We Know Better Than We Do: A Policy Framework for Child Welfare Reform

The need for comprehensive reform of child welfare policies and systems has long been evident. This Article reports observations from the WK Kellogg Foundation-sponsored Families for Kids Initiative that seeks to expand services and support to families and reduce the time children spend in temporary care. The authors first provide an overview of the need for reforms such as those proposed by this initiative, suggesting that many child welfare studies, critiques, and proposed reforms have had similar objectives. The authors highlight lessons learned from how these reform goals are being developed, implemented, and practiced in ongoing programs across the nation and argue that change at multiple levels must occur for reform of this system to succeed. They identify nine methods being used to varying degrees by some of these initiatives to institutionalize reform goals and improve the quality and outcomes of child welfare legal and social service practice. By highlighting these evolving models of state law, agency administrative procedure and professional practice, the authors identify areas of reform for other jurisdictions. Child welfare reform rests upon new legislation mandates; more specific reasonable efforts requirements, adoption of flexible funding mechanisms, capitated foster care contracts, timely court processes better trained professional or cross-system data capability to monitor children in care. All of these policy and system reforms must be designed and implemented collectively for child welfare ideals to become operational

Delphi survey on conventional conservative treatment of functional posterior shoulder instability

Background: Posterior shoulder instability is caused by structural or functional defects. While the former are mostly treated surgically, physiotherapy is considered the treatment of choice in functional shoulder instability. However, it often has limited success unless very specific and intensive training programs are applied by trained experts. Currently, there is no consensus on the treatment of functional posterior shoulder instability. Objective: To improve treatment of this pathology, a standardized treatment recommendation is required to serve as a guideline for physiotherapy. The aim of this study was to establish expert consensus for treatment recommendations for functional posterior shoulder instability. Design: The Delphi survey technique was employed. Methods: A standardized training program for treatment of functional posterior shoulder instability was developed by a local expert committee. Two rounds of an online Delphi survey were then conducted. The panel of the Delphi survey comprised nine leading scientific experts in the field of functional shoulder instability who treat patients with shoulder-related problems conservatively and operatively. Results: The response rate was 100% and there were no dropouts. The final program consists of three groups of exercises with increasing difficulty. The exercises are mostly easy to perform and focus on the scapula-retracting muscles and the muscles responsible for external rotation of the shoulder. The treatment program should be executed under the supervision of a therapist at the beginning and later may be performed by the patients themselves. Conclusion: Consensus on a new exercise guideline dedicated to the treatment of functional posterior shoulder instability was achieved. This guideline should not only help to treat this challenging pathology but also provide a starting point for further scientific research and ongoing improvement

Predictors of nurturant parenting in teen mothers living in three generational families

Direct and indirect effects of grandparents on maternal nurturance in teen mothers (TM) living in three-generational families were explored with path analytic techniques in a sample of 107 working-class families. Perceived support from the teen's mother, grandparents' nurturance toward the baby, and the presence of the grandfather as a father figure in the home were hypothesized as increasing TM nurturance. TM nurturance was found to be positively predicted by grandparent nurturance and negatively predicted by TM perceived support from her mother. The strongest predictor of TM nurturance was grandfather nurturance toward the baby.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43953/1/10578_2006_Article_BF02353198.pd

Business corruption and economic prosperity

Prior literature shows that government corruption mostly hurts poorer economies, whereas recent events, including the 2008 U.S. economic crisis, suggest that business corruption may harm growth in wealthier economies. Using multinational surveys in which citizens communicated their perceptions of corruption levels in both the private and the public sectors, we examine the extent of business corruption relative to government corruption in countries and its relation to economic prosperity. We find that citizens of wealthier countries report higher business corruption than citizens of poor countries, and relatively low government corruption. Business corruption is evidently a greater concern to citizens of wealthier countries. Furthermore, we find that an increase in perceived business corruption is associated with a decrease in income per capita mainly in wealthy countries. In wealthier economies, business trust has a larger role, and perceived business corruption has a stronger effect on growth. Finally, our evidence suggests that an increase in perceived business corruption leads to increase in regulation, and the marginal effect of the regulation on growth is positive

We Know Better Than We Do: A Policy Framework for Child Welfare Reform

The need for comprehensive reform of child welfare policies and systems has long been evident. This Article reports observations from the WK Kellogg Foundation-sponsored Families for Kids Initiative that seeks to expand services and support to families and reduce the time children spend in temporary care. The authors first provide an overview of the need for reforms such as those proposed by this initiative, suggesting that many child welfare studies, critiques, and proposed reforms have had similar objectives. The authors highlight lessons learned from how these reform goals are being developed, implemented, and practiced in ongoing programs across the nation and argue that change at multiple levels must occur for reform of this system to succeed. They identify nine methods being used to varying degrees by some of these initiatives to institutionalize reform goals and improve the quality and outcomes of child welfare legal and social service practice. By highlighting these evolving models of state law, agency administrative procedure and professional practice, the authors identify areas of reform for other jurisdictions. Child welfare reform rests upon new legislation mandates; more specific reasonable efforts requirements, adoption of flexible funding mechanisms, capitated foster care contracts, timely court processes better trained professional or cross-system data capability to monitor children in care. All of these policy and system reforms must be designed and implemented collectively for child welfare ideals to become operational