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ISSN 1357-5279
VOLUME 8 NUMBER 4
OCTOBER 2002
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Contents
Foreword
Lynne Peyton 237
What Families Want in Family
Support: An Irish Case Study
Pat Dolan & Stephanie Holt
239
ABSTRACT In recent years, Family Support has been given increased
attention in Ireland, including the development of more
community-based early intervention programmes and the publication of
an Irish Government policy regarding children and their universal need
for recognition and support. In the light of these developments and
from recent research on Family Support involving two health
authorities, specific issues relating to policy and practice are
considered. Two case studies are presented. One study in the Western
Health Board area involved consultation with service users regarding
their perception of Family Support and how best professionals should
provide help to families. The second study by the Eastern Regional
Health Authority focused on lay family support workers and key aspects
of their helping role in relation to cases of domes tic violence.
Common themes that emerge from both pieces of research are discussed,
including the importance of valorisation of the worker—client
relationship, the need for targeted support within universal
frameworks, the importance of timing of interventions and the
potential of non-directive interventions with families experiencing
adversity.
Family Support: Measuring the
Benefits to Families
Valerie McGuffin 251
ABSTRACT This article outlines the process undertaken by Home-Start,
the leading family support agency, to develop and implement a
Monitoring Evaluation format that could measure the outcomes for
families who had been supported by Home-Start. Home-Start as an
organisation began with a small scheme in Leicester in 1973 supporting
a few families through volunteers, themselves parents, visiting the
families in their own homes, offering support, friendship, reassurance
and practical help. It currently has schemes in 320 areas throughout
the UK and operates in 27 areas in Northern Ireland. There are 895
families with 2362 children, 1571 of whom are under 5 years of age
being supported by over 500 volunteers in Home-Start schemes in
Northern Ireland. The purpose was to devise a format that could be
integrated into the normal organisational procedures, while respecting
the privacy and dignity of the families being supported. The initial
impetus came from within the organisation itself to ensure that the
service was constantly under review and maintaining relevance with the
needs of families in a constantly changing environment. The
development of this process was also in response to the increasing
demands from funders for evidence of outcomes for families and
cost-effectiveness. The process of developing this monitoring and
evaluation tool was piloted by 38 Home-Start schemes in four 4
countries in the UK for a period of 1 year. It was adapted and
reviewed during that time and is currently being introduced to all
Home-Start schemes UK-wide.
The Contribution of Volunteers to
Work with Children in a Criminal Justice Organisation
Tom McGonigle 262
ABSTRACT This article
outlines the experience of managing a large pool of volunteers to work
with children in a criminal justice charity, and some of the attendant
issues. The extent of volunteering contributions is shown to be both
significant and worthwhile, and much of The Northern Ireland
Association for the Care and Resettlement of Offenders’ work with
children could not take place without volunteer input. Associated with
this is the fact that in order to ensure safe and satisfactory
operations, the organisation has to manage its volunteers in an
increasingly sophisticated manner, which to all intents and purposes
is tantamount to managing a workforce. Yet an organisation that
involves volunteers cannot make the same demands of them as can be
made of a paid workforce. These are important factors that are well
known to our colleagues in the voluntary sector, and which need to be
recognised by government when encouraging the involvement of
volunteers. There are also important resource implications if
volunteering is to be managed properly and responsibly.
The Arts Provider Partnership Summer
Project 2001
Richard McEvoy 273
ABSTRACT Cedar
Grove, a statutory residential facility within Newry and Mourne Health
and Social Services Trust, is a short-term assessment centre located
in Newry, Northern Ireland. The Centre is resourced by a qualified
social work team, and has been operational since September 1999. It
accommodates six young people, both male and female, between the ages
of 12 andl6 years. Referrals are made to the Centre for a variety of
reasons and may include: Physical Abuse, Sexual Abuse, Emotional Abuse
and/or Neglect, Disability, Family Breakdown, and Offending
behaviours.This paper focuses upon the conception and completion of an
art programme held within the Centre during the summer of 2001. Of the
six young people who participated in the project, four were male and
two were female. The original group did not remain static throughout
the project, but were joined at varying stages by others who were
referred to the Centre. One female was referred mid-project, while two
males joined the group during the latter part of the summer. The
project was conceived by young people and staff within the facility
during the spring period of 2001. A sense of commonality between the
resident group was evident in their own identification of art and
music as media through which they could come together as a working
unit. The project sought to capitalise upon the aforementioned
motivation and to provide a tailored programme of events throughout
the summer period. As educational attendance and attainment had also
presented as a difficulty within the last term of school, it was
envisaged that this project would provide young people with
opportunities to develop through more holistic activities. Thus the
project, while not acting as a substitute for school, would seek to
complement the more formal academic system.
Gender Differences Among Children
with Externalising Behaviour
Disorders in a Clinic Population
Helle Wessel Andersson 282
ABSTRACT The objective of this study was to compare the referral
patterns for males and females with externalising disorders who were
admitted for specialised psychiatric treatment. The study was based on
the total population of children receiving specialised mental
treatment in Norway in 2001. From the total patient population of
28,571 children and adolescents aged 0—17 years, a sample was drawn of
boys and girls who were referred for externalising behaviour
disorders. The sample comprised a total 9729 children, of whom 2218
were females and 7511 were males. Males and females were compared with
regard to age at referral, referring agents, secondary reasons for
referral as indicated by referring agency, and diagnostic status. The
analyses revealed several gender differences in referral patterns. A
statistically significant larger proportion of males than females were
referred at ages between 6 and 12 years (67.3 % and57.1%,
respectively; p <0.001), whereas relatively more females than males
were referred at ages above 12 years (32.4% and 21.70c, respectively;
p < 0.001). Males were more frequently referred from the school sector
than females (31.2% and 2l.8%, respectively; p <0.001), and exhibited
more externalising symptoms than females as indicated by their
secondary reason for referral (47.8% and 31.5%, respectively; p
<0.001). Co-occurring internalising symptoms were relatively more
frequent in females than in males (21.9% and 16.9%, respectively; p
<0.001). Furthermore, results showed statistically significant
differences in diagnostic status between males and females. Among
males 37.7% was assigned an lCD-10 axis I diagnosis of hyperkinetic
disorders or conduct disorders; the corresponding number for females
was 24.0% (p <0.001). The results may reflect the true prevalence in
the child and adolescent population, or alternatively indicate a
gender-related bias in the referral process of children.
Expert Witness in Children Order
Proceedings Conference, 1 October 2002
Lynne Peyton 291
Achieving Best Practice to Secure the
Best Interests of Children
Mr Justice Gillen 295
ABSTRACT This paper was presented as a keynote address at the ‘Expert
Witness in Children Order Proceedings Conference’ at the Hilton Hotel,
Belfast, 1 October 2002. The paper identifies when, why and how expert
witnesses should be commissioned and examines their role in providing
independent advice to the court. Reasons why experts are in short
supply are examined and ways in which this can be addressed, such as
the creation of a national register for Northern Ireland and the
introduction of judicial pupillage schemes, are discussed. The paper
also explores how the creation of a code of practice is likely to
improve the current situation and argues for the need for a
multidisciplinary approach if best practice is to be achieved.
The Roles and Duties of the
Expert Witness
Alice Swann 305
ABSTRACT This paper was presented as a keynote address at the ‘Expert
Witness in Children Order Proceedings Conference’ at the Hilton Hotel,
Belfast, 1 October 2002. As the roles and responsibility of the expert
have, by and large, been determined by the court, this paper seeks to
demonstrate how Case Law has been influential in this area. In
summary, it is the role of the expert witness to advise the judge, to
undertake assessment, to give an opinion and to consult with other
experts with a letter of instruction providing the framework. The duty
of the expert witness is to show objectivity and proper research.
Consideration was also given to judges’ views of experts. This ranges
from critical to constructive comments. Specific issues, such as the
possibility of the expert witness misleading, whether or not an expert
can express a firm opinion about whether an event has happened, and
whether a child is speaking the truth, demonstrate difficulties for
experts as they seek to understand the subtleties of the law of
evidence.
The Four Nations Child Policy
Network
Elaine McEllduff & Nicola Kerr 312
BOOK REVIEW
Moral Agendas for Children’s Welfare
Michael King (ed)
(reviewed by John Devaney) 318
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Foreword
LYNNE PEYTON
While there is no one specific theme for
this edition, readers will identify with a number of ongoing issues,
including mechanisms for measuring whether family support is effective,
valuing/promoting high-quality volunteer work with children, and
achieving best practice in children’s legal proceedings. We also have a
welcome international contribution from a colleague in Norway.
In the first of two papers considering
the provision of family support services, Pat Dolan and Stephanie Holt
compare and contrast two projects within Health Boards in Ireland, both
of which supported families in adversity. They recognise that to be
perceived as helpful by parents, support needs to be enduring,
non-directive and non-judgemental. In the second paper, Valerie McGuffin
reviews the history of Homestart Northern Ireland in helping families
with children under 5 years old and reports on the development of a
monitoring format to measure outcomes for families. Evaluation of the
impact of the Volunteer support scheme is conducted in conjunction with
families to assess progress against identified difficulties. As in the
earlier paper, the family’s perspective is acknowledged as critical.
Following these research papers, Tom
McGonigle and Richard McEvoy each present a fascinating account of
practice issues in two very different areas. McGonigle examines the role
of volunteers working with young people in a criminal justice setting.
He highlights the significant contribution made by volunteers as well as
the need for safe and effective volunteering to be properly managed,
supervised and adequately funded. McEcoy outlines how music and art were
used to facilitate relationship building with young people in a
residential facility. He describes how young people who had experienced
a variety of trauma in their backgrounds identified art and music as a
vehicle for addressing some of their issues. The views of both staff and
the young people who participated in the project would seem to
illustrate the positive benefits of such an approach.
Helle Wessel Andersson describes gender
differences among almost 10,000 young people with externalised
behaviours who represented one-third of the entire referrals to the
young people’s mental health service in Norway. She identifies that boys
tend to be referred younger than girls and are more often referred by
the school sector, while girls were more likely to display internalising
symptoms as well. Andersson speculates as to whether the gender bias is
reflected in Norway’s entire child mental health referrals.
Despite its principle objective to
promote the paramountcy of the child’s welfare in all matters, Children
Order Proceedings have tended to be characterised by delay and
frustration. In a recent conference to consider the role of expert
witnesses, Mr Justice Gillen identified and addressed the many issues
that need to be overcome if the goal of best practise for children is to
be achieved. The complexities of the responsibilities of expert
witnesses were considered by Alice Swann, drawing on personal
experiences and relevant case law. Both papers give some insight into
the extent of change required. My own paper summarises the proceedings
and details of the Conference’s recommendations to the Children Order
Advisory Group.
Finally, Elaine McElduff and Nicola Kerr
introduce a new policy briefing service available through the Four
Nations Childcare Policy Network website, offering easy access to
current legislative and policy developments.
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