Although the importance of contact between children in care and their parents, when safe, is accepted, there is limited research about supervised face‐to‐face contact. There is no literature that has systematically critiqued how supervised contact can be best delivered. The aim of this systematic review was to evaluate the evidence for interventions aimed at improving the quality of contact visits between parents and their children who are in out‐of‐home care. Twelve studies were included in this review. Each study was graded and assigned scores according to the presence or absence of each of seven criteria. The studies demonstrated key similarities in the types of interventions provided, although delivery varied across group, individual and educational interventions. Parents reported improved capacity to manage their emotions and parents' satisfaction with the programmes was high. Although there was a lack of large scale, methodologically rigorous studies with long‐term follow‐up, some promising findings were identified: the literature indicates individual family support and group programmes have the potential to improve parent–child relationships and the quality of contact visits. This review suggests that future studies build on current evidence by addressing their methodological limitations and evaluating interventions that can be tailored to meet the needs of individual families.
The records of children and young people growing up in care have multiple purposes and audiences. Cathy Humphreys and Margaret Kertesz discuss the ways in which the characteristics of the documentation determine the record's usefulness to care leavers as a resource for identity at some point in later life. The Who Am I? action research project, based in Victoria, Australia, explores the extent to which records and current record-keeping practices facilitate this. Two approaches were found to be especially useful: the Knowledge Diamond framework, which harnesses the different knowledge brought by diverse groups to the task of developing principles for record-keeping; and the records continuum (constructing, storing and accessing the record), which provided a concept through which to understand the significance of the archive as a dimension of good practice. It was found that workers' accountability to the children now and in the future risks being overshadowed by the requirements of other stakeholders unless the principles that underpin effective record-keeping are articulated and implemented.
BackgroundWhen children are unable to safely live at home with their parents, contact between these children and their parents is considered, in most cases, important for maintaining children’s sense of identity and relationships with their parents. However, the research evidence on contact is weak and provides little guidance on how to manage contact and when it is beneficial or potentially harmful. The evidence in relation to contact interventions with parents and their children who are to remain in long-term care is the most limited. A small number of studies have been identified where interventions which were therapeutic, child-focused and with clear goals, particularly aimed at preparing and supporting parents, showed some promising results. This trial aims to build on the existing evidence by trialling an enhanced model of contact in multiple sites in Australia.Methods/DesignThis study is a cluster randomised controlled trial of an enhanced contact intervention with children in long-term care who are having supervised contact with their parents. Intervention sites will implement the kContact intervention that increases the preparation and support provided to parents in relation to contact. Baseline and follow-up interviews are being conducted with parents, carers and agency workers at intervention and control sites. Follow-ups interviews will assess whether there has been an increase in children’s emotional safety and a reduction in distress in response to contact visits with their parents (the primary outcome variable as measured using the Strength and Difficulties Questionnaire), improved relationships between children and their parents, improved parental ability to support contact, and fewer contact visits cancelled.DiscussionBy increasing the evidence base in this area, the study aims to better guide the management and supervision of contact visits in the out-of-home care context and improve outcomes for the children and their families.Trial RegistrationTrial registered on 7 April 2015 with the Australian New Zealand Clinical Trials Registry ACTRN12615000313538
Much literature about kinship care has focused on grandparents, with limited attention to other kinship carers. This article describes results from the second part of an Australian research project that explored the prevalence, experiences and support needs of kinship carers aged 18–30 years through interviews with 41 kinship carers. Most were sisters or aunts. Findings included deep commitment of the carers to children in their care and the children's positive development over time. Young kinship carers described personal costs of caring, including sudden adjustment to the task of parenting distressed children, suspension of studies, jobs and career development, pressures of intrafamilial conflict, a lack of recognition of their existence and support needs, and above all, financial stress. The need for multifaceted support to be available to this group of kinship carers is identified.
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