IntroductionWomen in conflict-affected countries are at risk of mental disorders such as posttraumatic stress disorder and depression. No studies have investigated the association between experiences of abuse and injustice and explosive anger amongst women in these settings, and the impact of anger on women's health, family relationships and ability to participate in development.MethodsA mixed methods study including an epidemiological survey (n = 1513, 92.6% response) and qualitative interviews (n = 77) was conducted in Timor-Leste. The indices measured included Intermittent Explosive Disorder, posttraumatic stress disorder; severe distress; days out of role (the number of days that the person was unable to undertake normal activities); gender-specific trauma; conflict/violence; poverty; and preoccupations with injustice.ResultsWomen with Intermittent Explosive Disorder (n = 184, 12.2%) were more disabled than those without the disorder (for >5 days out of role, 40.8% versus 31.5%, X2
(2) = 12.93 p = 0.0016). Multivariable associations with Intermittent Explosive Disorder, controlling for the presence of PTSD, psychological distress and other predictors in the model, included the sense of being sick (OR 1.73; 95% CI 1.08–2.77); victimization as a result of helping the resistance movement (OR 2.33, 95% CI 1.48–3.68); war-related trauma specific to being a woman (OR 1.95, 95%, CI 1.09–3.50); ongoing family violence and community conflict (OR 1.88, 95% CI 1.27–2.77); extreme poverty (OR 1.23, 95%, CI 1.08–1.39); and distressing preoccupations with injustice (relating to 2/3 historical periods, OR 2.10, 95% CI 1.35–3.28). In the qualitative study, women elaborated on the determinants of anger and its impact on their health, family and community functioning, child-rearing, and capacity to engage in development. Women reflected on the strategies that might help them overcome their anger.ConclusionsIntermittent Explosive Disorder is prevalent and disabling amongst women in conflict-affected Timor-Leste, impacting on their health, child-rearing and ability to participate fully in socio-economic development.
In this paper we describe and promote a model of group work with parents of children in care in operation in Townsville, a regional city in northern Australia, since 1989. We begin from the premise that parents have frequently been ‘left out of the loop’ as key players in child protection. This is despite the fact that it is parents' ability to afford protection that is at issue. The paper proceeds to discuss what is meant by empowerment in the context of a social work group work approach with parents. A model of group work is then presented. The paper concludes with discussion of the implications that this approach has for social work in child protection practice.
Research to date has found that natural parents may be an important source of identity and support for children in and young people leaving out-of-home care. There has, however, been limited research on natural parents themselves, both internationally and in Australia.This paper provides a justification for a research focus on parents, documents what is known from research to date, highlights current issues for parents and their children in out-of-home care, and concludes by identifying future research priorities in the area. The paper calls for recognition of the need to maintain positive links between natural family members in order to ensure best practice outcomes for children and young people in care.
Across Australia and internationally, growing numbers of grandparents are becoming primary carers for grandchildren, both within and outside of formal state care arrangements. Underlying factors include family breakdown, family circumstances where parents are unable to care for their children, or where there are child safety concerns. Some grandparents report a pattern of initially providing care for grandchildren but then experiencing reduced or lost contact that sometimes is not restored, in turn impacting ongoing relationships with grandchildren. A prevailing concern is the disproportional numbers of Aboriginal children in state care in all Australian states. Reported here are findings from a recent partnership research project focused on optimizing grandparent contact and ongoing relationships with grandchildren after child safety concerns. Qualitative in‐depth interviews and focus groups were conducted with 77 participants. Findings revealed grandparents yearned to maintain a significant role in grandchildren's lives after child safety issues emerged, however, they often felt powerless, unsupported, and sidelined from decision‐making in the best interests of their grandchildren. Participants made strong recommendations for more inclusive processes.
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