be billed without direct faculty supervision. This quality improvement project analyzes descriptive data, procedures, and billing from an academic otolaryngology–head and neck surgery department’s inpatient consult service. Methods This prospective cohort study collected descriptive and billing data on all consults over 30 consecutive days. Data collected described bedside procedures and operative interventions. Encounters were Current Procedural Terminology coded and equivalent work relative value unit (wRVU) calculated. Codes submitted for billing were reviewed to identify opportunities for inpatient billing improvement. Results Ninety-eight new consults were included, and 105 bedside procedures were performed. Flexible laryngoscopy (n = 27), I&D (incision and drainage; n = 11), and suturing (n = 11) were the most performed bedside procedures. Operative intervention was required in 15 encounters. The inpatient consult team provided the equivalent of 391.39 wRVU. Seventy-three percent of operative compared to 3% of bedside procedures were submitted for billing. Discussion The productivity of our team approximated 61.8% of a full-time general otolaryngologist but with decreased billing submissions. Balance between resident autonomy, education, quality patient care, and the ability to capture service revenue is complex. Strategies other institutions have used to capture missed billing opportunities have included a hospitalist model, mid-level providers, and resident billing. Implications for Practice This study characterizes an academic inpatient consult service. Results describe a case for improving the structure of the inpatient consult service, caution that studies collecting data via department billing may underrepresent services, and suggest alternative service structures to overcome identified billing limitations.

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Leliūgienė, Irena, Inga Stūglytė – Novickienė e Angelė Kaušylienė. "PROSPECTIVE FOSTER PARENTS‘ ATTITUDE TOWARDS THE PROVIDED SOCIAL WORKER‘S ASSISTANCE: A CASE OF AN X LITHUANIAN TOWN". SOCIAL WELFARE: INTERDISCIPLINARY APPROACH 2, n. 7 (6 giugno 2018): 20. http://dx.doi.org/10.21277/sw.v2i7.298.

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The article introduces the significance of social worker's assistance to prospective foster parents: a case of an X Lithuanian town. The best place for the child development and improvement is the family. For some reasons not all the children are raised in families. Some children have no possibility to live with their biological families, therefore according to the established legislation, they live in foster homes under the supervision of foster parents or are adopted. Children adoption in our country is regulated by different acts of legislation. The activity of the ombudsperson for children’s rights is governed by the Law on the Ombudsman for Children Rights Protection of the Republic of Lithuania (2000), Civil Code of the Republic of Lithuania, Regulations of organization and management of children guardianship (2002), etc. Research <strong>aim</strong> is to analyze the social service worker's assistance to the prospective foster parents. The following objectives to reach our <strong>goal</strong> are presented: to analyze theoretical conception of adoption procedure and enforcement; to discuss the system of the social service workers’ assistance to prospective foster parents; to investigate foster parents' approach towards the social service worker's assistance and to reveal the main problems. <strong>Research methods</strong>: analysis of the scientific literature – scientific analysis of adoption issues. The stages of adoption procedures and the requirements overviewed and analysed are provided; document analysis: documents, acts of legislation, laws and regulations of child adoption regulations are analysed and overviewed; a qualitative study: semi-structured interview, analyzing the foster parents' approach towards the social service workers' assistance; problems and probable solutions are identified. The research results are obtained by content analysis. <strong>The article presents the following generalizations:</strong> 1) adoption is considered as a social process when specific rights and responsibilities are provided to foster parents in order to guarantee the child's safety. In case of inter-country adoption, the adoption opportunities are estimated, the child is prepared for the adoption and the family for the child is selected. At that period foster parents face internal and external factors. Seeking to grant the children rights and smooth adoption process, professional social workers should coordinate it; 2) institution of the Ombudsman for Children Rights of the Republic of Lithuania and State Child Rights Protection and Adoption Service under the Ministry of Social Security and Labour are also engaged in the adoption and foster care; 3) the research results reveal that the biggest problems for prospective foster parents are extensively long adoption period, lack of social service workers' assistance and poor knowledge on the available assistance.

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Munar, Wolfgang, Syed S. Wahid, Sangeeta Mookherji, Cinzia Innocenti e Leslie Curry. "Team- and individual-level motivation in complex primary care system change: A realist evaluation of the Salud Mesoamerica Initiative in El Salvador". Gates Open Research 2 (31 ottobre 2018): 55. http://dx.doi.org/10.12688/gatesopenres.12878.1.

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Background: We study the role of individual and team-level motivation in explaining large-scale primary care performance improvements in El Salvador, one of the top-performing countries in the Salud Mesoamerica Initiative. Methods: Case study with outlier sampling of high-performing, community health teams in El Salvador. Design includes scoping review of literature, document review, non-participant observation, and qualitative analysis of in-depth interviews following a realist case study protocol. Results: The interplay between program interventions and organizational, community and policy contexts trigger multi-level motivational mechanisms that operate in complex, dynamic fashion. Interventions like performance measurement and team-based, in-kind incentives foster motivation among individual members of high-performing teams, which may be moderated by working conditions, supervision practices, and by the stress exerted by the interventions themselves. Individuals report a strong sense of public service motivation and an overarching sense of commitment to the community they serve. At the interpersonal level, the linkage between performance measurement and in-kind incentives triggers a sense of collective efficacy and increases team motivation and improvement behaviors. The convening of learning forums and performance dialogue increases the stakes for high-performing teams, helps them make sense of performance data, and leads to performance information utilization for healthcare improvements. Closeness to communities creates strong emotional linkages among team members that further increases collective efficacy and social identity. Such changes in individuals, team, and organizational behaviors can contribute to improved delivery of primary care services and explain the gains in performance demonstrated by the program. Conclusions: This case suggests that primary care systems that rely on multi-disciplinary teams for the provision of care can benefit from performance measurement and management interventions that leverage individual and team-level motivation. Realist evaluation can help prioritize policy-relevant research and enhance the design and evaluation of large-scale performance reforms in primary care systems in low- and middle-income settings.

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Coombe, Paul. "The Cassel Hospital, London". Australian & New Zealand Journal of Psychiatry 30, n. 5 (ottobre 1996): 672–80. http://dx.doi.org/10.3109/00048679609062664.

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This paper is an account of the principles and practices of treatment offered at the Cassel Hospital, London, with a particular focus on the Inpatient Families Unit. The Cassel Hospital is an internationally renowned therapeutic community, the operation of which is based on psychoanalytic principles and which has operated within the British National Health Service for nearly 50 years. An account of the historical development of the hospital is given as well as a description of its structure and function. The following three innovative structures are elaborated: a complex network within which patients can develop, Cassel-style nursing care, and nurse-therapist supervision. Theoretical underpinnings are outlined, which together with two case studies facilitate an appreciation of the capacity of the therapeutic network to foster the successful treatment of a range of severely disordered individuals and families. Such treatment may approach a level perhaps otherwise unattainable and which is widely applicable in the public hospital and clinic settings in Australia.

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Siregar, Yolanda Triana, e Meilanny Budiarti Santoso. "ADOPSI DALAM PERSPEKTIF PEKERJAAN SOSIAL". Kumawula: Jurnal Pengabdian Kepada Masyarakat 1, n. 3 (18 dicembre 2019): 202. http://dx.doi.org/10.24198/kumawula.v1i3.22676.

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ABSTRAK Adopsi merupakan salah satu upaya yang dilakukan pasangan suami istri untuk dapat memiliki kehadiran sosok anak di keluarga mereka. Di Indonesia, proses pengajuan dan prosedur adopsi telah jelas diatur dalam beberapa undang-undang dan ketetapan pemerintah yang berlaku. Namun dalam pelaksanaannya, masih ada berbagai permasalahan adopsi yang terjadi di Indonesia, antara lain kurangnya pemahaman dan pengetahuan masyarakat akan adanya prosedur pelaksanaan adopsi yang sah secara hukum, tidak adanya data valid mengenai jumlah adopsi di Indonesia, dan masih terjadinya sengketa antara orang tua angkat dan orang tua kandung akibat prosedur adopsi yang dilakukan secara private adoption. Metode yang digunakan dalam penulisan artikel ini adalah dengan menggunakan metode studi literatur. Hasil dari kajian yang dilakukan adalah diperlukannya upaya peningkatan informasi mengenai adopsi kepada masyarakat melalui kemudahan aksesibilitas layanan adopsi di tiap otoritas lokal. Hal ini dapat dicapai melalui integrasi yang baik antara pemerintah, lembaga sosial anak, pengadilan, dan pekerja sosial. Selain itu, pelayanan adopsi yang diberikan harus dipastikan sampai pada tahap pengawasan, pendampingan, dan penguatan terhadap pengasuhan calon orang tua angkat untuk menjamin terpenuhinya kebutuhan dan kesejahteraan anak di masa mendatang. Kata Kunci: adopsi anak, pekerjaan sosial ABSTRACT Adoption is one of the efforts made by married couples to be able to have the presence of a child in their family. In Indonesia, the adoption procedures are clearly regulated in several laws and government regulations. But in its implementation, there are still various problems of adoption that occur, including a lack of knowledge in community regarding the legal adoption procedures, the absence of valid data of number adoptions in Indonesia, and the ongoing dispute between foster parents and biological parents due to adoption procedures carried out in private adoption. The method used in writing this article is a literature study method. The results of the study are the need for efforts to increase information on adoption to the community through the ease of accessibility of adoption services in each local authority. This can be achieved through good integration between the government, children's social institutions, courts, and social workers. In addition, the adoption services provided must be ensured to reach the stage of supervision, assistance, and strengthening of the care of prospective adoptive parents to ensure the fulfillment of the needs and welfare of children in the future. Keywords: child adoption, social work

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Schwartz, Lita Linzer. "Foster Care and Social Services". Journal of Psychiatry & Law 36, n. 4 (dicembre 2008): 609–15. http://dx.doi.org/10.1177/009318530803600405.

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Amini Virmani, Elita, e Lenna L. Ontai. "Supervision and training in child care: Does reflective supervision foster caregiver insightfulness?" Infant Mental Health Journal 31, n. 1 (gennaio 2010): 16–32. http://dx.doi.org/10.1002/imhj.20240.

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Goldstein, A. L., P. Erickson e C. Wekerle. "Foster care: extend services, save youth". Canadian Medical Association Journal 181, n. 12 (7 dicembre 2009): 928. http://dx.doi.org/10.1503/cmaj.109-2046.

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Petr, Christopher G. "Foster Care Independent Living Services: Youth Perspectives". Families in Society: The Journal of Contemporary Social Services 89, n. 1 (gennaio 2008): 100–108. http://dx.doi.org/10.1606/1044-3894.3714.

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Emerging adulthood is a phase in the life course recently identified by developmental theorists. For youth in foster care, recent federal legislation in the United States has engendered new programs, typically called independent living programs, to help them become successful adults. This qualitative study reports the findings of interviews with a diverse sample of 27 current and former foster youths in a Midwestern state, focusing on the quantity and quality of independent living services received. The youths reported hopeful expectations and plans for their futures, widespread support for postcustody benefit programs, mixed opinions about the utilization and effectiveness of existing independent living programs, significant educational delays associated with frequent placements while in out-of-home custody, and strong attachments to families of origin.

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Barth, Richard P. "Emancipation Services for Adolescents in Foster Care". Social Work 31, n. 3 (1 maggio 1986): 165–71. http://dx.doi.org/10.1093/sw/31.3.165.

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Bergman, Abraham B. "The Shame of Foster Care Health Services". Archives of Pediatrics & Adolescent Medicine 154, n. 11 (1 novembre 2000): 1080. http://dx.doi.org/10.1001/archpedi.154.11.1080.

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Stone, Susan, Amy D'andrade e Michael Austin. "Educational Services for Children in Foster Care". Journal of Public Child Welfare 1, n. 2 (30 ottobre 2006): 53–70. http://dx.doi.org/10.1300/j479v01n02_04.

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Humphrey, Kristen R., Ann P. Turnbull e H. Rutherford Turnbull. "Perspectives of Foster-Care Providers, Service Providers, and Judges Regarding Privatized Foster-Care Services". Journal of Disability Policy Studies 17, n. 1 (giugno 2006): 2–17. http://dx.doi.org/10.1177/10442073060170010101.

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Villagrana, Margarita, Cindy Guillen, Vanessa Macedo e Sei-Young Lee. "Perceived self-stigma in the utilization of mental health services in foster care and post foster care among foster care alumni". Children and Youth Services Review 85 (gennaio 2018): 26–34. http://dx.doi.org/10.1016/j.childyouth.2017.10.040.

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Sims, Anne R. "Independent Living Services for Youths in Foster Care". Social Work 33, n. 6 (1 novembre 1988): 539–42. http://dx.doi.org/10.1093/sw/33.6.539.

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Canady, Valerie A. "Bipartisan bill to improve foster care services introduced". Mental Health Weekly 25, n. 7 (16 febbraio 2015): 6. http://dx.doi.org/10.1002/mhw.30079.

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Moran, Mark. "Judges Endorse Principles On Foster-Care MH Services". Psychiatric News 38, n. 17 (5 settembre 2003): 8–35. http://dx.doi.org/10.1176/pn.38.17.0008.

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Stahmer, Aubyn C., Laurel K. Leslie, John A. Landsverk, Jinjin Zhang e Jennifer A. Rolls. "Developmental Services for Young Children in Foster Care". Journal of Social Service Research 33, n. 2 (20 febbraio 2007): 27–38. http://dx.doi.org/10.1300/j079v33n02_03.

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Lee, Sangmoo, Melissa Jonson-Reid e Brett Drake. "Foster care re-entry: Exploring the role of foster care characteristics, in-home child welfare services and cross-sector services". Children and Youth Services Review 34, n. 9 (settembre 2012): 1825–33. http://dx.doi.org/10.1016/j.childyouth.2012.05.007.

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Birk, Megan. "The Farm, Foster Care, and Dependent Children in the Midwest, 1880–1920". Journal of the Gilded Age and Progressive Era 12, n. 3 (18 giugno 2013): 320–42. http://dx.doi.org/10.1017/s1537781413000194.

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Between the Civil War and World War I, the midwestern farm played an important role in the care of dependent children. Instead of paying families to take in children, welfare workers relied on farmers to take children in for free. However, the situation for dependent children and farmers changed during the Progressive Era. Movements to improve farming methods and standards of living in the hopes of keeping rural people on the land highlighted the difficulties of farm life. For the children placed in free homes with farmers, reformers sought to improve record keeping and supervision. Such reforms had unforeseen consequences. The bureaucracy needed to supervise children placed on farms increased costs, while farmers resented the intrusion. Children who labored for free on farms no longer learned skills useful in the modern, industrializing nation. As more systematic supervision became standard across the Midwest, farm placement lost its appeal. By examining the motivations for better supervision of placed-out children and how those plans became policy, this article reveals complexities, underestimated by previous scholars, in the commonly told story of the transition of child-welfare practices from an emphasis on free farm placement to paid foster care in suburban and urban settings.

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Lee, P. J. "Health & Family Services Outcomes in Kinship Care vs Foster Care". AAP Grand Rounds 26, n. 2 (1 agosto 2011): 21. http://dx.doi.org/10.1542/gr.26-2-21.

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KETUT KARYANI, Ida Ayu, e I. Wayan PARSA. "Urgency of the Public Services Supervision on the Regional Government Implementation". PRIZREN SOCIAL SCIENCE JOURNAL 4, n. 2 (31 agosto 2020): 84–88. http://dx.doi.org/10.32936/pssj.v4i2.164.

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This study examined the supervision of public services as stipulated in Law 25 of 2009, namely regarding public services and Law 23 of 2014 concerning regional government. Supervision carried out in the law is to give authority to each of the existing institutions or institutions, causing overlapping existing authority. Giving authority to officials will give birth to the rights and obligations to achieve the goals and intentions specified in the legislation. The rise of corruption cases occurs because of the weakness of existing supervision of government administration, especially in public services. In this case corruption will foster public distrust of public services. The form of maladministration carried out by public service providers is always associated with behavior in services performed by public officials and the norms of behavior of officials in public services. In addition, these problems are also caused by the opportunities and authority given to be abused and the low quality of public services in various service sectors. Supervision of public services can provide certainty about the public services provided by the government whether it has been running according to targets and objectives and is a way to find out as early as possible maladministration that might occur so that effective and accountable government can be realized.

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Bellamy, Jennifer L., Geetha Gopalan e Dorian E. Traube. "A national study of the impact of outpatient mental health services for children in long-term foster care". Clinical Child Psychology and Psychiatry 15, n. 4 (ottobre 2010): 467–79. http://dx.doi.org/10.1177/1359104510377720.

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Despite the tremendous mental health need evidenced by children in foster care and high rates of use of mental health services among children in foster care, little is known about the impact of outpatient mental health services on the behavioral health of this population. This study utilizes data from the National Survey of Child and Adolescent Well-being (NSCAW), the first nationally representative study of child welfare in the United States. A subsample of 439 children who have experienced long-term foster care were included in this study. These data were used to estimate the impact of outpatient mental health services on the externalizing and internalizing behavior problems of children in long-term foster care. A propensity score matching model was employed to produce a robust estimate of the treatment effect. Results indicate that children who have experienced long-term foster care do not benefit from the receipt of outpatient mental health services. Study results are discussed in the context of earlier research on the quality of mental health services for children in foster care.

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Ainsworth, Frank, e Patricia Hansen. "Family Foster Care: Can it Survive the Evidence?" Children Australia 39, n. 2 (21 maggio 2014): 87–92. http://dx.doi.org/10.1017/cha.2014.5.

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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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Chaves, Lucieli Dias Pedreschi, Vivian Aline Mininel, Jaqueline Alcântara Marcelino da Silva, Larissa Roberta Alves, Maria Ferreira da Silva e Silvia Helena Henriques Camelo. "Nursing supervision for care comprehensiveness". Revista Brasileira de Enfermagem 70, n. 5 (ottobre 2017): 1106–11. http://dx.doi.org/10.1590/0034-7167-2016-0491.

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ABSTRACT Objective: To reflect on nursing supervision as a management tool for care comprehensiveness by nurses, considering its potential and limits in the current scenario. Method: A reflective study based on discourse about nursing supervision, presenting theoretical and practical concepts and approaches. Results: Limits on the exercise of supervision are related to the organization of healthcare services based on the functional and clinical model of care, in addition to possible gaps in the nurse training process and work overload. Regarding the potential, researchers emphasize that supervision is a tool for coordinating care and management actions, which may favor care comprehensiveness, and stimulate positive attitudes toward cooperation and contribution within teams, co-responsibility, and educational development at work. Final considerations: Nursing supervision may help enhance care comprehensiveness by implying continuous reflection on including the dynamics of the healthcare work process and user needs in care networks.

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Saadat Huseynova. "Continuous improvement of the quality of neonatal care based on “Supportive Supervision” principle". Magna Scientia Advanced Biology and Pharmacy 1, n. 1 (30 novembre 2020): 025–35. http://dx.doi.org/10.30574/msabp.2020.1.1.0014.

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Maternal mortality and morbidity depend on many factors, including the quality of birth care and neonatal care services. Quality indicators should be there to measure the quality of any service. The project aims to test and implement supportive supervision principles at the ten maternity hospitals (within the city of Baku). Helping to Identify and to solve current problems in the quality of medical services, as well as guiding the Ministry of Healthcare to implement supportive supervision in the healthcare system, are also primary goals. It focuses on deficiencies, errors, and audits individuals, not the process. As a result of supportive supervision, the staff participates in problem-solving, perceives a supervisor better, does not hesitate to identify problems, and actively gets involved in solving them. The result of the research shows that supportive supervision has a positive impact on improving the quality of services. Supportive supervision should be applied regularly, not on seasonal occasions. External, as well as internal audits, require the supportive supervision initiative. The results of such inspections should be available to a broader audience to create a competitive environment among institutions. Supportive supervision also helps to identify both biased and objective (non-facility related) factors that negatively affect the quality of services. Discussing objective factors at an intersectoral level, and finding solutions to problems is necessary to improve the quality of services.

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Megahead, Hamido A. "Non-kinship family foster care in Egypt". Adoption & Fostering 41, n. 4 (24 novembre 2017): 391–400. http://dx.doi.org/10.1177/0308575917730291.

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This article describes the history and philosophy of foster care in Egypt. While journal readers will be familiar with the issues affecting their own work, they are less likely to know about fostering in other countries. This can be limiting as international comparisons can give practitioners, researchers and educators insights into their own work as well as skills to support children from different cultural backgrounds. The article shows that foster care in Egypt is not a recent development, indeed it dates back to ancient Egypt and the Egyptian kings, but the current legal system was formalised in the first half of the 20th century. While fostering services are usually based on western paradigms, the Egyptian approach has several distinct features due to its development through authentication processes that match services to the needs and cultural backgrounds of the children concerned. Explanations for these differences are given.

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Wulczyn, Fred. "Foster Care in a Life Course Perspective". ANNALS of the American Academy of Political and Social Science 692, n. 1 (novembre 2020): 227–52. http://dx.doi.org/10.1177/0002716220976535.

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To understand what placement outside of one’s home means to the young people involved, we must understand foster care from a life course perspective. I analyze young people’s experiences in foster care from this perspective, accounting for when foster care happens, how long it lasts, and what happens when foster care placements end. I show that the population of children coming into foster care is younger and less urban than it was 20 years ago. I also show reliable measures of exposure to foster care over the life course. Children who enter care early in life are the children who spend the largest proportion of their childhood in foster care—a fact that rarely weighs on the policymaking process. We know very little about state and local variation in foster care placement rates, not to mention the influence of social services, the courts, foster parents, and caseworkers over foster children, so I close by arguing investment in research should be a clear policy priority.

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Knight, Thomas Gregory, Joshua F. Zeidner, Naim U. Rashid e Matthew C. Foster. "The Impact of Time of Admission on the Delivery of Care and Outcomes in High Risk Patients with Acute Leukemia". Blood 126, n. 23 (3 dicembre 2015): 4530. http://dx.doi.org/10.1182/blood.v126.23.4530.4530.

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Abstract BACKGROUND: At a large academic teaching hospital, there are a variety of physicians and midlevel providers at the point of initial contact, and the extent of supervision of specifically trained oncology personnel may vary based on time of admission. Patients with acute leukemia may present with high risk disease processes that must be recognized and require prompt intervention to reduce both morbidity and short-term mortality. This is a retrospective review of the delivery of care at admission and key clinical outcomes for high risk patients presenting with acute myeloid leukemia (AML) or acute lymphoblastic leukemia (ALL) based on time of admission. The hypothesis of this study was that high risk patients with AML or ALL admitted overnight may have significant delays in management of the complications of acute leukemia with subsequent increases in morbidity and short-term mortality. METHODS: An institutional electronic database was queried to identify patients with ICD9 codes specific for AML/ALL. Inclusion criteria consisted of adults >18 years admitted to a single institution from 2010-2013. Key clinical data were then abstracted from the electronic medical records including lab values, time of admission (Daytime: 7am-8pm vs Nightime: 8pm-7am), and specific clinically important outcomes (time to specific therapy, time to chemotherapy, length of stay, ICU length of stay, organ failure, and mortality). Patients were categorized as high risk if they met established criteria requiring specific intervention [hyperleukocytosis defined as WBC >50 10^9/L, hyperuricemia defined as uric acid >8 mg/dL, and clinical suspicion for acute promyleocytic leukemia (APL)]. Variables with binary outcomes were tested for association with overnight admission using Fisher's exact test. All other variables were tested using the Wilcoxon two-group test. RESULTS: Between 2010 and 2013, 161 patients with AML/ALL were included in our analysis. Of those, 66 were classified as high risk (Table 1). In the high risk patients there were no significant differences in time to intervention based on time of admission including patients presenting with hyperleukocytosis and time to hydroxyurea administration (p=.32), patients presenting with hyperuricemia and time to allopurinol administration (p=.71) or rasburicase administration (p=.22), and in time to tretinoin (ATRA) administration in patients presenting with APL (p=.23). Time to definitive chemotherapy was significantly less for high risk patients admitted overnight (overnight median=48 hours, day median=56 hours, p=.042). However, rates of mechanical ventilation (p=.09), vasopressor usage (p=.37), and renal failure (p=.43) appeared similar between the groups. Additionally, length of stay (p=.83) and ICU length of stay (p=.44) was not significantly different for the two groups. 30-day mortality did not statistically differ between the two groups (overnight=19.4%, daytime=20%, p=.57). CONCLUSIONS: This is the first comprehensive analysis of the impact of the time of admission of acute leukemia patients at an academic tertiary cancer hospital, to our knowledge. Interestingly, nighttime admissions did not appear to significantly impact time to key clinical interventions or clinical outcomes in high risk patients admitted with acute leukemia. Although time to definitive chemotherapy was found to be significantly less in patients admitted overnight, confounding variables such as severity of illness at the time of admission may have impacted this analysis, and 30-day mortality rates were similar. Overall, this data supports the triage of patients with newly diagnosed or suspected acute leukemia to tertiary care centers as soon as possible. Table 1. Baseline Characteristics of High Risk Patients Age at Diagnosis Number % <50 31 47.0 50-64 24 36.3 65+ 11 16.7 Sex Male 38 57.6 Diagnosis Number % AML (Excluding APL) 37 56.1 APL 18 27.2 ALL 11 16.7 High Risk Features Hyperleukocytosis 42 63.6 Hyperuricemia 20 30.3 APL 18 27.2 >1 High Risk Feature 66 100.0 Initial Point of Contact Number % Referring Hospital 45 68.2 Admission Time Number % Day Shift (7a-8p) 30 45.5 Night Shift (8p-7a) 36 54.5 Admission Location Number % Oncology Inpatient Service 53 80.3 Internal Medicine Inpatient Service 2 3.0 Medical ICU 11 16.7 Disclosures Foster: Celgene: Research Funding.

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Ponti, M. "Special considerations for the health supervision of children and youth in foster care". Paediatrics & Child Health 13, n. 2 (1 febbraio 2008): 129–32. http://dx.doi.org/10.1093/pch/13.2.129.

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McMillen, J. Curtis, Gregory B. Rideout, Rachel H. Fisher e Jayne Tucker. "Independent-Living Services: The Views of Former Foster Youth". Families in Society: The Journal of Contemporary Social Services 78, n. 5 (ottobre 1997): 471–79. http://dx.doi.org/10.1606/1044-3894.816.

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Former consumers of independent-living programs for youth in out-of-home care present their views of the services they received. The youth found that skills classes and stipends for independent living were helpful, that instruction in managing a budget was particularly valuable, and that the services lessened the stigmatization and isolation of being in care. Foster parents and specialized independent-living workers eased the transition out of care, but regular public child welfare caseworkers were not helpful in this regard. The young people report that being in care was difficult to tolerate and that the transition out of care was often abrupt and difficult to manage.

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Wade, Jim. "Developing Leaving Care Services Tapping the Potential of Foster Carers". Adoption & Fostering 21, n. 3 (ottobre 1997): 40–49. http://dx.doi.org/10.1177/030857599702100307.

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This paper by Jim Wade draws on the findings of a four-year study of specialist leaving care services, funded by the Department of Health. It situates moving on from substitute care or accommodation in the context of broader youth transitions to adulthood. Three key dimensions of transition for a sample of care leavers are discussed: the timing and nature of their moving on; their early education and employment careers; and their ability to develop networks of social support. Issues arising from the support offered by foster carers and social workers are also explored. Finally, the author makes a case for foster carers to have a more central place in the development of leaving care services.

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O'Donnell, J. M. "Involvement of African American Fathers in Kinship Foster Care Services". Social Work 44, n. 5 (1 settembre 1999): 428–41. http://dx.doi.org/10.1093/sw/44.5.428.

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Unrau, Yvonne A., Michelle Conrady-Brown, Diane Zosky e Richard M. Grinnell. "Connecting Youth in Foster Care with Needed Mental Health Services". Journal of Evidence-Based Social Work 3, n. 2 (25 luglio 2006): 91–109. http://dx.doi.org/10.1300/j394v03n02_05.

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Leathers, Sonya J., Marc S. Atkins, Jill E. Spielfogel, Lorri S. McMeel, Julia M. Wesley e Rafe Davis. "Context-specific mental health services for children in foster care". Children and Youth Services Review 31, n. 12 (dicembre 2009): 1289–97. http://dx.doi.org/10.1016/j.childyouth.2009.05.016.

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Crampton, David, e Susan Yoon. "Crisis nursery services and foster care prevention: An exploratory study". Children and Youth Services Review 61 (febbraio 2016): 311–16. http://dx.doi.org/10.1016/j.childyouth.2016.01.001.

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40

Kotkas, Toomas. "From Official Supervision to Self-monitoring: Privatizing Supervision of Private Social Care Services in Finland". Social Policy & Administration 50, n. 5 (4 maggio 2015): 599–613. http://dx.doi.org/10.1111/spol.12149.

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41

Rome, Sunny Harris, e Miriam Raskin. "Transitioning Out of Foster Care". Youth & Society 51, n. 4 (1 febbraio 2017): 529–47. http://dx.doi.org/10.1177/0044118x17694968.

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Youth aging out of foster care are at particular risk for negative outcomes including school dropout, homelessness, poverty, unemployment, substance abuse, health and mental health problems, and victimization. Yet we know little about how, when, and why these youth find themselves on a downward trajectory. This qualitative, phenomenological study—conducted in partnership with four public child welfare agencies—examined the lived experience of 19 youth during their first year after exiting foster care. The authors used monthly, contemporaneous interviews to explore domains including housing, employment, education, and relationships with trusted adults. Although outcomes in employment were poorest, participants’ experience in all domains was characterized by frequent changes and instability. Adverse events began immediately and many youth were unsure how to navigate the system to get help. Yet youth who were successful in one domain were more likely to be successful in others. Risk factors included having four or more foster care placements, being on probation, accumulating fines, and losing government assistance. Protective factors included living with an adult who shares the rent and maintains a positive, consistent presence; being a full-time student; receiving educational and housing subsidies; having reliable means of transportation and communication; and maintaining the same job throughout the transitional year. Despite facing significant obstacles, the youth demonstrated resilience and optimism as they contemplated their futures. Recommendations include providing specialized services that target youth as they exit the system, and emphasizing stability rather than self-sufficiency.

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Berridge, David. "Solving Problems in Foster Care: Key Issues for Young People, Foster Carers and Social Services". Child & Family Social Work 8, n. 3 (9 luglio 2003): 238–39. http://dx.doi.org/10.1046/j.1365-2206.2003.00284_4.x.

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Merizzi, Alessandra. "Clinical supervision in older adult mental health services". Working with Older People 23, n. 4 (28 novembre 2019): 241–50. http://dx.doi.org/10.1108/wwop-09-2019-0024.

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Purpose The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the profession of clinical psychology and psychotherapy. Design/methodology/approach The clinical supervision theories that are considered in this exploration are the Seven-Eyed Model (Hawkins and Shohet, 2012) and the Cyclical Model (Page and Wosket, 2015). The discussion also integrates an overview of psychological dynamics as presented by the existing literature with the author’s reflections on the influence of ageing stereotypes in the therapeutic work with older adults. Findings The theoretical models of clinical supervision considered can offer a robust framework and pathway for supervisory work in psychology and psychotherapy for older people. However, this alone seems insufficient and needs to be combined with the supervisor’s knowledge on psychology of ageing as well as their own self-reflection on internalised ageing stereotypes. Practical implications The paper suggests a need for health care professionals, providing clinical supervision on older adult therapeutic work, to be familiar with the aspects analysed. Originality/value Clinical supervision handbooks overlook aspects related to age as an issue of difference. This paper adds value to the clinical work with older people through a novel attempt to link implications of ageing stereotypes with the therapeutic and supervisory practice.

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Slayter, Elspeth M. "Foster Care Outcomes for Children With Intellectual Disability". Intellectual and Developmental Disabilities 54, n. 5 (1 ottobre 2016): 299–315. http://dx.doi.org/10.1352/1934-9556-54.5.299.

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Abstract The promotion of speedy, permanent outcomes for foster children is a central child welfare policy goal. However, while children with intellectual disability (ID) are at greater risk for child welfare involvement, little is known about their case outcomes. This cross-sectional national study explores between-group foster care outcomes. Foster children with intellectual disability were more likely to have experienced an adoption disruption or dissolution but less likely to be reunified with a parent, primary caretaker or other family member. Implications for interagency collaboration in support of pre and post-foster care discharge support services are discussed.

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Miranda, Megan, Elizabeth Molla e Eman Tadros. "Implications of Foster Care on Attachment: A Literature Review". Family Journal 27, n. 4 (5 marzo 2019): 394–403. http://dx.doi.org/10.1177/1066480719833407.

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This article provides a review of the literature in attachment theory, outcomes of being in foster care, impacts of trauma, and long-term attachment outcomes of foster care alumni. Thus far, minimal research has been conducted on the topic of attachment outcomes of foster care alumni in general as related to the field of marriage and family therapy. Attachment outcomes of foster care alumni is an important area to understand for marriage and family therapists because of the connection between attachment and relational functioning. The purpose of this article is to help gain an initial understanding of the experiences of foster care alumni and how those experiences may impact their development of attachment styles. Exploring this topic assists clinicians in providing services to children currently in foster care, foster care alumni, and their families.

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Scannapieco, Maria, Rebecca L. Hegar e Catherine McAlpine. "Kinship Care and Foster Care: A Comparison of Characteristics and Outcomes". Families in Society: The Journal of Contemporary Social Services 78, n. 5 (ottobre 1997): 480–88. http://dx.doi.org/10.1606/1044-3894.817.

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The increase in children entering foster care, together with a range of other political, economic, and social factors, has helped fuel the newest phenomenon in the child welfare system–a substantial proportion of children in formal kinship care. Kinship care is defined as out-of-home placement with relatives of children who are in the custody of state and local child welfare agencies. The authors present a review of previous research and report on a study that examined differences and similarities between kinship and traditional foster care in Baltimore County, Maryland, a suburban county that surrounds the city of Baltimore. This study supports many earlier conclusions concerning kinship care, such as children remain in care longer, caregivers are primarily African American, and services provided by kin are less extensive than those provided by traditional foster parents.

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Schroeder, Leila Obier. "Negligence in placement and supervision of children in foster care: Are social workers liable?" Children and Youth Services Review 8, n. 3 (gennaio 1986): 219–26. http://dx.doi.org/10.1016/0190-7409(86)90037-x.

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Polit, Denise F., Cozette Morrow White e Thomas D. Morton. "Sex Education and Family Planning Services for Adolescents in Foster Care". Family Planning Perspectives 19, n. 1 (gennaio 1987): 18. http://dx.doi.org/10.2307/2135362.

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Aluffi, Gianfranco, Marco Zuffranieri, Elena Amistà, Pier Maria Furlan, Luca Ostacoli e Rocco Luigi Picci. "Adults foster family care in Italian mental health services: a survey". Epidemiology and Psychiatric Sciences 19, n. 4 (dicembre 2010): 348–51. http://dx.doi.org/10.1017/s1121189x00000683.

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McMillen, J. Curtis, Lionel D. Scott, Bonnie T. Zima, Marcia T. Ollie, Michelle R. Munson e Edward Spitznagel. "Use of Mental Health Services Among Older Youths in Foster Care". Psychiatric Services 55, n. 7 (luglio 2004): 811–17. http://dx.doi.org/10.1176/appi.ps.55.7.811.

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