A Qualitative Examination of Client Participation in Agency-Initiated Services

Altman, Julie Cooper

doi:10.1606/1044-3894.130

Cited by 14 publications

(8 citation statements)

References 18 publications

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“…Findings exist that engagement may be related to clients' past and current experience in services, their personal networks, or their readiness to change (Daro et al, 2003). From qualitative inquiries, factors such as perceived choice, analysis of cost-benefit, their understanding of their own needs, and the potential fit and effectiveness of the services offered were also found to affect a client's engagement (Altman, 2003). Further research that embraces data from both quantitative and qualitative perspectives should help in the comprehensive development of a theory.…”

Section: Discussion and Applications To Practicementioning

confidence: 99%

A Study of Engagement in Neighborhood-Based Child Welfare Services

Altman

2008

Research on Social Work Practice

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This article reports the results of a mixed-method study that examined processes and outcomes of parent-worker engagement in child welfare. Knowledge gained from a qualitative exploration of engagement at one neighborhood-based child welfare agency informed the gathering of quantitative data from 74 different parent-worker dyads in this sequential exploratory design. Seven themes instrumental to engagement emerged: (a) clear, collaborative goal setting; (b) hopefulness; (c) parent acknowledgment of their situations; (d) motivation; (e) respect for cultural differences; (f) honest and straightforward communication; and (g) persistent and timely efforts by all. Quantitative analyses yielded little relationship between engagement and either visitation rate or case disposition by 9 months post placement. Although these data provide support for the clinical benefits of working to improve parent-worker engagement in child welfare services, they fail to provide evidence of a relationship between engagement and improved case outcomes.

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Section: Discussion and Applications To Practicementioning

confidence: 99%

A Study of Engagement in Neighborhood-Based Child Welfare Services

Altman

2008

Research on Social Work Practice

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“…Client-level predisposing factors include demographic characteristics such as age, sex, race/ethnicity, and individual beliefs about mental health care. For example, previous research suggests that caregivers belonging to racial/ethnic minority groups and those who are skeptical about mental illness and/or treatment are less likely to utilize mental health services than other individuals (Altman, 2003; Cairney & Wade, 2002; Rosen, Tolman, & Warner, 2004; Staudt, 2006). Client-level enabling factors refer to the family and community resources available to help individuals obtain care, which can also significantly impact mental health service utilization.…”

Section: Introductionmentioning

confidence: 99%

Facilitating mental health service use for caregivers: Referral strategies among child welfare caseworkers

Bunger

Chuang

McBeath

2012

Children and Youth Services Review

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Unmet needs for mental health care are common among caregivers involved in the child welfare system. Although child welfare caseworkers are well positioned to identify service needs and refer caregivers to treatment, little is known about the types of referral strategies used in practice, or their effectiveness for promoting mental health service use. The current study examined child welfare caseworkers’ use of different referral strategies and the extent to which these strategies are associated with caregivers’ receipt of mental health services within a national sample of child welfare cases. Analyses of the second cohort of families from the National Survey of Child and Adolescent Well-Being suggest that child welfare workers more often use informational strategies for referring caregivers, including suggesting treatment or providing information about treatment options. However, social referral strategies such as providing caregivers with direct assistance in completing applications and making and attending appointments were associated with a greater likelihood of caregivers receiving mental health services. Findings support evidence from other service contexts that service use is facilitated by caseworkers’ direct support for arranging services. Implications for research and for child welfare managers and administrators are discussed.

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“…In contrast, parents who described the power of the child welfare system as leverage to reunite with or improve conditions for children reported acceptance of agency interventions. Understanding parental perceptions of the power of caseworkers allows child welfare workers to recognize how their authority may be used "for" or "against" families during CPS involvement (Altman, 2003(Altman, , 2008.…”

Section: Prior Researchmentioning

confidence: 99%

“…Understanding parents' perceptions of CPS intervention and the potentially strained relationships between CPS caseworkers and parents may lead to improved effectiveness of child welfare interventions after child maltreatment (Altman, 2003(Altman, , 2008. All of these studies are limited, however, by a singular focus on the unique relationship between child welfare workers and parents in those cases where children have been removed from the home or where in-home services are in place to prevent removal.…”

Section: Prior Researchmentioning

confidence: 99%

What Happened Next

et al. 2016

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Child Protective Services (CPS) identifies over 700,000 victims of child maltreatment in the U.S. annually. Research shows that risk factors for these children may persist despite CPS intervention. Mothers have unique and often untapped perspectives on the experiences and consequences of CPS intervention that may inform future practice. We explored these perspectives through interviews with 24 mothers after a first-time CPS finding of maltreatment not resulting in out-of-home placement. Male partners were primary perpetrators in 21 cases, with mothers or sitters identified as perpetrators in remaining cases. Data were analyzed using grounded theory. Mothers described risk factors or Roots of maltreatment prior to CPS involvement and reported variable experiences with Recognition of and Response to maltreatment. Divergent Outcomes emerged: I Feel Stronger and We’re No Better. These findings provide an understanding of household experiences around child maltreatment that may support practice and policy changes to improve outcomes for vulnerable children.

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A Qualitative Examination of Client Participation in Agency-Initiated Services

Cited by 14 publications

References 18 publications

A Study of Engagement in Neighborhood-Based Child Welfare Services

A Study of Engagement in Neighborhood-Based Child Welfare Services

Facilitating mental health service use for caregivers: Referral strategies among child welfare caseworkers

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