Search

One key step in the evidence-based practice process directs practitioners to pose client-oriented, practical, evidence-search questions (COPES), seeking the truth about what will help their client (Gibbs, 2003) and inform policy (Gambrill, 2006) and not to take a "one method fits all" position. Literature focusing on providing services to minority children and families in the child welfare system strongly supports this approach (Cohen, 2000; Lum, 2004; Samantrai, 2004). This article poses an effectiveness question, locates and evaluates existing evidence, and then presents implications for working with families and children from diverse backgrounds. The effectiveness question posed is, "If families and children from diverse populations experiencing mental health problems receive Multisystemic Therapy, will they have similar outcomes across race and ethnicity?" (Contains 1 table.)

Disparities in health and mental health care delivered to racial and ethnic minorities became a focus of national policy following reports of the Institute of Medicine (IOM, 2002) and the Surgeon General (USDHHS, 2001). The Surgeon General (USDHHS, 2001) reported racial and ethnic minorities experience disparities in availability and quality of mental health services compared to whites. Two challenges that intersect and compound each other are the disproportionately high numbers of African American children in child welfare with unmet mental health needs remaining in their homes or placed in relative's homes after a substantiation of child maltreatment (USDHHS, 2002) and the lack of culturally appropriate, effective home-based treatments available to them. This study compared outcomes for the youth who received Multisystemic Therapy (MST) controlling for the impact of race and ethnicity. The findings provide further evidence for child welfare practitioners to consider when working with children and families from diverse populations in decision-making. (Contains 1 table.) [For Part 1, see EJ862093.]

As the population of older adults increases and their potential for abuse and neglect increases, it is important a well-trained and competent workforce exists. Research has shown inadequate training of Adult Protective Services (APS) program staff is a major concern for adult protection programs, and one of the most important resources needed is staff training and development. This article describes a study examining the characteristics of new employees in APS and their experiences in a three-month basic skills development training program. The results of the study found participants felt very positive toward all aspects of the training and competent in many areas of APS practice. Implications for policy and practice are discussed. (Contains 5 tables.)

Child welfare systems throughout the United States are being closely scrutinized as sensational cases appear in the media in nearly every state. At the federal level, with the Child and Family Service Review process, the government is documenting that states across the country are not conforming to federal child welfare requirements (DHHS, 2007) put in place to ensure the safety and well-being of children. One of the most crucial underlying causes of these inadequacies is a workforce that lacks the manpower for the tasks it confronts. To meet performance standards for the seven major Adoption and Safe Family Act child welfare safety outcomes, child protection agencies must stop the outward flow of staff from the workplace. This paper presents a study examining correlates related to retention. It was found supervisors and co-workers play a crucial role in the retention of workers. Strategies are presented aimed at assisting states in ways to slow the turnover rate of workers in child welfare. (Contains 12 tables.)

Providing effective foster care is a major undertaking that continues to plague this country. The ultimate goal of substitute care is to provide child victims of maltreatment with a safe and nurturing home environment. The goal of this theory driven research project was to identify ecological factors correlated with effective non-kin family foster care. Various levels of analysis were considered including individual, family and community. The findings of this study identified three factors as significant predictors of effective foster care. Included are implications for social work in the areas of practice, policy, and research. (Contains 2 tables.)

Infants and toddlers are more likely to be victims of neglect than any other form of maltreatment. Infants and toddlers are at highest risk of fatality because of maltreatment and experience behavioral, social, academic, medical, and cognitive consequences of neglect during their most formative years. Within an ecological framework, this study examines the correlates of the substantiation of neglect in children 0 to 36 months of age. Using an ex post facto to design a random sample of 148 child protective services cases, bivariate analysis revealed significant differences in families who were substantiated for neglect in the areas of child characteristics, home environment, social environment, caregiver, and maltreatment situations. Multivariate analysis found children who were substantiated for neglect were exposed to greater environmental dangers and had caregivers who had poor parenting skills. Implications for practice and future research are discussed. (Contains 3 tables.)