Working with families to decrease the danger of disregard: Results from two show ventures.

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Working with families to lessen the danger of disregard: Results from two show ventures Diane DePanfilis, Ph.D., MSW Howard Dubowitz, MD, MS Susan Kelley, Ph.D., RN Countenances of progress: Grasping different societies and option Methodologies. 13 th National Meeting on Kid Misuse and
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Working with families to lessen the danger of disregard: Results from two show ventures Diane DePanfilis, Ph.D., MSW Howard Dubowitz, MD, MS Susan Kelley, Ph.D., RN Faces of progress: Embracing different societies and option Approaches. 13 th National Conference on Child Abuse and Neglect. April 23-28, 2001, Albuquerque, New Mexico

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Affiliations Diane DePanfilis, Ph.D., MSW, Associate Professor of Social Work, Co-Director, University of Maryland, Baltimore Center for Families Howard Dubowitz, MD, MS, Professor of Pediatrics, Co-Director, University of Maryland, Baltimore Center for Families Susan Kelly, Ph.D., RN, Dean, College of Health and Human Sciences, Georgia State University, Director, Project Healthy Grandparents

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Funding Five year DHHS, Children’s Bureau stipends to exhibit techniques for avoiding and interceding with disregard. Award number 90CA 1580 to University of Maryland, Baltimore Grant number 90CA 1578 to Georgia State University

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Why is this imperative? Numerous families battle to meet the essential needs of their kids. Our commanded frameworks frequently get included past the point of no return. We have to see more about what models are best to achieve families early.

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Why is this vital? Societal patterns (e.g., destitution, substance misuse) make it troublesome for a few families to meet the fundamental needs of youngsters. Changes in family structures including the expanding number of grandparent headed families propose the requirement for inventive, interdisciplinary models of mediation. A qualities based methodology is required with a specific end goal to assist families with accomplishing results of wellbeing and prosperity.

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Agenda Introduction and reason for presentation Overview of every mediation program and target populace Contrast of intercession standards and methodologies Contrast of examination systems Overview of preparatory show discoveries Implications for future practice and exploration

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Overview of Programs Family Connections, Baltimore, Maryland Project Healthy Grandparents, Fulton and DeKalb Counties, Georgia

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Family Connections Promotes the wellbeing and prosperity of youngsters and families through family and group administrations, proficient instruction and preparing, and exploration and assessment. Venture Healthy Grandparents Enhances the physical and passionate prosperity of intergenerational families through interdisciplinary, group based administrations. The projects

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Target Populations Contrast of: Risk Criteria Demographics Risks at Intake

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Basic Screening Criteria-Family Connections The family lives in the West Baltimore Side Empowerment Zone There is a kid somewhere around 5 and 11 years living in the family unit There is no present CPS contribution The family is willing to take an interest Family Connections

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Inadequate/deferred human services Inadequate nourishment Poor individual cleanliness Inadequate dress Unsafe family unit conditions Unsanitary family conditions Unstable living conditions Shuttling Inadequate supervision Inappropriate substitute guardian Drug-uncovered infant Defining Neglect Risk Family Connections

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Inadequate nurturance Isolating Witnessing viciousness Permitting liquor/medication utilization Permitting maladaptive conduct Delay with emotional wellness care Chronic truancy Unmet exceptional instructive needs Defining Neglect Risk Family Connections

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Caregiver danger criteria Unemployed/over-utilized Mental wellbeing issue Health issue Alcohol or medication issue Homelessness Domestic roughness Family Connections

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Child hazard criteria Behavior or psychological well-being issue Physical inability Developmental handicap Learning incapacity More than 3 youngsters in home Family Connections

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SCREENING CRITERIA - PHG Families must dwell in Fulton or DeKalb County Grandmother and/or granddad raising one or more Grandchildren matured 16 or more youthful Birth folks missing from family Project Healthy Grandparents

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Family Connections 200 families, 600 kids 86% African American Primary parental figure mean age was 38 (territory 19-73) (150 female, 4 male) 58% unemployed, 18% utilized full time, 9% utilized low maintenance, 10% in preparing, 5% resigned Project Healthy Grandparents 250 families, 650 kids 98% African American Primary guardian mean age = 55 years, range 37-78, 96% grandmas, 4% incredible grandmas, 31%>60 yrs Families & Caregivers

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Family Connections 85% not as much as secondary school training, 10.8 mean years of training 5% wedded, 64% never wedded, 13% isolated, 10% separated, 7% widowed Project Healthy Grandparents 11.3 years of training, reach 4-19 years 18% wedded Caregivers

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Family Connections Average no.of kids in families = 3 One – 17%, Two – 25%, Three – 27%, Four or more – 31% Mean age = 9 (territory – 1 month to 21 yrs) Children – 52% female, 48% male 78% kids, 16% grandchildren, 5% other relative Project Healthy Grandparents Average no. grandchildren = 2.6, territory 1-8 Average time of grandchildren = 6.1 years, extent conception to 16 Children

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Delay w/emotional wellness care – 32% Unstable living conditions – 24% Inadequate supervision – 22% Permitting maladaptive conduct - 21% Unsafe family conditions – 19% Delay w/wellbeing care–17% Unmet custom curriculum needs–14% Chronic truancy–13% Inadequate nurturance – 11% Unsanitary family unit conditions – 9% Inadequate nourishment – 9% Witnessing brutality – 7% Risk Criteria at Intake Family Connections

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Caregiver dangers Unemployed/over-utilized – 73% Mental wellbeing issue – 25% Alcohol/drug issue – 23% Homelessness – 8% Domestic savagery – 6% Family Connections

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Child dangers Behavior or psychological well-being issue – 66% Physical inability – 5% Developmental handicap – 11% Learning incapacity – 20% More than 3 kids in home – 30% Family Connections

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CAREGIVER RISK FACTORS Health Problems 80% extremely overweight 54% Hypertension 23% Diabetes Psychological Health/Distress 28% clinical reach on BSI Experience Financial Hardship: 58% TANF 70% kids 16% grandparents Project Healthy Grandparents

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CHILD RISK FACTORS Behavior issues (CBCL) clinical extent 33% absolute issues 37% externalizing 22% disguising Reason raised by grandparents Parent(s) substance (38%) Incarceration (18%) Abandonment (16%) CPS evacuation (11%) Parent(s) perished (6%) Project Healthy Grandparents

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Intervention Philosophy Services

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Philosophical Principles Community exceed Family appraisal and customized intercessions Helping organization together Empowerment approaches Strengths viewpoint

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Philosophical Principles Cultural affectability Developmental suitability Outcome driven administration arranges Emphasis on uplifting dispositions and characteristics of partners

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Family Connections Crisis mediation Emergency help Individualized result based administrations Individual and family directing Parent bunches Advocacy Case administration Project Healthy Grandparents Social work case administration RN home appearance Legal help Support gatherings Parenting classes Saturday Youth Academy Early intercession (0-5 years) Intervention administrations

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Research Methods Hypotheses, examination inquiries Targeted results Designs and methodology Measures

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Family Connections Does length of administration have any kind of effect in focused on results? Does accepting a gathering mediation (notwithstanding a home based intercession) have any kind of effect in focused on results? Venture Healthy Grandparents Predict that an interdisciplinary mediation went for upgrading the prosperity of grandparents raising grandchildren will enhance focused on results. Exploration questions/theory

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Family Connections Child Safety Child Well Being Primary Caregiver Well Being Stress Depressive side effects Family Well Being Care of youngsters Social bolster Family working Healthy Project Grandparents Psychological misery Family assets Social bolster Physical wellbeing Family adapting practices Targeted Outcomes

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Family Connections Factorial configuration Randomizing families in 4 gatherings: home based w/& w/out gathering for 3 months or 9 months Automated meeting at pattern, case conclusion and 6 month postliminary, other appraisal measures coordinated with mediation Healthy Project Grandparents Pre/post-test outline Recruitment from mixed bag of organizations in Atlanta Data gathered in participants’ homes by graduate understudies Participants qualified if raising one or more grandchildren in guardian truant home Research plans & methods

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Research Protocols Self-directed PC helped meeting Ask questions about: kid working, parental figure adolescence history, guardian working, careless practices or conditions, family working, social bolster, wellbeing, liquor misuse, emotional wellness, social attractive quality, medication mishandle, lodging and neighborhood, association with assistant Family Connections

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Family Connections Case Management System

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Purposes of the Case Management System Provide a structure for the understudy to take in a practice model. Bolster the field teacher in the administration and educating parts. Record and measure the accomplishment of results. Record what administrations are given.

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What data do we track? Screening criteria Family needs and qualities Desired family results Services that are given Level of accomplishment of results

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Self-Report Measures Needs based appraisal scales Family Resource Scale Support Functions Scale Family Needs Scale Social bo

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