Outcomes of a coaching program for families with multiple problems in the Netherlands: A prospective study

Tausendfreund, Tim; Knot‐Dickscheit, Jana; Post, Wendy J.; Knorth, Erik J.; Grietens, Hans

doi:10.1016/j.childyouth.2014.08.024

Cited by 17 publications

(21 citation statements)

References 32 publications

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“…Finally, we found that changes that changes in intensity with which care is used (>0 contacts) were affected by factors other than changes in care use in itself (yes/no). This supports earlier findings in the scarce research available on intensity of care use [8][9][10]. For both any care and psychosocial care, our study shows that parents with parenting concerns were more likely to use care, and the intensity of care use increased when there were psychosocial problems.…”

Section: Plos Onesupporting

confidence: 91%

“…Children with complex problems form the top 5% of children with the most challenging problems, amounting in the Netherlands to 170,000 children. Western countries struggle to organize effective and efficient care pathways for these children [8]. As a result, a major part of the budgets of psychosocial services is spent on children with CP [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Care use and its intensity in children with complex problems are related to varying child and family factors: A follow-up study

et al. 2020

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Background There is little evidence on the child and family factors that affect the intensity of care use by children with complex problems. We therefore wished to identify changes in these factors associated with changes in care service use and its intensity, for care use in general and psychosocial care in particular. Methods Parents of 272 children with problems in several life domains completed questionnaires at baseline (response 69.1%) and after 12 months. Negative binominal Hurdle analyses enabled us to distinguish between using care services (yes/ no) and its intensity, i.e. number of contacts when using care. Results Change in care use was more likely if the burden of adverse life events (ALE) decreased (odds ratio, OR = 0.94, 95% confidence interval, CI = 0.90-0.99) and if parenting concerns increased (OR = 1.29, CI = 1.11-1.51). Psychosocial care use became more likely for school-age children (vs. preschool) (OR = 1.99, CI = 1.09-3.63) if ALE decreased (OR = 0.93, CI = 0.89-0.97) and if parenting concerns increased (OR = 1.26, CI = 1.10-1.45). Intensity of use (>0 contacts) of any care decreased when ALE decreased (relative risk, RR = 0.95, CI = 0.92-0.98) and when psychosocial problems became less severe (RR = 0.38, CI = 0.20-0.73). Intensity of psychosocial care also decreased when severe psychosocial problems became less severe (RR = 0.39, CI = 0.18-0.84). Conclusions Changes in care-service use (vs. no use) and its intensity (>0 contacts) are explained by background characteristics and changes in a child's problems. Care use is related to factors

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Section: Plos Onesupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Care use and its intensity in children with complex problems are related to varying child and family factors: A follow-up study

et al. 2020

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“…Multi-problem households are households with problems on more than one of the following core problem areas: socio-economic problems (e.g., financial debts, unemployment), psycho-social problems (e.g., domestic violence, psychiatric disorders), and problems related to child care (e.g., neglect or maltreatment) [ 1 ]. These problems are often chronic, complex, and intertwined, they exist from generation to generation, and they cause high levels of psychological distress for those involved [ 1 , 2 , 3 ]. Multi-problem households can be found in any social, cultural and economic group [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Multi-problem households can be found in any social, cultural and economic group [ 4 ]. Because of the nature of the most common problems in these households (financial problems, unemployment, unstable housing) and the screening for these households as part of social work policies (low income, unemployment benefits, low education) [ 5 , 6 ], multi-problem households with a low socio-economic status are the group that is most often seen by social workers [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators for Health Behavior Change among Adults from Multi-Problem Households: A Qualitative Study

Nagelhout

Hogeling

Spruijt

et al. 2017

IJERPH

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Multi-problem households are households with problems on more than one of the following core problem areas: socio-economic problems, psycho-social problems, and problems related to child care. The aim of this study was to examine barriers and facilitators for health behavior change among adults from multi-problem households, as well as to identify ideas for a health promotion program. A qualitative study involving 25 semi-structured interviews was conducted among Dutch adults who received intensive family home care for multi-problem households. Results were discussed with eight social workers in a focus group interview. Data were analyzed using the Framework Method. The results revealed that the main reason for not engaging in sports were the costs. Physical activity was facilitated by physically active (transport to) work and by dog ownership. Respondents who received a food bank package reported this as a barrier for healthy eating. Those with medical conditions such as diabetes indicated that this motivated them to eat healthily. Smokers and former smokers reported that stress was a major barrier for quitting smoking but that medical conditions could motivate them to quit smoking. A reported reason for not using alcohol was having difficult past experiences such as violence and abuse by alcoholics. Mentioned intervention ideas were: something social, an outdoor sports event, cooking classes, a walking group, and children’s activities in nature. Free or cheap activities that include social interaction and reduce stress are in line with the identified barriers and facilitators. Besides these activities, it may be important to influence the target group’s environment by educating social workers and ensuring healthier food bank packages.

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“…One striking feature of the international literature on intensive support for families who face multiple problems is the emphasis on family-centred, 'whole family' system approaches, consistently described as necessary to address the specificity of families' experiences, and the complex dynamism of 'family' (e.g., Berry et al 2000;Boddy et al 2008;Sousa and Costa 2010;Tausendfreund et al 2014). Writing about the concept of 'family', Edwards and colleagues (2012: 731) …”

Section: Intervening With 'Troubled Families'mentioning

confidence: 99%

What Kind of Trouble? Meeting the Health Needs of ‘Troubled Families’ through Intensive Family Support

Boddy¹,

Statham²,

Warwick³

et al. 2015

Social Policy & Society

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The policy rhetoric of the UK Coalition government's ‘Troubled Families’ initiative, and that of New Labour's earlier Respect Agenda, share an emphasis on families’ responsibilities, or rather their irresponsibility, and their financial costs to society. Giving children a chance of a better life coincides, in this framing, with reducing costs for the taxpayer. The research reported here was based on a national study of Family Intervention Projects (FIPs), funded by the UK government between 2009 and 2012, beginning under New Labour, continuing over a period when the FIP programme was discontinued, and ending after the Troubled Families programme had begun. The research involved over 100 in-depth interviews with stakeholders, including service managers, family key workers, and caregivers and children in twenty families, to consider critical questions about the kinds of trouble that families experience in their lives, and how they are recognised in the policy and practice of intensive family intervention.

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Outcomes of a coaching program for families with multiple problems in the Netherlands: A prospective study

Cited by 17 publications

References 32 publications

Care use and its intensity in children with complex problems are related to varying child and family factors: A follow-up study

Care use and its intensity in children with complex problems are related to varying child and family factors: A follow-up study

Barriers and Facilitators for Health Behavior Change among Adults from Multi-Problem Households: A Qualitative Study

What Kind of Trouble? Meeting the Health Needs of ‘Troubled Families’ through Intensive Family Support

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