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1 – 10 of over 88000Chris Warren‐Adamson and Anita Lightburn
This article reflects on the significance of family centres in the UK as a mirror of new possibilities for child welfare in the years following the Children Act 1989. The Act…
Abstract
This article reflects on the significance of family centres in the UK as a mirror of new possibilities for child welfare in the years following the Children Act 1989. The Act empowered local authorities in England and Wales to provide family centres as part of ‘family support practice’. The article reveals a rich vein of family‐centred, centre‐based activity internationally and shows practice combining intervention from the sophisticated to the very informal. The authors focus on so‐called ‘integrated centres’ as complex systems of care with wide implications for practice and outcome evaluation in an ‘evidence‐based’ context.
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Jennifer S. Reinke and Catherine A. Solheim
Using Andersen’s (1968) behavioral model of health services use as a guiding conceptual framework, this study examined how receipt of family-centered care relates to the perceived…
Abstract
Purpose
Using Andersen’s (1968) behavioral model of health services use as a guiding conceptual framework, this study examined how receipt of family-centered care relates to the perceived family challenges for families of children with autism spectrum disorder (ASD).
Design
Data from the 2009–2010 National Survey of Children with Special Health Care Needs (NS-CSHCN) were analyzed for 812 parents of children with ASD.
Findings
Multiple regression analyses provided substantive statistical evidence that a child’s race, the adequacy of a family’s insurance, and the stability of child’s health care needs significantly contributed to predicting his or her receipt of family-centered care. Further results suggested a relationship between receipt of family-centered care and the perception of challenge for these families; families receiving family-centered care perceive fewer challenges and feel less unmet need for child health services.
Value
Family-centered professionals provide critical voices in the development of policies and programs geared toward improving the health outcomes of children with ASD and their families.
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Christine E. Murray, Jacquelyn White, Hamid Nemati, Anthony Chow, Allison Marsh and Samantha Edwards
Family Justice Centers, or “one-stop shops” that enable domestic violence victims to access a range of services at one location, are becoming increasingly common. However, there…
Abstract
Purpose
Family Justice Centers, or “one-stop shops” that enable domestic violence victims to access a range of services at one location, are becoming increasingly common. However, there is a limited body of research examining the outcomes and planning processes of these Centers. The early phases of planning Centers are critical to their initial and ongoing success. The purpose of this paper is to discuss these issues.
Design/methodology/approach
In total, 15 stakeholders in a community in the early phases of planning a Center were interviewed.
Findings
Content analysis procedures were used to identify themes related to participants’ ideas about what the Family Justice Center should look like (e.g. services to include and perceived benefits and challenges for the Center), the steps required for planning it (e.g. identifying the purpose of the Center, getting key people involved, and building collaborations), and desired technologies.
Originality/value
This paper is the first known research effort to examine the early phases of development in constructing a Family Justice Center.
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Paula M Lantz, Nicole Rubin and D Richard Mauery
The purpose of this paper is to describe an international survey of hospital executives and administrators’ perspectives on the contributions of their affiliation with a Ronald…
Abstract
Purpose
The purpose of this paper is to describe an international survey of hospital executives and administrators’ perspectives on the contributions of their affiliation with a Ronald McDonald House (RMH) as an example of accommodation in family-centered care to the hospital’s mission, operations and patient experience.
Design/methodology/approach
RMHs worldwide provided the names and e-mail addresses of the people holding key leadership positions in their main hospital partner, who in turn were invited to complete an internet-based survey (530 participants; response rate of 54.5 percent).
Findings
Hospital leaders reported very positive opinions about the contributions of their RMHs affiliation to their ability to serve seriously ill children and their families. This included such important outcomes as increasing family integrity and family participation in care decisions; and decreasing psychosocial stress and hospital social work resource burdens associated with lodging, food, transportation and sibling support. Hospital chief executive offices (CEOs) and medical directors reported very strong and positive opinions regarding the value-added of their RMHs affiliation in many areas, including enhanced marketing of hospital specialty services and reduced length of stay.
Research limitations/implications
Survey response bias is a limitation, although the results are still useful in terms of identifying multiple ways in which RMHs are perceived as contributing to hospitals’ operations and provision of family-centered care.
Practical implications
Overall, the results suggest that, internationally, hospital leaders believe that RMHs play a key and valued role in their provision of family-centered care to seriously ill children and their families.
Social implications
Family accommodation is more than the simple provision of lodging and plays an integral role how hospitals approach family-centered care.
Originality/value
This international study contributes to the general literature on the role of family accommodation in hospitals’ provision of family-centered care and the specific and very sparse literature on RMHs in particular.
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Christine Murray, Brittany Wyche and Catherine Johnson
The purpose of this paper is to describe the ongoing data and evaluation strategies being used to document the impact of the Guilford County Family Justice Center, which has been…
Abstract
Purpose
The purpose of this paper is to describe the ongoing data and evaluation strategies being used to document the impact of the Guilford County Family Justice Center, which has been in operation for nearly four years.
Design/methodology/approach
There are four primary ongoing data and evaluation strategies used to tell the story of the impact of the family justice center (FJC) on the community: tracking services provided by the FJC, collecting annual data from partner agencies, conducting week-long censuses and doing an annual survey of professionals affiliated with the FJC and its partner organizations. (The current paper reports on the first three of these strategies.)
Findings
Methodological limitations of the evaluation strategies used warrant caution in interpreting the findings of the ongoing evaluation of the Guilford County FJC. However, preliminary evaluation findings indicate support for the center’s positive impact on the community it serves, including in the number of clients served, a reduction in domestic violence-related homicide rates and the creation of new community resources that emerged through the FJC partnership.
Research limitations/implications
Each of the evaluation strategies used in this study holds inherent strengths and limitations, which are discussed in the paper. Beyond the future evaluation of local FJCs, a range of rigorous methodologies can be used to further explore the impact of the FJC model. Qualitative methods may be useful for gaining an in-depth understanding of victims’ and survivors’ perceptions of accessing resources through an FJC, as well as for studying beliefs and attitudes toward FJCs among various community stakeholders. Quantitative methods can be used to apply more complex statistical analyses to comparing indicators of the impact of FJCs over time.
Practical implications
The data and evaluation findings from the Guilford County FJC add support to the potential positive impact of the FJC model on communities. These preliminary data suggest that FJCs can impact communities by offering support to victims and coordinating resources among partner organizations. Collaborative partnerships can be leveraged to lead to broader community changes that strengthen community-level responses to interpersonal violence through greater community awareness, opportunities for community members to contribute to solutions and the establishment of new resources that emerge from needs identified through the partnership.
Social implications
Overall, there is a pressing need for research examining various aspects of the FJC model and identifying factors that contribute to its success at fostering collaboration, supporting victims and survivors, holding offenders accountable and preventing future violence. With the rapid growth of the FJC models, the need for research and evaluation to document the effectiveness and limitations of the model is high.
Originality/value
Designed to serve as a one-stop shop for victims of domestic violence and other forms of violence to seek help, FJCs offer, within a single location, multiple services from a variety of professional disciplines. These services include law enforcement, victim advocacy and prosecution. Although the FJC model is expanding rapidly across the USA and internationally, research to date is limited, and thus, the current paper will add to the research and evaluation basis for the FJC movement.
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Jane Tunstill, Jane Aldgate and June Thoburn
This article describes the contrast between the clearly expressed and optimistic intentions of section 17 of the Children Act 1989, namely to produce a genuine service continuum…
Abstract
This article describes the contrast between the clearly expressed and optimistic intentions of section 17 of the Children Act 1989, namely to produce a genuine service continuum that will promote and safeguard the welfare of children, and the reality of the post‐1989 implementation process. It shows how, over decades, perennial challenges have consistently skewed the balance between proactive family support services and reactive crisis‐driven responses in favour of the latter. Drawing on government‐commissioned evaluations, including two on out‐of‐home care and family centres respectively, the authors conclude that the Act has failed to change this balance for the better. Primary factors in this include inadequate funding and the risk‐averse responses of policy‐makers and politicians.
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Masoumeh Simbar, Mahboobeh Ahmadi, Golnoosh Ahmadi and Hamid Reza Alavi Majd
Quality of family planning services is now considered as a global concern and importance. The purpose of the present study is to assess quality of family planning services in the…
Abstract
Purpose
Quality of family planning services is now considered as a global concern and importance. The purpose of the present study is to assess quality of family planning services in the urban health centers of Shahid Beheshti Medical Science University.
Design/methodology/approach
This was a descriptive study to assess structure, process and outcome of the family planning care services. A total of 15 health centers of Shahid Beheshti Medical Science University were randomized and the quality of provided care by 65 family planning care providers of these health centers were observed and assessed using checklists. A total of 75 family planning clients were interviewed to assess their knowledge about their selected family planning method all of whom completed the related forms of satisfaction with the services. The tools for data collection were two observational checklists, and two questionnaires with subsequent data analyzed using SPSS 11.5. In total 75 clients with an average age 24 (7±4) (mean±SD) participated in the study. The provision of family planning services by 65 providers was assessed by observation at three intervals. Of the providers, 60 (92.3 per cent) were midwives.
Findings
Mean satisfaction score of clients was 83.3±9.05 percent meaning clients were highly satisfied with the services. Mean knowledge score of clients about their family planning method of use was 59.1±18 percent, which shows their moderate knowledge about their method of use.
Originality/value
A more advanced tool to assess quality of care of family planning services with more focus on special care for the contraceptives was developed. Quality of care in family planning services of Shahid Beheshti Medical Science University health centers showed adequate facilities and equipment and to have trained personnel however their client's knowledge about the selected method was moderate. Therefore, interventional programs are needed to improve counseling and the educational process of clients, which should be considered in future research and planning of the programs.
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Suzanne M. Bronheim, Elif Can and Bruno J. Anthony
The purpose of this paper is to explore perceptions of family-to-family (F2F) information centres by health care providers serving Hispanic and African American families of…
Abstract
Purpose
The purpose of this paper is to explore perceptions of family-to-family (F2F) information centres by health care providers serving Hispanic and African American families of children with special healthcare needs (CSHCN) and how that information can be used to enhance effective collaboration to address disparities in access to services.
Design/methodology/approach
In this second phase of a formative, qualitative multi-phase, collaborative study by a university centre and three F2Fs to develop strategies to increase the use of their centres by Hispanic and African American populations, the authors report the results of key informant interviews with healthcare providers serving the African American and Hispanic families who participated in focus groups at the three centres.
Findings
Healthcare providers reported that F2Fs play a unique role in providing families support and skills to advocate within systems. However, barriers to healthcare providers recommending F2Fs to families include a lack of knowledge about the specific services provided, the need for face-to-face contact to feel comfortable making a referral and a lack of a formalised referral and feedback process that is in line with their experiences in the medical services system.
Practical implications
F2Fs can increase use of their centres by African American and Hispanic families through provider referrals by: promoting specific services and supports they offer families, rather than describing their programmes; promoting how they can help providers with the care coordination functions that are time consuming; offering providers training opportunities; and developing processes for referrals that include feedback to providers.
Originality/value
There are no studies that currently address strengthening the collaboration between medical homes and F2F centres to improve care coordination, access to information and receiving needed services for Hispanic and African American CSHCN and their families. Understanding how healthcare providers serving Hispanic and African American CSHCN perceive F2Fs and currently work with them will enhance this collaboration.
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Christine Murray, Alexandra Lay, Brittany Wyche and Catherine Johnson
The purpose of this study is to explore the perspectives held by professionals affiliated with an FJC through a cross-sectional survey. The family justice center (FJC) model is…
Abstract
Purpose
The purpose of this study is to explore the perspectives held by professionals affiliated with an FJC through a cross-sectional survey. The family justice center (FJC) model is expanding rapidly in the USA and internationally. Despite the rapid growth of the FJC movement, there is a need for more research to document the impact of FJCs on victims and survivors, professionals working in FJCs and the broader community.
Design/methodology/approach
The current paper focuses on perspectives of professionals who serve victims of family and interpersonal violence and it includes the results of a four-year, cross-sectional survey of professionals working in a community that established an FJC. Data analyzes examined differences in perspectives of professionals based on timing (i.e. from before an FJC was established to the time when the center was in operation for three years) and based on whether professionals worked primarily onsite at the FJC location.
Findings
The findings demonstrated that although some statistically significant differences were identified that suggest a positive impact of an FJC for professionals, more research is needed to further explore how professionals’ perspectives and experiences are impacted through the establishment of an FJC.
Originality/value
This study is the first-known cross-sectional examination of the perspectives of professionals working within an FJC model over a multi-year period.
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Watchara Tabootwong and Frank Kiwanuka
Partnership is both a goal and an approach to family-centered care (FCC). Family members play an important role alongside the health-care team when an older family member is…
Abstract
Purpose
Partnership is both a goal and an approach to family-centered care (FCC). Family members play an important role alongside the health-care team when an older family member is admitted to the hospital. Family involvement in care for an older person forms a partnership approach where health professionals and the family engage collaboratively in care. This enhances the quality of care and family satisfaction with care. The purpose of this paper is to highlight the potential areas of partnerships of family members with health-care professionals while caring for older people based on the perspective of FCC.
Design/methodology/approach
A literature review was carried out.
Findings
The findings of this study focus on how healthcare professionals can listen to, respect the perspectives of family members, and share useful information with the family while caring for an older person. Family participation in providing care and collaboration between healthcare professionals and families is a seminal goal strategy in caring for older people during hospitalization. It is helpful to family members as a way of training and preparing them to assist their loved one after hospital discharge. Furthermore, it can establish a good relationship between healthcare professionals and families.
Originality/value
Partnership between health-care professionals and families helps and supports the older people and the family in managing the health condition the following discharge from the hospital.
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