Qualities of good programs to prevent child abuse
PEARL HARBOR (April 23, 2010) Mara MacDonald, from the Navy New Parent Support Home Visitation Program, leads a group of new mothers and their babies in an infant massage class. The program is administered by the Navy Region Hawaii Fleet & Family Support Center and assists new parents and expecting parents with home visits, information on parenting, referrals, support groups and nurturing skills. (U.S. Navy photo by Mass Communication Specialist 1st Class Jason Swink/Released) (Photo credit: Wikipedia)
In my final post (for now) about programs to prevent child abuse, I thought I would highlight some qualities of programs I have seen that effectively work to prevent child abuse. As a reminder, my original start to this series of posts was a question posed on another blog about how we can prevent child abuse and child deaths.
1. The first quality any program providing aid to people who could use parenting help is compassion/ empathy. I know this may seem like a no-brainer, but some programs I have seen seem to leave this element out. No one wants to go to a program to hear how awful they are, thus confirming their internal fear that they are, in fact, awful. A compassionate program understands that all parents experience fear, that we are all doing the best we can, and that none of us have children thinking we are looking forward to messing them up as much as possible. Acknowledging this over and over is an important part of any program seeking to help parents.
2. Normalizing getting help is an incredibly important part of any program seeing to end child abuse. Highlighting the diversity of parents, race, class, and gender, who seek help is also incredibly helpful. This is, in my opinion, best achieved by having mentors that have completed the same or a similar program and are a representation of the general client population of the program. For example, if this is a program aimed toward parents experiencing postpartum depression, you would want a parent mentor or group leader who has experienced this and is regularly available to participants.
3. Good programs focus on the importance of parents in a child’s life. For regular followers of my posts, you know I had to mention attachment :). But seriously, the cornerstone of a good program that prevents child abuse absolutely needs to highlight the impact parents have on their children. I think people sometimes think it is a given that parents know how important they are to their children, but for people struggling with parenting- perhaps people whose parents were not ideal either- I find that many of these parents feel disempowered to make change in their child’s life. A good program reminds a parent of just how important they are.
4. The final quality I would like to highlight is that a good program helps people to build a supportive community. Good programs build communities so that if the program is ever unavailable, the learning and growing continues among the members of the community.
Some good programs I know of in my area are:
The Healthy Families program where parents are met in the hospital by someone from the program and are given support if they request it. Support can include getting help with access to services or forming a group of other new parents in the community. While there are healthy families programs all over the country, you can find the one near me here: http://www.hopkinsmedicine.org/howard_county_general_hospital/services/mothers_and_babies/healthy_families/index.html
The National Family Resiliency Center (NFRC) is a center for families experiencing a family transition and for parents where there is any need for co-parenting agreements. NFRC has been a national leader in helping court systems to recognize that when parents separate it is important to keep in mind the best interests of the child. They provide individual, couples, group counseling for parents and children, reunification and collaborative divorce services as well as very good classes for parents and children who are experiencing the transition process. Additionally, NFRC helps parents who would like to have co-parent agreements and low-conflict divorce. One way they do this is with an on-line program, www.familyconnex.org to help parents make decisions that are in the best interests of the children. Here is the link to NFRC’s website: www.nfrchelp.org
The Infants and Toddlers program, which is part of the educational system but may go by different names in other states, identifies infants who may have developmental delays and helps parents by offering resources for children birth-5 years with the combination of services they might need to get them school ready. You can find them here: http://marylandpublicschools.org/MSDE/divisions/earlyinterv/infant_toddlers/about/message.htm
There are many more, but these programs I mentioned in particular, although they target different populations, offer the combination of qualities important for a program aiming to prevent child abuse. While they might not even directly target child abuse, they are organizations that can recognize and report possible abuse, and that may help to prevent it in the first place though education and service.
What do you think? Do you know of any good programs that have been effective in your area in preventing abuse? I would love to hear about them. Also, did I miss any qualities of effective programs to help parents?
Laugh and your family laughs with you
Written by, Kate Oliver, LCSW-C
After a couple of days of heavy posts, it’s time to lighten the mood. I’ll post about good programs tomorrow like I said I would, but for now, let’s talk about bringing a little light and levity to our everyday life with our children. Sometimes, all you can do is laugh…or cry. I would encourage you to laugh. Sure, I could tell you about all the research that tells you that laughter is, indeed, the best medicine for many situations, but you can easily look that up, or you can just trust me on this one. Laugh more. Build humor into your family system. Make sure that your children understand your humor (even if they do not like it). Most importantly, teach your children to laugh at themselves by laughing at yourself. My younger daughter does an impression of my husband when he is telling her to clean up that is hilarious. We all laugh, then we clean up.
This morning, when I grumbled at my older daughter to rinse her mouth after brushing her teeth (who doesn’t rinse after you went to the trouble of brushing!?) because I’m tired of paying an extra car payments worth of money every time we go to the dentist, I went up to the bathroom after she went to school and found a post-it note she put up in the bathroom to remind herself to rinse:
In case you can’t read that, it said “RINSE OR DIE!”
Parenting does not have to be a series of serious teaching lessons all put together. It can be easy to forget this. You can teach, love, learn and grow with fun and laughter. Have a child that asks obvious questions all the time? Find a code word, like “marshmallows” that tells them they are asking a question they already know the answer to and use it whenever they ask nonsense questions.
Kid: “What’s for dinner (while they are staring at you cooking a hamburger)”
Parent: “Marshmallows.”
Kid: “When are we going to get there?” (on a trip they have been on 100 times).
Parent: “When we pass the sign with the marshmallows on it.”
Kid: “Do I have to do my homework?”
Parent: “Just do it until you get to the part about the marshmallows.”
It might drive them crazy, but it keeps you a little more sane while you focus on a fun way to fit more marshmallows into your life.
Laugh together over silly jokes or silly things they say. Make sure you are laughing with not at. No one like to feel like people are laughing at them but laughing together as a family brings your family closer and reminds us why we brought these “no-rent paying, mess making little people,” as my husband likes to say, into your home in the first place.
How do you laugh with your family? Please fell free to share a funny story that makes you smile 🙂
The Problem with Social Services- part II
In my post yesterday, I outlined some of the problems with the implementation of Social Services. Today, I will be discussing support for CPS and social workers in general. You can see from what you read already that in many ways workers are bound to the law of their area for decision-making purposes. I am certain that every CPS worker you will ever speak to has a child, or several children, that they wish they could have removed because they could see the train wreck coming. Similarly, they will also have a child they were sad to remove, and parents that surprise them with their resiliency, cruelty, etc. Just when you think you’ve seen it all, they have seen more. Yet, how much do we hear about CPS workers, or any social workers, for that matter getting recognition for the difficult work they do? In many ways CPS workers are damned if they do and damned if they don’t in most situations. The cases that get highlighted are the extremes where children were taken from the home with little apparent reason or children that were not removed from the home who died. There are almost always people who are upset with the decisions of the workers- people who feel neglect or abuse is occurring get angry because they want CPS workers to be more proactive, and people who feel the parents are doing the best they can, or have a right to parent however they see fit even if it borders on abuse want CPS workers to mind their own business. I do not mean to make any excuses over children improperly removed or children who are left in the home who suffer further abuse or fatality but I do want to say that with the high caseloads expected of caseworkers, the low-level of support and the high burnout rate of workers, mistakes are bound to happen. While I’m mentioning this, another potential area for legal changes could be mandating a particular number of children on a workers caseload just like school districts have a student; teacher ratio.
In addition to having incredibly difficult jobs and little public understanding of their role, CPS workers do this with very little financial support. While I was not working as a CPS worker, after earning my master’s degree and going to work in a treatment facility for abused children, I got very little compensation. By comparison, my sister, who was getting her undergraduate degree in computer science, made more at her internship than I was making at my job. I left that job five years later, with many tears on my part because I did love my work and I was in a supportive atmosphere. The final straw for me was after I had two children and my husband and I were in a Home Depot one day where two employees happened to be comparing paychecks while we were checking out. One of them mentioned how much money he was making an hour and I realized I was making only a dollar an hour more than he was. Even though my husband works hard, we do need my paycheck and I realized I needed to earn more money to justify being away from my babies. The average income of a full-time CPS worker is about 30-35,000 which is in the high range for social workers outside of private practice. If you compare what social workers and teachers do, we can make many of the same arguments about being expected to purchase materials in excess of what is provided and work hours outside of paid time, etc. Yet teachers have the support of the public. When’s the last time you saw a discount for social workers to get into a museum or social worker night at the pizza place? I’m guessing never.
My point is not to whine, my point is to say that one thing we could really use is some marketing. Right now the cons of getting involved in child welfare in general outweigh the pros for anyone who relies on their paycheck to put food on the table. If I had a dollar for every time in my master’s program I was told we were not in social work for the money, I would be rich. Bottom line, we need to support the intent of social services- to protect children and prevent child abuse, to advertise the opportunities that social services can help struggling parents with, and to better compensate and support our workers so we attract the best of the best. As part of a larger marketing campaign, we need to educate people about the current role of social services (while taking responsibility for past mistakes), focusing on people of color, immigrants and the very poor as in the past the United States has improperly targeted these groups and there is, in my opinion understandably, a generation of people who carry the fear that their children will be taken should they seek assistance or raise a question to anyone about how to be a better parent.
While you may believe that focusing on CPS is missing the point of supporting child abuse prevention, I believe it is very pertinent to the discussion. According to PBS’s Frontline website, only about 60% of the cases referred to CPS are actually found to need further investigation, however, even without finding a child has been abused, often the local Department of Social Services can offer families help in signing up for programs that include child care, food and medical assistance, and parenting classes. A 2002 report for the Urban Institute says that about $20 million was spent that year on child welfare services. Compare this to the Humane Society’s $160 million budget to protect animals. I have nothing against animals (I’m actually a vegetarian) but seriously? This is shameful! People will give money all day long to protect animals, but when it comes to children, for the most part, people do not want to hear about it, talk about it or think about it. I think too, we assume services are out there and available when really, they are not as available as we would like to think. De-stigmatizing aid and increasing wages to hire the best workers would dramatically change the impact of Social Services in preventing child abuse.
Tomorrow, I will highlight what I believe to be the cornerstones of a good child abuse prevention program.
The Problem with Social Services- from a Social Worker’s Perspective- part I
Written by, Kate Oliver, MSW, LCSW-C
I am writing this post in response to another post by Daniellesstory (I will repost so you can see it if you missed it) asking how it is that we might mobilize to make our children safer. Part of her concern was their safety when they have been entrusted to the care of social services. I would highly recommend you read her post about her experiences with her adopted daughter and social services and her questions about how to enact meaningful legislation that would really help children rather than serve as “nice words” saying we support a safe and healthy childhood for every child. I realize that her blog is not asking solely about Social Services but since most of the children that I see in my practice have had some interaction with social services, this is actually an issue that comes up a lot and I will focus on them for this post. If you are interested in finding out more about my own work history that informs my thoughts here, you can read my longer professional biography on the website www.attachmentdisordermaryland.com- you will find me in the “about us” section. While there are many aspects of Social Services we could talk about, in this post, I am going to stick with ways to change the ability of Social Services to protect children.
The issues, as I see them, are three-fold, implementation, support and funding. I will speak to implementation first. Right now, the individual states are in charge of the Departments of Social Services (they are not even all called that- but they all serve the same function) and within the states, sometimes Social Services are run by the counties and cities within the state. Each area decides for example, the level of education required to call someone a social worker and that can very within a state. In my state, Maryland, the county I live in has Child Protective Service (CPS) workers that are all Master’s level educated, while in Baltimore City, the Master’s level educated people are not in the field, they are supervising the workers in the field who may have an AA or undergraduate degree. It’s easy to see how a CPS worker with an AA would have a different skill set for helping, coping with burnout etc. from a Master’s level worker.
Additionally, different states have different laws about the implementation of protective services. In Maryland we have a law that states that Social Services must respond to an abuse report where a child may be in danger within 24 hours. That law and a law requiring workers to see any child who is a ward of the state routinely was the result of a child death while the child was in care and a subsequent re-haul of the system (via the Maryland state legislature). We also have a “mandatory reporter” law where people that routinely work with children, such as people in the school system, health care workers, social workers, etc. are required to report any suspicion of abuse. Other states have other laws governing (or not governing) social services. Consequently, when we talk about protecting children, we really must look to the laws of the state. In the daniellesstory post, the author suggested a lawsuit. I would suggest laws are easier changed by speaking to politicians about actual measures they can take. It is not my intent at all to minimize or excuse the awful things that happened to that author’s daughter or her daughter’s biological brother, only to better explain where the gaps and disservice comes from.
The question I think I get most often from people first bringing in their traumatized children to me has to do with why social workers do or do not remove children from a home. Here’s the deal… when we have a legal system that presumes innocence until guilt is proven, we create a reactive rather than proactive society. This means that social workers cannot just waltz into a home and remove children unless they have concerns that the child is in iminate harm of abuse. Each state has different laws about what constitutes abuse or neglect. In my state abuse means that a person left a physical mark on a child, used a child in a sexually exploitative manner, neglected to meet a child’s basic needs for health and welfare by not dressing them appropriately for the weather, neglecting to follow through on medical recommendations involving health issues, etc. Also included in my state’s laws related to abuse is mental harm- wherein a child has been emotionally abused by a parent, however, I do not know of a single case where a child has been removed for this alone. To break this down into the parts people seem most interested in, no, you cannot remove a child solely because they have drug addicted or alcoholic parent, or their house is messy all the time (unless the mess creates certain harm to the child), or because you think they are overly punative and mean. Children can be removed if the parents are drug abusers who have taken the child in the car while they were driving drunk or high, the mess in the house constitutes danger to a child, or the punative, mean nature of the parent translates into actual physical harm to the child. Because of the reactive nature of our system, children cannot be removed before harm is done. Child Protective Service (CPS) workers are trained to work to keep children in the home since we do not have a large pool of willing foster parents who are excited to take children into their home. Kinship care (where a child is placed with a relative) is the next step, and foster care is the last resort a worker looks for. Again, implementation of these decisions over whether a child stays or does not stay will have a lot to do with the training and support given to people in local departments and can vary widely.
In 1997, Congress enacted a law making a timeline where social services are required to work toward reunification of the child with their parent, except for some extreme cases, for 15 months. After those months are completed, they are to switch to permanency planning where they work toward the termination of parental rights so a child is free to be adopted. This law is in effect to avoid having children lingering in care for years and years while the system waits for a child’s parent to get it together. The belief behind the law is that children are best served by being in a family. Because this is a federal law- it is the same in every state.
As I mentioned before, not all states have the same laws and you definitely want to look up the laws in your individual state. The laws directly impact the way services are implemented so if you are looking for a different implementation of services, I would suggest you look at the wording of the laws about what constitutes abuse, who is a mandatory reporter and what they would be required to report, and look at the timeline for services for a child outside of the federal timeline like how quickly a child needs to be seen etc. I would not try to change the law to be pro-active (removing children before harm is done), not only is it asking to change a fundamental principle of our legal system, it is a slippery slope. Take, for example, when people say you should need a license to be a parent. Who would implement that law? Who would decide who gets to be a parent? What would the requirements be? When you look at it that way, you can see this is not a road we want to go down. We can’t even agree if a grown woman should be allowed to have birth control covered by her insurance for goodness sake- how in the world would anyone begin to decide who would get the parenting license, etc? I would also point out that I have met many parents who are “licensed”- they are foster parents and while they are required to take classes and pass basic requirements, they continue to have the same spectrum of parenting ability as the general population- anywhere from abhorrent to fantastic. To conclude this portion, I would say that the laws generally protect parents to raise children in the ways we see fit with limits set for the minimum standard of care and the maximum amount of physical force and exploitation. Within those parameters, we are all free to “mess up” our children as much as we would like and the system does not get to take them.
Tomorrow, I am going to post about two other issues, support for Social Workers and others who aid in protecting children and barriers to prevention.
What do you think would be a good law to implement to protect children?
The Perils of Perfectionism in Parenting
Written by, Kate Oliver, MSW, LCSW-C
Quite a few recent books have alluded to just how fed up parents are with people expecting them to be the perfect parent. Scary Mommy, by Jill Smokler, was just released this week and details confessions of real parents who feel all the feelings that go along with parenting that we often do not talk about such as, anger, isolation, depression, fear, and embarrassment. In this age where so much of what we do is recorded and we see so many recorded images of parents on reality television, it also seems like everyone is judging everyone else’s performance all the time. When we do this, we can wind up in a seemingly endless cycle of judging others and ourselves constantly without any relief in sight. In fact, there are several studies that have come out in the past few years stating that parents are significantly less happy than non-parents. I believe part of this is our unrealistic, perfectionistic tendencies during which the thought patterns can begin to get quite vicious.
My profession has not been much help in making parents feel much better either, I’m sorry to say. Not only do most of our books focus on what you can do for your children, rather than how to help you feel better so that you can be a better parent, we are constantly telling you how to improve communication with your child, have educationally enriching activities, spend quality time with your children and encouraging you to take constant care of their emotional needs. While all that stuff is nice and worthwhile in many ways, I think too much of it also takes away the important quality of being genuine with our children, you know, like the genuine feelings expressed in the popular picture book for adults “Go the F@$k to Sleep,” by Adam Mansbach. If you don’t know that book, take a moment to look it up on youtube and you can listen to Lawrence Fishburne read it to you- when your kids are not in the room. Really, isn’t that how most of us feel when our children are coming down six and seven times to say goodnight and asking to be tucked in even though we already tucked them in?
Here is what I think many parents are wanting and it is something we hear all the time about everything but being perfect parents… everything in moderation! Yes, even lovey, touchy stuff. It’s actually good for the kids to understand that their parents feel- gasp!- genuine emotions. If you are fakey, fakey all the time and pretend things are nice, they know it’s BS anyway and later they call you on it- I’ve seen it too many times to have any doubt about this. And you know, many times when our kids call us on stuff they are right. Has your child ever said anything to you like my daughter when she said, “Mom, that’s what you say when you’re not really listening?” She was right. I had no idea what she just said. That’s the daughter my husband and I joke that someone must have told her in the end she will get paid per spoken word because she sure does act like it. You bet I zone out the chatter sometimes and maybe even miss important things. As one of my favorite professors in my Master’s program said, one of the great thing about people is that if you miss something important they said the first time around, they are pretty certain to repeat it. I know this is true for my daughter too. Now, don’t get me wrong, remember- everything in moderation, so it is also important to take time to turn on our listening ears for our children every day, but I also want to be realistic that it feels quite impossible to be in the moment and listening to one child while the other is asking you to make them a peanut butter sandwich.
Another reason genuine = good with our children is that they, like us, are humans too! They are often not perfect and they need a good example of how to recover from imperfection. I give my kids lots of opportunities to witness imperfection without even trying that hard. I’m a real natural 🙂 I burn things, forget stuff, and plan poorly sometimes. Most parents do. It’s the ones that admit it and give children an example of how to recover via apology, forgiveness of self and others, humor, etc. that have happy, not entitled (another by-product of over-perfect parenting), healthy children with a good sense of who they are and who their parents are.
Dare to be perfectly imperfect! Your kids will thank you for it.
Related articles
- Parental Reframes When Things Don’t Look So Good (help4yourfamily.com)
- Two things your kids tell their therapists about you (help4yourfamily.com)
Parenting with affirmations
Written by, Kate Oliver, MSW, LCSW-C
My children are learning new and wonderful things every day.
I am loving and supportive to my children.
My children are loving toward me.
As a huge fan of Louise Hay, the mother of the self-help movement, I have come to find the wonderful healing work that can be done via the use of affirmations. Ms. Hay would tell you that every statement is an affirmation. Typically we think of affirmations being statements we say to help us to feel better. I am loving and loveable is a common affirmation people try to say over and over to help change internal beliefs. But people can also say other, unhealthy or damaging affirmations, without even realizing they are doing so. I hear affirmations all the time like this, for example: everything I do turns out wrong, and it seems like everyone I love leaves me. I know it may seem simplistic to say that affirmations can change things but take a moment to see if you can remember words that may have changed your life. Hurtful words, loving words, thoughtful words, all may have played a part in helping you to form who you are.
I remember overhearing my mother say once that my sister was a smart as I was pretty. These words carried a lot of meaning for my twelve year old self. From them I deduced that my mother thought I was pretty (nice), but not that smart (ouch). While I know she would never have wanted me to feel like I was not smart and she has told me many times since that I am smart, I know that those words were powerful and impacted how I felt about myself. As parents our words are formative for our children. In the same way we can use affirmations to help us feel better about ourselves and to retrain our brains and our internal belief systems, we can use them to help our children form their own internal beliefs and set of understandings about how to feel better when life is hard.
One good introduction to affirmations for children is Louise Hay’s children’s book, I Think, I Am. In it, Hay uses child friendly language to teach children the power of affirmations. I have been using affirmations in my parenting for well over a year now, and can tell you it has made a huge difference in my children’s day to day happiness (mine as well). One thing that I think keeps people away from using affirmations is that they believe all affirmations have to be said in this nicey, nicey tone that feels syrupy and sweet. In my time using affirmations with my children, I can tell you this is absolutely not so!
My then six year old daughter, used to have reactions ranging from grumpy and reluctant to downright nasty upon waking up each morning. I actually got pretty irritated with going in to her room each morning to wake her up with a nice song only to be greeted with a moan that I needed to stop singing and demands for me to help her get dressed. However, I was determined to stay positive toward her and to try to set limits. One day, I got fed up with it and said quite firmly something along the lines of, “You know, the things you say right when you get up set the tone for your day. Do you want to wake up saying how rotten things are all the time or would you like to start your day showing love for all you have?” Here comes the affirmation, which I then stated out loud. “I am chosing to start my day happy and to be around people who are being kind to me.” Then I walked out of her room. I can assure you that I did not sound remotely close to sweet and syrupy. I also stated that I was going to take care of myself by leaving the room because I did not want to start my day feeling angry and sour. I believe my tone and questions are what caused my daughter to sit up and took notice. Within a few minutes she had dressed herself and come downstairs to tell me she did want to start her day right. Since then she has mentioned this desire several times. Sometimes in the morning when I wake her up now she still mentions that today she is going to have a happy day and I can tell you that morning wake ups have completely changed for her making our entire morning smoother for everyone.
Perhaps this sounds too simplistic. I know it’s not always so easy because I know you might tell me how your child would follow you out of the room and around the house demanding that you do such and such or this or that. Affirmations are not magical. They do not immediately change the people around you just by you saying them, however, they do help you to change your inner world and your outer world is forced to change as well. Be what I call a “broken record” with your affirmations. As your child follows you around giving you a hard time, continue to state them out loud. It can be the same one over and over again- you know, the same way you have to say “no” twenty times before they get it.
Now that you have read this, I would strongly encourage you to take a moment now to think about the affirmations you are saying to and about your own children. Would you like to change them? If so, write down what you would like to change them to. Need help finding an affirmation? Give me a try. I’ve gotten pretty good at this 🙂
For more information about affirmations, I would strongly recommend you read Louise Hay’s classic book, You Can Heal Your Life. It has been around for a while but it is actually a timeless work. No time to read? I bought it off itunes and listened to it while walking and I highly recommend this way as well. You can easily find this book by clicking on the Amazon widget link at the top right of this page. Please read my disclaimer page first.
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